Evidence map›Paper›PMID 38900905›Full record

ArticleThe American surgeon2025

Impact of Trauma Center Type on Outcomes in Pediatric Population Following Severe Isolated Blunt Traumatic Brain Injuries: A National Analysis.

Hazem Nasef, Brian Chin, Tessa Breeding, Nikita Bundschu, D-Dre Wright, Donald Plumely, Adel Elkbuli

Expression of concernAbstract read
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In one paragraph

Article in The American surgeon, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Hazem NasefKiran Patel College of Allopathic Medicine, NOVA Southeastern University, Fort Lauderdale, FL, USA.
Brian ChinJohn A. Burns School of Medicine, University of Hawaii, Honolulu, HI, USA.
Tessa BreedingKiran Patel College of Allopathic Medicine, NOVA Southeastern University, Fort Lauderdale, FL, USA.
Nikita BundschuKiran Patel College of Allopathic Medicine, NOVA Southeastern University, Fort Lauderdale, FL, USA.
D-Dre WrightJohn A. Burns School of Medicine, University of Hawaii, Honolulu, HI, USA.
Donald PlumelyDepartment of Pediatric Surgery, Orlando Health, Arnold Palmer Children's Hospital, Orlando, FL, USA.
Adel ElkbuliDivision of Trauma and Surgical Critical Care, Department of Surgery, Orlando Regional Medical Center, Orlando, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IntroductionThis study aims to evaluate the association between trauma center type, verification level, and clinical outcomes in pediatric trauma patients with moderate and severe isolated blunt traumatic brain injury (TBI).MethodsThis is a retrospective cohort study utilizing the American College of Surgeons (ACS) Trauma Quality Program (TQP) Participant Use File (PUF) database from 2017 to 2021. Severely injured pediatric (<18 years) trauma patients with isolated moderate and severe TBI (AIS head >2, all other body regions <3) were included. Outcomes included in-hospital mortality, discharge disposition, intensive care unit length-of-stay (ICU-LOS), and ventilator-free days (VFDs).ResultsPatients treated at a level-I combined adult and pediatric trauma centers (CTCs) had significantly lower odds of in-hospital mortality than those treated at adult trauma centers (ATCs) (OR .495, 95% CI 0.291-.841,

Indexed as

Brain Injuries, TraumaticTrauma CentersWounds, NonpenetratingAdolescentChildChild, PreschoolFemaleHospital MortalityHumansInfantInjury Severity ScoreLength of StayMaleRetrospective StudiesUnited Statescombined trauma centerpediatric traumapediatric trauma centertrauma outcomestraumatic brain injury

Identifiers

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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.