Evidence map›Paper›PMID 39967458›Full record

ArticleEquine veterinary journal2025

Evaluation of a stent dressing and abdominal bandage on surgical site infection following emergency equine laparotomy: A randomised controlled trial.

Cajsa M Isgren, Gina L Pinchbeck, Shebl E Salem, Michelle J Hann, Neil B Townsend, Matthew D Cullen, Debra C Archer

Abstract readRandomized Controlled Trial, Veterinary
In one paragraph

Article in Equine veterinary journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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.

Cajsa M IsgrenSchool of Veterinary Science, Institute of Infection, Veterinary & Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, Wirral, UK.ORCID https://orcid.org/0000-0002-3041-1340
Gina L PinchbeckSchool of Veterinary Science, Institute of Infection, Veterinary & Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, Wirral, UK.
Shebl E SalemDepartment of Surgery, Anaesthesiology, and Radiology, Faculty of Veterinary Medicine, Zagazig University, Zagazig, Egypt.ORCID https://orcid.org/0000-0001-5315-8934
Michelle J HannSchool of Veterinary Science, Institute of Infection, Veterinary & Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, Wirral, UK.ORCID https://orcid.org/0000-0002-8201-2982
Neil B TownsendSchool of Veterinary Science, Institute of Infection, Veterinary & Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, Wirral, UK.
Matthew D CullenSchool of Veterinary Science, Institute of Infection, Veterinary & Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, Wirral, UK.
Debra C ArcherSchool of Veterinary Science, Institute of Infection, Veterinary & Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, Wirral, UK.ORCID https://orcid.org/0000-0003-4421-9269

Funding

Manufacturer (Kruuse)
6 · The paper itself

Abstract

backgroundSurgical site infection (SSI) is a frequent complication following emergency equine laparotomy, negatively impacting equine welfare, increasing treatment costs and presenting a hospital biosecurity risk.

objectivesTo determine if a sutured-on stent dressing for incisional protection during anaesthetic recovery reduced SSI following emergency laparotomy. STUDY

designRandomised controlled trial.

methodsEligible horses were randomised to a sutured-on stent (intervention) or textile dressing (control) as the primary component of a 3-layer abdominal bandage placed for anaesthetic recovery. Horses were followed up to 90 days postoperatively. Data were analysed according to intention-to-treat principles. Time to SSI (primary outcome) for each group was analysed using a Cox proportional hazard model. Secondary outcomes (SSI and pyrexia during hospitalisation, days hospitalisation and incisional hernia formation at 90 days) were analysed using Chi-squared tests and a univariable logistic regression model (categorical data) or by comparing means between groups (continuous data).

resultsOf 352 eligible horses enrolled (167 intervention group, 185 control group), SSI developed in 101 (28.7%) at a mean of 9.7 days (SD 4.6 days). Rate of SSI was not significantly different between groups unadjusted (hazard ratio [HR] 0.83, 95% CI 0.56-1.23, p = 0.4) or adjusted for variables significantly associated with rate of SSI (HR 0.88, 95% CI 0.59-1.30, p = 0.5). There were no significant differences in secondary outcomes between intervention and control groups. MAIN LIMITATIONS: Single-centre study evaluating incisional protection from a primary dressing under a secondary adhesive and tertiary fabric abdominal bandage for anaesthetic recovery.

conclusionsUse of a sutured-on stent compared with a textile adhesive dressing as the primary layer of an abdominal bandage for anaesthetic recovery did not reduce the rate of SSI. Further RCT are warranted to investigate efficacy of other interventions on reduction of SSI following emergency laparotomy in horses.

Indexed as

BandagesHorse DiseasesLaparotomySurgical Wound InfectionAnimalsFemaleHorsesMalehorselaparotomyrandomised controlled trialstent dressingsurgical site infection

Identifiers

PMID39967458
PMCPMC12508274

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.