Evidence map›Paper›PMID 39903232›Full record

ArticleSurgery today2025

Clinical evaluation of platelet-to-albumin ratio as a predictor of surgical site infection in pediatric patients with ulcerative colitis.

Koki Higashi, Yuhki Koike, Yuki Sato, Ma Ruiya, Shinji Yamashita, Yuka Nagano, Tadanobu Shimura, Takahito Kitajima, Kohei Matsushita, Yoshiki Okita and 2 more

Abstract read
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Article in Surgery today, 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

12 authors.

Koki HigashiDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie, Japan.
Yuhki KoikeDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie, Japan. higashi032@med.mie-u.ac.jp.
Yuki SatoDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie, Japan.
Ma RuiyaDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie, Japan.
Shinji YamashitaDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie, Japan.
Yuka NaganoDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie, Japan.
Tadanobu ShimuraDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie, Japan.
Takahito KitajimaDepartment of Genomic Medicine, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
Kohei MatsushitaDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie, Japan.
Yoshiki OkitaDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie, Japan.
Yoshinaga OkugawaDepartment of Genomic Medicine, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
Yuji ToiyamaDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study explored the predictive factors for surgical site infection (SSI) in a pediatric ulcerative colitis (UC) population.

methodsData from 35 patients with UC who underwent surgery before 15 years at Mie University Hospital between January 2000 and December 2022 were retrospectively reviewed. Potential preoperative and intraoperative predictors of SSI, including various demographic and clinical variables, were analyzed using the Mann-Whitney U test and logistic regression analysis. The optimal cutoff value for the variables was determined by examining the receiver operating characteristic curve.

resultsOf the 35 patients, 8 (22.9%) experienced SSI. The platelet-to-albumin ratio (PAR) is a more accurate predictor of SSI occurrence than the serum albumin level, platelet count, or C-reactive protein level. The sensitivity and specificity of PAR were 75.0% and 77.8%, respectively, with an area under the curve (AUC) of 0.782 (p = 0.018). A multivariable analysis revealed that preoperative PAR was the only significant independent predictor (cutoff value: 115,000, p = 0.047) when the optimal cutoff value was applied rather than the median value.

conclusionsThis study demonstrated the value of the preoperative PAR in the management of pediatric patients with UC. Assessing the patient's PAR before surgery allows proactive treatment to reduce the risk of SSI.

Indexed as

Blood PlateletsColitis, UlcerativeSerum AlbuminSurgical Wound InfectionAdolescentBiomarkersChildChild, PreschoolC-Reactive ProteinFemaleHumansMalePlatelet CountPredictive Value of TestsPreoperative PeriodRetrospective StudiesBiomarkersC-Reactive ProteinSerum AlbuminInflammatory bowel diseasePediatric surgeryPlatelet-to-albumin ratioSurgical site infectionUlcerative colitis

Identifiers

PMID39903232

What Socratic holds

Textmetadata
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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 Socratic graph.