Evidence map›Paper›PMID 35140859›Full record

ArticleIndian journal of orthopaedics2022

Gaps in the Care of Open Fractures: An Indian Scenario.

Rohit Jindal, Mehar Dhillon, Naveen Mittal, Arushi Aggarwal, Anubhav Malhotra, Sudhir Kumar Garg

Open access · greenAbstract read
In one paragraph

Article in Indian journal of orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

6 authors at 2 institutions in 2 countries.

Rohit JindalDepartment of Orthopaedics, Government Medical College Hospital Chandigarh, Sector-32, Chandigarh, 160030 India.
Mehar DhillonDepartment of Orthopaedics, Government Medical College Hospital Chandigarh, Sector-32, Chandigarh, 160030 India.
Naveen MittalDepartment of Orthopaedics, Government Medical College Hospital Chandigarh, Sector-32, Chandigarh, 160030 India.ORCID 0000-0002-1762-6187
Arushi AggarwalGovernment Medical College Hospital Chandigarh, Chandigarh, India.
Anubhav MalhotraWirral University Hospitals NHS Trust, Wirral, UK.
Sudhir Kumar GargDepartment of Orthopaedics, Government Medical College Hospital Chandigarh, Sector-32, Chandigarh, 160030 India.
Government Medical College and Hospital · INWirral University Teaching Hospital NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background/purposeThere is a distinct lack of published studies evaluating the reasons for delay in definitive treatment of open fractures. This study aimed to determine the specific factors causing delay in the timely treatment of open fractures from the time of injury and to analyse the quality of treatment performed at the pre-hospital level.

methodsIn total, 250 consecutive patients with open fractures were assessed for time to surgery from injury and admission. The referred patients were analysed for distance of travel, level of referring hospital and appropriateness of care. The reasons for delay in terms of infrastructural- and patient-related factors were analysed individually and in combination.

resultsThere were 37 direct patients (Group A) and 213 referred patients (Group B). Inappropriate care was present in 172 out of 213 (80.8%) referred patients. In total, 84% patients travelled more than 50 kms. The definitive surgery in referred patients was likely to be significantly delayed with regard to time from injury (29.84 vs 44.84 h,

conclusionDelayed referral, inadequate pre-hospital care and delay in surgery due to patient- and infrastructural-related issues at tertiary centre were identified as critical gaps in open fracture care in India. The importance of appropriate basic knowledge about management of open fractures should be emphasized at all structural level of care. GRAPHIC ABSTRACT:

Indexed as

Delay (> 24 h) in managementOpen fracturesPre-hospital careReferral network

Identifiers

PMID35140859
PMCPMC8789999
OpenAlexW3190515770

What OpenQuestion holds

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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.