Evidence map›Paper›PMID 19998020›Full record

ReviewDer Unfallchirurg2009

[Impact of hypothermia on the severely injured patient].

P Kobbe, P Lichte, M Wellmann, F Hildebrand, D Nast-Kolb, C Waydhas, R Oberbeck

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Der Unfallchirurg, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
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

9 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Article
  3. Damage control resuscitation: lessons learned.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016
    Review
  4. [Diagnostics and treatment strategies for multiple trauma patients].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

7 authors at 2 institutions in 1 country.

P KobbeKlinik für Unfallchirurgie, Universitätsklinikum Essen, Essen, Deutschland. Kobbe.Philipp@uk-essen.de
P Lichte
M Wellmann
F Hildebrand
D Nast-Kolb
C Waydhas
R Oberbeck
Essen University Hospital · DEMedizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accidental hypothermia is a common complication in severely injured patients. Risk factors include environmental exposure of the patient at the accident site or in the clinic, infusion of cold fluids, hemorrhagic shock and anesthetics which influence thermoregulation. In contrast to animal studies, human studies and clinical experiences have identified accidental hypothermia of the severely injured patient to be associated with increased complication and mortality rates. As a consequence, hypothermia together with acidosis and coagulopathy, have been coined the lethal triad in severely injured patients. On a cellular level hypothermia reduces cellular activity and metabolism resulting in reduced oxygen consumption, which is therapeutically used in patients following cardiac arrest. However, the activity of important enzymes, such as those of the coagulation pathway, is simultaneously down regulated. Hypothermia-induced coagulopathy, which is refractory to substitution of coagulation factors, is a major complication of hypothermia in traumatized patients. Therefore, hypothermic trauma patients with hemodynamic instability require aggressive rewarming.

Indexed as

AcidosisBody Temperature RegulationBrain InjuriesHumansHypothermiaMultiple TraumaPrognosisRewarmingRisk FactorsShock, HemorrhagicSurvival RateSystemic Inflammatory Response Syndrome

Identifiers

PMID19998020
OpenAlexW1595388275

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.