Evidence map›Paper›PMID 31712843›Full record

ArticleWorld journal of surgery2020

Development of a Visual Analytics Tool for Polytrauma Patients: Proof of Concept for a New Assessment Tool Using a Multiple Layer Sankey Diagram in a Single-Center Database.

Ladislav Mica, Cedric Niggli, Peter Bak, Avi Yaeli, Margaret McClain, Charles M Lawrie, Hans-Christoph Pape

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Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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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3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Artificial intelligence: international perspectives on critical issues.OTA international : the open access journal of orthopaedic trauma · 2025
    Article
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Article
  7. A Tale of Two Centers: Visual Exploration of Health Disparities in Cancer Care.IEEE Pacific Visualization Symposium : [proceedings]. IEEE Pacific Visualisation Symposium · 2022
    Article
  8. Journal of surgery and research · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ladislav MicaDepartment of Trauma Surgery, University Hospital of Zurich, Ramistrasse 100, 8091, Zurich, Switzerland. ladmic@gmail.com.
Cedric NiggliDepartment of Trauma Surgery, University Hospital of Zurich, Ramistrasse 100, 8091, Zurich, Switzerland.
Peter BakIBM Haifa University Campus, 3498825, Mount Carmel Haifa, Israel.
Avi YaeliIBM Haifa University Campus, 3498825, Mount Carmel Haifa, Israel.
Margaret McClainGettysburg College, Durham University, 281 Canterwood Ln, Wexford, PA, 15090, USA.
Charles M LawrieDepartment of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO, 63130, USA.
Hans-Christoph PapeDepartment of Trauma Surgery, University Hospital of Zurich, Ramistrasse 100, 8091, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEarly physiological assessment of multiple injured patients is crucial for decision making and has relied on personal experience of trauma experts. We have developed a new visual analytics tool (Sankey diagram, Watson Trauma Health care tool) that includes known prognostic parameters for polytrauma patients to help guide assessment and treatment decisions for physicians involved in trauma care.

methodsA prospectively collected trauma database of a single level I trauma center (3655 patients) was used. INCLUSION CRITERIA: age >16 years, an injury severity score (ISS) >16 and presence of a complete data set in the database. Data collected included admission values of patient age, injury scoring, shock classification, temperature, acid-base and hemostasis parameters. All of these parameters were collected daily as longitudinal parameters. Endpoints of the clinical course we considered were sepsis, SIRS and early in hospital mortality (<72 h). A proof of concept of the visualization was developed over a 2-year period in a cooperation between physicians and engineers. Statistically, the most predictive parameters were selected by binary logistic regression and ROC analysis.

resultsA dynamic interactive multilayer Sankey diagram, based on cohort similarities, was developed in a collaboration between the University Hospital of Zurich, Department of Trauma and IBM, from August 2017 until January 2018. It is a modular tool and allows any user to add a new patient, or work with an existing case. The visualization used the data-driven documents (D3) interactive visualization library to create a responsive graphic.

conclusionsThis application summarizes the experience of 3655 polytrauma patients and might serve as a guide for clinical decisions and educative purposes, as well as new scientific questions for the polytrauma patient. LEVEL OF EVIDENCE: IV.

Indexed as

Databases, FactualAdolescentAdultAgedClinical Decision-MakingFemaleHumansInjury Severity ScoreLogistic ModelsMaleMiddle AgedMultiple TraumaPrognosisProspective StudiesYoung Adult

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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.