ArticleOTA international : the open access journal of orthopaedic trauma2019
Skeletal surveys lack efficacy in obtunded polytrauma patients.
Article in OTA international : the open access journal of orthopaedic trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Clinical validation of the "Straight-Leg-Evaluation-Trauma-Test" (SILENT) as a rapid assessment tool for injuries of the lower extremity in trauma bay patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
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Authors and funding
4 authors.
Funding
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Abstract
objectivesTo evaluate if a skeletal survey protocol initiated after 48 hours of intubation will decrease time to diagnosis and the treatment of occult fractures in the obtunded polytrauma patient.
designProspective cohort trial with a retrospective cohort comparison arm.
settingA single level 1 trauma center. PATIENTS: Forty-seven patients were identified prospectively for the skeletal survey protocol to screen for occult fractures. The results of the new protocol were compared to a retrospective comparison arm of 46 patients who would have met the same criteria.
interventionA skeletal survey protocol using 2-view x-rays of the patients' extremities to evaluate for any occult injuries after 48 hours of intubation in trauma patients with altered mental status and an unreliable tertiary examination.
main outcome measureTime to diagnosis of delayed fractures and surgical intervention from date of admission.
resultsThe average time to fracture diagnosis and time to surgical intervention in days was not statistically significant between the retrospective and prospective groups [fracture diagnosis: 1.6 ± 5.1 (retrospective) versus 0.5 ± 0.9 (prospective) (
conclusionsGiven the inability to have a clinically or statistically significant impact on time to fracture diagnosis or subsequent treatment, we cannot advocate for the routine use of a skeletal survey protocol in obtunded polytrauma patients.Level of Evidence: Level III.
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