Evidence map›Paper›PMID 39703575›Full record

ArticleJournal of hand surgery global online2024

Upper-Extremity Injuries in a Level 1 Trauma Center Following Border Wall Height Increase.

Emma Williams, Vivian Hu, Cooper Haaland, Meera Reghunathan, Laura N Haines, Jay J Doucet, Todd W Costantini, Katharine M Hinchcliff

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

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1 · What the graph read from it

What it found

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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

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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

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

8 authors.

Emma WilliamsSchool of Medicine, University of California, San Diego, San Diego, CA, USA.
Vivian HuDivision of Plastic Surgery, Department of Surgery, University of California, San Diego, San Diego, CA, USA.
Cooper HaalandSchool of Medicine, University of California, San Diego, San Diego, CA, USA.
Meera ReghunathanDivision of Plastic Surgery, Department of Surgery, University of California, San Diego, San Diego, CA, USA.
Laura N HainesDivision of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, Department of Surgery, University of California, San Diego, San Diego, CA, USA.
Jay J DoucetDivision of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, Department of Surgery, University of California, San Diego, San Diego, CA, USA.
Todd W CostantiniDivision of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, Department of Surgery, University of California, San Diego, San Diego, CA, USA.
Katharine M HinchcliffDivision of Plastic Surgery, Department of Surgery, University of California, San Diego, San Diego, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: From 2018-2019, the height of over 400 miles of southern border wall was raised to 30 feet. Our aim was to evaluate the impact of the increase in border wall height on upper-extremity injuries sustained via barrier fall. Methods: A retrospective review of patients admitted with upper-extremity injuries sustained via border wall fall between January 2015 and December 2022 at a Level 1 trauma center serving the United States-Mexico border. Patients admitted between 2015-2018 were included in the preincrease group, and those admitted between 2019-2022 were included in the postincrease group. Demographic data, injury severity metrics, fracture characteristics, operative treatments, hospital charges, and lengths of stay were compared. Results: In total, 110 patients were identified, with 16 preincrease and 94 postincrease. Following the barrier height increase, patients had higher injury severity scores. Radial fractures were most common pre- and postincrease and accounted for nearly one-third of all fractures. Postincrease upper-extremity trauma patients required more operative events (2.15 ± 2.10 vs 1.44 ± 0.73 preincrease). The average cost for each patient's hospital stay also quadrupled after the increase in wall height ($397,632 ± $1,057,574 vs $98,978 ± $84,169 preincrease). Conclusions: The increase in overall injury severity and costly inpatient treatment of upper-extremity injuries among patients who fell from the border following construction has placed additional stress on an already strained health care system. Level of Evidence: Differential Diagnosis/Symptom Prevalence Study, IV.

Indexed as

BorderFallFractureTrauma

Identifiers

PMID39703575
PMCPMC11652292

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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.