ReviewCureus2026
Hidden Injuries in Emergency Care: What the Emergency Room Did Not See Coming.
Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Missed injuries in emergent care and trauma settings detrimentally affect patient outcomes, prolonging hospitalization, delaying treatment, and even increasing mortality risk. Despite standardized trauma protocols, injuries can escape detection during the initial evaluation. Our objective in this article is to review clinical factors that may be associated with missed injury rates in patients. This could possibly identify patterns that may help develop future prevention methods and subsequent improvements in emergency care. A targeted literature review of 14 peer-reviewed studies evaluating unrecognized injuries was conducted. Factors analyzed include patient incapacitation measured using the Glasgow Coma Score (GCS), interhospital transfer, patient's sex, physician training level, and location. Our findings indicated that junior physicians accounted for most reported and overlooked injuries compared with intermediate- and senior-physicians, demonstrating that limited clinical experience may adversely affect patient outcomes. Interhospital transfer was also associated with increased rates of undiagnosed injuries, possibly due to disjointed care, poor communication, or documentation inconsistencies. Surprisingly, patient incapacitation was not associated with increased missed injury rates. Upper extremity injuries, especially those involving the hand and wrist, were the most commonly overlooked injuries, followed by lower extremity injuries. The country of medical care did not appear to relate to differences in undiagnosed injury rates. It is the authors' belief that missed injuries are a persistent challenge in trauma care and seem to relate mostly to the healthcare system rather than patient factors. Stronger interhospital transfer systems, improved physician training, and standardized tertiary physical evaluations could help improve patient outcomes. Future research should include more large-scale studies, as this review included only 14 articles.
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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.