Evidence map›Paper›PMID 39414632›Full record

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

Evaluating predictors of mortality in octogenarians undergoing urgent or emergent trauma laparotomy.

Jordan G Shin, Jeffry Nahmias, Elliot Silver, Robert Painter, Shaina Sedighim, Flora Park, Areg Grigorian

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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. 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.

Jordan G ShinDepartment of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, Irvine, Orange, CA, USA.
Jeffry NahmiasDepartment of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, Irvine, Orange, CA, USA.
Elliot SilverDepartment of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, Irvine, Orange, CA, USA.
Robert PainterDepartment of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, Irvine, Orange, CA, USA.
Shaina SedighimDepartment of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, Irvine, Orange, CA, USA.
Flora ParkDepartment of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, Irvine, Orange, CA, USA.
Areg GrigorianDepartment of Surgery, Division of Trauma, Burns and Surgical Critical Care, University of California, Irvine, Orange, CA, USA. agrigori@hs.uci.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to identify associated risk factors for mortality in octogenarian trauma patients undergoing urgent or emergent laparotomy (UEL).

methodsTrauma patients ages 80-89 years-old undergoing UEL within 6-hours of arrival were included. A multivariable logistic regression analysis was performed to determine associated risk of mortality.

resultsFrom 701 octogenarians undergoing UEL, 324 (46.2%) died. Compared to survivors, UEL octogenarians who died had higher rates of cirrhosis (3.5% vs. 1.1%, p = 0.028), injuries to the brain (17.3% vs. 5.6%, p < 0.001), heart (8.6% vs. 1.6%, p < 0.001), and lung (57.4% vs. 23.9%, p < 0.001) and lower rates of functional independence (6.4% vs. 12.6%, p = 0.007). The strongest independent associated patient-related risk factor for death was cirrhosis (OR 8.28, CI 2.25-30.46, p = 0.001). However, undergoing concurrent thoracotomy increased risk of death significantly (OR 16.59, CI 2.07-132.76, p = 0.008). Functional independence was not associated with mortality (p > 0.05).

conclusionThis national analysis emphasizes the need to identify and manage pre-existing conditions like cirrhosis and not determine futility based on pre-trauma functional status alone. Concurrent thoracotomy for hemorrhage control increases risk of death over 16-fold.

Indexed as

LaparotomyAged, 80 and overFemaleHospital MortalityHumansInjury Severity ScoreMaleRetrospective StudiesRisk FactorsWounds and InjuriesEmergent laparotomyOctogenarian operative managementOctogenarian trauma patientsUrgent laparotomy

Identifiers

PMID39414632
PMCPMC11666771

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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.