Evidence map›Paper›PMID 29581683›Full record

ArticleThe Indian journal of surgery2018

An Analysis of Presentation, Pattern and Outcome of Chest Trauma Patients at an Urban Level 1 Trauma Center.

Rajasekhar Narayanan, Subodh Kumar, Amit Gupta, Virinder Kumar Bansal, Sushma Sagar, Maneesh Singhal, Biplab Mishra, Sanjeev Bhoi, Babita Gupta, Shivanand Gamangatti and 2 more

Abstract read
In one paragraph

Article in The Indian journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
  2. No role of antibiotics in patients with chest trauma requiring inter-costal drain: a pilot randomized controlled trial.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. High-frequency Nasal Cannula Oxygenation in Thoracic Trauma: Unrealistic Expectations?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Thoracic trauma in national hospital Abuja, Nigeria: The epidemiology, injury severity and initial management options.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023
    Article
  13. The relationship between the presence of scapula fracture and mortality and morbidity in cases with blunt thoracic trauma.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    Article
  14. Article
  15. Observational
  16. Article
  17. Review
  18. Article
  19. Blunt trauma related chest wall and pulmonary injuries: An overview.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2020
    Review
  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

12 authors.

Rajasekhar Narayanan1Department of Surgery, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029 India.
Subodh Kumar1Department of Surgery, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029 India.
Amit Gupta1Department of Surgery, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029 India.
Virinder Kumar Bansal1Department of Surgery, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029 India.
Sushma Sagar1Department of Surgery, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029 India.
Maneesh Singhal1Department of Surgery, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029 India.
Biplab Mishra1Department of Surgery, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029 India.
Sanjeev Bhoi2Department of Emergency Medicine, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029 India.
Babita Gupta3Department of Anesthesia, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029 India.
Shivanand Gamangatti4Department of Radiodiagnosis, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029 India.
Adarsh Kumar5Department of Forensic Medicine, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, 110029 India.
Mahesh Chandra Misra1Department of Surgery, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, 110029 India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chest trauma is an important public health problem accounting for a substantial proportion of all trauma admissions and deaths. It directly account for 20-25 % of deaths due to trauma. Therefore, this study was conducted to analyze the presentation, patterns, and outcome of chest trauma in a level-1 urban trauma center. It was a prospective observational study of all patients presented with chest trauma to an urban level 1-trauma center over a period of 3 years. Demographic profile, mechanism of injury, injury severity scores (ISS), associated injuries, hospital stay, etc. were recorded. Morbidity and mortality rates were analyzed and compared with the published literature. Chest injuries comprised 30.9 % of all trauma admissions and the mechanism was blunt in majority (83.5 %) of the cases. Vehicular crashes (59.7 %) followed by assault were the most common modes of injury. Rib fracture was the most common chest injury seen in 724 of the 1258 patients while abdominal visceral injuries were the commonest associated injuries in polytrauma cases. Majority of the patients were managed non-operatively. Inter costal tube drainage (ICD) was the main stay of treatment in 75 % of the cases, whereas, thoracotomy was required only in 5.56 % of the patients. Overall mortality was 11 % and it was found to be significantly higher following blunt chest trauma. We observed that associated extra thoracic injuries resulted in higher mortality as compared to isolated chest injuries. Thoracic injuries can be readily diagnosed in the emergency department by meticulous and repeated clinical evaluation and majority require simple surgical procedures to prevent immediate mortality and long-term morbidity.

Indexed as

Blunt thoracic injuryChest traumaPenetrating thoracic injuryThoracotomy

Identifiers

PMID29581683
PMCPMC5866799

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.