Evidence map›Paper›PMID 35120440›Full record

ArticleBMC emergency medicine2022

Factors associated with the severity of road traffic injuries from emergency department based surveillance system in two Mexican cities.

Lourdes Gómez-García, Elisa Hidalgo-Solórzano, Ricardo Pérez-Núñez, Vanessa F Jacobo-Zepeda, Ricardo G Ascencio-Tene, Jeffrey C Lunnen, Amber Mehmood

Open access · goldAbstract read
In one paragraph

Article in BMC emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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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 5 institutions in 2 countries.

Lourdes Gómez-GarcíaCenter for Health Systems Research, National Institute of Public Health, Universidad #655, Colonia Santa María Ahuacatitlán, Cerr los Pinos y Caminera, CP 62100, Cuernavaca, Morelos, Mexico.
Elisa Hidalgo-SolórzanoCenter for Health Systems Research, National Institute of Public Health, Universidad #655, Colonia Santa María Ahuacatitlán, Cerr los Pinos y Caminera, CP 62100, Cuernavaca, Morelos, Mexico. elisa.hidalgo@insp.mx.
Ricardo Pérez-NúñezCenter for Health Systems Research, National Institute of Public Health, Universidad #655, Colonia Santa María Ahuacatitlán, Cerr los Pinos y Caminera, CP 62100, Cuernavaca, Morelos, Mexico.
Vanessa F Jacobo-ZepedaHospital General de León, León, Guanajuato, Mexico.
Ricardo G Ascencio-TeneAntiguo Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco, Mexico.
Jeffrey C LunnenJohns Hopkins International Injury Research Unit, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Amber MehmoodUniversity of South Florida College of Public Health, Tampa, FL, USA.
Instituto Nacional de Salud Pública · MXFlorida College · USHospital Civil de Guadalajara · MXJohns Hopkins University · USUniversidad de León · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited data from low- and middle-income countries (LMICs) on the severity of road traffic injuries (RTIs) and their relation to different variables of interest are routinely obtained. Knowledge on this subject relies on evidence from high-income countries, which might not be the same as in LMICs. This information is greatly needed to advance and inform local and regional efforts towards the United Nations' Decade of Action and the Sustainable Development Goals.

methodsFrom May 2012 to November 2014, a RTI surveillance system was implemented in two referral hospitals in two Mexican cities, León and Guadalajara, with the objective of exploring the relationship between Injury Severity Score (ISS) and different sociodemographic characteristics of the injured as well as different variables related to the event and the environment. All individuals suffering RTIs who visited the Emergency Rooms (ER) were included after granting informed consent. A Zero-Truncated Negative Binomial Model was employed to explore the statistical association between ISS and variables of interest.

results3024 individuals participated in the study: 2185 (72.3%) patients from León and 839 patients (27.7%) from Guadalajara. Being male, in the 20-59 age-group, having less schooling, events occurring in Guadalajara, on Sundays, at night, and arriving at ER via public/private ambulance were all associated with an increased log count of ISS. Found a significant interaction effect (p-value< 0.05) between type of road user and alcohol intake six hours before the accident on severity of the injury (ISS). The use of illicit drugs, cellphones and safety devices during the event showed no association to ISS.

conclusionsOur study contributes to the statistical analysis of ISS obtained through RTI hospital surveillance systems. Findings might facilitate the development and evaluation of focused interventions to reduce RTIs in vulnerable users, to enhance ER services and prehospital care, and to reduce drink driving.

Indexed as

Accidents, TrafficWounds and InjuriesAmbulancesCitiesEmergency Service, HospitalFemaleHumansInjury Severity ScoreMaleInjury severity scoreMexicoRoad traffic injuriesSurveillance system

Identifiers

PMID35120440
PMCPMC8815254
OpenAlexW4210697677

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.