Evidence map›Paper›PMID 32300851›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

Short-term outcome following significant trauma: increasing age per se has only a relatively low impact.

Fabrizio A Fiumedinisi, Felix Amsler, Thomas Gross

Registry-linked trialAbstract read
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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02165137 (Quality Control in the Management of Major Trauma Patients at Aarau Cantonal Hospital - Evaluation of Processes and Patient Outcome), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 46% of its field
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.

NCT02165137 completednot on this map

Quality Control in the Management of Major Trauma Patients at Aarau Cantonal Hospital - Evaluation of Processes and Patient Outcome

Typeobservational_patient_registrySponsorKantonsspital AarauRan2010 to 2020Enrolled3,800ConditionsInjury, Trauma, Major Trauma, Multiple Trauma
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

3 authors at 1 institution in 1 country.

Fabrizio A FiumedinisiDepartment of Traumatology, Trauma Unit, Cantonal Hospital Aarau, Cantonal Hospital, Tellstr.1, CH-5001, Aarau, Switzerland.
Felix AmslerDepartment of Traumatology, Trauma Unit, Cantonal Hospital Aarau, Cantonal Hospital, Tellstr.1, CH-5001, Aarau, Switzerland.
Thomas GrossDepartment of Traumatology, Trauma Unit, Cantonal Hospital Aarau, Cantonal Hospital, Tellstr.1, CH-5001, Aarau, Switzerland. thomas.gross@unibas.ch.ORCID http://orcid.org/0000-0002-6210-3932
Mettler-Toledo (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOngoing demographic changes go hand in hand with an increasing number of elderly injured. Given the conflicting literature we wanted to know how much age per se, apart from other factors, actually explains the outcome for elderly trauma patients.

methodsRetrospective analysis of prospectively collected data on all significantly injured (new injury severity score, NISS  ≥ 8) adult patients treated at a Swiss trauma center between 01.01.2010 and 31.12.2017. The association of age and other demographic, trauma or treatment-related variables on parameters of short-term outcome was examined using uni- and multivariate analyses (mean ± SD; R

results2692 consecutive patients (33.4% female; mean age 58.1 ± 21.7; hospital mortality 10.1%) were studied. Detailed analysis of quinquennial age groups demonstrated a significant decline in outcome with regard to mortality or return-to-home rate following hospital discharge after the age of 60 years (p < 0.001). In univariate analysis, age explained 4.6% and the number of years ≥ 60 5.9% of hospital mortality. In multivariate analysis, the investigated demographic, trauma or treatment-related parameters contributed at 36.5% to prediction of mortality, age added another 1.5% and number of years  ≥ 60 another 2.1% (R

conclusionThis monocenter evaluation showed a significant decline in short-term outcome and an increase in hospital resource requirements by the trauma patients investigated after the age of 60 years. Even so, after controlling for demographic, injury and treatment variables, age per se only added less than 2% to the prediction of hospital mortality.

Indexed as

Trauma CentersWounds and InjuriesAdultAgedChild, PreschoolFemaleHospital MortalityHumansInjury Severity ScoreLongitudinal StudiesMaleMiddle AgedRetrospective StudiesElderlyMortalityOutcomeRisk factorsShort-termTrauma

Identifiers

PMID32300851
OpenAlexW3016685067

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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.