Evidence map›Paper›PMID 39845592›Full record

ArticleSurgery in practice and science2022

The impact of bloodstream infection in patients undergoing appendectomy due to acute appendicitis.

Akina Shinkura, Kenya Yamanaka, Makoto Kurimoto, Hikaru Aoki, Yusuke Hanabata, Kaichiro Harada, Masashi Kayano, Misaki Tashima, Jun Tamura

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PubMed Full text at PMC Publisher
In one paragraph

Article in Surgery in practice and science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Article
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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.

Akina ShinkuraDepartment of Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa, Amagasaki, Hyogo, Japan.
Kenya YamanakaDepartment of Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa, Amagasaki, Hyogo, Japan.
Makoto KurimotoDepartment of Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa, Amagasaki, Hyogo, Japan.
Hikaru AokiDepartment of Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa, Amagasaki, Hyogo, Japan.
Yusuke HanabataDepartment of Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa, Amagasaki, Hyogo, Japan.
Kaichiro HaradaDepartment of Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa, Amagasaki, Hyogo, Japan.
Masashi KayanoDepartment of Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa, Amagasaki, Hyogo, Japan.
Misaki TashimaDepartment of Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa, Amagasaki, Hyogo, Japan.
Jun TamuraDepartment of Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa, Amagasaki, Hyogo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCurrent severity classification of appendicitis does not take into account the impact of bloodstream infection (BSI), despite the importance of BSI in critical care settings. Therefore, we examined whether BSI in emergency appendectomy indicated for acute appendicitis has a clinical impact.

methodsWe retrospectively reviewed patients with acute appendicitis who underwent emergency surgery at our department between July 2015 and January 2020.

resultsBSI was detected in 14 out of 154 patients (9%). Patients with BSI had a higher rate of major complications, readmission rate, and longer postoperative hospital stay, but there was no difference in the rate of complicated and uncomplicated appendicitis. Multivariate analysis showed age ≧ 58 years (Odds ratio [OR] 8.98 95% Confidence interval [CI] 2.07-39.0) and bilirubin ≧ 2.0 mg/dl (OR 8.79 95% CI 1.09-71.0) were associated with BSI. In 4 out of 8 cases (50%), the bacteria isolated in patients with BSI were not isolated in patients with intraabdominal infection (IAI).

conclusionBSI in acute appendicitis had a clinical impact on postoperative outcomes, irrespective of complicated and uncomplicated appendicitis. Blood cultures should be considered for older patients, and patients with high bilirubin levels in emergency appendectomy for acute appendicitis.

Indexed as

Acute appendicitisBloodstream infectionIntraabdominal infectionSepsis

Identifiers

PMID39845592
PMCPMC11749168

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