Evidence map›Paper›PMID 40788522›Full record

ArticleAnnals of intensive care2025

Assessing the carbon footprint of the initial 24 h post-severe trauma admission in a French ICU: a pilot study.

Candice Marion, Matthieu Bernat, Emmanuelle Hammad, Jean-Paul Calvet, Manon Roche, Ludivine Marecal, Laurent Zieleskiewicz, Marc Leone

Abstract read
In one paragraph

Article in Annals of intensive care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. 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.

Candice MarionDepartment of Anaesthesia and Intensive Care Medicine, Hôpital Nord, Assistance Publique des Hôpitaux de Marseille, Aix Marseille University, Marseille, France.
Matthieu BernatDepartment of Anaesthesia and Intensive Care Medicine, Hôpital Nord, Assistance Publique des Hôpitaux de Marseille, Aix Marseille University, Marseille, France. matthieu.bernat@ap-hm.fr.ORCID http://orcid.org/0009-0002-3520-9392
Emmanuelle HammadDepartment of Anaesthesia and Intensive Care Medicine, Hôpital Nord, Assistance Publique des Hôpitaux de Marseille, Aix Marseille University, Marseille, France.
Jean-Paul CalvetÉcole nationale supérieure d'Arts et Métiers, Aix-en-Provence, France.
Manon RochePharmacy Department, Service Central des Opérations Pharmaceutiques, Hôpital Nord, Assistance Publique des Hôpitaux de Marseille, Aix Marseille University, UMR CNRS 7273, Marseille, France.
Ludivine MarecalDepartment of Anaesthesia and Intensive Care Medicine, Hôpital Nord, Assistance Publique des Hôpitaux de Marseille, Aix Marseille University, Marseille, France.
Laurent ZieleskiewiczDepartment of Anaesthesia and Intensive Care Medicine, Hôpital Nord, Assistance Publique des Hôpitaux de Marseille, Aix Marseille University, Marseille, France.
Marc LeoneDepartment of Anaesthesia and Intensive Care Medicine, Hôpital Nord, Assistance Publique des Hôpitaux de Marseille, Aix Marseille University, Marseille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs healthcare emerges as the world's fifth-largest carbon emitter, intensive care units (ICUs) represent environmental challenges due to their high resource consumption and energy demands. Reducing greenhouse gas (GHG) emissions is necessary to limit global warming. This study aimed to quantify the carbon footprint of ICU care during the first 24 h of admission for trauma patients. By establishing a baseline "carbon cost" for ICU trauma care, we seek to provide a framework for future studies assessing sustainable care strategies.

methodsWe conducted a prospective observational pilot study in a French trauma ICU, categorizing patients into three standardized care pathways. The GHG emissions have been quantified using a hybrid life cycle assessment approach across various scope categories. Statistical analyses included correlation testing between the different groups and severity scores.

resultsTotal carbon footprints ranged from 86 to 248 kg of CO

conclusionThe carbon footprint of ICU care of a trauma patient during the first 24 h is significant, and it is necessary to conduct assessments in each ICU to identify levers for environmental improvement. The carbon cost should be integrated into the standardization of care and research protocols to enable more sustainable care practices.

Indexed as

Carbon footprintClimate changeEnvironmentGlobal warmingGreenhouse gasIntensive careTrauma

Identifiers

PMID40788522
PMCPMC12339784

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Registered trials

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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.