Evidence map›Paper›PMID 39991058›Full record

ArticleFrontiers in medicine2025

Severe soft tissue injuries in multiple trauma patients-a challenge we can meet? A matched-pair analysis from the TraumaRegister DGU

Nora Kirsten, Georg Maximilian Franke, Rolf Lefering, Tim Klüter, Matthias Weuster, Michael Müller, Sebastian Lippross, Andreas Seekamp, TraumaRegister DGU®, Stefanie Fitschen-Oestern

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. 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

10 authors.

Nora KirstenDepartment of Trauma Surgery, Hannover Medical School, Hannover, Germany.
Georg Maximilian FrankeDepartment of Trauma Surgery, University Medical Center of Schleswig-Holstein, Kiel, Germany.
Rolf LeferingInstitute for Research in Operative Medicine (IFOM), University Witten/Herdecke, Cologne, Germany.
Tim KlüterDepartment of Trauma Surgery, University Medical Center of Schleswig-Holstein, Kiel, Germany.
Matthias WeusterDepartment of Trauma Surgery, DIAKO Hospital Flensburg, Flensburg, Germany.
Michael MüllerDepartment of Trauma Surgery, University Medical Center of Schleswig-Holstein, Kiel, Germany.
Sebastian LipprossDepartment of Surgical Sciences, University of Otago, Dunedin, New Zealand.
Andreas SeekampDepartment of Trauma Surgery, University Medical Center of Schleswig-Holstein, Kiel, Germany.
TraumaRegister DGU®
Stefanie Fitschen-OesternDepartment of Trauma Surgery, University Medical Center of Schleswig-Holstein, Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Despite tremendous clinical efforts over the past few decades, the treatment of severely injured patients remains still challenging. Concomitant soft tissue injuries represent a particular challenge, as they can lead to complications at any time of trauma care, hold a high risk of infection and often require multiple surgical interventions and interdisciplinary collaboration. Methods: This retrospective, multicentric study used the TraumaRegister DGU Results: After applying the matching criteria, 5,795 pairs were created and analyzed. The group with sustained soft tissue injuries/open fractures was found to have a higher ISS ([mean ± SD] 22.1 ± 10.4 vs. 20.6 ± 10.2, Conclusion: Due to database analysis and revision of guidelines, the treatment of severely injured patients has steadily improved in recent years. Patients with severe soft tissue injuries/open fractures required more medical interventions and length of stay at the hospital was longer. In this study, we were able to show that although concomitant severe soft tissue injuries required more ICU interventions and led to a longer length of stay, 24-h and all-cause mortality were not significantly increased.

Indexed as

multiple traumapolytrauma caresepsissevere soft tissue injuriesTraumaRegister DGU®

Identifiers

PMID39991058
PMCPMC11844662

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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.