Evidence map›Paper›PMID 34331073›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

Impact on polytrauma patient prehospital care during the first wave of the COVID-19 pandemic: a cross-sectional study.

Silvia Solà-Muñoz, Oriol Yuguero, Youcef Azeli, Guillermo Roig, José Antonio Prieto-Arruñada, Jaume Español, Jorge Morales-Álvarez, Manuel Muñoz, Juan José Verge, Xavier Jiménez-Fàbrega

Open access · hybridAbstract read
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. 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
0.8field-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, 11 citations in OpenAlex.

  1. Trauma-related mortality in a European region with an intermediately mature trauma system: a comprehensive population-based analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
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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 3 institutions in 1 country.

Silvia Solà-MuñozSistema d'Emergències Mèdiques de Catalunya, Barcelona, Spain.
Oriol YugueroTransversal Research Group on Emergencies. IRBLLEIDA, AVda. Rovira Roure 80, 25198, Lleida, Spain. Oriol.yuguero@udl.cat.ORCID http://orcid.org/0000-0002-3433-8005
Youcef AzeliSistema d'Emergències Mèdiques de Catalunya, Barcelona, Spain.
Guillermo RoigFaculty of Medicine, University of Lleida, Lleida, Spain.
José Antonio Prieto-ArruñadaSistema d'Emergències Mèdiques de Catalunya, Barcelona, Spain.
Jaume EspañolSistema d'Emergències Mèdiques de Catalunya, Barcelona, Spain.
Jorge Morales-ÁlvarezSistema d'Emergències Mèdiques de Catalunya, Barcelona, Spain.
Manuel MuñozSistema d'Emergències Mèdiques de Catalunya, Barcelona, Spain.
Juan José VergeSistema d'Emergències Mèdiques de Catalunya, Barcelona, Spain.
Xavier Jiménez-FàbregaSistema d'Emergències Mèdiques de Catalunya, Barcelona, Spain.
Médecins Sans Frontières · ESUniversitat de Lleida · ESInstitut de Recerca Biomèdica Catalunya Sud · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe extraordinary situation caused by the onset of COVID-19 has meant that at prehospital level, the number of treatments, profile and time taken to respond for treating time-dependent pathologies has been greatly affected. However, it is not known whether the prehospital profile of polytrauma patients (PTP) has been affected.

objectiveTo determine differences in the epidemiological characteristics and the clinical variables of prehospital polytrauma patients during the first wave of the COVID-19 pandemic in Catalonia. METHODOLOGY: Analytical cross-sectional study. The number of prehospital activations and the clinical and epidemiological characteristics of polytrauma patients attended by the Emergency Medical System (EMS) of Catalonia, were compared for the period between 15 February and 15 May 2020 and the same period in the previous year. Priorities 0 and 1 are assigned to the most severely injured patients. An analysis was conducted using logistic regression and nonparametric tests.

results3023 patients were included. During the 2019 study period, 2045 (67.6%) patients were treated; however, during the pandemic period, 978 (32.4%) patients were treated, representing a 52% decrease (p = 0.002). The percentage of patients presenting priority 1 was higher during the pandemic period [240 (11.7%) vs 146 (14.9%), p = 0.032]. The percentage of priority 0 and 1 patients attended by a basic life support unit increased [201 (9.8%) vs 133 (13.6%), p = 0.006]. The number of traffic accidents decreased from 1211 (59.2%) to 522 (53.4%) and pedestrian-vehicle collisions fell from 249 (12.2%) to 92 (9.4%). Regarding weapon-related injuries and burns, there was an increase in the number of cases [43 (2.1%) vs 41 (4.2%), and 15 (0.7%) vs 22 (2.2%), p = 0.002 and p < 0.001, respectively]. Hospital mortality remained unchanged (3.9%).

conclusionsDuring the first wave of the pandemic, the number of polytrauma patients decreased and there was a change in the profile of severity and type of accident.

Indexed as

COVID-19Emergency Medical ServicesMultiple TraumaCross-Sectional StudiesEmergency Service, HospitalHumansPandemicsRetrospective StudiesSARS-CoV-2CodeInjuryPolytraumaPrehospitalSARS-CoV-2Timely life-saving interventions

Identifiers

PMID34331073
PMCPMC8324448
OpenAlexW3184255296

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.