ArticleFrontiers in neurology2021
Incidence, Demographics, and Outcomes of Penetrating Trauma in Sweden During the Past Decade.
Article in Frontiers in neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07609095 (Association Between Palpable Peripheral Pulses and Arterial Blood Pressure in Patients With Circulatory Shock), which is not on this map. Cited by 15 papers.
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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.
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.
Association Between Palpable Peripheral Pulses and Arterial Blood Pressure in Patients With Circulatory Shock: An International Prospective Multicenter Observational Cohort Study
Who cites it
15 citing papers in PubMed, 36 citations in OpenAlex.
- [Peri-arrest emergency thoracotomy after trauma: a 5-year case series].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Blunt versus penetrating trauma: differences in early physiology, coagulopathy, and outcomes in a Scandinavian trauma centre.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
- [Management and outcome of patients with stab injuries treated at a German level I trauma center : A retrospective analysis over a 3-year period].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Civilian penetrating traumatic brain injury in South-East Norway.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Penetrating trauma on the rise- nine-year trends of severe trauma in Sweden.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Characteristics of blunt and penetrating trauma among victims of physical violence: A retrospective study.BMC public health · 2024Article
- [Development of violence-associated penetrating trauma in the Düsseldorf metropolitan region over a 5-year period (GewPen study)].Die Anaesthesiologie · 2024Article
- Review of the Brain's Behaviour after Injury and Disease for Its Application in an Agent-Based Model (ABM).Biomimetics (Basel, Switzerland) · 2024Review
- Epidemiology of patients assessed for trauma by Swedish ambulance services: a retrospective registry study.BMC emergency medicine · 2024Article
- Prehospital and emergency department airway management of severe penetrating trauma in Sweden during the past decade.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Observational
- Incidence, demographics and outcomes of patients with penetrating injury: a Japanese nationwide 10-year retrospective study.BMJ open · 2023Article
- Prehospital transportation of severe penetrating trauma victims in Sweden during the past decade: a police business?Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Physician-staffed prehospital units: a retrospective follow-up from an urban area in Scandinavia.International journal of emergency medicine · 2023Article
- Understanding medical aspects of violent crimes in Sweden's region Skåne: a retrospective cross-sectional design of the ViCS project.Frontiers in psychiatry · 2023Article
- Traumatic injuries to the renal blood vessels and in-hospital renal complications in patients with penetrating or blunt trauma.Frontiers in surgery · 2023Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Trauma injury is the sixth leading cause of death worldwide, and interpersonal violence is one of the major contributors in particular regarding injuries to the head and neck. The incidence, demographics, and outcomes of penetrating trauma reaching hospitals in Sweden are not known. We report the largest, nationwide epidemiological study of penetrating injuries in Sweden, using the Swedish Trauma Registry (SweTrau). A multi-center retrospective descriptive study of 4,776 patients was conducted with penetrating injuries in Sweden, between 2012 and 2018. Due to the increase in coverage of the SweTrau registry during the same period, we chose to analyze the average number of cases for the time intervals 2013-2015 and 2016-2018 and compare those trends to the reports of the Swedish National Council for Crime Prevention (Brå) as well. A total of 663 patients had Injury Severity Score (ISS) ≥ 15 at admission and were included in the study. Three hundred and sixty-eight (55.5%) were stab wounds (SW), 245 (37.0%) gunshot wounds (GSW), and 50 (7.5%) other traumas. A majority of the cases involved injuries to the head, neck, and face. SW increased from 145 during 2013-2015 to 184 during the second period of 2016-2018. The increase was greater for GSW from 92 to 141 during the same respective periods. This trend of increase over time was also seen in head, neck, and face injuries. The 30-day mortality was unaffected (48-47%) in GSW and trended toward lower in SW (24-21%) when comparing 2013-2015 with 2016-2018. Patients with head trauma had 45% mortality compared to 18% for non-head trauma patients. Head trauma also resulted in worse outcomes, only 13% had Glasgow outcome score (GOS) 5 compared to 27% in non-head trauma. The increasing number of cases of both SW and GSW corresponded well with reports from Brå although further studies also are needed to address deaths outside of hospitals and not registered at the SweTrau. The majority of cases had injuries to the head, neck, and face and were associated with higher mortality and poor outcomes. Further studies are needed to understand the contributing factors to these worse outcomes in Sweden and whether more targeted trauma care of these patients can improve outcomes.
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