Evidence map›Paper›PMID 31161356›Full record

ArticleWorld journal of surgery2019

Predictors for Pediatric Blunt Cerebrovascular Injury (BCVI): An International Multicenter Analysis.

Christian D Weber, Rolf Lefering, Matthias S Weber, Georg Bier, Matthias Knobe, Miguel Pishnamaz, Philipp Kobbe, Frank Hildebrand, TraumaRegister DGU

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

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

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

  1. Posttraumatic cerebrovascular injuries in children. A systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Pooled it
  2. Observational
  3. Review
  4. The necessity of CT scans on pediatric carotid injury after blunt trauma - An analysis of the traumaregister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  5. 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

9 authors.

Christian D WeberDepartment of Orthopedics and Trauma Surgery, RWTH Aachen University Medical Center, Pauwels Street 30, 52074, Aachen, Germany. chrweber@ukaachen.de.ORCID 0000-0001-8778-8002
Rolf LeferingInstitute for Research in Operative Medicine (IFOM), Witten/Herdecke University, Cologne, Germany.
Matthias S WeberDepartment of Pediatric Intensive Care Medicine, RWTH Aachen University, Aachen, Germany.
Georg BierDepartment of Diagnostic and Interventional Neuroradiology, Tübingen University Hospital, Tübingen, Germany.
Matthias KnobeDepartment of Orthopedics and Trauma Surgery, RWTH Aachen University Medical Center, Pauwels Street 30, 52074, Aachen, Germany.
Miguel PishnamazDepartment of Orthopedics and Trauma Surgery, RWTH Aachen University Medical Center, Pauwels Street 30, 52074, Aachen, Germany.
Philipp KobbeDepartment of Orthopedics and Trauma Surgery, RWTH Aachen University Medical Center, Pauwels Street 30, 52074, Aachen, Germany.
Frank HildebrandDepartment of Orthopedics and Trauma Surgery, RWTH Aachen University Medical Center, Pauwels Street 30, 52074, Aachen, Germany.
TraumaRegister DGU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPractice guidelines for adult BCVI patients have been implemented recently, but data for this devastating injury pattern in children are still limited. An international multicenter analysis was performed to characterize BCVI in the pediatric population.

methodsThe TraumaRegister DGU

resultsThe study cohort included 8128 pediatric trauma patients. We identified 48 BCVIs in 42 children, resulting in an overall prevalence of 0.5%. Carotid injuries were diagnosed more frequently (n = 30; 0.4%) when compared to VAIs (n = 12; 0.1%). The coincidence of head (p = 0.028), facial (p ≤ 0.001), chest (p ≤ 0.001), and spinal injuries (p ≤ 0.001) was higher in BCVI patients. The risk for thromboembolic complications (8.3% vs. 1%, p = 0.026) and in-hospital mortality (38.1% vs. 7.7%, p ≤ 0.001) was excessive in children with BCVI. We identified various predictors for pediatric BCVI and quantified the cumulative impact of these risk factors.

conclusionBCVI is more uncommon in pediatric than in adult trauma patients. Due to the considerable relevance of this injury for both children and adults, special attention should be paid to this entity and associated complications in the early treatment phase after severe pediatric trauma, especially in high-risk children.

Indexed as

AdolescentCarotid Artery InjuriesCerebrovascular TraumaChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleRetrospective StudiesWounds, Nonpenetrating

Identifiers

What OpenQuestion holds

Textmetadata
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.