Evidence map›Paper›PMID 33910969›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2022

Association of traumatic brain injury severity and time to definitive care in three low-middle-income European countries.

Corinne Peek-Asa, Madalina Adina Coman, Alison Zorn, Nino Chikhladze, Serghei Cebanu, Artashes Tadevosyan, Cara J Hamann

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2022. 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
1.0field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Assessing Pediatric Traumatic Brain Injury and Health-Related Quality of Life in Three Eastern European Countries.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    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 5 institutions in 5 countries.

Corinne Peek-AsaOccupational and Environmental Health, University of Iowa, Iowa City, Iowa, USA corinne-peek-asa@uiowa.edu.ORCID 0000-0001-9472-2538
Madalina Adina ComanPublic Health, Babes-Bolyai University Faculty of Political Administrative and Communication Sciences, Cluj-Napoca, Cluj, Romania.
Alison ZornBiostatistics, University of Iowa, Iowa City, Iowa, USA.
Nino ChikhladzePublic Health, Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia.
Serghei CebanuDepartment of Hygiene, Moldova State University, Chisinau, Moldova (the Republic of).
Artashes TadevosyanDepartment of Public Health and Healthcare Organization, Yerevan State Medical University, Yerevan, Armenia.
Cara J HamannOccupational and Environmental Health, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0001-8916-7285
University of Iowa · USBabeș-Bolyai University · ROMoldova State University · MDTbilisi State University · GEYerevan State Medical University · AM

Funding

Reducing the Burden of Traumatic InjuryD43TW007261 · FIC · UNIVERSITY OF IOWA · PI Diana Dulf, Cara Hamann · 2005 to 2026
$4.6M
INITIatE: International Collaboration to increase Traumatic Brain Injury Surveillance in EuropeR21NS098850 · NINDS · UNIVERSITY OF IOWA · PI DULF, DIANA, PEEK-ASA, CORINNE · 2017 to 2018
$302k
FIC NIH HHS D43 TW007261NINDS NIH HHS R21 NS098850
6 · The paper itself

Abstract

backgroundLow-middle-income countries experience among the highest rates of traumatic brain injury in the world. Much of this burden may be preventable with faster intervention, including reducing the time to definitive care. This study examines the relationship between traumatic brain injury severity and time to definitive care in major trauma hospitals in three low-middle-income countries.

methodsA prospective traumatic brain injury registry was implemented in six trauma hospitals in Armenia, Georgia and the Republic of Moldova for 6 months in 2019. Brain injury severity was measured using the Glasgow Coma Scale (GCS) at admission. Time to definitive care was the time from injury until arrival at the hospital. Cox proportionate hazards models predicted time to care by severity, controlling for age, sex, mechanism, mode of transportation, location of injury and country.

resultsAmong 1135 patients, 749 (66.0%) were paediatric and 386 (34.0%) were adults. Falls and road traffic were the most common mechanisms. A higher proportion of adult (23.6%) than paediatric (5.4%) patients had GCS scores indicating moderate (GCS 9-11) or severe injury (GCS 0-8) (p<0.001). Less severe injury was associated with shorter times to care, while more severe injury was associated with longer times to care (HR=1.05, 95% CI 1.01 to 1.09). Age interacted with time to care, with paediatric cases receiving faster care.

conclusionsImplementation of standard triage and transport protocols may reduce mortality and improve outcomes from traumatic brain injury, and trauma systems should focus on the most severe injuries.

Indexed as

Brain InjuriesBrain Injuries, TraumaticAdultChildGlasgow Coma ScaleHospitalizationHumansProspective Studiesglobalregistrytraumatic brain injury

Identifiers

PMID33910969
PMCPMC11267067
OpenAlexW3158939957

What OpenQuestion holds

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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.