Evidence map›Paper›PMID 32811505›Full record

ArticleWorld journal of emergency surgery : WJES2020

Trauma system developments reduce mortality in hospitalized trauma patients in Al-Ain City, United Arab Emirates, despite increased severity of injury.

David O Alao, Arif Alper Cevik, Hani O Eid, Zia Jummani, Fikri M Abu-Zidan

Abstract read
In one paragraph

Article in World journal of emergency surgery : WJES, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Those who speak survive: the value of the verbal component of GCS in trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
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  10. The changing epidemiology of trauma in child-bearing age women.World journal of emergency surgery : WJES · 2023
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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

5 authors.

David O AlaoDepartment of Internal Medicine, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
Arif Alper CevikDepartment of Internal Medicine, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
Hani O EidDepartment of Emergency Medicine, Mediclinic Middle East, Airport Road Hospital, Abu Dhabi, United Arab Emirates.
Zia JummaniEmergency Department, Al-Ain Hospital, Al-Ain, United Arab Emirates.
Fikri M Abu-ZidanDepartment of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates. fabuzidan@uaeu.ac.ae.ORCID 0000-0003-0143-8568

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrauma is a leading cause of death in the United Arab Emirates (UAE). There have been major developments in the trauma system in Al-Ain City during the last two decades. We aimed to study the effects of these developments on the trauma pattern, severity, and clinical outcome of hospitalized trauma patients in Al-Ain City, United Arab Emirates.

methodsThis is a retrospective analysis of two separate sets of prospectively collected trauma registry data of Al-Ain Hospital. Data were collected over two periods: from March 2003 to March 2006 and from January 2014 to December 2017. Demography, injury mechanism, injury location, and clinical outcomes of 2573 trauma patients in the first period were compared with 3519 patients in the second period.

resultsTrauma incidence decreased by 38.2% in Al-Ain City over the last 10 years. Trauma to females, UAE nationals, and the geriatric population significantly increased over time (p < 0.0001, Fisher's exact test for each). Falls on the same level significantly increased over time, while road traffic collisions and falls from height significantly decreased over time (p < 0.0001, Fisher's exact test for each). Mortality significantly decreased over time (2.3% compared with 1%, p < 0.0001, Fisher's exact test).

conclusionsDevelopments in the trauma system of our city have reduced mortality in hospitalized trauma patients by 56% despite an increased severity of injury. Furthermore, the injury incidence in our city decreased by 38.2% over the last decade. This was mainly in road traffic collisions and work-related injuries. Nevertheless, falls on the same level in the geriatric population continue to be a significant problem that needs to be addressed.

Indexed as

HospitalizationHospital MortalityAgedAged, 80 and overFemaleHumansIncidenceInjury Severity ScoreMaleMiddle AgedRegistriesRetrospective StudiesTraumatologyUnited Arab EmiratesWounds and InjuriesIncidenceInjuryInterventionMechanismPreventionTrauma

Identifiers

PMID32811505
PMCPMC7437038

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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.