Evidence map›Paper›PMID 27193135›Full record

SynthesisScandinavian journal of trauma, resuscitation and emergency medicine2016

Effectiveness of non invasive external pelvic compression: a systematic review of the literature.

Peyman Bakhshayesh, Tarek Boutefnouchet, Anna Tötterman

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis 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 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. Pelvic sheet binders: Are doctors placing them in the correct position?African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024
    Article
  6. Emergency treatment of pelvic ring injuries: state of the art.Archives of orthopaedic and trauma surgery · 2024
    Review
  7. Deep infection following reconstruction of pelvic fractures: prevalence, characteristics, and predisposing risk factors.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  8. How effective are different models of pelvic binders: results of a study using a Pelvic Emergency Simulator.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  9. Open technique for supra-acetabular pin placement in pelvic external fixation: a cadaveric study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. 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

3 authors at 2 institutions in 2 countries.

Peyman BakhshayeshDepartment of Orthopaedics, Karolinska University Hospital, Karolinksa vägen, 17176, Solna, Stockholm, Sweden. peyman.bakhshayesh@karolinska.se.
Tarek BoutefnouchetUniversity Hospital Coventry and Warwickshire, Clifford bridge road, Coventry, CV2 2DX, UK.
Anna TöttermanDepartment of Orthopaedics, Karolinska University Hospital, Karolinksa vägen, 17176, Solna, Stockholm, Sweden.
Karolinska University Hospital · SEUniversity Hospital Coventry · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPelvic fractures might carry a significant risk of bleeding. A wide variety of pelvic binders together with pelvic sheets are available and offer an adjunct to the initial management of poly-trauma patients with pelvic injuries. These devices are collectively referred to as pelvic circumferential compression devices (PCCDs). The aim of this study was to review the literature for evidence pertinent to the efficacy and safety of PCCDs.

methodsUsing the PRISMA guidelines a systematic search on PubMed, Web of Science, CINAHL, Embase and Scopus was carried out. Articles included were in English language and published between 1999 and 2015. Studies included were appraised with narrative data synthesis.

resultsSeven articles addressed mechanical properties of non-invasive external mechanical devices, six articles focused on physiological aspects, and three studies evaluated the pressure characteristics of these devices. We found 4 case reports regarding adverse effects. None of the studies identified addressed the cost effectiveness or pain relief issues related to the use of PCCDs.

conclusionsBased on available literature, PCCDs are widely used in the initial management of patients with suspected pelvic bleeding. There is evidence to suggest that external compression reduces disrupted pelvic rings. There are some complications reported following application of PCCDs. Hemorrhagic source and physiological effectiveness of PCCDs needs to be addressed in future studies. In the meantime judicious application of PCCDs will continue to be recommended.

Indexed as

Fracture FixationFractures, BoneHumansPelvic BonesPressureBinderDamage controlExternal compressionHaemorrhagePelvic fracture

Identifiers

PMID27193135
PMCPMC4870770
OpenAlexW2398098536

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.