Evidence map›Paper›PMID 38860115›Full record

ArticleTrauma surgery & acute care open2024

Matched-pair hybrid test paradigm for behind armor blunt trauma using an experimental animal model.

Narayan Yoganandan, Alok Shah, Jamie Baisden, Brian Stemper, Mary Otterson, Lewis Somberg, Cameron Bass, Robert Salzar, Justin McMahon, Carol Chancey and 1 more

Abstract read
In one paragraph

Article in Trauma surgery & acute care open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  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

11 authors.

Narayan YoganandanNeurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID 0000-0003-3376-4456
Alok ShahNeurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Jamie BaisdenNeurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Brian StemperNeurosurgery and Biomedical Engineering, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Mary OttersonSurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Lewis SombergSurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Cameron BassBiomedical Engineering, Duke University, Durham, North Carolina, USA.
Robert SalzarMechanical and Aerospace Engineering, University of Virginia, Charlottesville, Virginia, USA.
Justin McMahonMechanical and Aerospace Engineering, University of Virginia, Charlottesville, Virginia, USA.
Carol ChanceyInjury Biomechanics and Protection Group, USAARL, Fort Rucker, Alabama, USA.
Joseph McEntireInjury Biomechanics and Protection Group, USAARL, Fort Rucker, Alabama, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The current behind armor blunt trauma (BABT) injury criterion uses a single penetration limit of 44 mm in Roma Plastilina clay and is not specific to thoracoabdominal regions. However, different regions in the human body have different injury tolerances. This manuscript presents a matched-pair hybrid test paradigm with different experimental models and candidate metrics to develop regional human injury criteria. Methods: Live and cadaver swine were used as matched pair experimental models. An impactor simulating backface deformation profiles produced by body armor from military-relevant ballistics was used to deliver BABT loading to liver and lung regions in cadaver and live swine. Impact loading was characterized using peak accelerations and energy. For live swine, physiological parameters were monitored for 6 hours, animals were euthanized, and a detailed necropsy was done to identify injuries to skeletal structures, organs and soft tissues. A similar process was used to identify injuries to the cadaver swine for targeted thoracoabdominal regions. Results: Two cadavers and one live swine were subjected to BABT impacts to the liver. One cadaver and one live swine were subjected to BABT impacts to the left lung. Injuries to both regions were similar at similar energies between the cadaver and live models. Conclusions: Swine is an established animal for thoracoabdominal impact studies in automotive standards, although at lower insult levels. Similarities in BABT responses between cadaver and live swine allow for extending testing protocols to human cadavers and for the development of scaling relationships between animal and human cadavers, acting as a hybrid protocol between species and live and cadaver models. Injury tolerances and injury risk curves from live animals can be converted to human tolerances via structural scaling using these outcomes. The present experimental paradigm can be used to develop region-based BABT injury criteria, which are not currently available.

Indexed as

LiverLung injurySwine

Identifiers

PMID38860115
PMCPMC11163657

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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.