Evidence map›Paper›PMID 34470060›Full record

ArticleJournal of reconstructive microsurgery2022

Traumatic Brachial Plexus Injury in Indonesia: An Experience from a Developing Country.

Heri Suroto, Irene Antoni, Angelina Siyo, Tawatha C Steendam, Tabita Prajasari, Herlambang Budi Mulyono, Brigita De Vega

Open access · hybridAbstract read
In one paragraph

Article in Journal of reconstructive microsurgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

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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

7 authors at 4 institutions in 3 countries.

Heri SurotoDepartment of Orthopaedic and Traumatology, Dr Soetomo General Academic Hospital/ Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.ORCID 0000-0002-9384-897X
Irene AntoniResearch Fellow at Cell and Tissue Bank Regenerative Medicine, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Angelina SiyoResearch Fellow at Cell and Tissue Bank Regenerative Medicine, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Tawatha C SteendamLeiden University Medical Centre, The Netherlands.
Tabita PrajasariDepartment of Orthopaedic and Traumatology, Dr Soetomo General Academic Hospital/ Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.
Herlambang Budi MulyonoFaculty of Medicine Universitas Cendrawasih, Jayapura/ Papua, Indonesia.
Brigita De VegaResearch Fellow at Cell and Tissue Bank Regenerative Medicine, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.ORCID 0000-0003-4350-8480
Universitas Dr. Soetomo · IDAirlangga University · IDCenderawasih University · IDLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBrachial plexus injuries (BPI) cause severe physical disability and major psycho-socioeconomic burden. Although various countries have reported BPI incidence, the data from Indonesia as the fourth most populated country in the world remains unknown. We aim to assess the distribution of traumatic BPI, patients' characteristics, and treatment modalities in Indonesia.

methodsA retrospective investigation was performed comprising 491 BPI patients at a tertiary referral hospital in Indonesia from January 2003 to October 2019. Demographic and outcomes data were retrieved from medical records.

resultsThe average BPI patients' age was 27.3 ± 11.6 years old, with a male/female ratio of 4.6:1. Motorcycle accidents caused the majority (76.1%) of all BPI cases. Concomitant injuries were present in 62.3% of patients, dominated by fractures (57.1%) and brain injuries (25.4%). BPI lesion type was classified into complete (C5-T1, observed in 70% patients), upper (C5-C6, in 15% patients), extended upper (C5-C7, in 14% patients), and lower type (C8-T1, in 1% patients). The average time to surgery was 16.8 months (range 1-120 months), with the majority (76.6%) of the patients was operated on six months after the trauma. Free functional muscle transfer (FFMT) was the most common procedure performed (37%). We also analyzed the functional outcomes (active range of motion (AROM) and muscle power), DASH (Disabilities of the Arm, Shoulder, and Hand) score, and VAS (Visual Analogue Scale) across four most frequent procedures involving nerve reconstruction (FFMT, nerve transfer, external neurolysis, and nerve grafting). We found that FFMT was significantly better than nerve transfer in terms of DASH score and VAS (

conclusionThis study provides an overview of traumatic BPI patients in a single tertiary trauma center in Indonesia, expressing the profile of their characteristics and functional outcomes after surgical procedures.

Indexed as

Brachial PlexusBrachial Plexus NeuropathiesNerve TransferAdolescentAdultDeveloping CountriesFemaleHumansIndonesiaMaleRange of Motion, ArticularRetrospective StudiesTreatment OutcomeYoung Adult

Identifiers

PMID34470060
PMCPMC9470278
OpenAlexW3197820956

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.