Evidence map›Paper›PMID 34372903›Full record

ReviewCritical care (London, England)2021

Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa.

Jing Zhou, Tianbing Wang, Igor Belenkiy, Timothy Craig Hardcastle, Jean-Jacques Rouby, Baoguo Jiang, International Trauma Rescue & Treatment Association (ITRTA) Study Group

Open access · goldAbstract readReview
In one paragraph

Review in Critical care (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.3field-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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Emergency medical services in the Limpopo province: Is there a need for change and is trauma different?South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026
    Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. The construction and application of a trauma limb salvage map in Shaanxi province.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025
    Review
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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 6 institutions in 4 countries.

Jing ZhouNational Center for Trauma Medicine, Trauma Center, Department of Orthopedics and Traumatology, Peking University People's Hospital, Beijing, China.
Tianbing WangNational Center for Trauma Medicine, Trauma Center, Department of Orthopedics and Traumatology, Peking University People's Hospital, Beijing, China.
Igor BelenkiyDepartment of the Trauma and Orthopedics, Pavlov First Saint-Petersburg State Medical University, St. Petersburg, Russia.
Timothy Craig HardcastleTrauma and Burns Service, Inkosi Albert Luthuli Central Hospital, Durban, South Africa.
Jean-Jacques RoubyMultidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care Medicine, Sorbonne University, La Pitié-Salpêtrière Hospital, Assistance-Publique-Hôpitaux-de-Paris, Paris, France. jjrouby@invivo.edu.
Baoguo JiangNational Center for Trauma Medicine, Trauma Center, Department of Orthopedics and Traumatology, Peking University People's Hospital, Beijing, China. jiangbaoguo@vip.sina.com.ORCID 0000-0001-8436-5266
International Trauma Rescue & Treatment Association (ITRTA) Study Group
Peking University · CNFirst Pavlov State Medical University of St. Petersburg · RUHôpital Beaujon · FRInserm · FRNelson Mandela Academic Hospital · ZASorbonne Université · FR

Funding

Academy Construction Project of Peking University Health Science Center BMU2020XY005-01Academy Construction Project of Peking University Health Science Center BMU2020XY005-03Baidu Funding for Peking University 2019BD020National Key Plan for Research and Development 2018YFF0301103Peking University Clinical Scientist Plan BMU2019LCKXJ005
6 · The paper itself

Abstract

As emerging countries, China, Russia, and South Africa are establishing and/or improving their trauma systems. China has recently established a trauma system named "the Chinese Regional Trauma Care System" and covered over 200 million populations. It includes paramedic-staffed pre-hospital care, in-hospital care in certified trauma centers, trauma registry, quality assurance, continuous improvement and ongoing coverage of the entire Chinese territory. The Russian trauma system was formed in the first decade of the twenty-first century. Pre-hospital care is region-based, with a regional coordination center that determines which team will go to the scene and the nearest hospital where the victim should be transported. Physician-staffed ambulances are organized according to three levels of trauma severity corresponding to three levels of trauma centers where in-hospital care is managed by a trauma team. No national trauma registry exists in Russia. Improvements to the Russian trauma system have been scheduled. There is no unified trauma system in South Africa, and trauma care is organized by public and private emergency medical service in each province. During the pre-hospital care, paramedics provide basic or advanced life support services and transport the patients to the nearest hospital because of the limited number of trauma centers. In-hospital care is inclusive with a limited number of accredited trauma centers. In-hospital care is managed by emergency medicine with multidisciplinary care by the various specialties. There is no national trauma registry in South Africa. The South African trauma system is facing multiple challenges. An increase in financial support, training for primary emergency trauma care, and coordination of private sector, need to be planned.

Indexed as

ChinaDelivery of Health CareGlobal Burden of DiseaseHumansRegistriesRussiaSouth AfricaWounds and InjuriesChinese trauma systemIn-hospital carePre-hospital careRussian trauma systemSouth African trauma systemTrauma careTrauma centerTrauma registryTrauma system

Identifiers

PMID34372903
PMCPMC8352140
OpenAlexW3187789907

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.