Evidence map›Paper›PMID 32482348›Full record

ArticleThe British journal of oral & maxillofacial surgery2020

Provision of Emergency Maxillofacial Service During the COVID-19 Pandemic : A Collaborative Five Centre UK Study.

K K Blackhall, I P Downie, P Ramchandani, A Kusanale, S Walsh, B Srinivasan, H Shields, P A Brennan, R P Singh

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of oral & maxillofacial surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 4% 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.

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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  6. Consequences of the Lockdown: Domestic Violence During the COVID-19 Pandemic.Advances in experimental medicine and biology · 2023
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Maxillofacial education in the time of COVID-19: the West Midlands experience.The British journal of oral & maxillofacial surgery · 2022
    Article
  12. Article
  13. COVID-19: The Oral and Maxillofacial Surgery Experience, Oxford, UK.Craniomaxillofacial trauma & reconstruction · 2021
    Article
  14. Article
  15. Article
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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 at 4 institutions in 2 countries.

K K BlackhallDept. Oral and Maxillofacial Surgery, Salisbury District Hospital, Salisbury, Wiltshire, SP2 8BJ.
I P DownieDept. Oral and Maxillofacial Surgery, Salisbury District Hospital, Salisbury, Wiltshire, SP2 8BJ.
P RamchandaniDept. Oral and Maxillofacial Surgery, Poole Hospital, Longfleet Rd, Poole, BH15 2JB.
A KusanaleDept. Oral and Maxillofacial Surgery, Poole Hospital, Longfleet Rd, Poole, BH15 2JB.
S WalshDept. Oral and Maxillofacial Surgery, St Richard's Hospital, Spitalfield Ln, Chichester, PO19 6SE.
B SrinivasanDept. Oral and Maxillofacial Surgery, Queen Alexandra Hospital, Cosham, Portsmouth, PO6 3LY.
H ShieldsDept. Oral and Maxillofacial Surgery, Southampton University Hospital, Tremona Rd, Southampton, SO16 6YD.
P A BrennanDept. Oral and Maxillofacial Surgery, Queen Alexandra Hospital, Cosham, Portsmouth, PO6 3LY.
R P SinghDept. Oral and Maxillofacial Surgery, Southampton University Hospital, Tremona Rd, Southampton, SO16 6YD. Electronic address: rabipratap2@gmail.com.
Poole Hospital · GBQueen Alexandra Hospital · GBSalisbury University · USSt Richard's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global pandemic of Coronavirus disease (COVID-19) represents one of the greatest challenges to healthcare systems, and has forced medical specialties to rapidly adapt their approaches to patient care. Oral and Maxillofacial Surgery is considered particularly at risk of disease transmission due to aerosol generation during surgical interventions, patient proximity and operating environment. On day 2 (26th March, 2020) of when severe restrictions in population movement were instigated in the United Kingdom, we began a study to prospectively monitor the presentation and management of maxillofacial emergencies at five hospital trusts. Data was collected onto an online live database fed through a smartphone application. Of the total 529 patients over six weeks, 395 attended for face-to-face consultations and 134 patients received remote consultations via telephone or video link. There were 255 trauma related cases, 221 infection and 48 cases of postoperative complications. Most trauma cases were minor soft tissue injury related to slip, trip or fall at home. There were 44 cases of facial fractures with a tendency for conservative treatment. 19 cases were related to domestic violence or self-harm. Of the 216 dental related emergencies, 68% could have been managed in the primary care setting. A quarter of all emergency patients were satisfactorily managed by remote consultations. There was a significant change in the provision of emergency maxillofacial service during the pandemic lockdown. We discuss the study findings as well as the potential implications in relation to planning for possible further COVID- 19 spikes and future pandemics.

Indexed as

BetacoronavirusCoronavirus InfectionsPandemicsPneumonia, ViralCOVID-19FemaleHumansMaleSARS-CoV-2United KingdomCOVID-19 pandemicMaxillofacial emergencyService provision

Identifiers

PMID32482348
PMCPMC7247479
OpenAlexW3029022461

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.