Evidence map›Paper›PMID 30208111›Full record

ArticlePloS one2018

Association between the detection of alcohol, illicit drugs and/or psychotropic medications/opioids in patients admitted due to trauma and trauma recidivism: A cohort study.

Sergio Cordovilla-Guardia, Celia García-Jiménez, Enrique Fernández-Mondéjar, Julián Fernando Calderón-Garcia, Fidel López-Espuela, Cristina Franco-Antonio, Sergio Rico-Martín, Pablo Lardelli-Claret

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Trends and outcomes of trauma patients positive to marijuana and cocaine.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  3. Recidivism after orthopaedic trauma has diminished over time.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  4. Article
  5. Depression and Anxiety Are Associated With Increased Health Care Costs and Opioid Use for Patients With Femoroacetabular Impingement Undergoing Hip Arthroscopy: Analysis of a Claims Database.Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association · 2020
    Article
  6. 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

8 authors.

Sergio Cordovilla-GuardiaNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain.ORCID 0000-0001-7651-5017
Celia García-JiménezDepartment of Preventive Medicine and Public Health, School of Medicine, University of Granada, Granada, Spain.
Enrique Fernández-MondéjarUnidad de Cuidados Intensivos, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Julián Fernando Calderón-GarciaNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain.
Fidel López-EspuelaNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain.
Cristina Franco-AntonioNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain.ORCID 0000-0001-8427-2836
Sergio Rico-MartínNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain.ORCID 0000-0003-4932-1940
Pablo Lardelli-ClaretDepartment of Preventive Medicine and Public Health, School of Medicine, University of Granada, Granada, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo quantify the association between the presence and type of drug detected and trauma recidivism in a cohort of patients admitted due to trauma.

methodA cohort study was conducted based on data from a project where the presence of alcohol and other drugs (cannabis, cocaine, amphetamines, methamphetamines, tricyclic antidepressants, barbiturates, opiates and benzodiazepines) was analysed in 1,187 patients aged 16 to 70 years admitted due to trauma. The patients were followed for a period of between 10 to 52 months until June 2016. For this study, the recurrence of injuries from a sample of 929 patients from this cohort was analysed according to their consumption profile. Survival curves were estimated and adjusted Hazard Rate Ratios (aHRR) and adjusted incidence rate ratios (aIRR) were calculated.

resultsThe incidence rate of TR was 10.94 cases per 100 patient-years in the group of patients negative for substances and 27.99 per 100 patient-years in positive patients. The survival curves show very significant differences in cumulative recurrence-free survival between the groups (Log Rank: p<0.001). Both the aHRR and the aIRR estimates show an increased risk of re-injury due to alcohol consumption (aIRR: 2.33 (1.72-3.15), p<0.001), cannabis use (aIRR: 1.87 (1.09-3.20), p = 0.022) and polydrug use (aIRR: 2.34 (1.80-3.04), p<0.001).

conclusionsThe presence of alcohol and/or illicit drugs in these patients doubles the risk of trauma recidivism.

Indexed as

AdolescentAdultAgedAlcohol DrinkingAnalgesics, OpioidCohort StudiesFemaleHumansIllicit DrugsMaleMarijuana SmokingMiddle AgedPsychotropic DrugsRecidivismRecurrenceRisk FactorsAnalgesics, OpioidIllicit DrugsPsychotropic Drugs

Identifiers

PMID30208111
PMCPMC6135508

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.