Evidence map›Paper›PMID 38136115›Full record

ReviewChildren (Basel, Switzerland)2023

A Systematic Review and Meta-Analysis on the Management and Outcome of Isolated Skull Fractures in Pediatric Patients.

Lucca B Palavani, Raphael Bertani, Leonardo de Barros Oliveira, Sávio Batista, Gabriel Verly, Filipi Fim Andreão, Marcio Yuri Ferreira, Wellingson Silva Paiva

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

Review in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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

8 authors at 3 institutions in 1 country.

Lucca B PalavaniFaculty of Medicine, Max Planck University Center, Indaiatuba 13343-060, Brazil.ORCID 0000-0002-6320-5041
Raphael BertaniFaculty of Medicine, São Paulo University, São Paulo 05508-220, Brazil.ORCID 0000-0001-6546-2634
Leonardo de Barros OliveiraFaculty of Medicine, State University of Ponta Grossa, Ponta Grossa 84010-330, Brazil.
Sávio BatistaFaculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro 21941-617, Brazil.
Gabriel VerlyFaculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro 21941-617, Brazil.
Filipi Fim AndreãoFaculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro 21941-617, Brazil.ORCID 0000-0002-5961-4520
Marcio Yuri FerreiraFaculty of Medicine, Ninth July University, São Paulo 02117-010, Brazil.
Wellingson Silva PaivaFaculty of Medicine, São Paulo University, São Paulo 05508-220, Brazil.ORCID 0000-0002-5165-7040
Universidade Federal do Rio de Janeiro · BRUniversidade de São Paulo · BRUniversidade Estadual de Ponta Grossa · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of traumatic brain injury (TBI) on the pediatric population is profound. The aim of this study is to unveil the state of the evidence concerning acute neurosurgical intervention, hospitalizations after injury, and neuroimaging in isolated skull fractures (ISF). MATERIALS AND

methodsThis systematic review was conducted in accordance with PRISMA guidelines. PubMed, Cochrane, Web of Science, and Embase were searched for papers until April 2023. Only ISF cases diagnosed via computed tomography were considered.

resultsA total of 10,350 skull fractures from 25 studies were included, of which 7228 were ISF. For the need of acute neurosurgical intervention, the meta-analysis showed a risk of 0% (95% CI: 0-0%). For hospitalization after injury the calculated risk was 78% (95% CI: 66-89%). Finally, for the requirement of repeated neuroimaging the analysis revealed a rate of 7% (95% CI: 0-15%). No deaths were reported in any of the 25 studies.

conclusionsOut of 7228 children with ISF, an almost negligible number required immediate neurosurgical interventions, yet a significant 74% were hospitalized for up to 72 h. Notably, the mortality was zero, and repeat neuroimaging was uncommon. This research is crucial in shedding light on the outcomes and implications of pediatric TBIs concerning ISFs.

Indexed as

isolated skull fracture in childrenpediatricpediatric traumatic brain injury

Identifiers

PMID38136115
PMCPMC10741641
OpenAlexW4389616598

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.