Evidence map›Paper›PMID 40074872›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Major trauma and comorbidity: a scoping review.

Rosie Glynn, Felicity Edwards, Martin Wullschleger, Ben Gardiner, Kevin B Laupland

Abstract readScoping Review
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
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  3. The accuracy of the injury severity score in patients below the age of 18 years, a trauma registry data study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
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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

5 authors.

Rosie GlynnQueensland University of Technology (QUT), Brisbane, QLD, Australia.
Felicity EdwardsQueensland University of Technology (QUT), Brisbane, QLD, Australia.
Martin WullschlegerQueensland University of Technology (QUT), Brisbane, QLD, Australia.
Ben GardinerTrauma Services, Gold Coast University Hospital and School of Medicine, Gold Coast, Parkland, QLD, Australia.
Kevin B LauplandQueensland University of Technology (QUT), Brisbane, QLD, Australia. kevin.laupland@qut.edu.au.ORCID http://orcid.org/0000-0002-1205-5354

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMajor trauma is a leading cause of acute morbidity and mortality. While injury severity drives much of the associated burden, pre-existing comorbidities may influence both acute management and long-term outcomes. This scoping review examines the impact of comorbidities on trauma outcomes.

methodsEmbase, Medline, CINAHL, Cochrane Library, and PubMed were systematically searched from inception to 22/04/2021 (update 22/03/2024). Studies investigating comorbidities as risk factors for adverse outcomes in adults (≥ 18 years) with major trauma were included.

resultsOf 5448 studies identified, 33 met inclusion criteria. No studies examined whether comorbidities increases the risk of major trauma, and only two studies investigated the development of comorbidities post-trauma. Among trauma patients with pre-existing comorbidities particularly cardiovascular disease, diabetes, liver disease, and kidney disease were associated with higher case fatality. Comorbidities were also associated with increased morbidity, longer hospital stays and higher complication rates.

conclusionsTrauma patients with comorbidities suffer experience worse outcomes, yet limited research explores whether comorbidities contribute to trauma risk or emerge as a consequence. Further research is needed to clarify these relationships and guide targeted interventions.

Indexed as

Wounds and InjuriesComorbidityHumansLength of StayRisk FactorsCase fatality rateComorbidityGlobal burden of diseasePhysicalTraumaWounds and injuries

Identifiers

PMID40074872
PMCPMC11903538

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.