Evidence map›Paper›PMID 38170276›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024

Cardiac risk stratification and adverse outcomes in surgically managed patients with isolated traumatic spine injuries.

Ahmad Mohammad Ismail, Maximilian Peter Forssten, Frank Hildebrand, Babak Sarani, Ioannis Ioannidis, Yang Cao, Marcelo A F Ribeiro, Shahin Mohseni

Open access · hybridAbstract read
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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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 4 institutions in 5 countries.

Ahmad Mohammad IsmailSchool of Medical Sciences, Orebro University, 701 82, Orebro, Sweden.
Maximilian Peter ForsstenSchool of Medical Sciences, Orebro University, 701 82, Orebro, Sweden.
Frank HildebrandDepartment of Orthopedics, Trauma and Reconstructive Surgery, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.ORCID http://orcid.org/0000-0001-7729-9838
Babak SaraniCenter of Trauma and Critical Care, George Washington University, Washington, DC, USA.
Ioannis IoannidisSchool of Medical Sciences, Orebro University, 701 82, Orebro, Sweden.
Yang CaoClinical Epidemiology and Biostatistics, School of Medical Sciences, Faculty of Medicine and Health, Orebro University, 701 82, Orebro, Sweden.
Marcelo A F RibeiroDivision of Trauma, Critical Care & Acute Care Surgery, Department of Surgery, Sheikh Shakhbout Medical City, Mayo Clinic, Abu Dhabi, United Arab Emirates.
Shahin MohseniSchool of Medical Sciences, Orebro University, 701 82, Orebro, Sweden. mohsenishahin@yahoo.com.ORCID http://orcid.org/0000-0001-7097-487X
Örebro University · SEGeorge Washington University · USGulf Medical University · AERWTH Aachen University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAs the incidence of traumatic spine injuries has been steadily increasing, especially in the elderly, the ability to categorize patients based on their underlying risk for the adverse outcomes could be of great value in clinical decision making. This study aimed to investigate the association between the Revised Cardiac Risk Index (RCRI) and adverse outcomes in patients who have undergone surgery for traumatic spine injuries.

methodsAll adult patients (18 years or older) in the 2013-2019 TQIP database with isolated spine injuries resulting from blunt force trauma, who underwent spinal surgery, were eligible for inclusion in the study. The association between the RCRI and in-hospital mortality, cardiopulmonary complications, and failure-to-rescue (FTR) was determined using Poisson regression models with robust standard errors to adjust for potential confounding.

resultsA total of 39,391 patients were included for further analysis. In the regression model, an RCRI ≥ 3 was associated with a threefold risk of in-hospital mortality [adjusted IRR (95% CI): 3.19 (2.30-4.43), p < 0.001] and cardiopulmonary complications [adjusted IRR (95% CI): 3.27 (2.46-4.34), p < 0.001], as well as a fourfold risk of FTR [adjusted IRR (95% CI): 4.27 (2.59-7.02), p < 0.001], compared to RCRI 0. The risk of all adverse outcomes increased stepwise along with each RCRI score.

conclusionThe RCRI may be a useful tool for identifying patients with traumatic spine injuries who are at an increased risk of in-hospital mortality, cardiopulmonary complications, and failure-to-rescue after surgery.

Indexed as

Hospital MortalitySpinal InjuriesAdultAgedFailure to Rescue, Health CareFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk AssessmentWounds, NonpenetratingCardiopulmonary complicationsMortalityRevised Cardiac Risk IndexRisk stratificationTraumatic spine injury

Identifiers

PMID38170276
PMCPMC11035445
OpenAlexW4390570324

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.