Evidence map›Paper›PMID 40678345›Full record

SynthesisF1000Research2025

Postoperative Infectious Pneumonia in Cardiothoracic Surgery: A Systematic Review and Meta-Analysis.

Said Khallikane, Rachid Seddiki, Issam Serghini

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in F1000Research, 2025. 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

3 authors.

Said KhallikaneAnesthesiologist Cardiothoracic Anesthesia-Cardiovascular ICU, Anesthesiology-ICU-Emergency Department, Avicenna Military Hospital, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech 40000, Kingdom of Morocco., Marrakeck, Marrakech-Safi, 40000, Morocco.ORCID https://orcid.org/0009-0009-0279-6026
Rachid SeddikiHead chief of Hassan II Military Hospital, Professor of Anesthesiology-Critical Care, Avicenna Military Hospital, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech 40000, Kingdom of Morocco, Layun, Layun-Sakia Hamra, 70000, Morocco.
Issam SerghiniIntensivist-Anesthesiologist Head of Emergency Department, Avicenna Military Hospital, Marrakech, Marrakech-Safi, 41000, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postoperative infectious pneumonia (PIP) is a common and serious complication following cardiothoracic surgery, including coronary artery bypass grafting (CABG), valve interventions, and thoracic oncologic procedures. It is associated with increased morbidity, prolonged intensive care unit (ICU) stay, and healthcare burden. Methods: We performed a systematic review and meta-analysis according to PRISMA 2020 guidelines. Studies published between January 2021 and December 2023 were identified from PubMed, Embase, and Scopus. Eligible studies reported the incidence and/or perioperative risk factors for PIP with odds ratios (ORs) and 95% confidence intervals (CIs). A random-effects model was used for pooled estimates. Study quality was assessed using the Newcastle-Ottawa Scale. The review was prospectively registered in PROSPERO 2025 CRD 420251057914. Available from https://www.crd.york.ac.uk/PROSPERO/view/CRD420251057914. Results: Six high-quality cohort studies involving 4,392 patients were included. The pooled incidence of PIP was 14.8% (95% CI, 10.6%-19.2%). Incidence was highest after thoracic oncologic surgery (17.2%), followed by valve surgery (15.8%) and CABG (13.5%). Significant risk factors included prolonged mechanical ventilation >48 hours (OR: 3.46), age >70 years (OR: 2.71), chronic obstructive pulmonary disease (OR: 2.95), cardiopulmonary bypass time >120 minutes (OR: 2.63), and left ventricular ejection fraction <40% (OR: 2.38). Heterogeneity was moderate (I Conclusions: PIP remains a major postoperative concern. Identification of key risk factors enables targeted preventive strategies-early extubation, pulmonary optimization, and standardized care pathways-to reduce PIP incidence and improve outcomes.

Indexed as

Cardiac Surgical ProceduresPneumoniaPostoperative ComplicationsThoracic Surgical ProceduresHumansIncidenceRisk FactorsCABGmeta-analysispostoperative complicationspostoperative pneumoniaPRISMA 2020risk factorsthoracic surgery

Identifiers

PMID40678345
PMCPMC12268255

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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.