Evidence map›Paper›PMID 37075606›Full record

ArticleThe Journal of surgical research2023

Shift in Prehospital Mode of Transportation for Trauma Patients During the COVID-19 Pandemic.

Colin M Mooney, Kian Banks, Rachel Borthwell, Kealia Victorino, Sophia Coutu, Timothy D Browder, Gregory P Victorino

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of surgical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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 synthesis or guideline pooled it.

  1. Pooled it
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.

Colin M MooneyDepartment of Surgery, University of California, San Francisco, Oakland, California. Electronic address: cmooney@alamedahealthsystem.org.
Kian BanksDepartment of Surgery, University of California, San Francisco, Oakland, California.
Rachel BorthwellDepartment of Surgery, University of California, San Francisco, San Francisco, California.
Kealia VictorinoDepartment of Surgery, University of California, San Francisco, Oakland, California.
Sophia CoutuDepartment of Surgery, University of California, San Francisco, Oakland, California.
Timothy D BrowderDepartment of Surgery, University of California, San Francisco, Oakland, California.
Gregory P VictorinoDepartment of Surgery, University of California, San Francisco, Oakland, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSince the start of the COVID-19 pandemic, we experienced alterations to modes of transportation among trauma patients suffering penetrating injuries. Historically, a small percentage of our penetrating trauma patients use private means of prehospital transportation. Our hypothesis was that the use of private transportation among trauma patients increased during the COVID-19 pandemic and was associated with better outcomes.

methodsWe retrospectively reviewed all adult trauma patients (January 1, 2017 to March 19, 2021), using the date of the shelter-in-place ordinance (March 19, 2020) to separate trauma patients into prepandemic and pandemic patient groups. Patient demographics, mechanism of injury, mode of prehospital transportation, and variables such as initial Injury Severity Score, Intensive Care Unit (ICU) admission, ICU length of stay, mechanical ventilator days, and mortality were recorded.

resultsWe identified 11,919 adult trauma patients, 9017 (75.7%) in the prepandemic group and 2902 (24.3%) in the pandemic group. The number of patients using private prehospital transportation also increased (from 2.4% to 6.7%, P < 0.001). Between the prepandemic and pandemic private transportation cohorts, there were reductions in mean Injury Severity Score (from 8.1 ± 10.4 to 5.3 ± 6.6: P = 0.02), ICU admission rates (from 15% to 2.4%: P < 0.001), and hospital length of stay (from 4.0 ± 5.3 to 2.3 ± 1.9: P = 0.02). However, there was no difference in mortality (4.1% and 2.0%, P = 0.221).

conclusionsWe found that there was a significant shift in prehospital transportation among trauma patients toward private transportation after the shelter-in-place order. However, this did not coincide with a change in mortality despite a downward trend. This phenomenon could help direct future policy and protocols in trauma systems when battling major public health emergencies.

Indexed as

COVID-19Emergency Medical ServicesWounds and InjuriesWounds, PenetratingAdultHumansInjury Severity ScorePandemicsRetrospective StudiesTransportation of PatientsTrauma CentersCOVID-19OutcomesPenetratingSafety net hospitalTransportationTrauma

Identifiers

PMID37075606
PMCPMC9943740

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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.