Evidence map›Paper›PMID 39845067›Full record

ArticleSurgery in practice and science2022

Weather and prehospital predictors of trauma patient mortality in a rural American state.

Obieze C Nwanna-Nzewunwa, Carolyne Falank, Sean A Francois, Julianne Ontengco, Bruce Chung, Damien W Carter

Abstract read
In one paragraph

Article in Surgery in practice and science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Obieze C Nwanna-NzewunwaDepartment of Surgery, Maine Medical Center, 887 Congress Street, Suite 21022 Bramhall St, Portland, ME 04102, USA.
Carolyne FalankDepartment of Surgery, Maine Medical Center, 887 Congress Street, Suite 21022 Bramhall St, Portland, ME 04102, USA.
Sean A FrancoisDepartment of Surgery, Maine Medical Center, 887 Congress Street, Suite 21022 Bramhall St, Portland, ME 04102, USA.
Julianne OntengcoDepartment of Surgery, Maine Medical Center, 887 Congress Street, Suite 21022 Bramhall St, Portland, ME 04102, USA.
Bruce ChungDepartment of Surgery, Maine Medical Center, 887 Congress Street, Suite 21022 Bramhall St, Portland, ME 04102, USA.
Damien W CarterDepartment of Surgery, Maine Medical Center, 887 Congress Street, Suite 21022 Bramhall St, Portland, ME 04102, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In rural settings, factors like weather and location can significantly impact total prehospital time and survival after injury. We sought to determine what prehospital conditions affect mortality and morbidity in severely injured patients. Materials and methods: We retrospectively evaluated adult trauma patients that were admitted to our level 1 trauma center with Glasgow Coma Score (GCS≤ 9), hypotension (SBP≤ 90 mmHg), or both. Weather and prehospital conditions on patient outcomes were evaluated. Weather data was extracted from the National Oceanographic and Atmospheric Administration public database. Prediction models were done using bivariate and multivariate logistic regression analysis. Results: A total of 442 subjects were captured, Median time on the scene was 15 min  [IQR =10, 20.5], with median time to definitive care 129 min  [IQR= 61, 247]. Hypotension in the field was the greatest predictor of ED mortality (OR=11, Conclusion: Among severely injured patients being injured during cold weather was associated with higher in-hospital mortality among trauma transfer patients. Prehospital hypotension, hypoxia, and GCS≤9 are also independent predictors of mortality. Future analysis will explore factors impacting transport and field time in order to improve outcomes.

Indexed as

InjuryMortalityPrehospitalTraumaWeather

Identifiers

PMID39845067
PMCPMC11749964

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.