Evidence map›Paper›PMID 33813617›Full record

ArticleActa neurochirurgica2021

Decreased number of deaths related to severe traumatic brain injury in intensive care unit during the first lockdown in Normandy: at least one positive side effect of the COVID-19 pandemic.

Frederick Rault, Laura Terrier, Arthur Leclerc, Vianney Gilard, Evelyne Emery, Stéphane Derrey, Anaïs R Briant, Clément Gakuba, Thomas Gaberel

Open access · bronzeAbstract read
In one paragraph

Article in Acta neurochirurgica, 2021. 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
4.9field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  3. Which risk factors significantly influence the outcome of traumatic brain injured patients with alcohol use disorder?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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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 1 country.

Frederick RaultDepartment of Neurosurgery, Caen University Hospital, Avenue de la Côte de Nacre, 14000, Caen, France. rault-f@chu-caen.fr.ORCID http://orcid.org/0000-0001-5291-0952
Laura TerrierDepartment of Neurosurgery, Rouen University Hospital, F-76000, Rouen, France.
Arthur LeclercDepartment of Neurosurgery, Caen University Hospital, Avenue de la Côte de Nacre, 14000, Caen, France.
Vianney GilardDepartment of Neurosurgery, Rouen University Hospital, F-76000, Rouen, France.
Evelyne EmeryDepartment of Neurosurgery, Caen University Hospital, Avenue de la Côte de Nacre, 14000, Caen, France.
Stéphane DerreyDepartment of Neurosurgery, Rouen University Hospital, F-76000, Rouen, France.
Anaïs R BriantUnité de Biostatistique et Recherche Clinique (UBRC), Caen, France.
Clément GakubaPhIND "Physiopathology and Imaging of Neurological Disorders", Institut Blood and Brain @ Caen-Normandie, Normandie Univ, UNICAEN, INSERM, U1237, Cyceron, 14000, Caen, France.
Thomas GaberelDepartment of Neurosurgery, Caen University Hospital, Avenue de la Côte de Nacre, 14000, Caen, France.
Inserm · FRUniversité de Rouen Normandie · FRCentre Hospitalier Universitaire de Caen Normandie · FRUniversité de Caen Normandie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has led to severe containment measures to protect the population in France. The first lockdown modified daily living and could have led to a decrease in the frequency of severe traumatic brain injury (TBI). In the present study, we compared the frequency and severity of severe TBI before and during the first containment in Normandy.

methodsWe included all patients admitted in the intensive care unit (ICU) for severe TBI in the two tertiary neurosurgical trauma centres of Normandy during the first lockdown. The year before the containment served as control. The primary outcome was the number of patients admitted per week in ICU. We compared the demographic characteristics, TBI mechanisms, CT scan, surgical procedure, and mortality rate.

resultsThe incidence of admissions for severe TBI in Normandy decreased by 33% during the containment. The aetiology of TBI significantly changed during the containment: there were less traffic road accidents and more TBI related to alcohol consumption. Patients with severe TBI during the containment had a better prognosis according to the impact score (p=0.04). We observed a significant decrease in the rate of short-term mortality related to severe TBI during the period of lockdown (p=0.02).

conclusionsContainment related to the COVID-19 pandemic has resulted in a modification of the mechanisms of severe TBI in Normandy, which was associated with a decline in the rate of short-term death in intensive unit care.

Indexed as

Intensive Care UnitsPandemicsAlcohol DrinkingBrain Injuries, TraumaticCOVID-19FemaleFranceHematoma, SubduralHospitalizationHumansMaleMiddle AgedRetrospective StudiesSARS-CoV-2Treatment OutcomeCOVID-19Intensive care unitLockdownOutcomeTraumatic brain injury

Identifiers

PMID33813617
PMCPMC8019477
OpenAlexW3140404906

What OpenQuestion holds

Textmetadata
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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.