Evidence map›Paper›PMID 35396279›Full record

ArticleBMJ open2022

Traumatic brain injury during COVID-19 pandemic-time-series analysis of a natural experiment.

Banu Manickam Rajalu, Bhagavatula Indira Devi, Dhaval P Shukla, Lekhansh Shukla, Mini Jayan, Krishna Prasad, Deepak Jayarajan, Arun Kandasamy, Pratima Murthy

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.7field-weighted citation impact, top 2% 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

17 citing papers in PubMed, 28 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Banu Manickam RajaluPsychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.
Bhagavatula Indira DeviNeurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India.ORCID 0000-0003-3272-2465
Dhaval P ShuklaNeurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India.
Lekhansh ShuklaPsychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India drlekhansh@gmail.com.ORCID 0000-0002-4558-3890
Mini JayanNeurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India.
Krishna PrasadPsychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.
Deepak JayarajanPsychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.
Arun KandasamyPsychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.
Pratima MurthyPsychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.
National Institute of Mental Health and Neurosciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to find if the incidence and pattern of traumatic brain injury (TBI) changed during the COVID-19pandemic. We also aim to build an explanatory model for change in TBI incidence using Google community mobility and alcohol sales data.

designA retrospective time-series analysis.

settingEmergency department of a tertiary level hospital located in a metropolitan city of southern India. This centre is dedicated to neurological, neurosurgical and psychiatric care.

participantsDaily counts of TBI patients seen between 1 December 2019 and 3 January 2021 (400 days); n=8893. To compare the profile of TBI cases seen before and during the pandemic, a subset of these cases seen between 1 December 2019 and 31 July 2020 (244 days), n=5259, are studied in detail.

resultsAn optimal changepoint is detected on 20 March 2020 following which the mean number of TBI cases seen every day has decreased and variance has increased (mean 1=29.4, variance 1=50.1; mean 2=19.5, variance 2=59.7, loglikelihood ratio test: χ

conclusionsDecongestion of roads and regulation of alcohol sales can decrease TBI occurrence substantially. An increase in violent trauma during lockdown needs further research in the light of domestic violence. Acute care facilities for TBI should be maintained even during a strict lockdown as the proportion of severe TBI requiring admission increases.

Indexed as

Brain Injuries, TraumaticCOVID-19Communicable Disease ControlHumansPandemicsRetrospective Studiesaccident & emergency medicineCOVID-19epidemiologyneurosurgerypublic healthsubstance misuse

Identifiers

PMID35396279
PMCPMC8995573
OpenAlexW4223540731

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.