SynthesisWorld journal of surgery2019
Are Pre-hospital Trauma Deaths Preventable? A Systematic Literature Review.
Synthesis 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 21 papers.
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.
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.
Who cites it
21 citing papers in PubMed.
- Airway management skills and devices on Italian helicopter emergency medical service: a national survey.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
- PHTLS training increases knowledge but paradoxically decreases self-efficacy in emergency healthcare professionals: a cross-sectional study.BMC medical education · 2026Article
- The "survival of the fittest" bias: how excluding prehospital deaths distorts the impact of transport time in rural trauma.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Trauma-related mortality in a European region with an intermediately mature trauma system: a comprehensive population-based analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Application of a portable sealed positive pressure infusion device in a porcine model of hemorrhagic shock.Frontiers in medicine · 2026Article
- Spinal cord injury in the context of major motor vehicle collision trauma: a retrospective ecological analysis of global estimates across income groups.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Managing apnoea in trauma victims: the potential for dispatcher-assisted airway handling - a narrative review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Review
- Polytrauma-related deaths in Moscow: Retrospective analysis of 969 autopsy studies.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- Implementation status of European guidelines on trauma management of prehospital bleeding control: a national survey in Austria.BMC emergency medicine · 2025Article
- Clinical patterns and predictors of trauma-related mortality over 13 years: a retrospective analysis from a Level 1 National trauma center.World journal of emergency surgery : WJES · 2025Article
- Evaluating factors associated with the use of extracorporeal membrane oxygenation in major trauma - an analysis of the TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Hemogram-Based Phenotypes of the Immune Response and Coagulopathy in Blunt Thoracic Trauma.Journal of personalized medicine · 2024Article
- Investigation and validation of the TEG6s during rotary wing aeromedical flight.The journal of trauma and acute care surgery · 2024Article
- Cutoff of the reverse shock index multiplied by the Glasgow coma scale for predicting in-hospital mortality in adult patients with trauma: a retrospective cohort study.BMC emergency medicine · 2024Article
- A rare case of perforating chest wall including pericardial sac with penetrating trivial injury: A case report and literature review.Trauma case reports · 2023Article
- Prehospital transportation of severe penetrating trauma victims in Sweden during the past decade: a police business?Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Artificial Intelligence in Emergency Medicine: Viewpoint of Current Applications and Foreseeable Opportunities and Challenges.Journal of medical Internet research · 2023Review
- Trauma deaths of hospitalized patients in Abu Dhabi Emirate: a retrospective descriptive study.World journal of emergency surgery : WJES · 2023Article
- Initial acuity of firearm injuries in the United States: are civilian injuries similar to combat casualty statistics.Internal and emergency medicine · 2022Article
- Preventable Trauma Deaths and Corrective Actions to Prevent Them: A 10-Year Comparative Study at the Komfo Anokye Teaching Hospital, Kumasi, Ghana.World journal of surgery · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe first and largest peak of trauma mortality is encountered on the trauma site. The aim of this study was to determine whether these trauma-related deaths are preventable. We performed a systematic literature review with a focus on pre-hospital preventable deaths in severely injured patients and their causes.
methodsStudies published in a peer-reviewed journal between January 1, 1990 and January 10, 2018 were included. Parameters of interest: country of publication, number of patients included, preventable death rate (PP = potentially preventable and DP = definitely preventable), inclusion criteria within studies (pre-hospital only, pre-hospital and hospital deaths), definition of preventability used in each study, type of trauma (blunt versus penetrating), study design (prospective versus retrospective) and causes for preventability mentioned within the study.
resultsAfter a systematic literature search, 19 papers (total 7235 death) were included in this literature review. The majority (63.1%) of studies used autopsies combined with an expert panel to assess the preventability of death in the patients. Pre-hospital death rates range from 14.6 to 47.6%, in which 4.9-11.3% were definitely preventable and 25.8-42.7% were potentially preventable. The most common (27-58%) reason was a delayed treatment of the trauma victims, followed by management (40-60%) and treatment errors (50-76.6%).
conclusionAccording to our systematic review, a relevant amount of the observed mortality was described as preventable due to delays in treatment and management/treatment errors. Standards in the pre-hospital trauma system and management should be discussed in order to find strategies to reduce mortality.
Indexed as
Identifiers
31214829What OpenQuestion holds
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.