Evidence map›Paper›PMID 38068393›Full record

ArticleJournal of clinical medicine2023

Predicting Genitourinary Injuries in Polytraumatized Patients-Development of the GUIPP Scoring System.

Olivia Mair, Michael Müller, Philipp Rittstieg, Philipp Zehnder, Rolf Lefering, Peter Biberthaler, Maren J Wenk, Marc Hanschen, The TraumaRegister Dgu

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

Article in Journal of clinical medicine, 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 37% 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

9 authors at 3 institutions in 1 country.

Olivia MairDepartment of Trauma Surgery, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
Michael MüllerDepartment of Trauma Surgery, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.ORCID 0000-0002-2764-4178
Philipp RittstiegDepartment of Trauma Surgery, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
Philipp ZehnderDepartment of Trauma Surgery, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.ORCID 0000-0002-6797-0453
Rolf LeferingFaculty of Health, IFOM-Institute for Research in Operative Medicine, University Witten/Herdecke, 51109 Cologne, Germany.ORCID 0000-0002-0141-1747
Peter BiberthalerDepartment of Trauma Surgery, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
Maren J WenkDepartment of Urology and Urological Surgery, University Medical Center Mannheim, 68135 Mannheim, Germany.
Marc HanschenDepartment of Trauma Surgery, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.ORCID 0000-0002-2683-9870
The TraumaRegister DguCommittee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society, 80538 Munich, Germany.
TUM Klinikum · DEGerman Society of Medical Intensive Care and Emergency Medicine · DEHeidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe genitourinary system is not as commonly affected as many other organ systems in severely injured patients. Although a delayed and missed diagnosis of genitourinary injuries (GUIs) can severely compromise long-term outcomes, these injuries are frequently overlooked. Therefore, we present a scoring system designed to assist emergency physicians in diagnosing GUIs in severely injured patients.

methodsThe data were obtained from the TraumaRegister DGU

resultsA total of 70,467 patients were included in this study, of which 4760 (6.8%) sustained a GUI. Male patients (OR: 1.31, 95% CI [1.22, 1.41]) injured in motorcycle accidents (OR: 1.70, 95% CI [1.55, 1.87]), who were under 60 years of age (OR: 1.59, 95% CI [1.49, 1.71]) and had sustained injuries in multiple body regions (OR: 6.63, 95% CI [5.88, 7.47]), and suffered severe pelvic girdle injuries (OR: 2.58, 95% CI [2.29, 2.91]) had the highest odds of sustaining a GUI. With these predictive factors combined, a novel scoring system, the GUIPP score, was developed. It showed good validity, with an AUC of 0.722 (95% CI [0.71; 0.73]).

conclusionPredicting GUI in severely injured patients remains a challenge for treating physicians, but is extremely important to prevent poor outcomes for affected patients. The GUIPP score can be utilized to initiate appropriate diagnostic steps early on in order to reduce the delayed and missed diagnosis of GUI, with scores ≥ 9 points making GUIs very likely.

Indexed as

genitourinary injuriespredicting injuryscoring systemsevere injuryurogenital injuries

Identifiers

PMID38068393
PMCPMC10707217
OpenAlexW4389047426

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.