Evidence map›Paper›PMID 28777823›Full record

ArticlePloS one2017

Two new risk factors for heterotopic ossification development after severe burns.

Laurent Thefenne, Gratiane de Brier, Thomas Leclerc, Claire Jourdan, Claire Nicolas, Stéphanie Truffaut, Eric Lapeyre, Francois Genet

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Review
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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 at 4 institutions in 1 country.

Laurent ThefenneService de Médecine Physique et de Réadaptation, Service de Santé des Armées, Hôpital d'Instruction des Armées Laveran, Marseille, France.
Gratiane de BrierService de Médecine Physique et de Réadaptation, Service de Santé des Armées, Hôpital d'Instruction des Armées Laveran, Marseille, France.
Thomas LeclercCentre de Traitement des Brûlés, Service de Santé des Armées, Hôpital d'Instruction des Armées Percy, Clamart, France.
Claire JourdanDépartement de Médecine Physique et de Réadaptation-Thérapeutique, Centre Hospitalier Lapeyronie, Montpellier, France.
Claire NicolasService de Médecine Physique et de Réadaptation, Centre de Réadaptation de Coubert, Coubert, France.
Stéphanie TruffautService de Médecine Physique et de Réadaptation, Service de Santé des Armées, Hôpital d'Instruction des Armées Percy, Clamart, France.
Eric LapeyreService de Médecine Physique et de Réadaptation, Service de Santé des Armées, Hôpital d'Instruction des Armées Percy, Clamart, France.
Francois GenetService de Médecine Physique et de Réadaptation, Service de Santé des Armées, Hôpital d'Instruction des Armées Percy, Clamart, France.ORCID http://orcid.org/0000-0001-9732-7410
Service de Santé des Armées · FRHôpital Lapeyronie · FRInserm · FRInstitut Régional de Médecine Physique et de Réadaptation · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLife after severe burns is conditioned by the remaining sequelae. The pathophysiology and risk factors of Heterotopic Ossification (HO) after burns are still poorly understood. The aim of this study was to determine: 1) the incidence of HO after burns and 2) the risk factors associated with HO development, in a large retrospective study.

methodsA case-control study of patients admitted to the burns intensive care unit of Percy Hospital, Paris, from the 1st January 2009 to the 31st December 2013 and then admitted to one of three centres specialised in the rehabilitation of patients with burns. Multivariate analysis was carried out to analyse the relationship between HO development and demographic and clinical data.

results805 patients were included. 32 patients (4.0%) developed a total of 74 heterotopic ossifications, that is a little higher incidence than the incidence found in the literature. The epidemiological characteristics of the population studied was similar to the literature. HOs were mainly localized around the elbows, followed by the hips, shoulders and knees. Each case-patient was paired with 3 control-patients. There were significant associations between HO development and the length of stay in the burns intensive care unit, the extent and depth of the burns, the occurrence of pulmonary or cutaneous infections, use of curare and use of an air-fluidized bed.

conclusionIn addition to recognized risk factors (duration of stay in the intensive care burns unit, extent and depth of burns, pulmonary and cutaneous infections), the use of curare and the use of a fluidized bed (with the duration of use) were significantly associated with HO formation.

Indexed as

Injury Severity ScoreAdolescentAdultAgedBurnsCase-Control StudiesElbow JointFemaleFollow-Up StudiesHospitalizationHumansIncidenceMaleMiddle AgedOssification, HeterotopicParis

Identifiers

PMID28777823
PMCPMC5544177
OpenAlexW2742790422

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.