Evidence map›Paper›PMID 27095122›Full record

Trial reportScandinavian journal of trauma, resuscitation and emergency medicine2016

Lung complications are common in intensive care treated patients with pelvis fractures: a retrospective cohort study.

Joakim Engström, Henrik Reinius, Jennie Ström, Monica Frick Bergström, Ing-Marie Larsson, Anders Larsson, Tomas Borg

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Scandinavian journal of trauma, resuscitation and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. 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 1 institution in 1 country.

Joakim EngströmAnesthesiology and Intensive Care, Department of Surgical Sciences, Uppsala University, SE-751 85, Uppsala, Sweden. joakim.engstrom@surgsci.uu.se.
Henrik ReiniusAnesthesiology and Intensive Care, Department of Surgical Sciences, Uppsala University, SE-751 85, Uppsala, Sweden.
Jennie StrömAnesthesiology and Intensive Care, Department of Surgical Sciences, Uppsala University, SE-751 85, Uppsala, Sweden.
Monica Frick BergströmAnesthesiology and Intensive Care, Department of Surgical Sciences, Uppsala University, SE-751 85, Uppsala, Sweden.
Ing-Marie LarssonAnesthesiology and Intensive Care, Department of Surgical Sciences, Uppsala University, SE-751 85, Uppsala, Sweden.
Anders LarssonAnesthesiology and Intensive Care, Department of Surgical Sciences, Uppsala University, SE-751 85, Uppsala, Sweden.
Tomas BorgOrthopedics, Department of Surgical Sciences, Uppsala University, SE-751 85, Uppsala, Sweden.
Uppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of severe respiratory complications in patients with pelvis fractures needing intensive care have not previously been studied. Therefore, the aims of this registry study were to 1) determine the number of ICU patients with pelvis fractures who had severe respiratory complications 2) whether the surgical intervention in these patients is associated with the pulmonary condition and 3) whether there is an association between lung complications and mortality. We hypothesized that acute hypoxic failure (AHF) and acute respiratory distress syndrome (ARDS) 1) are common in ICU treated patients with pelvis fractures, 2) are not related to the reconstructive surgery, or to 3) to mortality.

methodsAll patients in the database cohort (n = 112), scheduled for surgical stabilization of pelvis ring and/or acetabulum fractures, admitted to the general ICU at Uppsala University Hospital between 2007 and 2014 for intensive care were included.

resultsThe incidence of AHF/ARDS was 67 % (75/112 patients), i.e., the percentage of patients that at any period during the ICU stay fulfilled the AHF/ARDS criteria. The incidence of AHF was 44 % and incidence of ARDS was 23 %. The patients with AHF/ARDS had more lung contusions and pneumonia than the patients without AHF/ARDS. Overall, there were no significant changes in oxygenation variables associated with surgery. However, 23 patients with pre-operative normal lung status developed AHF/ARDS in relation to the surgical procedure, whereas 12 patients with AHF/ARDS normalized their lung condition. The patients who developed AHF/ARDS had a higher incidence of lung contusion (P = 0.04) and the surgical stabilization was performed earlier (5 versus 10 days) in these patients (P = 0.03).

conclusionsWe found that the incidence of respiratory failure in ICU treated patients with pelvis fractures was high, that the procedure around surgical stabilization seems to be associated with a worsening in the respiratory function in patients with lung contusion, and that mortality was low and was probably not related to the respiratory condition.

trial registrationStudy was registered at ISRCTN.org number, ISRCTN10335587 .

Indexed as

Intensive Care UnitsBlood Gas AnalysisCritical CareFemaleFollow-Up StudiesFracture Fixation, InternalFractures, BoneHumansIncidenceMaleMiddle AgedPelvic BonesRespiration, ArtificialRespiratory Distress SyndromeRetrospective StudiesRisk FactorsAcute hypoxic failureAcute respiratory distress syndromeIntensive care unitsTraumatic pelvis fracture

Identifiers

PMID27095122
PMCPMC4837640
OpenAlexW2338434671

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.