Evidence map›Paper›PMID 38627690›Full record

Observational studyBMC emergency medicine2024

Survival benefits of interventional radiology and surgical teams collaboration during primary trauma surveys: a single-centre retrospective cohort study.

Ichiro Okada, Toru Hifumi, Hisashi Yoneyama, Kazushige Inoue, Satoshi Seki, Ippei Jimbo, Hiroaki Takada, Koichi Nagasawa, Saiko Kohara, Tsuyoshi Hishikawa and 8 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Guideline
  2. Review
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

18 authors at 8 institutions in 1 country.

Ichiro OkadaDepartment of Emergency and Critical Care Medicine, Nippon Medical School Hospital, 1-1-5, Sendagi, Bunkyo-ku, 113-8603, Tokyo, Japan. ichiroh1974@gmail.com.
Toru HifumiDepartment of Emergency Medicine, St. Luke's International Hospital, 9-1, Akashicho, Chuo-ku, 104-8560, Tokyo, Japan.
Hisashi YoneyamaDepartment of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, 3256, 190-0014, Midoricho, Tachikawa city, Tokyo, Japan.
Kazushige InoueDepartment of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, 3256, 190-0014, Midoricho, Tachikawa city, Tokyo, Japan.
Satoshi SekiDepartment of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, 3256, 190-0014, Midoricho, Tachikawa city, Tokyo, Japan.
Ippei JimboDepartment of Anesthesia, Kyorin University Hospital, 6-20-2 Shinkawa, 181-8611, Mitaka city, Tokyo, Japan.
Hiroaki TakadaDepartment of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, 3256, 190-0014, Midoricho, Tachikawa city, Tokyo, Japan.
Koichi NagasawaDepartment of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, 3256, 190-0014, Midoricho, Tachikawa city, Tokyo, Japan.
Saiko KoharaDepartment of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, 3256, 190-0014, Midoricho, Tachikawa city, Tokyo, Japan.
Tsuyoshi HishikawaDepartment of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, 3256, 190-0014, Midoricho, Tachikawa city, Tokyo, Japan.
Hiroki ShiojimaDepartment of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, 3256, 190-0014, Midoricho, Tachikawa city, Tokyo, Japan.
Eiju HasegawaDepartment of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, 3256, 190-0014, Midoricho, Tachikawa city, Tokyo, Japan.
Kohei MorimotoDepartment of Radiology, Kawasaki Municipal Tama Hospital, 1-30-37 Shukugawara, Tama-ku, 214-8525, Kawasaki city, Japan.
Yoshiaki IchinoseDepartment of Radiology, National Hospital Organization Disaster Medical Center, 3256, 190-0014, Midoricho, Tachikawa city, Tokyo, Japan.
Fumie SatoDepartment of Radiology, National Hospital Organization Disaster Medical Center, 3256, 190-0014, Midoricho, Tachikawa city, Tokyo, Japan.
Nobuaki KiriuDepartment of Traumatology and Critical Care Medicine, National Defense Medical College, 3-2, 359-8513, Namiki, Tokorozawa city, Saitama, Japan.
Junichi MatsumotoDepartment of Emergency and Critical Care Medicine, St Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-ku, 216-8511, Kawasaki city, Japan.
Shoji YokoboriDepartment of Emergency and Critical Care Medicine, Nippon Medical School Hospital, 1-1-5, Sendagi, Bunkyo-ku, 113-8603, Tokyo, Japan.
National Hospital Organization · JPNational Disaster Medical Center · JPNippon Medical School · JPKyorin University Hospital · JPNational Defense Medical College · JPSt. Luke's International Hospital · JPSt. Marianna University School of Medicine · JPTokyo Metropolitan Tama Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA team approach is essential for effective trauma management. Close collaboration between interventional radiologists and surgeons during the initial management of trauma patients is important for prompt and accurate trauma care. This study aimed to determine whether trauma patients benefit from close collaboration between interventional radiology (IR) and surgical teams during the primary trauma survey.

methodsA retrospective observational study was conducted between 2014 and 2021 at a single institution. Patients were assigned to an embolization group (EG), a surgery group (SG), or a combination group (CG) according to their treatment. The primary and secondary outcomes were survival at hospital discharge compared with the probability of survival (Ps) and the time course of treatment.

resultsThe analysis included 197 patients, consisting of 135 men and 62 women, with a median age of 56 [IQR, 38-72] years and an injury severity score of 20 [10-29]. The EG, SG, and CG included 114, 48, and 35 patients, respectively. Differences in organ injury patterns were observed between the three groups. In-hospital survival rates in all three groups were higher than the Ps. In particular, the survival rate in the CG was 15.5% higher than the Ps (95% CI: 7.5-23.6%; p < 0.001). In the CG, the median time for starting the initial procedure was 53 [37-79] min and the procedure times for IR and surgery were 48 [29-72] min and 63 [35-94] min, respectively. Those times were significantly shorter among three groups.

conclusionClose collaboration between IR and surgical teams, including the primary survey, improves the survival of severe trauma patients who require both IR procedures and surgeries by improving appropriate treatment selection and reducing the time process.

Indexed as

Embolization, TherapeuticRadiology, InterventionalAdultAgedFemaleHumansInjury Severity ScoreMaleMiddle AgedRetrospective StudiesDamage control interventional radiologyDamage control surgeryTime processTranscatheter arterial embolizationTreatment selection

Identifiers

PMID38627690
PMCPMC11021012
OpenAlexW4394845377

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.