Evidence map›Paper›PMID 21794108›Full record

ArticleInternational journal of emergency medicine2011

Changing patterns in diagnostic strategies and the treatment of blunt injury to solid abdominal organs.

Cornelis H van der Vlies, Dominique C Olthof, Menno Gaakeer, Kees J Ponsen, Otto M van Delden, J Carel Goslings

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of emergency medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06711276 (A Prospective Evaluation of the New Injury Severity Score's Accuracy in Blunt Trauma Patients), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% 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.

NCT06711276 recruitingnot on this mapstarted 2025, after this paper: background citation

A Prospective Evaluation of the New Injury Severity Score's Accuracy in Blunt Trauma Patients

TypeobservationalSponsorAl-Nahrain UniversityRan2025 to 2025Enrolled210ConditionsTrauma
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Safety and effectiveness of nonoperative management in liver lacerations: a retrospective cohort study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Observational
  3. Non-operative management algorithm in a case of grade II pancreatic, grade IV splenic, and renal injury due to blunt abdominal trauma.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Management of multiple traumas in emergency medicine department: A review.Journal of family medicine and primary care · 2019
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Treatment strategy for hepatic trauma.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2016
    Article
  20. 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

6 authors at 4 institutions in 1 country.

Cornelis H van der VliesTrauma Unit Dept, of Surgery, Academic Medical Center, Amsterdam, The Netherlands. d.c.olthof@amc.nl.
Dominique C Olthof
Menno Gaakeer
Kees J Ponsen
Otto M van Delden
J Carel Goslings
Academic Medical Center · NLMaasstad Ziekenhuis · NLMedisch Centrum Alkmaar · NLMedisch Spectrum Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years there has been increasing interest shown in the nonoperative management (NOM) of blunt traumatic injury. The growing use of NOM for blunt abdominal organ injury has been made possible because of the progress made in the quality and availability of the multidetector computed tomography (MDCT) scan and the development of minimally invasive intervention options such as angioembolization.

aimThe purpose of this review is to describe the changes that have been made over the past decades in the management of blunt trauma to the liver, spleen and kidney.

conclusionsThe management of blunt abdominal injury has changed considerably. Focused assessment with sonography for trauma (FAST) examination has replaced diagnostic peritoneal lavage as diagnostic modality in the primary survey. MDCT scanning with intravenous contrast is now the gold standard diagnostic modality in hemodynamically stable patients with intra-abdominal fluid detected with FAST. One of the current discussions in the literature is whether a whole body MDCT survey should be implemented in the primary survey. The progress in imaging techniques has contributed to NOM being currently the treatment of choice for hemodynamically stable patients. Angioembolization can be used as an adjunct to NOM and has increased the success rate to 95%. However, to date many controversies exist about the optimum patient selection for NOM, the proper role of angioembolization in NOM, the best technique and material to use in angioembolization, and the right follow-up strategy of patients sustaining blunt abdominal injury. Conducting a well-designed prospective clinical trial or a Delphi study would be preferable.

Identifiers

PMID21794108
PMCPMC3170179
OpenAlexW2095729616

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.