Evidence map›Paper›PMID 38765353›Full record

ArticleCureus2024

Prevention of Postoperative Skin Disorders and Pressure Injuries in the Neurosurgical Park Bench Position Surgery: A Prospective Cohort Study.

Kentaro Hara, Takahiro Uemura, Reika Tachibana, Ryosuke Kumashiro, Michiko Yamaguchi, Ichiro Kawahara, Masaki Fujioka

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

7 authors.

Kentaro HaraOperation Center Division, National Hospital Organization Nagasaki Medical Center, Nagasaki, JPN.
Takahiro UemuraOperation Center Division, National Hospital Organization Nagasaki Medical Center, Nagasaki, JPN.
Reika TachibanaOperation Center Division, National Hospital Organization Nagasaki Medical Center, Nagasaki, JPN.
Ryosuke KumashiroOperation Center Division, National Hospital Organization Nagasaki Medical Center, Nagasaki, JPN.
Michiko YamaguchiDepartment of Anesthesiology, National Hospital Organization Nagasaki Medical Center, Nagasaki, JPN.
Ichiro KawaharaDepartment of Neurosurgery, Japan Community Health Care Organization Isahaya General Hospital, Nagasaki, JPN.
Masaki FujiokaDepartment of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background In neurosurgical procedures where the park bench position is employed, the risk of perioperative pressure injuries is elevated due to the limited contact surface area, with the head and part of the upper torso extending beyond the surgical table. This study aimed to examine the effects of preventative measures against such injuries, proposing a potential standard for postural fixation in these surgeries. Methods Conducted at a medical center, from January 2017 to March 2023, this prospective cohort study involved participants aged 20 and above who underwent neurosurgical procedures in the park bench position under general anesthesia. The focus was on comparing the incidence of pressure injuries between intervention and control groups. The study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Results Out of 65 patients enrolled, 28 were assigned to each of the intervention and control groups. The control group experienced 17 instances of postoperative pressure injuries and skin disorders in areas prone to pressure, such as the axillary and greater trochanter regions. Conversely, the intervention group reported no such incidents, underscoring the efficacy of meticulous surgical positioning and management of bodily pressure, temperature, humidity, and microclimate. Conclusion Implementing preventive measures in neurosurgical park bench procedures significantly reduces the incidence of postoperative pressure injuries and skin disorders. These findings advocate for the adoption of standardized postural fixation protocols in such surgeries, potentially influencing global clinical practices in neurosurgery.

Indexed as

neurosurgicalpark bench positioningpostoperative cutaneous disorderspressure injuriessurgical procedures

Identifiers

PMID38765353
PMCPMC11102086

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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.