Evidence map›Paper›PMID 41541933›Full record

ArticleCureus2025

Comparing the Effects of Age, Sex, and Extremity Fracture Location on Continuous Intra-compartmental Pressure (ICP) Measurements in Trauma Patients.

Justin Matta, Yasser C Bouklouch, William Obremskey, Ross Leighton, Mitchell Bernstein, Edward J Harvey

Abstract read
In one paragraph

Article in Cureus, 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

6 authors.

Justin MattaOrthopaedic Surgery, McGill University, Montreal, CAN.
Yasser C BouklouchOrthopaedic Surgery, McGill University, Montreal, CAN.
William ObremskeyOrthopaedic Surgery, Vanderbilt University Medical Center, Nashville, USA.
Ross LeightonOrthopaedic Surgery, Dalhousie University, Halifax, CAN.
Mitchell BernsteinOrthopaedic Surgery, McGill University, Montreal, CAN.
Edward J HarveyOrthopaedic Surgery, McGill University, Montreal, CAN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Baseline data for extremity compartment pressure after trauma have only been looked at in small cohorts with historically inaccurate technology. Newer technology has enabled continuous, accurate pressure monitoring for the diagnosis of acute compartment syndrome (ACS). This study used data from prospective cohort trials with modern pressure sensors to examine baseline pressure values. Particularly, there was a comparison of the effects of age, sex, and fracture location on continuous trend behaviors in extremity trauma patients. Methodology Intracompartmental pressures (ICPs) from 129 non-ACS trauma patients with extremity fractures were examined. The trends in patients were analyzed with respect to age, sex, and anatomical fracture location. Results Younger patients exhibited higher mean ICPs compared to older patients at all time points. Both groups experienced the same rates of decline in pressure over time from trauma. Both older and younger patient groups experienced a steady linear decrease in pressure over the course of monitoring. The younger age group had a decrease of 0.202 mmHg per hour (y = 26.4 - 0.202x), and the older age group showed the same rate of decrease (y = 23.9 - 0.202x). Males and females initially had similar ICPs, but females showed a steeper decline over time, with the pressure in the female group decreasing at a mean rate of 0.303 mmHg/hour compared to 0.163 mmHg/hour in the male group. Tibia fractures were associated with a higher initial pressure and steeper declines in ICP compared to forearm fractures. Conclusions There are variances for continuous ICP measurements associated with age, sex, and fracture location in trauma patients who do not develop ACS. Continuous ICP monitoring offers a better understanding of pressure trends, allowing for more accurate and individualized assessments. Recognizing these trends is crucial in ACS assessment.

Indexed as

#acute compartment syndromehuman physiologymajor traumamicro-electromechanical systemsorthopedic fractures

Identifiers

PMID41541933
PMCPMC12803435

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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.