Evidence map›Paper›PMID 38088724›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2023

ACUTE ABDOMEN IN INTENSIVE CARE UNIT: ETIOLOGY, COMORBIDITY AND SEVERITY OF 1,523 PATIENTS.

Geraldo Fernandes de Almeida Filho, Pedro Paulo Costa E Silva, Murilo Tavares Valverde Filho, Maria Clara Alves Morais, Paulo Bravo de Oliveira Chagas, Ricardo Azevedo Cruz D'Oliveira, Liana Codes, Paulo Lisboa Bittencourt

Open access · diamondAbstract read
In one paragraph

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. POSTOPERATIVE OUTCOME OF PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT AFTER ELECTIVE AND EMERGENCY LAPAROTOMY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2025
    Article
  2. Article
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

8 authors at 1 institution in 1 country.

Geraldo Fernandes de Almeida FilhoEscola Bahiana de Medicina e Saúde Pública, Medical School - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0003-1228-6301
Pedro Paulo Costa E SilvaEscola Bahiana de Medicina e Saúde Pública, Medical School - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0002-6596-0067
Murilo Tavares Valverde FilhoEscola Bahiana de Medicina e Saúde Pública, Medical School - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0002-8325-8538
Maria Clara Alves MoraisEscola Bahiana de Medicina e Saúde Pública, Medical School - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0003-3752-584X
Paulo Bravo de Oliveira ChagasEscola Bahiana de Medicina e Saúde Pública, Medical School - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0003-0606-2088
Ricardo Azevedo Cruz D'OliveiraEscola Bahiana de Medicina e Saúde Pública, Medical School - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0002-4037-7545
Liana CodesEscola Bahiana de Medicina e Saúde Pública, Medical School - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0001-5178-8705
Paulo Lisboa BittencourtEscola Bahiana de Medicina e Saúde Pública, Medical School - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0003-0883-4870
Escola Bahiana de Medicina e Saúde Pública · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical features and outcomes of patients admitted to the intensive care unit due to acute abdomen are important to be investigated.

aimsTo evaluate the outcomes of critically ill subjects with acute abdomen according to etiology, comorbidity and severity.

methodsOutcomes of 1,523 patients (878 women, mean age 66±18 years) consecutively admitted to a specialized gastrointestinal intensive care unit with different causes of acute abdomen from January 2012 to December 2019, were retrospectively evaluated according to etiology, comorbidity and severity.

resultsThe most common causes of acute abdomen were obstructive and inflammatory, particularly large bowel obstruction (27%), small bowel obstruction (18%) and acute pancreatitis (17%). Overall mortality was 13%. Surgery was required in 34% of patients. Median length of stay in the hospital was 9 [1-101] days. On univariate analysis mortality was significantly associated with age, APACHE II, Charlson comorbidity index, requirement for surgery and malignancy (p<0.0001), but only APACHE II, Charlson comorbidity index and surgical interventional remained significant on multivariate analysis.

conclusionsCritically ill patients admitted to the intensive care unit with acute abdomen constitute a heterogeneous group of subjects with different prognosis. Mortality is more related to the severity of the disease, comorbidity and need for surgery than to the etiology of the acute abdomen.

Indexed as

Abdomen, AcutePancreatitisAcute DiseaseAgedAged, 80 and overComorbidityCritical IllnessFemaleHospital MortalityHumansIntensive Care UnitsLength of StayMiddle AgedPrognosisRetrospective Studies

Identifiers

PMID38088724
PMCPMC10712925
OpenAlexW4389494913

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.