Evidence map›Paper›PMID 35468806›Full record

ArticleWorld journal of emergency surgery : WJES2022

The acute phase management of spinal cord injury affecting polytrauma patients: the ASAP study.

Edoardo Picetti, Corrado Iaccarino, Raul Coimbra, Fikri Abu-Zidan, Giovanni D Tebala, Zsolt J Balogh, Walter L Biffl, Federico Coccolini, Deepak Gupta, Ronald V Maier and 35 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of emergency surgery : WJES, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
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

45 authors at 20 institutions in 17 countries.

Edoardo Picetti *Department of Anesthesia and Intensive Care, Parma University Hospital, Via Gramsci 14, 43100, Parma, Italy. edoardopicetti@hotmail.com.
Corrado Iaccarino *Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Reggio Emilia, Italy.
Raul CoimbraComparative Effectiveness and Clinical Outcomes Research Center, Riverside University Health System Medical Center, Moreno Valley, CA, USA.
Fikri Abu-ZidanDepartment of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
Giovanni D TebalaDepartment of General Surgery, Oxford University Hospitals NHS Foundation Trust, Headley Way, Headington, Oxford, UK.
Zsolt J BaloghDepartment of Traumatology, John Hunter Hospital, Newcastle, NSW, Australia.
Walter L BifflDepartment of Trauma and Acute Care Surgery, Scripps Memorial Hospital, La Jolla, CA, USA.
Federico CoccoliniDepartment of Surgery, Pisa University Hospital, Pisa, Italy.
Deepak GuptaDepartment of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Ronald V MaierDepartment of Surgery, University of Washington, Seattle, WA, USA.
Ingo MarziDepartment of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe-University Frankfurt Am Main, Frankfurt am Main, Germany.
Chiara RobbaDepartment of Anaesthesia and Intensive Care, Policlinico San Martino, IRCCS for Oncology and Neuroscience, Genova, Italy.
Massimo SartelliDepartment of General Surgery, Macerata Hospital, Macerata, Italy.
Franco ServadeiHumanitas University, Pieve Emanuele, Milan, Italy.
Philip F StahelCollege of Osteopathic Medicine, Rocky Vista University, Parker, CO, USA.
Fabio S TacconeDepartment of Intensive Care, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Andreas W UnterbergDepartment of Neurosurgery, University of Heidelberg, Heidelberg, Germany.
Marta Velia AntoniniECMO Team, Bufalini Hospital, Cesena, Italy.
Joseph M GalanteDivision of Trauma and Acute Care Surgery, Department of Surgery, University of California Davis, Sacramento, CA, USA.
Luca AnsaloniDepartment of General Surgery, University Hospital of Pavia, Pavia, Italy.
Andrew W KirkpatrickGeneral, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre, Calgary, AB, Canada.
Sandro RizoliSurgery Department, Section of Trauma Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Ari LeppaniemiAbdominal Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Osvaldo ChiaraGeneral Surgery and Trauma Team, ASST Niguarda Milano, University of Milano, Milan, Italy.
Belinda De SimoneDepartment of General and Metabolic Surgery, Poissy and Saint-Germain-en-Laye Hospitals, Poissy, France.
Mircea ChiricaDepartment of Digestive Surgery, Centre Hospitalier Universitaire Grenoble Alpes, La Tronche, France.
Vishal G ShelatDepartment of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Gustavo P FragaSurgery Department, Faculdade de Ciências Médicas (FCM), Unicamp Campinas, Campinas, SP, Brazil.
Marco CeresoliGeneral Surgery Department, School of Medicine and Surgery, Milano-Bicocca University, Monza, Italy.
Luca CattaniDepartment of Anesthesia and Intensive Care, Parma University Hospital, Via Gramsci 14, 43100, Parma, Italy.
Francesco MinardiDepartment of Anesthesia and Intensive Care, Parma University Hospital, Via Gramsci 14, 43100, Parma, Italy.
Edward TanDepartment of Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands.
Imtiaz WaniDepartment of Minimal Access and General Surgery, Government Gousia Hospital, Srinagar, Kashmir, India.
Massimo PetrancaDepartment of Anesthesia and Intensive Care, Parma University Hospital, Via Gramsci 14, 43100, Parma, Italy.
Francesco DomenichelliDepartment of Anesthesia and Intensive Care, Parma University Hospital, Via Gramsci 14, 43100, Parma, Italy.
Yunfeng CuiDepartment of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China.
Laura MalchiodiDepartment of Anesthesia and Intensive Care, Parma University Hospital, Via Gramsci 14, 43100, Parma, Italy.
Emanuele SaniDepartment of Anesthesia and Intensive Care, Parma University Hospital, Via Gramsci 14, 43100, Parma, Italy.
Andrey LitvinDepartment of Surgical Disciplines, Immanuel Kant Baltic Federal University, Regional Clinical Hospital, Kaliningrad, Russia.
Andreas HeckerDepartment of General and Thoracic Surgery, University Hospital Giessen, Giessen, Germany.
Vito MontanaroDepartment of Anesthesia and Intensive Care, Parma University Hospital, Via Gramsci 14, 43100, Parma, Italy.
Solomon Gurmu BekaEthiopian Air Force Hospital, Bishoftu, Oromia, Ethiopia.
Salomone Di SaverioDepartment of General Surgery, Ospedale Civile "Madonna del Soccorso", San Benedetto del Tronto, AP, Italy.
Sandra RossiDepartment of Anesthesia and Intensive Care, Parma University Hospital, Via Gramsci 14, 43100, Parma, Italy.
Fausto CatenaDepartment of General and Emergency Surgery, "M. Bufalini" Hospital, Cesena, Italy.
University of Parma · ITOspedale “M. Bufalini” di Cesena · ITAll India Institute of Medical Sciences · INAzienda Ospedaliera Universitaria Pisana · ITCentre Hospitalier Intercommunal de Poissy · FRCentre Hospitalier Universitaire de Grenoble · FRFoothills Medical Centre · CAGoethe University Frankfurt · DEGovernment Medical College · INHamad General Hospital · QAHeidelberg University · DEHelsinki University Hospital · FIHumanitas University · ITImmanuel Kant Baltic Federal University · RUJohn Hunter Hospital · AUNational Veterinary Institute · ETOxford University Hospitals NHS Trust · GBRadboud University Nijmegen · NLRiverside University Health System - Medical Center · USScripps Memorial Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew data on the management of acute phase of traumatic spinal cord injury (tSCI) in patients suffering polytrauma are available. As the therapeutic choices in the first hours may have a deep impact on outcome of tSCI patients, we conducted an international survey investigating this topic.

methodsThe survey was composed of 29 items. The main endpoints of the survey were to examine: (1) the hemodynamic and respiratory management, (2) the coagulation management, (3) the timing of magnetic resonance imaging (MRI) and spinal surgery, (4) the use of corticosteroid therapy, (5) the role of intraspinal pressure (ISP)/spinal cord perfusion pressure (SCPP) monitoring and (6) the utilization of therapeutic hypothermia.

resultsThere were 171 respondents from 139 centers worldwide. A target mean arterial pressure (MAP) target of 80-90 mmHg was chosen in almost half of the cases [n = 84 (49.1%)]. A temporary reduction in the target MAP, for the time strictly necessary to achieve bleeding control in polytrauma, was accepted by most respondents [n = 100 (58.5%)]. Sixty-one respondents (35.7%) considered acceptable a hemoglobin (Hb) level of 7 g/dl in tSCI polytraumatized patients. An arterial partial pressure of oxygen (PaO

conclusionsOur survey has shown a great worldwide variability in clinical practices for acute phase management of tSCI patients with polytrauma. These findings can be helpful to define future research in order to optimize the care of patients suffering tSCI.

Indexed as

Multiple TraumaSpinal Cord InjuriesCerebrospinal Fluid PressureHumansNeurosurgical ProceduresManagementPolytraumaTraumatic spinal cord injury

Identifiers

PMID35468806
PMCPMC9036814
OpenAlexW4224325346

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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.