Evidence map›Paper›PMID 30693109›Full record

ArticleEmergency medicine international2018

Efficacy of the Treatment of Elderly Trauma Patients Requiring Intensive Care.

Kiyohiro Oshima, Masato Murata, Makoto Aoki, Jun Nakajima, Yusuke Sawada, Yuta Isshiki, Yumi Ichikawa, Kazunori Fukushima, Shuichi Hagiwara, Hiroshi Hinohara

Abstract read
In one paragraph

Article in Emergency medicine international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

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4 · The record

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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

10 authors.

Kiyohiro OshimaDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Japan.ORCID 0000-0003-2108-6109
Masato MurataDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Japan.
Makoto AokiDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Japan.
Jun NakajimaDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Japan.
Yusuke SawadaDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Japan.
Yuta IsshikiDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Japan.
Yumi IchikawaDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Japan.
Kazunori FukushimaDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Japan.
Shuichi HagiwaraDepartment of Emergency Medicine, Gunma University Graduate School of Medicine, Japan.
Hiroshi HinoharaIntensive Care Unit, Gunma University Hospital, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effectiveness of intensive care for the elderly trauma patients aged 80 years and older.

methodsTrauma patients admitted to the intensive care unit (ICU) through the emergency room (ER) at our hospital between January 2013 and December 2016 were analyzed. Patients were divided into two groups: patients aged 80 and older (group E) and <80 years old (group Y). Clinical courses and the total treatment costs were compared between the two groups. Data are shown as median (interquartile range).

resultsA hundred and seven trauma patients were included in the study. There were 26 patients in group E and 81 patients in group Y. There was no significant difference in Injury Severity Score (ISS) (group E, 19 (13, 32); group Y, 17 (14, 25); p=0.708); however, the probability of survival (Ps) was significantly lower in group E (group E, 0.895 (0.757, 0.950); group Y, 0.955 (0.878, 0.986); p=0.004). The duration of ICU stay (days) was significantly longer in group E (10 (5, 23)) than in group Y (4 (3, 9); p=0.001), and the total hospital stay (days) was longer in group E (33 (13, 57)) than in group Y (22 (12, 42); p=0.179). The hospital mortality was higher in group E (11.5%) than in group Y (6.2%) without a significant difference (p=0.365). The total treatment costs were significantly higher in group E ($23,558 (12,456, 42,790) with $1 = ¥110.57) than in group Y ($16,538 (7,412, 25,422); p=0.023).

conclusionsElderly trauma patients require longer-term treatment including ICU stay and greater cost with higher hospital mortality compared with young trauma patients.

Identifiers

PMID30693109
PMCPMC6332988

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