Evidence map›Paper›PMID 30201016›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2018

Lightning accidents in the Austrian alps - a 10-year retrospective nationwide analysis.

Mathias Ströhle, Bernd Wallner, Michael Lanthaler, Simon Rauch, Hermann Brugger, Peter Paal

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article 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. It is linked to trial NCT03405467 (A Retrospective 10-years Nationwide Observational Study of Alpine Accidents - Flight Accidents, CPR and AED in Alpine Region, Frostbite Injuries and Lightning Strike), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

NCT03405467 completednot on this map

A Retrospective 10-years Nationwide Observational Study of Alpine Accidents - Flight Accidents, CPR and AED in Alpine Region, Frostbite Injuries and Lightning Strike

TypeobservationalSponsorMedical University InnsbruckRan2015 to 2017Enrolled500ConditionsAlpine Accident, Frostbite, Cardiopulmonary Arrest With Successful Resuscitation, Lightning InjuriesArmsgeneral and specific data
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Cases of Lightning Strikes during Mountain-Sports Activities: An Analysis of Emergencies from the Swiss Alps.International journal of environmental research and public health · 2022
    Article
  3. Canyoning Accidents in Austria from 2005 to 2018.International journal of environmental research and public health · 2019
    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 at 3 institutions in 3 countries.

Mathias StröhleDepartment of General and Surgical Critical Care Medicine, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Bernd WallnerDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. bernd.wallner@i-med.ac.at.ORCID http://orcid.org/0000-0002-3746-9537
Michael LanthalerDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Simon RauchInstitute of Mountain Emergency Medicine, EURAC Research, Bolzano, Italy.
Hermann BruggerInstitute of Mountain Emergency Medicine, EURAC Research, Bolzano, Italy.
Peter PaalDepartment of Anaesthesiology and Intensive Care Medicine, Hospital of the Brothers of St. John of God Salzburg, Teaching Hospital of the Paracelsus Medical University Salzburg, Salzburg, Austria.
Innsbruck Medical University · ATEurac Research · ITParacelsus Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLightning strikes are rare but potentially lethal. The risk for suffering a lightning strike in a mountain environment is unknown. The aim of this nationwide study was to analyse all lightning accidents in the Austrian Alps from 2005 to 2015, to assess the circumstances of the accident, the injury pattern as well as the outcome.

methodsFrom 2005 to 2015, data from the national Austrian Alpine Police database as well as the Clinical Information System of Innsbruck Medical University Hospital were searched for the keywords lightning injury, lightning strike, lightning as well as ICD-10 Code T75.0. Additionally, the archive data of Innsbruck Medical University Hospital was searched manually.

resultsThe Austrian Alpine Police database, containing 109.168 patients for the years 2005-2015, was screened for lightning accidents. Sixty-four patients had been hit by lightning in the Austrian Alps, 54 were male. Four persons died on scene; survival rate was 93.8%. Two deceased persons were hunters, who were killed by the same lightning strike. Sixty-three patients suffered a lightning strike while doing a recreational activity, mostly hiking (n = 55), a few hunting and only one doing occupational timberwork. Sixty-three patients suffered a lightning strike between June and August with nearly half (46.9%) of the accidents happening on a Saturday or Sunday, and mainly (95.3%) between 12:00 and 22:00 h. DISCUSSION: Persons who perform recreational outdoor and occupational activities in an alpine environment during summer and after noon incur a higher risk of sustaining a lightning strike. The primary risk group includes young male mountaineers and hunters. The mortality rate was low.

trial registrationThe study was approved by the Ethics Committee of the Medical University of Innsbruck (AN4757 315/4.4) and retrospectively registered with Clinical Trials NCT03405467 , January 19, 2018.

Indexed as

AccidentsAdolescentAdultAgedAustriaChildFemaleGeological PhenomenaHumansLightningLightning InjuriesMaleMiddle AgedRetrospective StudiesRisk FactorsYoung AdultElectric injuriesEmergency medicineLightningLightning injury

Identifiers

PMID30201016
PMCPMC6131802
OpenAlexW2889879410

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.