Evidence map›Paper›PMID 29644452›Full record

ArticlePediatric surgery international2018

Implications of non-accidental trauma on resource utilization and outcomes.

Cristen N Litz, Ernest K Amankwah, Paul D Danielson, Nicole M Chandler

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric surgery international, 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
–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

1 citing paper in PubMed.

  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

4 authors.

Cristen N LitzDivision of Pediatric Surgery, Outpatient Care Center, Johns Hopkins All Children's Hospital, 601 5th Street South, Dept 70-6600, 3rd Floor, Saint Petersburg, FL, 33701, USA. Clitz@health.usf.edu.
Ernest K AmankwahClinical and Translational Research Organization, Outpatient Care Center, Johns Hopkins All Children's Hospital, 601 5th Street South, 6th floor, Saint Petersburg, FL, 33701, USA.
Paul D DanielsonDivision of Pediatric Surgery, Outpatient Care Center, Johns Hopkins All Children's Hospital, 601 5th Street South, Dept 70-6600, 3rd Floor, Saint Petersburg, FL, 33701, USA.
Nicole M ChandlerDivision of Pediatric Surgery, Outpatient Care Center, Johns Hopkins All Children's Hospital, 601 5th Street South, Dept 70-6600, 3rd Floor, Saint Petersburg, FL, 33701, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose was to compare the resource utilization and outcomes between patients with suspected (SUSP) and confirmed (CONF) non-accidental trauma (NAT).

methodsThe institutional trauma registry was reviewed for patients aged 0-18 years presenting from 2007 to 2012 with a diagnosis of suspicion for NAT. Patients with suspected and confirmed NAT were compared.

resultsThere were 281 patients included. CONF presented with a higher heart rate (142 ± 27 vs 128 ± 23 bpm, p < 0.01), lower systolic blood pressure (100 ± 18 vs 105 ± 16 mm Hg, p = 0.03), and higher Injury Severity Score (15 ± 11 vs 9 ± 5, p < 0.01). SUSP received fewer consultations (1.6 ± 0.7 vs 2.4 ± 1.1, 95% CI - 0.58 to - 0.09, p < 0.01) and had a shorter length of stay (1.6 ± 1.3 vs 7.8 ± 9.8 days, 95% CI - 4.58 to - 0.72, p < 0.01). SUSP were more often discharged home (OR 94.22, 95% CI: 21.26-417.476, p < 0.01). CONF had a higher mortality rate (8.2 vs 0%, p < 0.01).

conclusionsPatients with confirmed NAT present with more severe injuries and require more hospital resources compared to patients in whom NAT is suspected and ruled out.

Indexed as

ChildChild AbuseChild, PreschoolFemaleHumansInfantInfant, NewbornInjury Severity ScoreIntensive Care Units, PediatricLength of StayMalePatient DischargeReferral and ConsultationRegistriesRetrospective StudiesSurgical Procedures, OperativeChild abuseNon-accidental traumaPediatric

Identifiers

PMID29644452

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.