Evidence map›Paper›PMID 34645324›Full record

ArticleThe American surgeon2023

Increase in Motor Vehicle Crash Severity: An Unforeseen Consequence of COVID-19.

Elinore J Kaufman, Daniel Holena, George Koenig, Niels D Martin, George O Maish, Benjamin J Moran, Asanthi Ratnasekera, Stanislaw P Stawicki, Marie Timinski, Joshua Brown

Open access · hybridAbstract read
In one paragraph

Article in The American surgeon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  3. Burn Care in the Street: A Survey of the Current Landscape of Burn Care Provided by Street Medicine Teams.Journal of burn care & research : official publication of the American Burn Association · 2025
    Article
  4. Article
  5. Article
  6. Alcohol-related non-fatal motor vehicle crash injury in the US from 2019 to 2022.The American journal of drug and alcohol abuse · 2024
    Article
  7. Article
  8. Article
  9. 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

10 authors at 8 institutions in 1 country.

Elinore J KaufmanDivision of Trauma, Surgical Critical Care, and Emergency Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Daniel HolenaDivision of Trauma, Surgical Critical Care, and Emergency Surgery, University of Pennsylvania, Philadelphia, PA, USA.
George KoenigThomas Jefferson University, Philadelphia, PA, USA.
Niels D MartinDivision of Trauma, Surgical Critical Care, and Emergency Surgery, University of Pennsylvania, Philadelphia, PA, USA.
George O MaishDivision of Trauma and Acute Care Surgery, Penn Medicine Lancaster General Health, Lancaster, PA, USA.
Benjamin J MoranEinstein Medical Center, Philadelphia, PA, USA.
Asanthi RatnasekeraDepartment of Surgery, Crozer Chester Medical Center, Upland, PA, USA.
Stanislaw P StawickiDepartment of Research & Innovation, St. Luke's University Health Network, Bethlehem, PA, USA.ORCID 0000-0002-8893-6668
Marie TiminskiGeisinger Wyoming Valley, Wilkes Barre, PA, USA.
Joshua BrownDivision of Trauma and General Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
University of Pennsylvania · USCrozer-Keystone Health System · USEinstein Medical Center Philadelphia · USGeisinger Wyoming Valley Medical Center · USLancaster General Hospital · USSt. Luke's University Health Network · USThomas Jefferson University · USUniversity of Pittsburgh Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe 2019 coronavirus (COVID-19) pandemic led to stay-at-home (SAH) orders in Pennsylvania targeted at reducing viral transmission. Limitations in population mobility under SAH have been associated with decreased motor vehicle collisions (MVC) and related injuries, but the impact of these measures on severity of injury remains unknown. The goal of this study is to measure the incidence, severity, and outcomes of MVC-related injuries associated with SAH in Pennsylvania. MATERIALS &

methodsWe conducted a retrospective geospatial analysis of MVCs during the early COVID-19 pandemic using a state-wide trauma registry. We compared characteristics of patients with MVC-related injuries admitted to Pennsylvania trauma centers during SAH measures (March 21-July 31, 2020) with those from the corresponding periods in 2018 and 2019. We also compared incidence of MVCs for each zip code tabulation area (ZCTA) in Pennsylvania for the same time periods using geospatial mapping.

resultsOf 15,550 trauma patients treated during the SAH measures, 3486 (22.4%) resulted from MVCs. Compared to preceding years, MVC incidence decreased 10% under SAH measures with no change in mortality rate. However, in ZCTA where MVC incidence decreased, there was a 16% increase in MVC injury severity.

conclusionsStay-at-home orders issued in response to the COVID-19 pandemic in Pennsylvania were associated with significant changes in MVC incidence and severity. Identifying such changes may inform resource allocation decisions during future pandemics or SAH events.

Indexed as

COVID-19PandemicsAccidents, TrafficHumansInjury Severity ScoreMotor VehiclesRetrospective Studiesepidemiologygeospatial analysismotor vehicle crashespublic healthtrauma

Identifiers

PMID34645324
PMCPMC8524247
OpenAlexW3207322280

What OpenQuestion holds

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LicenceCC BY
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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.