Evidence map›Paper›PMID 40298658›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2025

POSTOPERATIVE OUTCOME OF PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT AFTER ELECTIVE AND EMERGENCY LAPAROTOMY.

Murilo Tavares Valverde Filho, Gabriel Vianna Pereira Aragão, Igor Lima Vieira de Castro, Jade de Oliveira Santana, Liana Codes, Claudio Celestino Zollinger, Wellington Andraus, Paulo Lisboa Bittencourt

Erratum issuedAbstract read
In one paragraph

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Prevention of bronchopulmonary aspiration in digestive surgery: the impact of training healthcare professionals.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026
    Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Murilo Tavares Valverde FilhoEscola Bahiana de Medicina e Saúde Pública, Department of Gastroenterology - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0002-8325-8538
Gabriel Vianna Pereira AragãoEscola Bahiana de Medicina e Saúde Pública, Department of Gastroenterology - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0002-9925-3854
Igor Lima Vieira de CastroEscola Bahiana de Medicina e Saúde Pública, Department of Gastroenterology - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0002-8949-5366
Jade de Oliveira SantanaEscola Bahiana de Medicina e Saúde Pública, Department of Gastroenterology - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0002-2758-0477
Liana CodesEscola Bahiana de Medicina e Saúde Pública, Department of Gastroenterology - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0001-5178-8705
Claudio Celestino ZollingerHospital Português, Unit of Gastroenterology and Hepatology - Salvador (BA), Brazil.ORCID http://orcid.org/0009-0009-1586-4059
Wellington AndrausUniversidade de São Paulo, Department of Gastroenterology - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-5162-138X
Paulo Lisboa BittencourtEscola Bahiana de Medicina e Saúde Pública, Department of Gastroenterology - Salvador (BA), Brazil.ORCID http://orcid.org/0000-0003-0883-4870

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgery is associated with a high risk for morbidity and mortality, particularly when performed in critical patients requiring intensive care unit (ICU) admission.

aimThe aim of this study was to investigate risk factors associated with adverse outcomes in a large cohort of patients admitted to a single-center ICU after abdominal surgery.

methodsAll patients admitted to a surgical ICU for postoperative care, from January 2016 to December 2022, were retrospectively evaluated. Data concerning demographics and clinical and perioperative variables were compared to in-hospital mortality.

resultsA total of 1,717 patients (1,096 women, mean age: 61±17 years) were evaluated. Most of the patients underwent colorectal (n=499), pancreatic (n=148), biliary tract (n=147), and gastric surgeries (n=145); liver resection (n=131); and several gynecological or obstetric procedures (n=250). Only 52.3% of these surgical procedures were elective. The mean Charlson Comorbidity Index (CCI) and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores were 4.4±2.8 and 10.1±5.6, respectively. Mortality was observed in 158 (9.2%) patients. Age (70.4±14.3 vs. 60.6±17.1 years in survivors, p=0.002), CCI (6.1±2.5 vs. 4.3±2.8 in survivors, p=0.005), type of surgery (13.6% in emergent/urgent vs. 5.5% in elective surgeries, p<0.001), and APACHE II score (16.7±8.4 vs. 9.4±4.7 in survivors, p<0.0001) were associated with mortality on univariate analysis, but only CCI, type of surgery, and APACHE II score were independently correlated with a higher risk of death on multivariate analysis.

conclusionsMortality after abdominal surgery in patients requiring postoperative ICU support is less than 10% nowadays, and it is independently associated with urgent or emergent surgeries, disease severity, and comorbidity.

Indexed as

Elective Surgical ProceduresLaparotomyPostoperative ComplicationsAdultAgedEmergenciesEmergency TreatmentFemaleHospital MortalityHumansIntensive Care UnitsMaleMiddle AgedRetrospective StudiesRisk FactorsTreatment Outcome

Identifiers

PMID40298658
PMCPMC12023906

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Registered trials

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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.