Evidence map›Paper›PMID 40027152›Full record

ArticleSurgery in practice and science2025

Computed tomography in initially unstable thoracoabdominal trauma can safely enhance triage.

Anna White, Lindsey Loss, John Carney, Christopher Barrett, Kazuhide Matsushima, Kenji Inaba, Aaron Strumwasser, Reynold Henry

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgery in practice and science, 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

8 authors.

Anna WhiteDivision of Acute Care Surgery, University of Nebraska Medical Center, USA.
Lindsey LossDivision of Trauma, Critical Care and Acute Care Surgery, Oregon Health and Science University, USA.
John CarneyDivision of Trauma Surgery, Keck School of Medicine, USA.
Christopher BarrettDivision of Acute Care Surgery, University of Nebraska Medical Center, USA.
Kazuhide MatsushimaDivision of Trauma Surgery, Keck School of Medicine, USA.
Kenji InabaDivision of Trauma Surgery, Keck School of Medicine, USA.
Aaron StrumwasserDivision of Trauma, Critical Care and Acute Care Surgery, Oregon Health and Science University, USA.
Reynold HenryDivision of Acute Care Surgery, University of Nebraska Medical Center, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Computed tomography (CT) imaging of hemodynamically abnormal trauma patients undergoing aggressive resuscitation is controversial. Our study investigated outcomes for hemodynamically abnormal thoracoabdominal trauma undergoing CT prior to definitive therapy. Methods: Hemodynamically abnormal (HR≥120 bpm, SBP<90 mmHg) patients arriving to our Level I trauma center between 2015 and 2022 were reviewed. Patients with thoracoabdominal trauma achieving hemodynamic improvement (SBP≥90 mmHg) were included. Pediatric patients, pregnant patients, and traumatic arrests were excluded. After matching for baseline characteristics, CT findings, and operative details, clinical outcomes were tabulated. Primary outcomes included hospital length of stay (HLOS), intensive care unit length of stay (ICU LOS), ventilator days and mortality. Secondary outcomes included intraoperative data, transfusions, additional procedures, and complications. Results: A total of 235 patients met inclusion criteria. Thirty-six (15 %) were triaged directly to the OR while 199 (85 %) went to CT. The CT and OR groups were matched for injury burden (mean ISS OR group=21±2.6 vs. CT group=18.4 ± 0.8, Conclusion: Hemodynamically abnormal thoracoabdominal trauma patients who are resuscitated to a SBP≥90 mmHg can safely undergo CT prior to definitive therapy.

Indexed as

Computed tomographyHemodynamically AbnormalThoracoabdominal traumaTransient responder

Identifiers

PMID40027152
PMCPMC11871454

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.