Evidence map›Paper›PMID 38021473›Full record

ArticleToxicology reports2023

"Heavy Metal": Management of lead toxicity following a gunshot injury with retained lead fragments, a case report.

Ilaria Costantini, Massimo Carollo, Lorenzo Losso, Elia Morando, Matilde Bacchion, Giovanni Mantelli, Mauro Pizzuto, Letizia Spagnuolo, Maria Vittoria Ventura, Giorgio Ricci

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

Article in Toxicology reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

10 authors at 3 institutions in 1 country.

Ilaria CostantiniUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.
Massimo CarolloDepartment of Diagnostics and Public Health, University of Verona, Verona, Italy.
Lorenzo LossoDepartment of Medical Toxicology Unit and Poison Control Centre, University of Florence, Florence, Italy.
Elia MorandoUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.
Matilde BacchionUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.
Giovanni MantelliUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.
Mauro PizzutoDepartment of Medicine, University of Verona, Verona, Italy.
Letizia SpagnuoloDepartment of Medicine, University of Verona, Verona, Italy.
Maria Vittoria VenturaDepartment of Medicine, University of Verona, Verona, Italy.
Giorgio RicciUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.
Azienda Ospedaliera Universitaria Integrata Verona · ITUniversity of Verona · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is limited literature on managing chronic lead exposure from non-removable sources such as lead fragments. In this case report, we present the complexities and clinical considerations involved in treating an elderly patient who sustained a comminuted knee fracture due to a gunshot wound, complicated by retained lead fragments. This case highlights the absence of comprehensive guidelines for managing chronic lead exposure when complete fragment removal is impractical. It also emphasizes the importance of a multidisciplinary approach to decision-making, while considering patient autonomy in such unique clinical scenarios.

Indexed as

Chelation therapyLead poisoningPoison control centersPoisonsToxicology

Identifiers

PMID38021473
PMCPMC10665592
OpenAlexW4388487556

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.