Evidence map›Paper›PMID 33748812›Full record

ArticleNeurotrauma reports2021

Assessment of Non-Routine Events and Significant Physiological Disturbances during Emergency Department Evaluation after Pediatric Head Trauma.

Emily C Alberto, Allison R Harvey, Michael J Amberson, Yinan Zheng, Arunachalam A Thenappan, Chima Oluigbo, Ivan Marsic, Aleksandra Sarcevic, Karen J O'Connell, Randall S Burd

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurotrauma reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Time is tissue: Barriers to timely transfusion after pediatric injury.The journal of trauma and acute care surgery · 2023
    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

10 authors.

Emily C AlbertoDivision of Trauma and Burn Surgery, Children's National Hospital, Washington DC, USA.
Allison R HarveyDivision of Trauma and Burn Surgery, Children's National Hospital, Washington DC, USA.
Michael J AmbersonDepartment of Pediatrics, Children's National Hospital, Washington DC, USA.
Yinan ZhengDivision of Trauma and Burn Surgery, Children's National Hospital, Washington DC, USA.
Arunachalam A ThenappanDivision of Trauma and Burn Surgery, Children's National Hospital, Washington DC, USA.
Chima OluigboDivision of Neurosurgery, Children's National Hospital, Washington DC, USA.
Ivan MarsicDepartment of Electrical and Computer Engineering, Rutgers University, Piscataway, New Jersey, USA.
Aleksandra SarcevicCollege of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania, USA.
Karen J O'ConnellDivision of Emergency Medicine, Children's National Hospital, Washington DC, USA.
Randall S BurdDivision of Trauma and Burn Surgery, Children's National Hospital, Washington DC, USA.

Funding

Intention-aware Recommender System for Improving Trauma Resuscitation OutcomesR01LM011834 · NLM · CHILDREN'S RESEARCH INSTITUTE · PI BURD, RANDALL S., MARSIC, IVAN · 2014 to 2023
$4.7M
NLM NIH HHS R01 LM011834
6 · The paper itself

Abstract

Outcomes following pediatric traumatic brain injury (TBI) are dependent on initial injury severity and prevention of secondary injury. Hypoxia, hypotension, and hyperventilation following TBI are associated with increased mortality. The purpose of this study was to determine the association of non-routine events (NREs) during the initial resuscitation phase with these physiological disturbances. We conducted a video review of pediatric trauma resuscitations of patients with suspected TBI and Glasgow Coma Scale (GCS) scores <13. NREs were rated as "momentary" if task progression was delayed by <1 min and "moderate" if delayed by >1 min. Vital sign monitor data were used to identify periods of significant physiological disturbances. We calculated the association between the rate of overall and moderate NREs per case and the proportion of cases with abnormal vital signs using multi-variate linear regression, controlling for GCS score and need for intubation. Among 26 resuscitations, 604 NREs were identified with a median of 23 (interquartile range [IQR] 17-27.8, range 5-44) per case. Moderate delay NREs occurred in 19 resuscitations (

Indexed as

brain injurieserrorsmedicalpediatricsprotocol compliancetraumaticvital signs

Identifiers

PMID33748812
PMCPMC7962792

What OpenQuestion holds

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LicenceCC BY
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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.