Evidence map›Paper›PMID 29304054›Full record

ArticlePloS one2018

Injury mechanisms, patterns and outcomes of older polytrauma patients-An analysis of the Dutch Trauma Registry.

Rob de Vries, Inge H F Reininga, Oliver Pieske, Rolf Lefering, Mostafa El Moumni, Klaus Wendt

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

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

  1. The utilisation of international consensus definitions of the disease polytrauma: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Patterns of sex-specific outcomes and mortality in polytrauma: a demographic and epidemiologic analysis by injury severity score.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
  6. Article
  7. Injury patterns and patient outcomes of abdominal trauma in the elderly population: a 5-year experience of a Major Trauma Centre.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  8. Article
  9. Article
  10. Comorbidities, injury severity and complications predict mortality in thoracic trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  11. The effect of age on resilience of health-related quality of life among polytrauma patients: a cross-sectional multicenter study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Tranexamic acid for major trauma patients in Ireland.World journal of emergency medicine · 2022
    Article
  17. Short-term outcome following significant trauma: increasing age per se has only a relatively low impact.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Article
  18. Article
  19. Article
  20. 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

6 authors.

Rob de VriesDepartment of Trauma Surgery, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.ORCID 0000-0002-1823-3801
Inge H F ReiningaDepartment of Trauma Surgery, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.
Oliver PieskeDepartment of Surgery, Evangelisches Krankenhaus Oldenburg, Oldenburg, Germany.
Rolf LeferingInstitute for Research in Operative Medicin (IFOM), Universität Witten/Herdecke, Witten, Germany.
Mostafa El MoumniDepartment of Trauma Surgery, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.
Klaus WendtDepartment of Trauma Surgery, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolytrauma patients nowadays tend to be older due to the growth of the elderly population and its improved mobility. The aim of this study was to compare demographics, injury patterns, injury mechanisms and outcomes between younger and older polytrauma patients.

methodsData from polytrauma (ISS≥16) patients between 2009 and 2014 were extracted from the Dutch trauma registry (DTR). Younger (Group A: ages 18-59) and older (Group B: ages ≥60) polytrauma patients were compared. Differences in injury severity, trauma mechanism (only data for the year 2014), vital signs, injury patterns, ICU characteristics and hospital mortality were analyzed.

resultsData of 25,304 polytrauma patients were analyzed. The older patients represented 47.8% of the polytrauma population. Trauma mechanism in the older patients was more likely to be a bicycle accident (A: 17%; B: 21%) or a low-energy fall (A: 13%; B: 43%). Younger polytrauma patients were more likely to have the worst scores on the Glasgow coma scale (EMV = 3, A: 20%, B: 13%). However, serious head injuries were seen more often in the older patients (A: 53%; B: 69%). The hospital mortality was doubled for the older polytrauma patients (19.8% vs. 9.6%).

conclusionElderly are involved more often in polytrauma. Although injury severity did not differ between groups, the older polytrauma patients were at a higher risk of dying than their younger counterparts despite sustaining less high-energy accidents.

Indexed as

AdolescentAdultFemaleHumansMaleMiddle AgedMultiple TraumaNetherlandsRegistriesSeverity of Illness IndexYoung Adult

Identifiers

PMID29304054
PMCPMC5755835

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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.