Evidence map›Paper›PMID 38554224›Full record

ArticleUpdates in surgery2024

Outcomes of severely injured pregnant trauma patients: a multicenter analysis.

Kyrillos G Awad, Jeffry Nahmias, Negaar Aryan, Alexa N Lucas, Nicole Fierro, Navpreet K Dhillon, Eric J Ley, Jennifer Smith, Sigrid Burruss, Alden Dahan and 20 more

Open access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Updates in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

30 authors at 14 institutions in 1 country.

Kyrillos G AwadDepartment of Surgery, Desert Regional Medical Center, Palm Springs, CA, USA.
Jeffry NahmiasDivision of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of California, Irvine Medical Center, 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA.
Negaar AryanDivision of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of California, Irvine Medical Center, 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA.
Alexa N LucasDivision of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of California, Irvine Medical Center, 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA.
Nicole FierroDepartment of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Navpreet K DhillonDepartment of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Eric J LeyDepartment of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Jennifer SmithDivision of Trauma and Critical Care, Harbor-UCLA Hospital, Torrance, CA, USA.
Sigrid BurrussDivision of Trauma and Critical Care, Harbor-UCLA Hospital, Torrance, CA, USA.
Alden DahanDepartment of Trauma, Acute Care Surgery, Surgical Critical Care, Loma Linda Medical Center, Loma Linda, CA, USA.
Arianne JohnsonCottage Health Research Institute, Santa Barbara Cottage Hospital, Santa Barbara, CA, USA.
William GanskeCottage Health Research Institute, Santa Barbara Cottage Hospital, Santa Barbara, CA, USA.
Walter L BifflTrauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
Dunya BayatTrauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
Matthew CasteloTrauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
Diane WintzDepartment of Surgery, Sharp Memorial Hospital, San Diego, CA, USA.
Kathryn B SchafferDepartment of Surgery, Sharp Memorial Hospital, San Diego, CA, USA.
Dennis J ZhengDepartment of Surgery, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.
Areti TillouRiverside University Health System Medical Center, Comparative Effectiveness and Clinical Outcomes Research Center - CECORC, Moreno Valley, CA, USA.
Raul CoimbraRiverside University Health System Medical Center, Comparative Effectiveness and Clinical Outcomes Research Center - CECORC, Moreno Valley, CA, USA.
Rahul TuliRiverside University Health System Medical Center, Comparative Effectiveness and Clinical Outcomes Research Center - CECORC, Moreno Valley, CA, USA.
Jarrett E SantorelliDivision of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery, San Diego School of Medicine, University of California, San Diego, CA, USA.
Brent EmighThe Warren Alpert Medical School of Brown University, Providence, RI, USA.
Morgan SchellenbergDivision of Acute Care Surgery, LAC+USC Medical Center, University of Southern California, Los Angeles, CA, USA.
Kenji InabaDivision of Acute Care Surgery, LAC+USC Medical Center, University of Southern California, Los Angeles, CA, USA.
Thomas K DuncanDepartment of Trauma, Ventura County Medical Center, Ventura, CA, USA.
Graal DiazDepartment of Trauma, Ventura County Medical Center, Ventura, CA, USA.
Erika Tay-LassoDivision of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of California, Irvine Medical Center, 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA.
Danielle C ZezoffDivision of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of California, Irvine Medical Center, 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA.
Areg GrigorianDivision of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of California, Irvine Medical Center, 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA. agrigori@uci.edu.ORCID http://orcid.org/0000-0002-0998-796X
University of California, Irvine Medical Center · USCedars-Sinai Medical Center · USRiverside University Health System - Medical Center · USScripps Memorial Hospital · USSanta Barbara Cottage Hospital · USSharp Memorial Hospital · USUCLA Medical Center · USUniversity of Southern California · USVentura County Medical Center · USBrown University · USDesert Regional Medical Center · USLoma Linda University Medical Center · USUniversity of California, Los Angeles · USUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nearly 10% of pregnant women suffer traumatic injury. Clinical outcomes for pregnant trauma patients (PTPs) with severe injuries have not been well studied. We sought to describe outcomes for PTPs presenting with severe injuries, hypothesizing that PTPs with severe injuries will have higher rates of complications and mortality compared to less injured PTPs. A post-hoc analysis of a multi-institutional retrospective study at 12 Level-I/II trauma centers was performed. Patients were stratified into severely injured (injury severity score [ISS] > 15) and not severely injured (ISS < 15) and compared with bivariate analyses. From 950 patients, 32 (3.4%) had severe injuries. Compared to non-severely injured PTPs, severely injured PTPs were of similar maternal age but had younger gestational age (21 vs 26 weeks, p = 0.009). Penetrating trauma was more common in the severely injured cohort (15.6% vs 1.4%, p < 0.001). The severely injured cohort more often underwent an operation (68.8% vs 3.8%, p < 0.001), including a hysterectomy (6.3% vs 0.3%, p < 0.001). The severely injured group had higher rates of complications (34.4% vs 0.9%, p < 0.001), mortality (15.6% vs 0.1%, p < 0.001), a higher rate of fetal delivery (37.5% vs. 6.0%, p < 0.001) and resuscitative hysterotomy (9.4% vs. 0%, p < 0.001). Only approximately 3% of PTPs were severely injured. However, severely injured PTPs had a nearly 40% rate of fetal delivery as well as increased complications and mortality. This included a resuscitative hysterotomy rate of nearly 10%. Significant vigilance must remain when caring for this population.

Indexed as

Injury Severity ScorePregnancy ComplicationsWounds and InjuriesAdultFemaleGestational AgeHumansHysterectomyPregnancyPregnancy OutcomeRetrospective StudiesWounds, PenetratingFetal deliveryFetusMortalityPregnant traumaResuscitative hysterotomySevere trauma

Identifiers

PMID38554224
PMCPMC11541353
OpenAlexW4393342989

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.