Evidence map›Paper›PMID 33917338›Full record

ArticleJournal of clinical medicine2021

Effect of Earlier Door-to-CT and Door-to-Bleeding Control in Severe Blunt Trauma: A Retrospective Cohort Study.

Shuhei Murao, Kazuma Yamakawa, Daijiro Kabata, Takahiro Kinoshita, Yutaka Umemura, Ayumi Shintani, Satoshi Fujimi

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Article
  8. Article
  9. Current Standards for and Clinical Impact of Emergency Radiology in Major Trauma.International journal of environmental research and public health · 2022
    Review
  10. Case Report and Minireview of the Literature on Blunt Azygos Injury.Juntendo Iji zasshi = Juntendo medical journal · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. 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 4 institutions in 1 country.

Shuhei MuraoDivision of Trauma and Surgical Critical Care, Osaka General Medical Center, Osaka 558-8558, Japan.
Kazuma YamakawaDivision of Trauma and Surgical Critical Care, Osaka General Medical Center, Osaka 558-8558, Japan.ORCID 0000-0003-2999-4021
Daijiro KabataDepartment of Medical Statistics, Osaka City University Graduate School of Medicine, Osaka 545-8586, Japan.
Takahiro KinoshitaDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita 565-0871, Japan.
Yutaka UmemuraDivision of Trauma and Surgical Critical Care, Osaka General Medical Center, Osaka 558-8558, Japan.
Ayumi ShintaniDepartment of Medical Statistics, Osaka City University Graduate School of Medicine, Osaka 545-8586, Japan.
Satoshi FujimiDivision of Trauma and Surgical Critical Care, Osaka General Medical Center, Osaka 558-8558, Japan.
Osaka Prefectural Medical Center · JPOsaka City University · JPOsaka Medical and Pharmaceutical University · JPThe University of Osaka · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blunt trauma is a potentially life-threatening injury that requires prompt diagnostic examination and therapeutic intervention. Nevertheless, how impactful a rapid response time is on mortality or functional outcomes has not been well-investigated. This study aimed to evaluate effects of earlier door-to-computed tomography time (D2CT) and door-to-bleeding control time (D2BC) on clinical outcomes in severe blunt trauma. This was a single-center, retrospective cohort study of patients with severe blunt trauma (Injury Severity Score > 16). To assess the effect of earlier D2CT and D2BC on clinical outcomes, we conducted multivariable regression analyses with a consideration for nonlinear associations. Among 671 patients with severe blunt trauma who underwent CT scanning, 163 patients received an emergency bleeding control procedure. The median D2CT and D2BC were 19 min and 57 min, respectively. In a Cox proportional hazard regression model, earlier D2CT was not associated with improved 28-day mortality (

Indexed as

angioembolizationemergency surgeryhemorrhagic shockinterventional radiologylaparotomythoracotomywhole-body CT

Identifiers

PMID33917338
PMCPMC8038745
OpenAlexW3147057624

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.