Evidence map›Paper›PMID 28091737›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2018

Impact of pelvic fractures on the early clinical outcomes of severely injured trauma patients.

K Almahmoud, R Pfeifer, K Al-Kofahi, A Hmedat, W Hyderabad, F Hildebrand, A B Peitzman, H-C Pape

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Focus on high energy pelvic trauma.European journal of trauma and emergency surgery : official publication of the European Trauma 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

8 authors.

K AlmahmoudDepartment of Orthopaedic Trauma Surgery, University of Aachen Medical Centre, 52074, Aachen, Germany.ORCID http://orcid.org/0000-0001-9716-3778
R PfeiferDepartment of Orthopaedic Trauma Surgery, University of Aachen Medical Centre, 52074, Aachen, Germany.
K Al-KofahiDepartment of Molecular Bioscience, University of Kansas, Kansas, 66045, USA.
A HmedatDepartment of Orthopaedic Trauma Surgery, University of Aachen Medical Centre, 52074, Aachen, Germany.
W HyderabadDepartment of Orthopaedic Trauma Surgery, University of Aachen Medical Centre, 52074, Aachen, Germany.
F HildebrandDepartment of Orthopaedic Trauma Surgery, University of Aachen Medical Centre, 52074, Aachen, Germany.
A B PeitzmanDepartment of Surgery, Division of Trauma and Critical Care Surgery, University of Pittsburgh, Pittsburgh, PA, 15213, USA.
H-C PapeDepartment of Orthopaedic Trauma Surgery, University of Aachen Medical Centre, 52074, Aachen, Germany. hpape@ukaachen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPelvic fractures contribute to morbidity and mortality following injury. We sought to study the impact of pelvic fractures on the clinical course and outcomes of trauma patients with a pelvic fracture in comparison to patients with similar injury severity without pelvic fracture to identify potential parameters to track patients' clinical course post-injury.

methodsA cohort of 206 consecutive blunt trauma survivors, studied over a 5-year period in a level I trauma center of which 75 patients (36.4%) had a pelvic fracture, was included in the study. To perform a retrospective cohort study with matched controls, 60 patients of the pelvic fracture group [(PF), 41 males and 19 females; age: 40 ± 17; injury severity score (ISS): 26.6 ± 9.3] were compared to 60 patients without pelvic fracture (non-PF) trauma as controls (41 males and 19 females; age: 40 ± 13; ISS: 26.9 ± 7.7), both with matching age (±5 years), sex, and ISS (±5 points).

resultsStatistically significant differences were observed in Intensive Care Unit (ICU) length of stay (LOS), total LOS, and Marshall MOD score between PF and non-PF groups, respectively. Acid-base markers such as pH, lactate, LDH, and base deficit were all significantly altered in PF compared to non-PF cohort upon admission. Moreover, our analysis showed significant differences in inflammatory biomarkers (Prolactin, CRP, and IL-6), and clinical parameters (CPK, Hgb, Platelets count, and WBC) over the 7-day clinical course in patients with PF when compared to non-PF cohort.

conclusionIn this matched cohort, patients with pelvic fractures exhibited biochemical and physiological alterations upon admission. Furthermore, our results suggest that pelvic fracture affects the clinical outcomes in severely injured patients, independently of injury severity, mechanism of injury, age or gender.

Indexed as

AdultCase-Control StudiesCohort StudiesFemaleFractures, BoneGermanyHumansInjury Severity ScoreLength of StayMaleMultiple TraumaPelvic BonesRetrospective StudiesClinical outcomesClinical parametersDamage controlInjuryPelvic fractureTrauma

Identifiers

PMID28091737

What OpenQuestion holds

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Registered trials

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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.