Evidence map›Paper›PMID 40780991›Full record

ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2026

Disability in subjects who survive road traffic injuries in 2 regions of southwest Colombia: A causal mediation analysis.

Lina Marcela Sandoval, Andrés Fandiño-Losada, Elvis Siprian Castro-Alzate, Claudio Bustos, Alberto Federico García, Adrián David Fernández

Abstract read
In one paragraph

Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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.

Lina Marcela SandovalCISALVA Institute Universidad del Valle, Cali, Colombia. Electronic address: lina.sandoval@correounivalle.edu.co.
Andrés Fandiño-LosadaCISALVA Institute, Faculty of Health.Universidad del Valle, Cali, Colombia.
Elvis Siprian Castro-AlzateSINERGIA Grupe. Faculty of Health. Universidad del Valle, Cali, Colombia.
Claudio BustosDepartment of Psychology, Faculty of Social Sciences, Universidad de Concepción, Concepción, Chile.
Alberto Federico GarcíaFundación Clínica Valle del Lili, Hospital Universitario del Valle, Universidad del Valle, Universidad, ICESI, Cali, Colombia.
Adrián David FernándezQUIRON SALUD Grupe, Clínica Imbanaco, Universidad del Valle, Cali, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of the study was to determine the causal interrelationships between sociodemography, clinic, and injury characteristics, and to access to rehabilitation services that generate disability in road traffic injury survivors in 2 regions of Southwest Colombia during the 2018-2021 period.

methodsAn ambispective cohort study included 261 survivors from road traffic in 2 regions of Southwest Colombia (Cauca and Valle del Cauca) between April 19, 2021 and June 03, 2022. These survivors accepted treatment in 3 high-level comprehensive health institutions in Cali, Colombia, which are regional referral centers for trauma in the region. Patients (1) with hospitalization time ≥12 h, (2) aged ≥18 years, and (3) having the ability to understand the research questionnaires by themselves or their legal representatives, were included. Those with a history of deficiency before the road traffic injury were excluded. A structural equation model of causal pathways of disability was established to estimate exposure variables that are sociodemography, clinic, and access to rehabilitation services. The main outcome variable was disability, estimated by the World Health Organization Disability Assessment Schedule 2.0. Exposure variables related to clinical characteristics were measured through medical record review. The variables of access to rehabilitation services and disability were measured through a telephone-based survey. Structural equation analysis was performed, estimating the mediating effects of disability. The analyses were conducted in the software R Studio® y Mplus®.

resultsThe study found a significant gender difference in disability, with women presenting a significantly higher disability than men (β: 6.21; p = 0.041). Disability was also associated with clinical conditions, such as injury severity score (β: 0.67; p < 0.001) and length of hospitalization (β: 0.28; p < 0.001). Regarding access to health services, the risk of disability was higher among those who were readmitted to the health institution (β: 4.96; p < 0.001).

conclusionsDisability caused by road traffic injuries must be conceived as a complex phenomenon to be studied, involving the non-linear interaction between the individual's deficiencies and contextual factors.

Indexed as

Accidents, TrafficPersons with DisabilitiesSurvivorsWounds and InjuriesAdolescentAdultAgedCohort StudiesColombiaDisability EvaluationFemaleHealth Services AccessibilityHumansMaleMiddle AgedYoung AdultDisabilityMediation analysisTraffic accidents

Identifiers

PMID40780991
PMCPMC13070846

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.