Evidence map›Paper›PMID 41775454›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Reinforcing the role of rural trauma laparotomy.

Richard C Chaulk, Laura Allen, Fran Priestap, Brad Moffat, W Robert Leeper, Neil Parry, Daryl Gray, Micheal Lewell, Alun Ackery, Kelly Vogt

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. 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

10 authors.

Richard C ChaulkFrom the Division of General Surgery, London Health Sciences Centre, London, Ont. (Chaulk, Allen, Moffat, Leeper, Parry, Gray, Vogt); the Trauma Program, London Health Sciences Centre, London, Ont. (Priestap), the Division of Emergency Medicine, London Health Sciences Centre, London, Ont. (Lewell, Vogt); Schulich School of Medicine and Dentistry, Western University, London, Ont. (Chaulk, Moffat, Leeper, Parry, Gray, Lewell); Division of Emergency Medicine, St. Michaels Hospital, Toronto, Ont. (Ackery) cchaulk3@uwo.ca.
Laura AllenFrom the Division of General Surgery, London Health Sciences Centre, London, Ont. (Chaulk, Allen, Moffat, Leeper, Parry, Gray, Vogt); the Trauma Program, London Health Sciences Centre, London, Ont. (Priestap), the Division of Emergency Medicine, London Health Sciences Centre, London, Ont. (Lewell, Vogt); Schulich School of Medicine and Dentistry, Western University, London, Ont. (Chaulk, Moffat, Leeper, Parry, Gray, Lewell); Division of Emergency Medicine, St. Michaels Hospital, Toronto, Ont. (Ackery).
Fran PriestapFrom the Division of General Surgery, London Health Sciences Centre, London, Ont. (Chaulk, Allen, Moffat, Leeper, Parry, Gray, Vogt); the Trauma Program, London Health Sciences Centre, London, Ont. (Priestap), the Division of Emergency Medicine, London Health Sciences Centre, London, Ont. (Lewell, Vogt); Schulich School of Medicine and Dentistry, Western University, London, Ont. (Chaulk, Moffat, Leeper, Parry, Gray, Lewell); Division of Emergency Medicine, St. Michaels Hospital, Toronto, Ont. (Ackery).
Brad MoffatFrom the Division of General Surgery, London Health Sciences Centre, London, Ont. (Chaulk, Allen, Moffat, Leeper, Parry, Gray, Vogt); the Trauma Program, London Health Sciences Centre, London, Ont. (Priestap), the Division of Emergency Medicine, London Health Sciences Centre, London, Ont. (Lewell, Vogt); Schulich School of Medicine and Dentistry, Western University, London, Ont. (Chaulk, Moffat, Leeper, Parry, Gray, Lewell); Division of Emergency Medicine, St. Michaels Hospital, Toronto, Ont. (Ackery).
W Robert LeeperFrom the Division of General Surgery, London Health Sciences Centre, London, Ont. (Chaulk, Allen, Moffat, Leeper, Parry, Gray, Vogt); the Trauma Program, London Health Sciences Centre, London, Ont. (Priestap), the Division of Emergency Medicine, London Health Sciences Centre, London, Ont. (Lewell, Vogt); Schulich School of Medicine and Dentistry, Western University, London, Ont. (Chaulk, Moffat, Leeper, Parry, Gray, Lewell); Division of Emergency Medicine, St. Michaels Hospital, Toronto, Ont. (Ackery).
Neil ParryFrom the Division of General Surgery, London Health Sciences Centre, London, Ont. (Chaulk, Allen, Moffat, Leeper, Parry, Gray, Vogt); the Trauma Program, London Health Sciences Centre, London, Ont. (Priestap), the Division of Emergency Medicine, London Health Sciences Centre, London, Ont. (Lewell, Vogt); Schulich School of Medicine and Dentistry, Western University, London, Ont. (Chaulk, Moffat, Leeper, Parry, Gray, Lewell); Division of Emergency Medicine, St. Michaels Hospital, Toronto, Ont. (Ackery).
Daryl GrayFrom the Division of General Surgery, London Health Sciences Centre, London, Ont. (Chaulk, Allen, Moffat, Leeper, Parry, Gray, Vogt); the Trauma Program, London Health Sciences Centre, London, Ont. (Priestap), the Division of Emergency Medicine, London Health Sciences Centre, London, Ont. (Lewell, Vogt); Schulich School of Medicine and Dentistry, Western University, London, Ont. (Chaulk, Moffat, Leeper, Parry, Gray, Lewell); Division of Emergency Medicine, St. Michaels Hospital, Toronto, Ont. (Ackery).
Micheal LewellFrom the Division of General Surgery, London Health Sciences Centre, London, Ont. (Chaulk, Allen, Moffat, Leeper, Parry, Gray, Vogt); the Trauma Program, London Health Sciences Centre, London, Ont. (Priestap), the Division of Emergency Medicine, London Health Sciences Centre, London, Ont. (Lewell, Vogt); Schulich School of Medicine and Dentistry, Western University, London, Ont. (Chaulk, Moffat, Leeper, Parry, Gray, Lewell); Division of Emergency Medicine, St. Michaels Hospital, Toronto, Ont. (Ackery).
Alun AckeryFrom the Division of General Surgery, London Health Sciences Centre, London, Ont. (Chaulk, Allen, Moffat, Leeper, Parry, Gray, Vogt); the Trauma Program, London Health Sciences Centre, London, Ont. (Priestap), the Division of Emergency Medicine, London Health Sciences Centre, London, Ont. (Lewell, Vogt); Schulich School of Medicine and Dentistry, Western University, London, Ont. (Chaulk, Moffat, Leeper, Parry, Gray, Lewell); Division of Emergency Medicine, St. Michaels Hospital, Toronto, Ont. (Ackery).
Kelly VogtFrom the Division of General Surgery, London Health Sciences Centre, London, Ont. (Chaulk, Allen, Moffat, Leeper, Parry, Gray, Vogt); the Trauma Program, London Health Sciences Centre, London, Ont. (Priestap), the Division of Emergency Medicine, London Health Sciences Centre, London, Ont. (Lewell, Vogt); Schulich School of Medicine and Dentistry, Western University, London, Ont. (Chaulk, Moffat, Leeper, Parry, Gray, Lewell); Division of Emergency Medicine, St. Michaels Hospital, Toronto, Ont. (Ackery).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHemodynamic instability due to abdominal injury in rural settings may necessitate damage-control laparotomy (DCL) before transferring patients to a lead trauma hospital (LTH) for care. Studies from the United States support performing DCL at rural hospitals (RHs), but data from Canada are lacking. This study compares outcomes between patients who received DCL at RHs and those treated directly at an LTH.

methodsA retrospective cohort study over 15 years evaluated patients transferred to our centre after receiving DCL at an RH, matched 1:1 with those who went directly to an LTH for similar injuries. The primary outcome was abdominal injury-specific complications. Data were compared using Student

resultsWe matched 21 patients transferred from RHs with 21 patients treated at our LTH. Injury types (blunt trauma: 81% v. 76%,

conclusionThough uncommon, DCL performed at RHs is not associated with higher morbidity or mortality rates. Collaboration between LTHs and RHs in select cases should be encouraged. Future research should focus on identifying ideal candidates, trauma system barriers, and ways to support this practice in rural settings.

Indexed as

Abdominal InjuriesHospitals, RuralLaparotomyTrauma CentersWounds, NonpenetratingAdultFemaleHumansInjury Severity ScoreMaleMiddle AgedPatient TransferRetrospective Studies

Identifiers

PMID41775454
PMCPMC12965662

What OpenQuestion holds

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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.