Evidence map›Paper›PMID 39449260›Full record

Observational studyThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi2024

Risk Factors Associated with Progression to Surgery in Patients with Ischemic Colitis.

Je-Seong Kim, Ho-Jin Choi, Chan-Mook Im, Ga-Ram You, Young-Eun Seo, Chae-June Lim, Jae-Woong Lim, Hyung-Hoon Oh, Young-Eun Joo

Abstract readObservational Study
In one paragraph

Observational study in The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, 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

9 authors.

Je-Seong KimDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Ho-Jin ChoiDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Chan-Mook ImDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Ga-Ram YouDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Young-Eun SeoDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Chae-June LimDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Jae-Woong LimDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Hyung-Hoon OhDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Young-Eun JooDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.ORCID 0000-0003-0422-2439

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aims: Ischemic colitis (IC), the most common ischemic syndrome affecting the gastrointestinal tract, results from a decreased blood supply to the colon. Persistent symptoms can lead to complications, necessitating surgery. This study assessed the clinical characteristics and risk factors for poor outcomes in IC. Methods: This retrospective observational study examined the medical records of 141 patients diagnosed pathologically with IC via surgery or colonoscopy at Chonnam National University Hwasun Hospital between April 2004 and August 2023. Results: Eighteen (12.8%) and 123 (87.2%) patients were diagnosed by surgical biopsy and biopsy with colonoscopy, respectively. Multivariate analysis identified right-sided colon involvement, fever, and the absence of hematochezia as risk factors for the progression to surgery (odds ratio [OR]=5.924, 95% confidence interval [CI] 1.009-34.767, p=0.049; OR=24.139, 95% CI 5.209-111.851, p<0.001; and OR=0.076, 95% CI 0.013-0.446, p=0.004, respectively). The in-hospital mortality was 5.7% (8/141), and the patients who died exhibited higher rates of shock. The median (interquartile range) hospital stay was 11 (1-219) days. Patients who had longer hospital stays (≥14 days) had a significantly higher rate of fever but a lower rate of hematochezia. Conclusions: A multidisciplinary approach is crucial for determining the need for surgery in patients with right-sided colon involvement, fever, or the absence of hematochezia.

Indexed as

Colitis, IschemicColonoscopyAdultAgedAged, 80 and overFemaleGastrointestinal HemorrhageHospital MortalityHumansMaleMiddle AgedMultivariate AnalysisOdds RatioRetrospective StudiesRisk FactorsColonIschemiaRiskSurgery

Identifiers

PMID39449260
PMCPMC12285308

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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.