Evidence map›Paper›PMID 37539430›Full record

ArticleCureus2023

Pulse Pressure: A Predictor of Intervention in Blunt Abdominal Trauma.

Sumbla Salman, Osama Laeeque, Bushra Jawaid, Omer B Khalid, Hassan Shahab, Komal Faheem

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 1 country.

Sumbla SalmanGeneral Surgery, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, PAK.
Osama LaeequeOrthopaedics and Traumatology, Liaquat National Hospital, Karachi, PAK.
Bushra JawaidSurgery, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, PAK.
Omer B KhalidSurgery, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, PAK.
Hassan ShahabSurgery, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, PAK.
Komal FaheemSurgery, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, PAK.
Civil Hospital Karachi · PKDow University of Health Sciences · PKLiaquat National Hospital · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with life-threatening hemorrhages due to blunt torso trauma are at a particularly high risk of being underdiagnosed. The pulse pressure (PP) starts narrowing down before the traditional parameters start changing, making it a useful tool for assessing and planning early intervention.

objectiveTo assess the utility of low PP in predicting massive transfusion (MT) or operative intervention in patients with isolated blunt abdominal trauma. MATERIAL AND

methodsA total of 186 patients were included. The PP and mean arterial pressure (MAP) were calculated. Vitals, PP, and MAP were monitored every 15 min during the first 6 h, then every 30 min during the next 6 h, and afterward, every 4 h until discharge. A Chi-square test and an independent t-test (as appropriate) were applied to compare variables with PP at the time of presentation. Differences were considered statistically significant at p-value ≤ 0.05.

resultsA total of 55.9% of these patients had injuries due to road traffic accidents (RTA). Emergency operative intervention was provided to 26.3% of the patients. Death was 4.3%. MT was required by 26.3% of the patients. There was a statistically significant association between low PP and sex, length of stay, repeat extended focused assessment with sonography in trauma (eFAST), emergency operational intervention, outcome, MT, number of crystalloids consumed within the first four hours after presentation, injury severity score, systolic blood pressure (SBP), and pulse rate.

conclusionThe PP <30 mmHg was observed as a useful predictor for increased blood loss requiring blood transfusion or operative intervention.

Indexed as

isolated blunt torso traumalow pulse pressuremassive transfusionoperative interventiontorso trauma

Identifiers

PMID37539430
PMCPMC10394963
OpenAlexW4382938485

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.