Evidence map›Paper›PMID 38383031›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Predictors of clinical deterioration and intensive care unit admission in trauma patients transferred from northern Quebec to a level 1 trauma centre: a retrospective cohort study.

Jeongyoon Moon, Tarek Razek, Jeremy Grushka, Dan Deckelbaum, Nathalie Boulanger, Larry Watt, Kosar Khwaja, Paola Fata, Katherine McKendy, Atif Jastaniah and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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. Article
  2. Article
  3. Article
  4. The hidden epidemiology of trauma in Nunavik: a call for a dedicated trauma registry.Canadian journal of surgery. Journal canadien de chirurgie
    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

11 authors.

Jeongyoon MoonFrom McGill University, Montréal, Que. (Moon, Razek, Grushka, Deckelbaum, Khwaja, Fata, McKendy, Jastaniah, Wong); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Nunavik, Que. (Boulanger); and the Ungava Tulattavik Health Center, Kuujjuaq, Nunavik, Que. (Watt).
Tarek RazekFrom McGill University, Montréal, Que. (Moon, Razek, Grushka, Deckelbaum, Khwaja, Fata, McKendy, Jastaniah, Wong); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Nunavik, Que. (Boulanger); and the Ungava Tulattavik Health Center, Kuujjuaq, Nunavik, Que. (Watt).
Jeremy GrushkaFrom McGill University, Montréal, Que. (Moon, Razek, Grushka, Deckelbaum, Khwaja, Fata, McKendy, Jastaniah, Wong); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Nunavik, Que. (Boulanger); and the Ungava Tulattavik Health Center, Kuujjuaq, Nunavik, Que. (Watt).
Dan DeckelbaumFrom McGill University, Montréal, Que. (Moon, Razek, Grushka, Deckelbaum, Khwaja, Fata, McKendy, Jastaniah, Wong); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Nunavik, Que. (Boulanger); and the Ungava Tulattavik Health Center, Kuujjuaq, Nunavik, Que. (Watt).
Nathalie BoulangerFrom McGill University, Montréal, Que. (Moon, Razek, Grushka, Deckelbaum, Khwaja, Fata, McKendy, Jastaniah, Wong); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Nunavik, Que. (Boulanger); and the Ungava Tulattavik Health Center, Kuujjuaq, Nunavik, Que. (Watt).
Larry WattFrom McGill University, Montréal, Que. (Moon, Razek, Grushka, Deckelbaum, Khwaja, Fata, McKendy, Jastaniah, Wong); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Nunavik, Que. (Boulanger); and the Ungava Tulattavik Health Center, Kuujjuaq, Nunavik, Que. (Watt).
Kosar KhwajaFrom McGill University, Montréal, Que. (Moon, Razek, Grushka, Deckelbaum, Khwaja, Fata, McKendy, Jastaniah, Wong); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Nunavik, Que. (Boulanger); and the Ungava Tulattavik Health Center, Kuujjuaq, Nunavik, Que. (Watt).
Paola FataFrom McGill University, Montréal, Que. (Moon, Razek, Grushka, Deckelbaum, Khwaja, Fata, McKendy, Jastaniah, Wong); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Nunavik, Que. (Boulanger); and the Ungava Tulattavik Health Center, Kuujjuaq, Nunavik, Que. (Watt).
Katherine McKendyFrom McGill University, Montréal, Que. (Moon, Razek, Grushka, Deckelbaum, Khwaja, Fata, McKendy, Jastaniah, Wong); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Nunavik, Que. (Boulanger); and the Ungava Tulattavik Health Center, Kuujjuaq, Nunavik, Que. (Watt).
Atif JastaniahFrom McGill University, Montréal, Que. (Moon, Razek, Grushka, Deckelbaum, Khwaja, Fata, McKendy, Jastaniah, Wong); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Nunavik, Que. (Boulanger); and the Ungava Tulattavik Health Center, Kuujjuaq, Nunavik, Que. (Watt).
Evan G WongFrom McGill University, Montréal, Que. (Moon, Razek, Grushka, Deckelbaum, Khwaja, Fata, McKendy, Jastaniah, Wong); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Nunavik, Que. (Boulanger); and the Ungava Tulattavik Health Center, Kuujjuaq, Nunavik, Que. (Watt). evan.wong@mcgill.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrauma care in Nunavik, Quebec, is highly challenging. Geographic distances and delays in transport can translate into precarious patient transfers to tertiary trauma care centres. The objective of this study was to identify predictors of clinical deterioration during transport and eventual intensive care unit (ICU) admission for trauma patients transferred from Nunavik to a tertiary trauma care centre.

methodsThis is a retrospective cohort study using the Montreal General Hospital (MGH) trauma registry. All adult trauma patients transferred from Nunavik and admitted to the MGH from 2010 to 2019 were included. Main outcomes of interest were hemodynamic and neurologic deterioration during transport and ICU admission.

resultsIn total, 704 patients were transferred from Nunavik and admitted to the MGH during the study period. The median age was 33 (interquartile range [IQR] 23-47) years and the median Injury Severity Score was 10 (IQR 5-17). On multiple regression analysis, transport time from site of injury to the MGH (odds ratio [OR] 1.04, 95% confidence interval [CI] 1.01-1.06), thoracic injuries (OR 1.75, 95% CI 1.03-2.99), and head and neck injuries (OR 3.76, 95% CI 2.10-6.76) predicted clinical deterioration during transfer. Injury Severity Score (OR 1.04, 95% CI 1.01-1.08), abnormal local Glasgow Coma Scale score (OR 2.57, 95% CI 1.34-4.95), clinical deterioration during transfer (OR 4.22, 95% CI 1.99-8.93), traumatic brain injury (OR 2.44, 95% CI 1.05-5.68), and transfusion requirement at the MGH (OR 4.63, 95% CI 2.35-9.09) were independent predictors of ICU admission.

conclusionOur study identified several predictors of clinical deterioration during transfer and eventual ICU admission for trauma patients transferred from Nunavik. These factors could be used to refine triage criteria in Nunavik for more timely evacuation and higher level care during transport.

Indexed as

Clinical DeteriorationTrauma CentersAdultHumansInjury Severity ScoreIntensive Care UnitsMiddle AgedQuebecRetrospective StudiesYoung Adult

Identifiers

PMID38383031
PMCPMC10890791

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.