Evidence map›Paper›PMID 38846234›Full record

ArticleCureus2024

Postoperative Complications in Emergency Surgeries at a Referral Hospital in Eastern Venezuela.

Victor Castañeda-Marquez, Yeisson Rivero-Moreno, Enrique Avila-Liendo, Gabriel Gonzalez-Quinde, Wilson Garcia-Cazorla, Georcimar Mendez-Meneses, Yoalkris E Salcedo, Tamara Rodriguez-Rugel, Jackner Antigua-Herrera, Miguel Rivas-Perez and 2 more

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. Review
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

12 authors.

Victor Castañeda-MarquezDepartment of Surgery, Universidad de Oriente, Nucleo Anzoategui, Barcelona, VEN.
Yeisson Rivero-MorenoDepartment of Surgery, Universidad de Oriente, Nucleo Anzoategui, Barcelona, VEN.
Enrique Avila-LiendoDepartment of Surgery, Universidad de Oriente, Nucleo Anzoategui, Barcelona, VEN.
Gabriel Gonzalez-QuindeDepartment of Surgery, Hospital Leon Becerra Camacho, Milagro, ECU.
Wilson Garcia-CazorlaDepartment of Surgery, Universidad de Cuenca, Cuenca, ECU.
Georcimar Mendez-MenesesDepartment of Surgery, Universidad de Oriente, Nucleo Anzoategui, Barcelona, VEN.
Yoalkris E SalcedoDepartment of Surgery, Universidad Iberoamericana, Santo Domingo, DOM.
Tamara Rodriguez-RugelDepartment of Surgery, Universidad Católica de Santiago de Guayaquil, Guayaquil, ECU.
Jackner Antigua-HerreraDepartment of Surgery, Instituto Tecnológico de Santo Domingo, Santo Domingo, DOM.
Miguel Rivas-PerezDepartment of Surgery, Universidad de Oriente, Nucleo Anzoategui, Barcelona, VEN.
Silvia Agudelo-MendozaDepartment of Surgery, Universidad Del Rosario, Bogota, COL.
Cesar Estrella-GaiborDepartment of Surgery, Ministerio de Salud Pública, Hospital Esmeraldas sur Delfina Torres de Concha, Quito, ECU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Postoperative complications (POC) are undesirable consequences of surgery and are a major area of concern adversely affecting the quality of surgical care and patient safety. Emergency surgery has been observed to have a higher incidence of different POC. The analysis of POC is of great importance due to their impact on the quality of life of patients and because they have become an indicator to measure the quality of hospital services. Objective This study aimed to describe the POC of emergency surgeries in patients from the general surgery department of a referral hospital in eastern Venezuela. Methodology A cross-sectional retrospective study was conducted, including patients undergoing emergency surgery at "Dr. Luis Razetti" University Hospital, Barcelona, Venezuela, between November 2022 and May 2023. Results Medical records of 178 patients were analyzed. Most were male (53.7%), with an average age of 34.98 and a standard deviation of 18.2 years. POC was registered in 28 (15.7%) patients, with surgical site infection being the most common in 21 (39.62%) patients. Those over 65 years old (21.4% vs. 6.4%, p=0.013), patients with a history of hypertension (25% vs. 6.3%, p=0.002), hypoalbuminemia (100% vs. 43.8%, p=0.027), diagnosed with peritonitis due to hollow viscus perforation (21.4% vs. 6%, p=0.007), trauma (25% vs. 9.3%, p=0.018), and those with a midline incision (75% vs. 31.3%, p<0.001) had a higher frequency of POC. There was a mortality rate of 2.8% with no significant difference based on the development of POC. Conclusion POC represents a significant cause of morbidity and mortality in patients undergoing emergency surgeries. The studied sample showed a similar frequency of POC compared to previous reports but with lower mortality. Complications were associated with higher frequencies of hypertension, midline approach, hypoalbuminemia, and emergency surgery for peritonitis due to hollow viscus perforation and trauma.

Indexed as

emergency surgerypostoperative complicationsurgical site infectiontraumavenezuela

Identifiers

PMID38846234
PMCPMC11154079

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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.