Evidence map›Paper›PMID 32759854›Full record

ArticleJournal of clinical medicine2020

Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe Injuries.

Martin Heinrich, Matthias Lany, Lydia Anastasopoulou, Christoph Biehl, Gabor Szalay, Florian Brenck, Christian Heiss

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
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

7 authors at 2 institutions in 1 country.

Martin HeinrichDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, Germany.ORCID 0000-0003-0858-1551
Matthias LanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, Germany.
Lydia AnastasopoulouDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, Germany.
Christoph BiehlDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, Germany.ORCID 0000-0003-2981-5062
Gabor SzalayDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, Germany.
Florian BrenckDepartment of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Giessen, 35392 Giessen, Germany.
Christian HeissDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, Germany.
Justus-Liebig-Universität Gießen · DEUniversitätsklinikum Gießen und Marburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introductio: Although management of severely injured patients in the Trauma Resuscitation Unit (TRU) follows evidence-based guidelines, algorithms for treatment of the slightly injured are limited.

methodsAll trauma patients in a period of eight months in a Level I trauma center were followed. Retrospective analysis was performed only in patients ≥18 years with primary TRU admission, Abbreviated Injury Scale (AIS) ≤ 1, Maximum Abbreviated Injury Scale (MAIS) ≤ 1 and Injury Severity Score (ISS) ≤3 after treatment completion and ≥24 h monitoring in the units. Cochran's Q-test was used for the statistical evaluation of AIS and ISS changes in units.

resultsOne hundred and twelve patients were enrolled in the study. Twenty-one patients (18.75%) reported new complaints after treatment completion in the TRU. AIS rose from the Intermediate Care Unit (IMC) to Normal Care Unit (NCU) 6.2% and ISS 6.9%. MAIS did not increase >2, and no intervention was necessary for any patient. No correlation was found between computed tomography (CT) diagnostics in TRU and AIS change.

conclusionsThe data suggest that AIS, MAIS and ISS did not increase significantly in patients without a severe injury during inpatient treatment, regardless of the type of CT diagnostics performed in the TRU, suggesting that monitoring of these patients may be unnecessary.

Indexed as

abbreviated injury scaleemergency medicineinjury severityinjury severity scoretrauma resuscitation unit

Identifiers

PMID32759854
PMCPMC7464459
OpenAlexW3047562971

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.