Evidence map›Paper›PMID 29907202›Full record

ArticleThe Journal of surgical research2018

Errors in cervical spine immobilization during pediatric trauma evaluation.

Omar Z Ahmed, Rachel B Webman, Puja D Sheth, Jonah I Donnenfield, JaeWon Yang, Aleksandra Sarcevic, Ivan Marsic, Randall S Burd

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

Article in The Journal of surgical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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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 3 institutions in 1 country.

Omar Z AhmedDivision of Trauma and Burn Surgery, Department of General and Thoracic Surgery, Children's National Medical Center, Washington, Dist. of Columbia.
Rachel B WebmanDivision of Trauma and Burn Surgery, Department of General and Thoracic Surgery, Children's National Medical Center, Washington, Dist. of Columbia.
Puja D ShethDivision of Trauma and Burn Surgery, Department of General and Thoracic Surgery, Children's National Medical Center, Washington, Dist. of Columbia.
Jonah I DonnenfieldDivision of Trauma and Burn Surgery, Department of General and Thoracic Surgery, Children's National Medical Center, Washington, Dist. of Columbia.
JaeWon YangDivision of Trauma and Burn Surgery, Department of General and Thoracic Surgery, Children's National Medical Center, Washington, Dist. of Columbia.
Aleksandra SarcevicCollege of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania.
Ivan MarsicDepartment of Electrical and Computer Engineering, Rutgers University, Piscataway, New Jersey.
Randall S BurdDivision of Trauma and Burn Surgery, Department of General and Thoracic Surgery, Children's National Medical Center, Washington, Dist. of Columbia. Electronic address: rburd@cnmc.org.
Children's National · USDrexel University · USRutgers, The State University of New Jersey · US

Funding

Intention-aware Recommender System for Improving Trauma Resuscitation OutcomesR01LM011834 · NLM · CHILDREN'S RESEARCH INSTITUTE · PI BURD, RANDALL S., MARSIC, IVAN · 2014 to 2023
$4.7M
NLM NIH HHS R01 LM011834
6 · The paper itself

Abstract

backgroundThe purpose of this study was to identify factors during trauma evaluation that increase the likelihood of errors in cervical spine immobilization ('lapses'). MATERIALS AND

methodsMultivariate analysis was used to identify the associations between patient characteristics, event features, and tasks performed in proximity to the head and neck and the occurrence and duration of a lapse in maintaining cervical spine immobilization during 56 pediatric trauma evaluations.

resultsLapses in cervical spine immobilization occurred in 71.4% of patients (n = 40), with an average of 1.2 ± 1.3 lapses per patient. Head and neck tasks classified as oxygen manipulation occurred an average of 12.2 ± 9.7 times per patient, whereas those related to neck examination and cervical collar manipulation occurred an average of 2.7 ± 1.7 and 2.1 ± 1.2 times per patient, respectively. More oxygen-related tasks were performed among patients who had than those who did not have a lapse (27.3 ± 16.5 versus 11.5 ± 8.0 tasks, P = 0.001). Patients who had cervical collar placement or manipulation had a two-fold higher risk of a lapse than those who did not have these tasks performed (OR 1.92, 95% CI 0.56, 3.28, P = 0.006). More lapses occurred during evaluations on the weekend (P = 0.01), when more tasks related to supplemental oxygen manipulation were performed (P = 0.02) and when more tasks associated with cervical collar management were performed (P < 0.001).

conclusionsErrors in cervical spine immobilization were frequently observed during the initial evaluation of injured children. Strategies to reduce these errors should target approaches to head and neck management during the primary and secondary phases of trauma evaluation.

Indexed as

Cervical VertebraeChildChild, PreschoolFemaleHumansImmobilizationMaleMedical ErrorsNeckOrthopedic Fixation DevicesPhysical ExaminationRoot Cause AnalysisSpinal InjuriesTrauma CentersVideo RecordingBlunt traumaCervical spine immobilizationMedical team performancePediatric traumaTrauma resuscitation errors

Identifiers

PMID29907202
PMCPMC6007863
OpenAlexW2799334394

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.