Evidence map›Paper›PMID 29111081›Full record

ArticleJournal of pediatric surgery2018

Timing of mortality in pediatric trauma patients: A National Trauma Data Bank analysis.

Cory McLaughlin, Jessica A Zagory, Michael Fenlon, Caron Park, Christianne J Lane, Daniella Meeker, Randall S Burd, Henri R Ford, Jeffrey S Upperman, Aaron R Jensen

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pediatric surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 2% 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
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  4. Article
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  6. Guardian Presence in Research Conducted on Children With Blunt Abdominal Trauma in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
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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

10 authors at 4 institutions in 1 country.

Cory McLaughlinDivision of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA 90027. Electronic address: cmclaughlin@chla.usc.edu.
Jessica A ZagoryDivision of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA 90027. Electronic address: jzagor@lsuhsc.edu.
Michael FenlonDivision of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA 90027; Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033. Electronic address: mfenlon@chla.usc.edu.
Caron ParkSouthern California Clinical and Translational Science Institute (SC-CTSI), Los Angeles, CA 90033; Department of Preventative Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033. Electronic address: caronpar@usc.edu.
Christianne J LaneSouthern California Clinical and Translational Science Institute (SC-CTSI), Los Angeles, CA 90033; Department of Preventative Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033. Electronic address: christianne.lane@med.usc.edu.
Daniella MeekerSouthern California Clinical and Translational Science Institute (SC-CTSI), Los Angeles, CA 90033; Department of Preventative Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033. Electronic address: dmeeker@usc.edu.
Randall S BurdDivision of Trauma and Burn Surgery, Children's National Medical Center, Washington, DC 20310. Electronic address: rburd@cnmc.org.
Henri R FordDivision of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA 90027; Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033. Electronic address: hford@chla.usc.edu.
Jeffrey S UppermanDivision of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA 90027; Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033. Electronic address: jupperman@chla.usc.edu.
Aaron R JensenDivision of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA 90027; Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033. Electronic address: ajensen@chla.usc.edu.
Children's Hospital of Los Angeles · USSouthern California Clinical and Translational Science Institute · USUniversity of Southern California · USChildren's National · US

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
Mentored Career DevelopmentKL2TR001854 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Elizabeth Rhea Erwin Burner, Amy Elizabeth West · 2016 to 2026
$9.0M
NCATS NIH HHS KL2 TR001854NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1 TR001855NICHD NIH HHS L40 HD089394
6 · The paper itself

Abstract

background/purposeThe classic "trimodal" distribution of death has been described in adult patients, but the timing of mortality in injured children is not well understood. The purpose of this study was to define the temporal distribution of mortality in pediatric trauma patients.

methodsA retrospective cohort of patients with mortality from the National Trauma Data Bank (2007-2014) was analyzed. Categorical comparison of 'dead on arrival', 'death in the emergency department', and early (≤24h) or late (>24h) inpatient death was performed. Secondary analyses included mortality by pediatric age, predictors of early mortality, and late complication rates.

resultsChildren (N=5463 deaths) had earlier temporal distribution of death compared to adults (n=104,225 deaths), with 51% of children dead on arrival or in ED compared to 44% of adults (p<0.001). For patients surviving ED resuscitation, children and adolescents had a shorter median time to death than adults (1.2 d and 0.8 days versus 1.6 days, p<0.001). Older age, penetrating mechanism, bradycardia, hypotension, tube thoracostomy, and thoracotomy were associated with early mortality in children.

conclusionsInjured children have higher incidence of early mortality compared to adults. This suggests that injury prevention efforts and strategies for improving early resuscitation have potential to improve mortality after pediatric injury. LEVEL OF EVIDENCE: Level III: Retrospective cohort study.

Indexed as

AdolescentAdultAge FactorsChildChild, PreschoolDatabases, FactualEmergency Service, HospitalFemaleHumansIncidenceInfantInfant, NewbornMaleMiddle AgedResuscitationRetrospective StudiesMortality timingPediatricTemporal distributionTrauma

Identifiers

PMID29111081
PMCPMC5828917
OpenAlexW2763098976

What OpenQuestion holds

Textmetadata
LicenceTDM
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.