Evidence map›Paper›PMID 38272456›Full record

ArticleThe American surgeon2024

Evaluating Mortality Outcomes, Transfusion Characteristics, and Risk Factors Associated With Cirrhotic Trauma Patients Undergoing Emergency Laparotomy Versus Non-Operative Management: A National Analysis.

Adel Elkbuli, Tessa Breeding, Brian Martinez, Heli Patel, Brian Chin, D-Dre Wright, Ryan Patterson, Jennifer Roberts, Heather Rhodes

Expression of concernAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in The American surgeon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.1field-weighted citation impact, top 25% 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

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Adel ElkbuliDivision of Trauma and Surgical Critical Care, Department of Surgery, Orlando Regional Medical Center, Orlando, FL, USA.
Tessa BreedingKiran Patel College of Allopathic Medicine, NOVA Southeastern University, Fort Lauderdale, FL, USA.
Brian MartinezKiran Patel College of Allopathic Medicine, NOVA Southeastern University, Fort Lauderdale, FL, USA.
Heli PatelKiran Patel College of Allopathic Medicine, NOVA Southeastern University, Fort Lauderdale, FL, USA.
Brian ChinJohn A. Burns School of Medicine, University of Hawaii, Honolulu, HI, USA.
D-Dre WrightJohn A. Burns School of Medicine, University of Hawaii, Honolulu, HI, USA.
Ryan PattersonDepartment of Surgery, Marshfield Clinic Health System, Marshfield, WI, USA.
Jennifer RobertsDepartment of Trauma, Marshfield Clinic Health System, Marshfield, WI, USA.
Heather RhodesCenter for Clinical Epidemiology and Public Health, Marshfield Clinic Research Institute, Marshfield, WI, USA.
Nova Southeastern University · USMarshfield Clinic · USUniversity of Hawaiʻi at Mānoa · USMarshfield Clinic · USOrlando Regional Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with liver cirrhosis (LC) demonstrate significantly elevated mortality rates following a traumatic event. This study aims to examine and compare the clinical outcomes in adult trauma patients with pre-existing LC undergoing laparotomy or non-operative management (NOM). Additionally, the study aims to investigate various patient outcomes, including mortality rate based on transfusion needs and timing.

methodsThis retrospective cohort study utilized the American College of Surgeons Trauma Quality Program Participant Use File (ACS-TQIP-PUF) 2017-21 to compare laparotomy vs NOM in adults (≥18 years) with pre-existing LC who presented to trauma facilities with isolated blunt solid organ abdominal injuries (Injury Severity Score ≥16, Abbreviated Injury Scale solid organ abdomen ≥3).

resultsAmong 929 patients, 38.2% underwent laparotomy, while 61.7% received NOM. The in-hospital mortality rate was lower for patients who received NOM (52.3% vs 20.0%,

conclusionTrauma patients with moderate to severe isolated organ injury and Liver cirrhosis had significantly higher mortality rates, acute renal failure, whole blood units received, as well as longer ICU-LOS when undergoing laparotomy compared to non-operative management.

Indexed as

Abdominal InjuriesBlood TransfusionHospital MortalityLaparotomyLiver CirrhosisAdultAgedFemaleHumansInjury Severity ScoreMaleMiddle AgedRetrospective StudiesRisk FactorsUnited StatesWounds, Nonpenetratingabdominal traumalaparotomyliver cirrhosisoutcomesrisk factors

Identifiers

PMID38272456
OpenAlexW4391239497

What OpenQuestion holds

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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.