Evidence map›Paper›PMID 30119640›Full record

ReviewScandinavian journal of trauma, resuscitation and emergency medicine2018

The long-term outcomes and health-related quality of life of patients following blunt thoracic injury: a narrative literature review.

Edward Baker, Andreas Xyrichis, Christine Norton, Philip Hopkins, Geraldine Lee

Open access · goldAbstract readReview
In one paragraph

Review in Scandinavian journal of trauma, resuscitation and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
6.6field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Observational
  6. Review
  7. One-year patient-reported outcomes following surgical stabilization of rib fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  8. Observational
  9. Costal fracture assessment for relief and enhancement of quality of life-CARE study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Measuring functional outcomes in major trauma: can we do better?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Review
  16. Article
  17. Long-term quality of life and functional outcome after rib fracture fixation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  18. Article
  19. Observational
  20. How do the influencing factors of health-related quality of life of the injured patient differ according to activity limitations?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    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

5 authors at 2 institutions in 1 country.

Edward BakerFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA, UK. edward.e.baker@kcl.ac.uk.ORCID http://orcid.org/0000-0002-2633-0871
Andreas XyrichisFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA, UK.
Christine NortonFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA, UK.
Philip HopkinsDepartment of Intensive Care Medicine, King's College Hospital NHS Foundation Trust, Denmark Hill, London, SE5 9RS, UK.
Geraldine LeeFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA, UK.
King's College London · GBKing's College Hospital NHS Foundation Trust · GB

Funding

Department of Health ICA-CDRF-2016-02-006Research Trainees Coordinating Centre ICA-CDRF-2016-02-006
6 · The paper itself

Abstract

backgroundMajor Trauma remains a leading cause of mortality and morbidity worldwide. Blunt Thoracic Injury (BTI) accounts for > 15% of United Kingdom (UK) trauma admissions and is consistently associated with respiratory related complications that include pneumonia and respiratory failure. Despite this, it is unclear in current clinical practice how BTI impacts on the recovering trauma patients after discharge from hospital. This study aimed to investigate the state of knowledge on the impact of BTI on the long-term outcomes and health-related quality of life (HRQoL).

methodsData were sourced from Ovid MEDLINE, Ovid EMBASE, CINAHL and Science Direct using a pre-defined systematic search strategy. A subsequent hand search of key references was used to identify potentially missed studies. Abstracts were screened for eligibility and inclusion. Fifteen studies met the eligibility criteria and were critically appraised. Data were extracted, analysed and synthesised in categories and sub-categories following a narrative approach.

resultsThree major themes were identified from the 15 studies included in this review: (i) physical impact of BTI, (ii) psychological impact of BTI and (iii) socio-economic impact of BTI. The bulk of the available data focused on the physical impact where further sub-themes included: (i) physical functioning, (ii) ongoing unresolved pain, (iii) reduced respiratory function, (iv) thoracic structural integrity. Although there was a substantial difference in the length and method of follow up, there remains a general trend towards physical symptoms improving over time, particularly over the first six months after injury. Despite this, where sequelae continued at six months it remained likely that these would also be present at two years after injury.

conclusionThe literature review demonstrated that BTI is associated with substantial sequelae that impacts on all aspects of daily functioning. Despite this there remains a paucity of data relating to long term outcomes in the BTI population, especially relating to psychological and socio-economic impact. There is also little consensus on the measures, tools and time-frames used to measure outcomes and HRQoL in this population. The full impact of BTI on this population needs further exploration.

Indexed as

Quality of LifeHealth StatusHospitalizationHumansOutcome Assessment, Health CareThoracic InjuriesWounds, NonpenetratingChest traumaInjuryMorbidityPatient reported outcomesQuality of lifeRib fracturesTrauma

Identifiers

PMID30119640
PMCPMC6098638
OpenAlexW2886589186

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.