Evidence map›Paper›PMID 40922840›Full record

ReviewCureus2025

Crush Syndrome and Systemic Necrosis in Trauma Patients: A Systematic Review of Pathophysiology, Anatomical Impact, and Renal Outcomes.

Hagwa Gafar Abubakir Osman, Mohammed Elfatih Elbadri, Ibrahim Adil Hamadelniel Alhadi, Ahmed S Ibrahim, Aisha Ayyub, Ahmed Mohamed, Abdelrahman Sahnon Abaker Sahnon, Jarallah H J Alkhazendar, Aliaa H Alkhazendar, Manahil Awan

Abstract readReview
In one paragraph

Review 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. Review
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.

Hagwa Gafar Abubakir OsmanGeneral Practice, Badr Al Samaa Hospital, Makkah, SAU.
Mohammed Elfatih ElbadriOrthopedics, Khorfakkan Hospital, Sharjah, SAU.
Ibrahim Adil Hamadelniel AlhadiGeneral Surgery, Royal College of Surgeons of Edinburgh, Edinburgh, GBR.
Ahmed S IbrahimOrthopedics, Nile University, Khartoum, SDN.
Aisha AyyubPathology, Sir Syed College of Medical Sciences for Girls, Karachi, PAK.
Ahmed MohamedOrthopedics and Trauma, Gezira Center for Orthopaedic Surgery and Traumatology, Wad Madani, SDN.
Abdelrahman Sahnon Abaker SahnonGeneral Practice, Medical Council of Ireland, Dublin, IRL.
Jarallah H J AlkhazendarGeneral and Emergency Surgery, Lister Hospital, East and North Hertfordshire NHS Trust, Stevenage, GBR.
Aliaa H AlkhazendarSurgery, Islamic University of Gaza, Gaza, PSE.
Manahil AwanSurgery, Liaquat National Hospital, Karachi, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Crush syndrome remains a life-threatening complication of traumatic injuries, especially in mass casualty and disaster scenarios. This systematic review evaluates the current clinical and mechanistic understanding of crush-related pathophysiology, anatomical impact, and renal complications, with a focus on therapeutic interventions. Studies were selected using the PICO framework and analyzed under PRISMA guidelines. A total of six studies, including narrative reviews, clinical trials, and a systematic review, were included. Core findings highlighted ischemia-reperfusion injury, rhabdomyolysis, and ferroptosis as key drivers of systemic toxicity, often culminating in acute kidney injury (AKI). Anatomically, prolonged soft tissue compression and necrosis posed serious risks for long-term disability and systemic inflammation. Adjunctive therapies such as hyperbaric oxygen therapy (HBOT) demonstrated potential benefits in wound healing and tissue preservation, though evidence remains limited by study heterogeneity. Overall, this review offers an integrative synthesis of existing knowledge, identifies therapeutic gaps, and emphasizes the need for standardized, evidence-based protocols for managing crush syndrome.

Indexed as

acute kidney injurycrush syndromeferroptosisfluid resuscitationhyperbaric oxygen therapyischemia-reperfusion injuryrhabdomyolysistrauma

Identifiers

PMID40922840
PMCPMC12414133

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.