Evidence map›Paper›PMID 35064284›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

Long-term outcome following blunt cerebrovascular injuries: occurrence of ischemic complications, treatment, and outcome.

Camille Hego, Guillaume Rousseau, Paer-Selim Abback, Romain Pommier, Sophie-Rym Hamada, Benjamin Bergis, Igor Jurcisin, Alhassane Diallo, Catherine Paugam-Burtz, Stéphanie Sigaut and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.7field-weighted citation impact, top 34% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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

12 authors at 4 institutions in 1 country.

Camille HegoDepartment of Anesthesiology and Critical Care and Perioperative Care, Beaujon Hospital, 100, boulevard du Général-Leclerc, 92110, Clichy, France. camille.hego@aphp.fr.ORCID http://orcid.org/0000-0001-8030-6015
Guillaume RousseauDepartment of Anesthesiology and Critical Care and Perioperative Care, Beaujon Hospital, 100, boulevard du Général-Leclerc, 92110, Clichy, France.
Paer-Selim AbbackDepartment of Anesthesiology and Critical Care and Perioperative Care, Beaujon Hospital, 100, boulevard du Général-Leclerc, 92110, Clichy, France.
Romain PommierDepartment of Radiology, Antony's Private Hospital, 25 Avenue de la Providence, 92160, Antony, France.
Sophie-Rym HamadaDepartment of Anesthesiology and Critical Care, 75 rue du general Leclerc, 94275, Le Kremlin Bicêtre, France.
Benjamin BergisDepartment of Anesthesiology and Critical Care, 75 rue du general Leclerc, 94275, Le Kremlin Bicêtre, France.
Igor JurcisinDepartment of Anesthesiology and Critical Care and Perioperative Care, Beaujon Hospital, 100, boulevard du Général-Leclerc, 92110, Clichy, France.
Alhassane DialloDepartment of Epidemiology and Clinical Research of Bichat Hospital, 46 Rue Henri Huchard, 75018, Paris, France.
Catherine Paugam-BurtzDepartment of Anesthesiology and Critical Care and Perioperative Care, Beaujon Hospital, 100, boulevard du Général-Leclerc, 92110, Clichy, France.
Stéphanie SigautDepartment of Anesthesiology and Critical Care and Perioperative Care, Beaujon Hospital, 100, boulevard du Général-Leclerc, 92110, Clichy, France.
Tobias GaussDepartment of Anesthesiology and Critical Care and Perioperative Care, Beaujon Hospital, 100, boulevard du Général-Leclerc, 92110, Clichy, France.
Jean-Denis MoyerDepartment of Anesthesiology and Critical Care and Perioperative Care, Beaujon Hospital, 100, boulevard du Général-Leclerc, 92110, Clichy, France.
Hôpital Beaujon · FRBicêtre Hospital · FRDélégation Paris 7 · FRHôpital Bichat-Claude-Bernard · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBlunt cerebrovascular injuries (BCVI) are a rare but serious complication after trauma. Among patients with BCVI, neurological status is altered in 30% of cases and the prognosis seems to be associated with ischemic complications. The aim of this study was to assess the long-term outcome of BCVI-associated ischemic events.

methodsThis retrospective cohort study (2011-2017) included all patients admitted for severe trauma with identified BCVI in two level-1 trauma centers. Patients were considered to have a poor neurological outcome with a GOS-E between 2 and 5 and a good neurological outcome with GOS-E between 6 and 8. A multivariate logistic regression identified risk factors for poor neurological outcome at 1 year.

resultsOf the 6,294 patients admitted in both trauma centers between 2011 and 2017, 81 patients presenting BCVI were identified (incidence of 1.3%). The median age was 35 years (24-44) with a median Injury Severity Score of 28 (17-41). 29 patients (50%) had a good neurological prognosis, while 25 patients (43%) had a poor neurological prognosis at 1 year. Ischemic stroke occurred in 11 patients (13.6%) within a median time of 2 days (2-2.5). No ischemic stroke occurred in the first year after ICU discharge in both groups. In our study, good prognosis at 1 year was not associated with ischemic complications [3 (10) vs 3 (12) p = 1].

conclusionIschemic complications after BCVI are rare, occur within the first week and do not seem to impact independently the 1-year neurological prognosis.

Indexed as

Cerebrovascular TraumaStrokeWounds, NonpenetratingAdultHumansInjury Severity ScoreRetrospective StudiesTreatment OutcomeBlunt cerebrovascular injuryCarotid and vertebral arteriesNeurological outcomeSevere traumaStroke

Identifiers

PMID35064284
OpenAlexW4207010943

What OpenQuestion holds

Textmetadata
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.