Evidence map›Paper›PMID 32952231›Full record

Observational studyColombia medica (Cali, Colombia)2020

Implementation of a new Single-Pass Whole-Body Computed Tomography Protocol: Is it safe, effective and efficient in patients with severe trauma?

Carlos Ordoñez, Carlos García, Michael W Parra, Edison Angamarca, Mónica Guzmán-Rodríguez, Claudia P Orlas, Juan Pablo Herrera-Escobar, Erika Rincón, Juan José Meléndez, Jose Julián Serna and 4 more

Abstract readObservational Study
In one paragraph

Observational study in Colombia medica (Cali, Colombia), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
  4. Review
  5. Review
  6. Observational
  7. Review
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

14 authors.

Carlos OrdoñezUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Sección de Cirugía de Trauma y EmergenciasCali, Colombia.
Carlos GarcíaFundación Valle del Lili, Radiology Department, Cali, Colombia.
Michael W ParraBroward General Level I Trauma Center, Department of Trauma Critical Care. Fort Lauderdale, FL. EEUU.
Edison AngamarcaUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Sección de Cirugía de Trauma y EmergenciasCali, Colombia.
Mónica Guzmán-RodríguezFundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia.
Claudia P OrlasHarvard Medical School & Harvard T.H. Chan School of Public Health, Brigham & Women's Hospital, Department of Surgery, Center for Surgery and Public Health Boston, MA, EEUU.
Juan Pablo Herrera-EscobarHarvard Medical School & Harvard T.H. Chan School of Public Health, Brigham & Women's Hospital, Department of Surgery, Center for Surgery and Public Health Boston, MA, EEUU.
Erika RincónFundación Valle del Lili, Radiology Department, Cali, Colombia.
Juan José MeléndezUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Sección de Cirugía de Trauma y EmergenciasCali, Colombia.
Jose Julián SernaFundación Valle del Lili, Division of Trauma and Acute Care Surgery, Cali, Colombia.
Natalia PadillaUniversidad ICESI, Facultad de Medicina, Cali, Colombia.
Ana Milena Del ValleUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Sección de Cirugía de Trauma y EmergenciasCali, Colombia.
Alberto F GarcíaFundación Valle del Lili, Division of Trauma and Acute Care Surgery, Cali, Colombia.
Alfonso HolguínFundación Valle del Lili, Radiology Department, Cali, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this study was to evaluate the implementation of a new single-pass whole-body computed tomography Protocol in the management of patients with severe trauma.

methodsThis was a descriptive evaluation of polytrauma patients who underwent whole-body computed tomography. Patients were divided into three groups: 1. Blunt trauma hemodynamically stable 2. Blunt trauma hemodynamically unstable and 3. Penetrating trauma. Demographics, whole-body computed tomography parameters and outcome variables were evaluated.

resultsWere included 263 patients. Median injury severity score was 22 (IQR: 16-22). Time between arrival to the emergency department and completing the whole-body computed tomography was under 30 minutes in most patients [Group 1: 28 minutes (IQR: 14-55), Group 2: 29 minutes (IQR: 16-57), and Group 3: 31 minutes (IQR: 13-50;

conclusionThis new single-pass whole-body computed tomography protocol was safe, effective and efficient to decide whether the patient with severe trauma requires a surgical intervention independently of the mechanism of injury or the hemodynamic stability of the patient. Its use could also potentially reduce the rate of unnecessary surgical interventions of patients with severe trauma including those with penetrating trauma.

Indexed as

AdultFemaleHumansInjury Severity ScoreMaleMiddle AgedMultidetector Computed TomographyMultiple TraumaSurvival RateTime FactorsWounds, NonpenetratingWounds, PenetratingYoung Adultblunt and penetrating traumahemodynamic instability, computed tomography, survival rates.Protocol

Identifiers

PMID32952231
PMCPMC7467117

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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.