Evidence map›Paper›PMID 30873217›Full record

ArticleWorld journal of emergency surgery : WJES

Preserve encephalus in surgery of trauma: online survey. (P.E.S.T.O).

Edoardo Picetti, Ronald V Maier, Sandra Rossi, Andrew W Kirkpatrick, Walter L Biffl, Philip F Stahel, Ernest E Moore, Yoram Kluger, Gian Luca Baiocchi, Luca Ansaloni and 2 more

Abstract read
In one paragraph

Article in World journal of emergency surgery : WJES. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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

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. Trial
  2. Article
  3. Article
  4. Review
  5. Soluble terminal complement activation fragment sC5b-9: a new serum biomarker for traumatic brain injury?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Observational
  6. Review
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

12 authors.

Edoardo Picetti1Department of Anesthesia and Intensive Care, Parma University Hospital, Via Gramsci 14, 43100 Parma, Italy.
Ronald V Maier2Department of Surgery, Harborview Medical Center, Seattle, USA.
Sandra Rossi1Department of Anesthesia and Intensive Care, Parma University Hospital, Via Gramsci 14, 43100 Parma, Italy.
Andrew W Kirkpatrick3Departments of General Acute Care, Abdominal Wall Reconstruction and Trauma Surgery, Foothills Medical Centre, Calgary, Canada.
Walter L Biffl4Division of Trauma and Acute Care Surgery, Scripps Memorial Hospital, La Jolla, California, USA.
Philip F Stahel5College of Osteopathic Medicine, Rocky Vista University, Parker, CO USA.
Ernest E Moore6Department of Trauma Surgery, Denver Health, Denver, CO USA.
Yoram Kluger7Department of General Surgery, Rambam Health Campus, Haifa, Israel.
Gian Luca Baiocchi8Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Luca Ansaloni9Department of General and Emergency Surgery, Bufalini Hospital, Cesena, Italy.
Vanni Agnoletti10Department of Anesthesia and Intensive Care, Bufalini Hospital, Cesena, Italy.
Fausto Catena11Department of Emergency Surgery, Parma University Hospital, Parma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraumatic brain injury (TBI) is a global health problem. Extracranial hemorrhagic lesions needing emergency surgery adversely affect the outcome of TBI. We conducted an international survey regarding the acute phase management practices in TBI polytrauma patients.

methodsA questionnaire was available on the World Society of Emergency Surgery website between December 2017 and February 2018. The main endpoints were the evaluation of (1) intracranial pressure (ICP) monitoring during extracranial emergency surgery (EES), (2) hemodynamic management without ICP monitoring during EES, (3) coagulation management, and (4) utilization of simultaneous multisystem surgery (SMS).

resultsThe respondents were 122 representing 105 trauma centers worldwide. ICP monitoring was utilized in 10-30% of patients at risk of intracranial hypertension (IH) undergoing EES from about a third of the respondents [

conclusionsA great variability in practices during the acute phase management of polytrauma patients with severe TBI was identified. These findings may be helpful for future investigations and educational purposes.

Indexed as

Brain Injuries, TraumaticCentral Venous PressureDisease ManagementGlasgow Coma ScaleHumansInternationalityIntracranial HypertensionIntracranial PressureMonitoring, PhysiologicNeurosurgical ProceduresProthrombin TimeSurveys and QuestionnairesWounds and InjuriesManagementMonitoringPolytraumaTraumatic brain injury

Identifiers

PMID30873217
PMCPMC6399949

What OpenQuestion holds

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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.