Evidence map›Paper›PMID 40176709›Full record

ArticleANZ journal of surgery

Postoperative inflammatory responses and association with in-hospital mortality after general surgery.

Joshua G Kovoor, Stephen Bacchi, Kayla Nathin, Nidhi Aujayeb, Amy Lu, Neel C Mishra, Daksh Tyagi, Brandon Stretton, Aashray K Gupta, Thomas J Hugh and 1 more

Abstract read
In one paragraph

Article in ANZ journal of surgery. 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

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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Joshua G KovoorBallarat Base Hospital, Ballarat, Victoria, Australia.ORCID 0000-0002-3880-3840
Stephen BacchiUniversity of Adelaide, Adelaide, South Australia, Australia.
Kayla NathinUniversity of Adelaide, Adelaide, South Australia, Australia.
Nidhi AujayebUniversity of Adelaide, Adelaide, South Australia, Australia.
Amy LuUniversity of Adelaide, Adelaide, South Australia, Australia.
Neel C MishraUniversity of Adelaide, Adelaide, South Australia, Australia.
Daksh TyagiUniversity of Newcastle, Newcastle, New South Wales, Australia.ORCID 0009-0004-0208-4313
Brandon StrettonUniversity of Adelaide, Adelaide, South Australia, Australia.ORCID 0000-0002-7939-3489
Aashray K GuptaUniversity of Adelaide, Adelaide, South Australia, Australia.ORCID 0000-0002-8038-0378
Thomas J HughRoyal North Shore Hospital, Sydney, New South Wales, Australia.ORCID 0000-0001-6690-342X
Guy J MaddernUniversity of Adelaide, Adelaide, South Australia, Australia.ORCID 0000-0003-2064-181X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between postoperative in-hospital mortality and inflammatory markers has not been well described. This study aimed to characterize the association between specific clinical markers of inflammation and in-hospital mortality in the early postoperative period in general surgical patients.

methodsThis study included consecutive general surgery admissions at two tertiary hospitals in South Australia over a 2-year period. Collected data included patient demographics, Charlson comorbidity index, in-hospital mortality, vital signs, and laboratory tests. In particular, temperature, neutrophil count, lymphocyte count, platelet count, albumin level, and C-reactive protein (CRP) were collected for the 48 h after surgery. Multivariable logistic regression was conducted to examine the association between clinical inflammatory markers and in-hospital mortality in the first 24 h postoperatively and 24-48 h postoperatively.

results5493 patients were included, with an average age of 52.8 (SD 19.4). 2548 (46.4%) were female, and 53 (1.0%) experienced in-hospital mortality. In the first 24 h postoperatively, temperature >38°C, neutrophil count >14 × 10

conclusionsThis is the first study to characterize the inflammatory response using specific clinical laboratory markers, and their relative association with in-hospital mortality, in the first 2 days after general surgery.

Indexed as

Hospital MortalityInflammationPostoperative ComplicationsSurgical Procedures, OperativeAdultAgedBiomarkersC-Reactive ProteinFemaleHumansLymphocyte CountMaleMiddle AgedNeutrophilsPostoperative PeriodRetrospective StudiesBiomarkersC-Reactive Proteingeneral surgeryinflammatory responsesmortalityoutcomespostoperative

Identifiers

PMID40176709
PMCPMC12413584

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.