Evidence map›Paper›PMID 28748419›Full record

ArticleWorld journal of surgery2018

Can We Train Military Surgeons in a Civilian Trauma Center?

H Uchino, V Y Kong, G V Oosthuizen, J L Bruce, W Bekker, G L Laing, D L Clarke

Abstract read
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In one paragraph

Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

H UchinoPietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu Natal, 719 Umbilo Rd, Durban, South Africa.
V Y KongPietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu Natal, 719 Umbilo Rd, Durban, South Africa.
G V OosthuizenPietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu Natal, 719 Umbilo Rd, Durban, South Africa.
J L BrucePietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu Natal, 719 Umbilo Rd, Durban, South Africa.
W BekkerPietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu Natal, 719 Umbilo Rd, Durban, South Africa.
G L LaingPietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu Natal, 719 Umbilo Rd, Durban, South Africa.
D L ClarkePietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu Natal, 719 Umbilo Rd, Durban, South Africa. damianclar@gmail.com.
Umkhuseli Innovation and Research Management · ZAUniversity of KwaZulu-Natal · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe objective of this study was to review the trauma workload and operative exposure in a major South African trauma center and provide a comparison with contemporary experience from major military conflict. MATERIALS AND

methodsAll patients admitted to the PMTS following trauma were identified from the HEMR. Basic demographic data including mechanism of injury and body region injured were reviewed. All operative procedures were categorized. The total operative volume was compared with those available from contemporary literature documenting experience from military conflict in Afghanistan. Operative volume was converted to number of cases per year for comparison.

resultsDuring the 4-year study period, 11,548 patients were admitted to our trauma center. Eighty-four percent were male and the mean age was 29 years. There were 4974 cases of penetrating trauma, of which 3820 (77%) were stab wounds (SWs), 1006 (20%) gunshot wounds (GSWs) and the remaining 148 (3%) were animal injuries. There were 6574 cases of blunt trauma. The mechanism of injuries was as follows: assaults 2956, road traffic accidents 2674, falls 664, hangings 67, animal injuries 42, sports injury 29 and other injuries 142. A total of 4207 operations were performed. The volumes per year were equivalent to those reported from the military surgical literature.

conclusionSouth Africa has sufficient burden of trauma to train combat surgeons. Each index case as identified from the military surgery literature has a sufficient volume in our center. Based on our work load, a 6-month rotation should be sufficient to provide exposure to almost all the major traumatic conditions likely to be encountered on the modern battlefield.

Indexed as

AdolescentAdultAfghanistanDatabases, FactualEducation, Medical, GraduateFemaleHumansMaleMiddle AgedMilitary MedicineMilitary PersonnelRetrospective StudiesSouth AfricaTrauma CentersTraumatologyWorkload

Identifiers

PMID28748419
OpenAlexW2737326559

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.