Evidence map›Paper›PMID 41371733›Full record

Trial reportBMJ open2025

Feasibility of a cluster randomised trial on the effect of trauma life support training: a pilot study in India.

Martin Gerdin Wärnberg, Debojit Basak, Johanna Berg, Shamita Chatterjee, Li Felländer-Tsai, Geeta Ghag, Catherine Juillard, Monty Khajanchi, Tamal Khan, Anurag Mishra and 5 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05417243 (A Pilot Multicentre Cluster Randomised Trial to Compare the Effect of Trauma Life Support Training Programmes on Patient and Provider Outcomes), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT05417243 naunknown statusnot on this map

A Pilot Multicentre Cluster Randomised Trial to Compare the Effect of Trauma Life Support Training Programmes on Patient and Provider Outcomes

TypeinterventionalSponsorKarolinska InstitutetRan2022 to 2023Enrolled306ConditionsTrauma InjuryArmsTrauma life support training
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. 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

15 authors.

Martin Gerdin WärnbergDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden martin.gerdin@ki.se.ORCID http://orcid.org/0000-0001-6069-4794
Debojit BasakSeth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India.
Johanna BergDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-7553-7337
Shamita ChatterjeeInstitute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India.ORCID http://orcid.org/0000-0002-9460-108X
Li Felländer-TsaiDepartment of Clinical Science Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.
Geeta GhagDepartment of Surgery, HBT Medical College and Dr RN Cooper Municipal General Hospital, Mumbai, Maharashtra, India.
Catherine JuillardDivision of General Surgery, Department of Surgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.
Monty KhajanchiDepartment of Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Tamal KhanAll India Institute of Medical Sciences, New Delhi, India.
Anurag MishraDepartment of Surgery, Maulana Azad Medical College, New Delhi, India.
Vipul Versi NanduDepartment of Surgery, HBT Medical College and Dr RN Cooper Municipal General Hospital, Mumbai, Maharashtra, India.ORCID http://orcid.org/0000-0002-3366-5610
Nobhojit RoyDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Rajdeep SinghDepartment of Surgery, Maulana Azad Medical College, New Delhi, India.
Kapil Dev SoniCritical Care, All India Institute of Medical Sciences, New Delhi, India.ORCID http://orcid.org/0000-0003-1214-4119
Lovisa StrömmerDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the feasibility of conducting a cluster randomised controlled trial comparing the effects of Advanced Trauma Life Support (ATLS) and Primary Trauma Care (PTC) with standard care on patient outcomes.

designThis was a pilot pragmatic three-armed parallel, cluster randomised, controlled trial conducted between April 2022 and February 2023. Patients were followed up for 30 days.

settingTertiary care hospitals across metropolitan areas in India.

participantsAdult trauma patients and residents managing these patients were included.

interventionsATLS or PTC training was provided for residents in the intervention arms. MAIN OUTCOMES AND MEASURES: The outcomes were the consent rate, loss to follow-up rate, missing data rates, differences in the distribution between observed data and data extracted from medical records, and the resident pass rate.

resultsTwo hospitals were randomised to the ATLS arm, two to the PTC arm and three to the standard care arm. We included 376 patients and 22 residents. The percentage of patients who consented to follow-up was 77% and the percentage of residents who consented to receive training was 100%. The loss to follow-up rate was 14%. The pass rate was 100%. Overall, the amount of missing data for key variables was low. The data collected through observations were similar to data extracted from medical records, but there were more missing values in the extracted data.

conclusionsConducting a full-scale cluster randomised controlled trial comparing the effects of ATLS, PTC and standard care on patient outcomes appears feasible, especially if such a trial would use data and outcomes available in medical records. TRIAL REGISTRATION NUMBER: NCT05417243.

Indexed as

Advanced Trauma Life Support CareInternship and ResidencyWounds and InjuriesAdultFeasibility StudiesFemaleHumansIndiaMaleMiddle AgedPilot ProjectsEmergency DepartmentsTraumaTRAUMA MANAGEMENT

Identifiers

PMID41371733
PMCPMC12699583

What OpenQuestion holds

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Registered trials

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.