Evidence map›Paper›PMID 27241445›Full record

ArticleSpinal cord2017

Analysis of prehospital care and emergency room treatment of patients with acute traumatic spinal cord injury: a retrospective cohort study on the implementation of current guidelines.

M Kreinest, L Ludes, A Türk, P A Grützner, B Biglari, S Matschke

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Spinal cord, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Epidemiology and predictors of traumatic spine injury in severely injured patients: implications for emergency procedures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  8. Article
  9. Article
  10. Spinal movement and dural sac compression during airway management in a cadaveric model with atlanto-occipital instability.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
    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 1 institution in 1 country.

M KreinestDepartment of Trauma Surgery and Orthopedics, BG Trauma Centre Ludwigshafen, Ludwigshafen, Germany.
L LudesDepartment of Trauma Surgery and Orthopedics, BG Trauma Centre Ludwigshafen, Ludwigshafen, Germany.
A TürkDepartment of Paraplegiology, BG Trauma Centre Ludwigshafen, Ludwigshafen, Germany.
P A GrütznerDepartment of Trauma Surgery and Orthopedics, BG Trauma Centre Ludwigshafen, Ludwigshafen, Germany.
B BiglariDepartment of Paraplegiology, BG Trauma Centre Ludwigshafen, Ludwigshafen, Germany.
S MatschkeDepartment of Trauma Surgery and Orthopedics, BG Trauma Centre Ludwigshafen, Ludwigshafen, Germany.
Klinikum Ludwigshafen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectivesThe aims of the current study were (i) to analyze prehospital and emergency room treatment of patients with acute traumatic spinal cord injury (SCI) and (ii) to analyze whether recommendations given by the current guidelines are implemented.

settingGerman level I trauma center.

methodsAll patients suffering from traumatic SCI who were initially surgically treated in our hospital in the period from January 2008 to December 2013 were included in this study. Available data documented as a standard procedure in our trauma center included patient's demographic and medical information, as well as trauma mechanisms, cause of injury, neurological diagnosis and detailed clinical information about prehospital and early hospital management procedures. Retrospectively, statistical analysis was performed to describe spinal immobilization rates, transportation times and methylprednisolone administration.

resultsA total of 133 patients (mean age: 50.5±21.2 years) met the inclusion criteria. Immobilization was performed on 69.9% of the patients with traumatic SCI. From 60 patients suffering from cervical traumatic SCI, 47 patients had a cervical collar. Full immobilization was only performed in 34 of these 60 patients. Mean time from accident site to emergency room was 61.3±28.7 min. In 25 out of the 133 patients included in the current study, early surgery was not possible because of insufficient circulation and/or increased intracranial pressure. A total of 108 patients could be prepared for early surgery within 322.8±254.1 min after the accident.

conclusionThe current study shows that recommendations of the current literature and guidelines are mostly followed.

Indexed as

Practice Guidelines as TopicAdolescentAdultAgedAged, 80 and overEmergency Medical ServicesEmergency TreatmentFemaleGermanyHumansMaleMiddle AgedRetrospective StudiesSpinal Cord InjuriesTime-to-TreatmentYoung Adult

Identifiers

PMID27241445
OpenAlexW2410210732

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.