Evidence map›Paper›PMID 28417184›Full record

ArticleWorld journal of surgery2017

Comparison of Epidemiology of the Injuries and Outcomes in Two First-Level Trauma Centers in Colombia Using the Pan-American Trauma Registry System.

Anu Ramachandran, Anju Ranjit, Cheryl K Zogg, Juan P Herrera-Escobar, Jessica R Appelson, Luis F Pino, Michel B Aboutanous, Adil H Haider, Carlos A Ordonez

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Article
  3. Association of resuscitative endovascular balloon occlusion of the aorta (REBOA) and mortality in penetrating trauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
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  9. Scientific Integrity Issues to Discuss.World journal of surgery · 2018
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  11. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Anu RamachandranJohns Hopkins School of Medicine, Baltimore, MD, USA.
Anju RanjitDepartment of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School and Harvard School of Public Health, Boston, MA, USA.ORCID 0000-0002-7203-6710
Cheryl K ZoggYale School of Medicine, New Haven, CT, USA.
Juan P Herrera-EscobarDepartment of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School and Harvard School of Public Health, Boston, MA, USA.
Jessica R AppelsonDepartment of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School and Harvard School of Public Health, Boston, MA, USA.
Luis F PinoDepartment of Surgery from Division of Trauma and Acute Care Surgery, Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia.
Michel B AboutanousDivision of Acute Care Surgery, Virginia Commonwealth University Trauma Center, Virginia Commonwealth University Medical Center, Richmond, VA, USA.
Adil H HaiderDepartment of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School and Harvard School of Public Health, Boston, MA, USA. ahhaider@partners.org.
Carlos A OrdonezDepartment of Surgery from Division of Trauma and Acute Care Surgery, Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this study was to compare the epidemiology of traumatic injuries and mortality outcomes between two tertiary-care trauma centers in Colombia using data from Pan-American Trauma Registry (PATR).

methodsJanuary 1-December 31, 2012, data from the Hospital Universitario del Valle (HUV, public) and Fundacion Valle del Lili (FVL, private) in Cali, Colombia, were considered. Differences in demographic and clinical information were compared using descriptive statistics. Propensity score matching was used to match patients on age, gender, and ISS. Within matched cohorts, multivariable logistic regression models were used to assess for differences in in-hospital mortality, further adjusting for insurance type, employment, heart rate, presence of hypotension (SBP < 90), and GCS score.

resultsHUV (8539; 78% male) and FVL (10,456; 60% male) had a combined total of 18,995 trauma cases in 2012 with comparable mean ages of 29.7 years. There were significant differences in insurance status, injury severity, and mechanism of injury between patients at HUV and FLV. On risk-adjusted logistic regression analyses with propensity score matched cohorts, the odds of death in HUV was higher compared to patients presenting at FVL hospital (OR [95% CI]:4.93 [3.37-7.21], p < 0.001).

conclusionThe study established the utility of the PATR and revealed important trends in patient demographics, injury epidemiology, and mortality outcomes, which can be used to target trauma initiatives throughout the region. It underscores the profound importance that differences in case mix play in the risk of trauma-related mortality, further emphasizing the need to monitor and evaluate unique aspects of trauma in LMIC. LEVEL OF EVIDENCE: III.

Indexed as

Hospital MortalityRegistriesAdolescentAdultAgedColombiaFemaleHumansInjury Severity ScoreInsurance, HealthMaleMiddle AgedPropensity ScoreTrauma CentersUnited StatesWounds and Injuries

Identifiers

PMID28417184

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.