Evidence map›Paper›PMID 38258738›Full record

ArticleThe Journal of international medical research2024

Impact of tourniquet use on severity of snakebite envenoming in Chongqing, China: a single-center retrospective study.

Qian Yang, Yunhan Gao, Weijie Fu, Shaying Ma

Abstract read
In one paragraph

Article in The Journal of international medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. The Chinese guideline for management of snakebites.World journal of emergency medicine · 2024
    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

4 authors.

Qian YangDepartment of General Surgery, Chongqing Emergency Medical Center (Chongqing University Central Hospital), Chongqing, China.ORCID 0000-0003-3563-2086
Yunhan GaoDepartment of General Surgery, Chongqing Emergency Medical Center (Chongqing University Central Hospital), Chongqing, China.
Weijie FuDepartment of General Surgery, Chongqing Emergency Medical Center (Chongqing University Central Hospital), Chongqing, China.ORCID 0000-0002-3309-3683
Shaying MaDepartment of General Surgery, Chongqing Emergency Medical Center (Chongqing University Central Hospital), Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify risk factors associated with snakebite severity and determine whether tourniquet use can affect the severity and outcome of snakebites.

methodsThe clinical data of patients who sustained limb snakebites from 1 March 2021 to 31 October 2022 were reviewed. The patients were divided into three groups according to snakebite severity: mild (517 cases), moderate (112 cases), and severe (8 cases). We compared the clinical data of mild versus moderate to severe snakebites. Multivariate logistic regression was used to determine the independent risk factors for moderate to severe snakebites.

resultsThe study involved 637 patients. There were statistically significant differences in age, tourniquet use, onset time, white blood cell increase, platelet decrease, creatine kinase (CK) increase, activated partial thromboplastin time shortening, and length of stay between patients with mild snakebites and those with moderate to severe snakebites. Multivariate logistic regression analysis showed that age, tourniquet use, and CK increase were independent risk factors for moderate to severe snakebites.

conclusionThe overall severity of snakebites in Chongqing is mild, and the prognosis is good. Age, tourniquet use, and CK increase are independent risk factors for the severity of snakebites. We do not recommend tourniquet use after snakebites in Chongqing.

Indexed as

Snake BitesBlood PlateletsChinaCreatine KinaseHumansRetrospective StudiesTourniquetsCreatine KinaseageChinacreatinine kinaseprognosisseveritySnakebitetourniquet

Identifiers

PMID38258738
PMCPMC10807319

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Registered trials

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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.