Evidence map›Paper›PMID 37908381›Full record

ArticleAnnals of surgical treatment and research2023

Analysis of prognostic factors for postoperative complications and mortality in elderly patients undergoing emergency surgery for intestinal perforation or irreversible intestinal ischemia.

Hyung Suk Kim, Hyun Il Kim, Young Joon Yoon, Jong Hoon Yeom, Min Gyu Kim

Open access · diamondAbstract read
In one paragraph

Article in Annals of surgical treatment and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Hyung Suk KimDepartment of Surgery, Hanyang University Guri Hospital, Hanyang University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5939-2211
Hyun Il KimDepartment of Surgery, Hanyang University Guri Hospital, Hanyang University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-2186-5842
Young Joon YoonDepartment of Anesthesiology, Hanyang University Guri Hospital, Hanyang University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-7351-3371
Jong Hoon YeomDepartment of Anesthesiology, Hanyang University Guri Hospital, Hanyang University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-3159-2072
Min Gyu KimDepartment of Surgery, Hanyang University Guri Hospital, Hanyang University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-9943-0083
Hanyang University Guri Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Because the global geriatric population continues to increase, the assessment of emergency surgical outcomes in elderly patients with acute peritonitis will become more important. Methods: A retrospective review was conducted on the data of 174 elderly patients who underwent emergency surgery for intestinal perforation or intestinal infarction between June 2010 and November 2022. We conducted an analysis of the risk factors associated with postoperative complications and mortality by evaluating the characteristics of patients and their surgical outcomes. Results: In our study, most patients (94.3%) had preexisting comorbidities, and many patients (84.5%) required transfer to the intensive care unit following emergency surgery. Postoperative complications were observed in 84 individuals (48.3%), with postoperative mortality occurring in 29 (16.7%). Multivariate analysis revealed preoperative acute renal injury, hypoalbuminemia, and postoperative ventilator support as significant predictors of postoperative mortality. Conclusion: When elderly patients undergo emergency surgery for intestinal perforation or infarction, it is important to recognize that those with preoperative acute renal injury, hypoalbuminemia, and a need for postoperative ventilator support have a poor prognosis. Therefore, these patients require intensive care from the early stages of treatment.

Indexed as

AgedMortalityPeritonitisPostoperative complicationsRisk factors

Identifiers

PMID37908381
PMCPMC10613825
OpenAlexW4387884115

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.