Evidence map›Paper›PMID 41417756›Full record

Observational studyScience progress

Predicting major surgical complications in intensive care units and in-hospital mortality of patients from the emergency room: A retrospective single-center study.

Ting-Lung Lin, I-Ling Chen, Wei-Hung Lai, Ying-Ju Chen, Kuan-Han Wu, Hui-Chuan Chang, Yu-Cheng Lin, Yu-Hung Lin, Wei-Feng Li, Chih-Chi Wang and 2 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Science progress. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Ting-Lung LinDepartment of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan (R.O.C.).ORCID 0000-0002-8788-0340
I-Ling ChenSchool of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan (R.O.C.).
Wei-Hung LaiDepartment of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan (R.O.C.).
Ying-Ju ChenDepartment of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan (R.O.C.).
Kuan-Han WuSchool of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan (R.O.C.).
Hui-Chuan ChangSchool of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan (R.O.C.).
Yu-Cheng LinDepartment of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan (R.O.C.).
Yu-Hung LinDepartment of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan (R.O.C.).
Wei-Feng LiDepartment of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan (R.O.C.).
Chih-Chi WangDepartment of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan (R.O.C.).
Po-Hsun ChangSchool of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan (R.O.C.).
Shih-Feng LiuSchool of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan (R.O.C.).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectiveMajor surgical complications (MSCs) are a leading cause of morbidity and mortality in patients requiring surgical intensive care, especially those admitted from the emergency room (ER). The characteristics and predictors of MSCs in this high-risk population remain poorly defined. The objective is to identify the incidence and independent predictors of MSCs and in-hospital mortality among adult patients admitted to the surgical intensive care unit (SICU) from the ER after emergency surgery.MethodsWe conducted a retrospective, observational cohort study of 322 adult patients admitted to the SICU from the ER after emergency surgery at a tertiary hospital in Taiwan between January 2022 and February 2023. Postoperative complications were graded using the Clavien-Dindo classification. Patients were divided into minor (Grades I-IIIa) and major (Grades IIIb-V) complication groups. Multivariate logistic regression identified predictors of MSCs and in-hospital mortality.ResultsMSCs occurred in 20.8% of patients. In-hospital mortality was 14.0%. Independent predictors of MSCs included higher Acute Physiology and Chronic Health Evaluation II scores, presence of shock at intensive care unit (ICU) admission, biliary tree and soft tissue surgery, an American Society of Anesthesiologists score ≥4, and prolonged mechanical ventilation. These factors also independently predicted mortality. Patients with MSCs had higher in-hospital mortality (47.8% vs. 5.1%,

Indexed as

Emergency Service, HospitalHospital MortalityIntensive Care UnitsPostoperative ComplicationsAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTaiwanClavien–Dindo classificationemergency surgeryMajor surgical complicationrisk predictionsurgical intensive care unit

Identifiers

PMID41417756
PMCPMC12717391

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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.