Evidence map›Paper›PMID 28427480›Full record

ReviewScandinavian journal of trauma, resuscitation and emergency medicine2017

Lessons from a large trauma center: impact of blunt chest trauma in polytrauma patients-still a relevant problem?

Konstantina Chrysou, Gabriel Halat, Beatrix Hoksch, Ralph A Schmid, Gregor J Kocher

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Scandinavian journal of trauma, resuscitation and emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06744959 (Reliability of Thoracic Trauma Severity Scores in Predicting Outcomes Among Chest Trauma Patients in Low-Resource Settings), which is not on this map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 2 pooled it
12.6field-weighted citation impact, top 1% 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.

NCT06744959 recruitingnot on this mapstarted 2025, after this paper: background citation

Reliability of Thoracic Trauma Severity Scores in Predicting Outcomes Among Chest Trauma Patients in Low-Resource Settings: A Prospective Cohort Study From Iraq

TypeobservationalSponsorAl-Nahrain UniversityRan2025 to 2026Enrolled166ConditionsChest Trauma
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 2 syntheses or guidelines pooled it, 214 citations in OpenAlex.

  1. Epidemiology of combined clavicle and rib fractures: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Thoracic injuries in elderly trauma patients epidemiology, injury characteristics, in-hospital care and outcome.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Long-term outcomes after removal of rib stabilization hardware in patients with blunt chest trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
  15. Morbidity prediction in conservatively managed rib fracture patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  16. Article
  17. Article
  18. Observational
  19. In the last 10 years, have our polytrauma patients become geriatric? The emergency trauma bay in the context of demographic change.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  20. Observational

19 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 1 country.

Konstantina ChrysouDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, CH - 3010, Bern, Switzerland.
Gabriel HalatDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, CH - 3010, Bern, Switzerland.
Beatrix HokschDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, CH - 3010, Bern, Switzerland.
Ralph A SchmidDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, CH - 3010, Bern, Switzerland.
Gregor J KocherDivision of General Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, CH - 3010, Bern, Switzerland. gregor.kocher@insel.ch.
University of Bern · CHUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThoracic trauma is the third most common cause of death after abdominal injury and head trauma in polytrauma patients. The purpose of this study was to investigate epidemiological data, treatment and outcome of polytrauma patients with blunt chest trauma in order to help improve management, prevent complications and decrease polytrauma patients' mortality.

methodsIn this retrospective study we included all polytrauma patients with blunt chest trauma admitted to our tertiary care center emergency department for a 2-year period, from June 2012 until May 2014. Data collection included details of treatment and outcome. Patients with chest trauma and Injury Severity Score (ISS) ≥18 and Abbreviated Injury Scale (AIS) >2 in more than one body region were included.

resultsA total of 110 polytrauma patients with blunt chest injury were evaluated. 82 of them were males and median age was 48.5 years. Car accidents, falls from a height and motorbike accidents were the most common causes (>75%) for blunt chest trauma. Rib fractures, pneumothorax and pulmonary contusion were the most common chest injuries. Most patients (64.5%) sustained a serious chest injury (AIS

conclusionAlthough 84.5% of patients suffered from serious or even severe chest injury, neither in the conservative nor in the surgically treated group a significant impact of injury severity on ICU stay, intubation days, complications or mortality was observed. AIS

Indexed as

Abbreviated Injury ScaleAdolescentAdultAgedAged, 80 and overFemaleHumansInjury Severity ScoreMaleMiddle AgedMultiple TraumaRetrospective StudiesThoracic InjuriesTrauma CentersWounds, NonpenetratingYoung Adult

Identifiers

PMID28427480
PMCPMC5399315
OpenAlexW2606032292

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.