Evidence map›Paper›PMID 34232362›Full record

ArticlePediatric surgery international2021

Traumatic brain injury in children with thoracic injury: clinical significance and impact on ventilatory management.

Caroline Baud, Benjamin Crulli, Jean-Noël Evain, Clément Isola, Isabelle Wroblewski, Pierre Bouzat, Guillaume Mortamet

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

Article in Pediatric surgery international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 2 countries.

Caroline BaudPediatric Intensive Care Unit, Grenoble Alpes University Hospital, La Tronche, France.
Benjamin CrulliPediatric Intensive Care Unit, Great Ormond Street Hospital for Children, London, UK.
Jean-Noël EvainDepartment of Anesthesiology and Critical Care, Grenoble Alps University Hospital, La Tronche, France.
Clément IsolaPediatric Intensive Care Unit, Grenoble Alpes University Hospital, La Tronche, France.
Isabelle WroblewskiPediatric Intensive Care Unit, Grenoble Alpes University Hospital, La Tronche, France.
Pierre BouzatDepartment of Anesthesiology and Critical Care, Grenoble Alps University Hospital, La Tronche, France.
Guillaume MortametPediatric Intensive Care Unit, Grenoble Alpes University Hospital, La Tronche, France. gmortamet@chu-grenoble.fr.
Université Grenoble Alpes · FRCentre Hospitalier Universitaire de Grenoble · FRGreat Ormond Street Hospital · GBGrenoble Institute of Neurosciences · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to describe the epidemiology and management of chest trauma in our center, and to compare patterns of mechanical ventilation in patients with or without associated moderate-to-severe traumatic brain injury (TBI).

methodsAll children admitted to our level-1 trauma center from February 2012 to December 2018 following chest trauma were included in this retrospective study.

resultsA total of 75 patients with a median age of 11 [6-13] years, with thoracic injuries were included. Most patients also had extra-thoracic injuries (n = 71, 95%) and 59 (79%) had TBI. A total of 52 patients (69%) were admitted to intensive care and 31 (41%) were mechanically ventilated. In patients requiring mechanical ventilation, there was no difference in tidal volume or positive end-expiratory pressure in patients with moderate-to-severe TBI when compared with those with no-or-mild TBI. Only one patient developed Acute Respiratory Distress Syndrome. A total of 6 patients (8%) died and all had moderate-to-severe TBI.

conclusionIn this small retrospective series, most patients requiring mechanical ventilation following chest trauma had associated moderate-to-severe TBI. Mechanical ventilation to manage TBI does not seem to be associated with more acute respiratory distress syndrome occurrence.

Indexed as

Brain Injuries, TraumaticRespiratory Distress SyndromeThoracic InjuriesAdolescentChildHumansPositive-Pressure RespirationRespiration, ArtificialRetrospective StudiesChest traumaChildrenMechanical ventilationPulmonary contusionTraumatic brain injury

Identifiers

PMID34232362
PMCPMC8260569
OpenAlexW3181374823

What OpenQuestion holds

Textmetadata
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.