Evidence map›Paper›PMID 37148273›Full record

ArticleThe American surgeon2023

Psychological Impacts of Retained Bullets From the Perspective of Survivors.

R N Smith, R M Nedergaard, C H Meyer, N DeSousa, M Ghosh, Q Blount, A Apte, S Resnick, M M Hennink

Abstract read
In one paragraph

Article in The American surgeon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

R N SmithEmory University School of Medicine, Atlanta, GA, USA.
R M NedergaardRollins School of Public Health, Emory University, Atlanta, GA, USA.
C H MeyerEmory University School of Medicine, Atlanta, GA, USA.
N DeSousaEmory University School of Medicine, Atlanta, GA, USA.
M GhoshRollins School of Public Health, Emory University, Atlanta, GA, USA.
Q BlountEmory University School of Medicine, Atlanta, GA, USA.
A ApteEmory University School of Medicine, Atlanta, GA, USA.
S ResnickKaiser Permanente, Sacramento, CA, USA.
M M HenninkRollins School of Public Health, Emory University, Atlanta, GA, USA.

Funding

Critical Care Training ProgramT32GM095442 · NIGMS · EMORY UNIVERSITY · PI Craig M Coopersmith · 2011 to 2026
$4.7M
NIGMS NIH HHS T32 GM095442
6 · The paper itself

Abstract

introductionDespite a high prevalence of retained bullet fragments (RBFs) after firearm related injury (FRI) there is limited data on the full spectrum of their consequences, particularly the psychological impacts on those injured. Further, the experiences of FRI survivors with RBFs are missing from existing literature. The objective of this study was to explore the psychological impacts of RBFs on individuals who have experienced recent FRI.

methodsAdult (18-65 years) survivors of FRI with radiographically confirmed RBFs were purposively selected from an urban Level 1 trauma center in Atlanta, Georgia, to participate in an in-depth interview. Interviews were conducted between March 2019 and February 2020. Thematic analysis was used to identify a range of psychological effects from RBFs.

resultsInterviews from 24 FRI survivors were analyzed: the majority of participants were Black males (N = 22, 92%) with a mean age of 32 years whose FRI occurred ∼8.6 months prior to data collection. The psychological effects of RBFs were grouped into four categories: physical health (eg, pain, limited mobility), emotional well-being (eg, anger, fear), social isolation, and occupational welfare (eg, disability leading to inability to work). A range of coping mechanisms were also identified.

conclusionSurvivors of FRI with RBFs experience a range of psychological impacts that are far-reaching and affect daily activities, mobility, pain and emotional wellbeing. Study results indicate a need for enhanced resources to support those with RBFs. Further, changes to clinical protocols are warranted on removal of RBFs and communication about the effects of leaving RBFs in situ.

Indexed as

Adaptation, PsychologicalPainAdultFearHumansMaleSocial IsolationSurvivorsspecial topicstraumatrauma acute care

Identifiers

PMID37148273
PMCPMC10725717

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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.