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Prioritizing perioperative organ injury prevention: a call to action from China's county-level hospitals
Gang Li. Frontiers in Medicine, 2026-01-22
Topic: Risk, prevention and care in population studies
The burden of perioperative organ injury in China is significant even at a national level. Similarly, the extreme mortality associated with liver injury (68.7%) and ARDS (44.7%) makes their prevention a top priority, as successful rescue is often beyond our current capacities [1].The study noted delirium had the " lowest " mortality (10.8%). To address relative staff shortages, the development and use of intelligent clinical support systems for monitoring and alerting are needed.According to the findings of global ICU needs assessment surveys, there is significant variation in ICU resources and staffing worldwide, which may lead to differences in practices and outcomes across healthcare systems [17]. Disparities may still exist between different regions within China (e.g., urban versus rural), which mirrors situations in countries like India [19].Southeast and South Asia: ICU care protocols and guidelines in these regions may be less uniform and standardized due to disparities in healthcare resources and training.China: ICU care protocols and guidelines in China are relatively more unified and standardized. A study on predictors of VAP prevention practices among ICU nurses in Sarawak revealed a gap between nurses' knowledge levels and their self-reported practices [20]. AI has also demonstrated significant advantages in predicting postoperative complications such as cardiovascular events [23]. By prioritizing resource-appropriate, preventative strategies and building a robust perioperative medicine system, we can mitigate this global burden and significantly improve surgical outcomes for the millions of patients we serve.Li Gang Chief of the Department of General Surgery, Mianzhu Hospital, West China Hospital, Sichuan University, Mianzhu City, Sichuan Province, China.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Li, G. (2026). Prioritizing perioperative organ injury prevention: a call to action from China's county-level hospitals. Frontiers in Medicine. https://doi.org/10.3389/fmed.2026.1758034
Vancouver
Li G. Prioritizing perioperative organ injury prevention: a call to action from China's county-level hospitals. Frontiers in Medicine. 2026. doi:10.3389/fmed.2026.1758034. PMID: 41658586.
BibTeX
@article{li2026-41658586,
author = {Li, Gang},
title = {{Prioritizing perioperative organ injury prevention: a call to action from China's county-level hospitals}},
journal = {Frontiers in Medicine},
year = {2026},
doi = {10.3389/fmed.2026.1758034},
pmid = {41658586},
url = {https://doi.org/10.3389/fmed.2026.1758034}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- The burden of perioperative organ injury in China is significant even at a national level.
- Similarly, the extreme mortality associated with liver injury (68.7%) and ARDS (44.7%) makes their prevention a top priority, as successful rescue is often beyond our current capacities [1].The study noted delirium had the " lowest " mortality (10.8%).
- To address relative staff shortages, the development and use of intelligent clinical support systems for monitoring and alerting are needed.According to the findings of global ICU needs assessment surveys, there is significant variation in ICU resources and staffing worldwide, which may lead to differences in practices and outcomes across healthcare systems [17].
- Disparities may still exist between different regions within China (e.g., urban versus rural), which mirrors situations in countries like India [19].Southeast and South Asia: ICU care protocols and guidelines in these regions may be less uniform and standardized due to disparities in healthcare resources and training.China: ICU care protocols and guidelines in China are relatively more unified and standardized.
- A study on predictors of VAP prevention practices among ICU nurses in Sarawak revealed a gap between nurses' knowledge levels and their self-reported practices [20].
Why it matters
This commentary concerns perioperative organ injury in China's county-level hospitals and mentions delirium mortality, but it does not report findings on treating, curing, or preventing Alzheimer's disease.
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Study details
- Effect size11.6%; 8.8% to 16.5%; 68.7%
- Evidence strengthLow
How this study scored 38/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomized / blinded because the record does not state it. We have no data on senior author's track record, so that was left out: it earned 36 of the 96 points we could judge it on, which is 38 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Frontiers in Medicine) |
| Journal's citation record | 1 / 4 | Frontiers in Medicine: journal h-index 149 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 5 / 5 | 2026 — within 1 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.5 citations a year over 2 year(s) since 2026 |
| Impact for its field and year | 3 / 6 | Cited 4.8× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | — / 4 | OpenAlex's profile for last-listed author Gang Li holds only 1 work(s), too few to judge a track record — left out of this score |
| Institution's track record | 1 / 3 | Sichuan University: institution h-index 720 (OpenAlex) |
| Multicenter collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41658586) |
| Free to read | 2 / 2 | Free to read |
| Points | 36 / 96 | Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 36 of the 96 points we could judge it on is 38 out of 100. |
| Total | 38 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.3389/fmed.2026.1758034
- PubMed: 41658586
- Original source →
- Free full text: Frontiers in Medicine →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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