Evidence map›Paper›PMID 37537235›Full record

ArticlePediatric research2024

Comparison of helicopter and ground transportation in pediatric trauma patients.

Angelo Ciaraglia, Derek Lumbard, Anish Murala, Axel Moreira, Karthik Rajasekaran, Susannah Nicholson, Alvaro Moreira

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. 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

7 authors at 4 institutions in 1 country.

Angelo CiaragliaUT Health Science Center San Antonio, Department of Surgery, San Antonio, TX, USA. ciaraglia@uthscsa.edu.
Derek LumbardUT Health Science Center San Antonio, Department of Surgery, San Antonio, TX, USA.
Anish MuralaUT Health Science Center San Antonio, Department of Pediatrics, San Antonio, TX, USA.
Axel MoreiraTexas Children's Hospital, Department of Pediatrics, Houston, TX, USA.
Karthik RajasekaranUniversity of Pennsylvania, Department of Otorhinolaryngology, Philadelphia, PA, USA.
Susannah NicholsonUT Health Science Center San Antonio, Department of Surgery, San Antonio, TX, USA.
Alvaro MoreiraUT Health Science Center San Antonio, Department of Pediatrics, San Antonio, TX, USA.
Texas Children's Hospital · USThe University of Texas Health Science Center at Houston · USThe University of Texas Health Science Center at San Antonio · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDecision making regarding transportation mode after a traumatic injury may have a significant impact on outcomes, due to differences in time to definitive care. The objective of this study was to determine if transport mode had an impact on in-hospital mortality and discharge disposition in pediatric trauma patients.

methodsData were abstracted from the National Trauma Data Bank from 2007 to 2016 comparing helicopter and ground transportation modes effects on mortality and discharge outcomes. The primary outcome was in-hospital death, while the secondary outcome was discharge home without services (DCHWOS). Analyses included logistic regression modeling and propensity score matching.

resultsSignificant variables from univariate analysis were included in the multivariate, propensity-matched regression model. Pediatric trauma patients transported by helicopter had lower odds of mortality (OR 0.69 [0.64,0.75]) and higher odds of DCHWOS (1.29 [1.20,1.39]). There were no differences in overall mechanism, but individual injury patterns showed higher odds of mortality.

conclusionCritical decisions regarding triage of patients by different modes of transport occur every day. This study supports the current literature on the topic and shows a potential additional benefit of a meaningful discharge outcome for those transported by helicopter. IMPACT: This study may impact prehospital triage decision making process for pediatric trauma patients on mortality. Prehospital transport mode may contribute to pediatric trauma discharge outcomes. Highlights the need for future research regarding non-clinical data that is unable to be abstracted from national databases (e.g., family dynamics, insurance status, weather, access to post-discharge resources).

Indexed as

Air AmbulancesWounds and InjuriesAftercareAircraftChildHospital MortalityHumansPatient DischargeRetrospective Studies

Identifiers

PMID37537235
OpenAlexW4385554456

What OpenQuestion holds

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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.