Evidence map›Paper›PMID 34321808›Full record

ArticleJournal of emergencies, trauma, and shock

Major Trauma in Elderly Patients: Worse Mortality and Outcomes in an Italian Trauma Center.

Gabriele Savioli, Iride Francesca Ceresa, Sarah Macedonio, Sebastiano Gerosa, Mirko Belliato, Sabino Luzzi, Alice Giotta Lucifero, Federica Manzoni, Giovanni Ricevuti, Maria Antonietta Bressan

Open access · goldAbstract read
In one paragraph

Article in Journal of emergencies, trauma, and shock. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  4. Review
  5. Blood Transfusion for Major Trauma in Emergency Department.Diagnostics (Basel, Switzerland) · 2024
    Review
  6. Article
  7. Article
  8. Observational
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  10. Resuscitating the Endothelial Glycocalyx in Trauma and Hemorrhagic Shock.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023
    Review
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  12. Article
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  16. Observational
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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

10 authors at 4 institutions in 1 country.

Gabriele SavioliDepartment of Emergency, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Iride Francesca CeresaDepartment of Emergency, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Sarah MacedonioDepartment of Emergency, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Sebastiano GerosaDepartment of Emergency, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Mirko BelliatoDepartment of Intensive Care, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Sabino LuzziNeurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Alice Giotta LuciferoNeurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Federica ManzoniDepartment of Hygiene and Health Prevention, Health Promotion-Environmental Epidemiology Unit, Health Protection Agency, Pavia, Italy.
Giovanni RicevutiDepartment of Drug Science, University of Pavia, Saint Camillus International University of Health Sciences, Rome, Italy.
Maria Antonietta BressanEmergency Department, IRCCS Policlinico San Matteo, Pavia, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITPoliclinico San Matteo Fondazione · ITUniversity of Pavia · ITAgenzia Regionale per la Protezione Ambientale del Piemonte · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMajor trauma is the leading cause of mortality in the world in patients younger than 40 years. However, the proportion of elderly people who suffer trauma has increased significantly. The purpose of this study is to assess the correlation of old age with mortality and other unfavorable outcomes.

methodsWe assessed on one hand, anatomical criteria such as ISS values and the number of body regions affected, on the other hand, hemodynamic instability criteria, various shock indices, and Glasgow Coma Scale. Finally, we also evaluated biochemical parameters, such as lactate, BE, and pH values. We conducted a prospective and monocentric observational study of all the patients referred to the Emergency Department of the IRCCS Fondazione Policlinico S. Matteo in Pavia for major trauma in 13 consecutive months: January 1, 2018-January 30, 2019. We compared the elderly population (>75 years) and the younger population (≤75).

resultsWe included 501 patients, among which 10% were over the age of 75 years. The mortality rate was higher among the older patients than among the younger (4% vs. 1.33%;

conclusionsThe elderly showed worse outcomes in terms of mortality, hospitalization rate, hemodynamic instability criteria, and anatomical and biochemical parameters.

Indexed as

Elderly patientsemergency roommajor traumasevere traumatrauma center

Identifiers

PMID34321808
PMCPMC8312913
OpenAlexW3175803410

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.