{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T16:39:58Z","timestamp":1787330398360,"version":"build-2736575974"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004047","name":"Karolinska Institute","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004047","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Scand J Trauma Resusc Emerg Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim was to describe epidemiology, injury characteristics, in-hospital care and outcome for elderly trauma patients with thoracic injuries within the context of a large national register study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Trauma patients aged\u2009\u2265\u200960\u2009years from 2022 to 2024 were identified through the national Swedish Trauma Registry (SweTrau). The Abbreviated Injury Scale (AIS) was used to identify thoracic and other injuries. Data on patient and injury demographics, in-hospital care and outcome in terms of discharge destination and mortality was collected for each patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 11,624 patients were included. The median age for all patients was 76\u2009years (range 60\u2013106), and 4617 (40%) were females. A total of 3644 (31%) patients had a thoracic injury registered (TI group). Compared with patients without thoracic injury (NTI), the TI group had higher injury severity (ISS and NISS) and were more physiologically compromised on arrival (lower systolic blood pressure and a higher proportion of patients presenting with circulatory shock (SBP\u2009&lt;\u200990\u2009mmHg). TI patients had more injuries, longer hospital length of stay, required more intensive care and were less often discharged to their home, while 30day mortality did not differ between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Elderly trauma patients with thoracic injuries were more severely injured, required more in-hospital care and could less often be discharged directly to their home, compared to patients without thoracic injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13049-026-01676-4","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T08:24:55Z","timestamp":1786955095000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Thoracic injuries in elderly trauma patients epidemiology, injury characteristics, in-hospital care and outcome"],"prefix":"10.1186","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3160-0952","authenticated-orcid":false,"given":"Andrea","family":"Lundin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4062-4470","authenticated-orcid":false,"given":"Katarina E.","family":"G\u00f6ransson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9771-0081","authenticated-orcid":false,"given":"Anders","family":"Enocson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"1676_CR1","doi-asserted-by":"publisher","unstructured":"GBD, 2019 Injuries Collaborators. Global, regional, and national burden of injuries, and burden attributable to injuries risk factors & comma; 1990 to 2019: results from the Global burden of disease study 2019. In: Public health. Vol. 237. College London; 2024. p. 212\u201331. https:\/\/doi.org\/10.1016\/j.puhe.2024.06.011.","DOI":"10.1016\/j.puhe.2024.06.011"},{"issue":"5","key":"1676_CR2","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1007\/s001130050550","volume":"103","author":"M Bardenheuer","year":"2000","unstructured":"Bardenheuer M, Obertacke U, Waydhas C, Nast-Kolb D. Epidemiologie des Schwerverletzten Eine prospektive Erfassung der pr\u00e4klinischen und klinischen Versorgung. Unfallchirurg. 2000;103(5):355\u201363. https:\/\/doi.org\/10.1007\/s001130050550.","journal-title":"Unfallchirurg"},{"key":"1676_CR3","doi-asserted-by":"publisher","unstructured":"Coccolini F, Cremonini C, Moore EE, Civil I, Balogh Z, Leppaniemi A, et al. Thoracic trauma WSES-AAST guidelines. World J Emerg Surg. 2025;20(1). https:\/\/doi.org\/10.1186\/s13017-025-00651-1.","DOI":"10.1186\/s13017-025-00651-1"},{"issue":"1","key":"1676_CR4","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1007\/s40140-020-00374-w","volume":"10","author":"M Kim","year":"2020","unstructured":"Kim M, Moore J. Chest trauma: current recommendations for rib fractures, pneumothorax, and other injuries. Curr Anesthesiol Rep. 2020;10(1):61\u201368. https:\/\/doi.org\/10.1007\/s40140-020-00374-w.","journal-title":"Curr Anesthesiol Rep"},{"issue":"1","key":"1676_CR5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13049-017-0384-y","volume":"25","author":"K Chrysou","year":"2017","unstructured":"Chrysou K, Halat G, Hoksch B, Schmid R, Kocher G. Lessons from a large trauma center: Impact of blunt chest trauma in polytrauma patients\u2014still a relevant problem? Scand J Trauma Resusc Emerg Med. 2017;25(1):1\u20136. https:\/\/doi.org\/10.1186\/s13049-017-0384-y.","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"1676_CR6","doi-asserted-by":"publisher","unstructured":"Lundin A, Akram SK, Berg L, G\u00f6ransson KE, Enocson A. Thoracic injuries in trauma patients: epidemiology and its influence on mortality. Scand J Trauma Resusc Emerg Med. 2022;30(1). https:\/\/doi.org\/10.1186\/s13049-022-01058-6.","DOI":"10.1186\/s13049-022-01058-6"},{"issue":"6","key":"1676_CR7","doi-asserted-by":"publisher","first-page":"1020","DOI":"10.1016\/j.amjsurg.2018.03.011","volume":"215","author":"R Barry","year":"2018","unstructured":"Barry R, Thompson E. Outcomes after rib fractures in geriatric blunt trauma patients. Am J Surg. 2018;215(6):1020\u201323. https:\/\/doi.org\/10.1016\/j.amjsurg.2018.03.011.","journal-title":"Am J Surg"},{"key":"1676_CR8","doi-asserted-by":"publisher","unstructured":"Wannberg M, Lind\u00e9n H, Ul Hassan M, Ghorbani P, Str\u00f6mmer L, Wahlgren C-M. Thoracic vascular injury remains the leading cause of death in traumatic haemorrhage: analysis of injury patterns and time to death. Eur J Trauma Emerg Surg. 2026;52(1). https:\/\/doi.org\/10.1007\/s00068-026-03131-6.","DOI":"10.1007\/s00068-026-03131-6"},{"key":"1676_CR9","doi-asserted-by":"publisher","unstructured":"Sikander N, Ahmad T, Shaikh KA, Abid A, Mazcuri M, Nasreen S. Analysis of injury patterns and outcomes of blunt thoracic trauma in elderly patients. Cureus. 2020;12(8):e9974. https:\/\/doi.org\/10.7759\/cureus.9974.","DOI":"10.7759\/cureus.9974"},{"issue":"1","key":"1676_CR10","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1097\/01.ta.0000171448.71301.13","volume":"59","author":"WR Spanjersberg","year":"2005","unstructured":"Spanjersberg WR, Ringburg AN, Bergs EA, Krijen P, Schipper IB. Prehospital chest tube thoracostomy: Effective treatment or additional trauma? J Trauma. 2005;59(1):96\u2013101. https:\/\/doi.org\/10.1097\/01.ta.0000171448.71301.13.","journal-title":"J Trauma"},{"key":"1676_CR11","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1016\/j.jss.2026.03.025","volume":"321","author":"DR Velez","year":"2026","unstructured":"Velez DR, Adamska N, Dickinson A, Chen B, Nichols J, Irons T, et al. Evolving outcomes after rib fractures in geriatric patients: revisiting historical data in the modern era. J Surg Res. 2026;321:461\u201366. https:\/\/doi.org\/10.1016\/j.jss.2026.03.025.","journal-title":"J Surg Res"},{"key":"1676_CR12","doi-asserted-by":"publisher","unstructured":"Sidhu GAS, Mahmood A, Pattnaik S, Subratty M, Kaur H, Raja V, et al. Evaluation of acute outcomes and factors influencing the care of chest trauma in a District General Hospital in the United Kingdom. Cureus. 2023;15(9):e45690. https:\/\/doi.org\/10.7759\/cureus.45690.","DOI":"10.7759\/cureus.45690"},{"issue":"6","key":"1676_CR13","doi-asserted-by":"publisher","first-page":"1040","DOI":"10.1097\/00005373-200006000-00007","volume":"48","author":"EM Bulger","year":"2000","unstructured":"Bulger EM, Arneson MA, Mock CN, Jurkovich GJ. Rib fractures in the elderly. J Trauma: Inj, Infect, Crit Care. 2000;48(6):1040\u201347. https:\/\/doi.org\/10.1097\/00005373-200006000-00007.","journal-title":"J Trauma: Inj, Infect, Crit Care"},{"key":"1676_CR14","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1016\/j.jss.2025.09.051","volume":"315","author":"AC Fields","year":"2025","unstructured":"Fields AC, Castillo-Angeles M, Bryan MR, Bensen GP, Madenci KA, McDonald M, et al. Rib fracture injury guidelines for patients over the age of 65: Should these patients routinely be admitted to the intensive care unit? J Surg Res. 2025;315:443\u201350. https:\/\/doi.org\/10.1016\/j.jss.2025.09.051.","journal-title":"J Surg Res"},{"key":"1676_CR15","unstructured":"WHO. Ageing and health. 2024. Retrieved from: Ageing and health."},{"key":"1676_CR16","unstructured":"Statistics Sweden. After the age of 60: a description of older adults in Sweden. Retrieved from: https:\/\/www.scb.se\/contentassets\/c4ac9fb5ad10451aab0885b7160de9b0\/be0701_2022a01_br_be51br2202.pdf."},{"key":"1676_CR17","doi-asserted-by":"publisher","unstructured":"De Simone B, Chouillard E, Podda M, Pararas N, de Carvalho Duarte G, Fugazzola P, et al. The 2023 WSES guidelines on the management of trauma in elderly and frail patients. World J Emerg Surg. 2024, 18;19(1). https:\/\/doi.org\/10.1186\/s13017-024-00537-8.","DOI":"10.1186\/s13017-024-00537-8"},{"key":"1676_CR18","unstructured":"Swetrau. Annual report 2024. 2025. Retrieved from: \u00c5rsrapport."},{"issue":"1","key":"1676_CR19","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/1757-7241-16-7","volume":"16","author":"KG Ringdal","year":"2008","unstructured":"Ringdal KG, Coats TJ, Lefering R, Di Bartolomeo S, Steen PA, R\u00f8ise O, et al. The utstein template for uniform reporting of data following major trauma: a joint revision by SCANTEM, TARN, DGU-TR and RITG. Scand J Trauma Resusc Emerg Med. 2008;16(1):7. https:\/\/doi.org\/10.1186\/1757-7241-16-7.","journal-title":"Scand J Trauma Resusc Emerg Med"},{"issue":"4","key":"1676_CR20","doi-asserted-by":"publisher","first-page":"1627","DOI":"10.1007\/s00068-023-02244-6","volume":"49","author":"L Holmberg","year":"2023","unstructured":"Holmberg L, Frick Bergstr\u00f6m M, Mani K, Wanhainen A, Andr\u00e9asson H, Linder F. Validation of the Swedish trauma registry (SweTrau). Eur J Trauma Emerg Surg. 2023;49(4):1627\u20131637. https:\/\/doi.org\/10.1007\/s00068-023-02244-6.","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"1","key":"1676_CR21","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.injury.2011.01.004","volume":"43","author":"CE Battle","year":"2012","unstructured":"Battle CE, Hutchings H, Evans PA. Risk factors that predict mortality in patients with blunt chest wall trauma: a systematic review and meta-analysis. Injury. 2012;43(1):8\u201317. https:\/\/doi.org\/10.1016\/j.injury.2011.01.004.","journal-title":"Injury"},{"key":"1676_CR22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/21514593241280879","volume":"15","author":"F Ziegenhain","year":"2024","unstructured":"Ziegenhain F, Mittlmeier AS, Pape H-C, Neuhaus V, Canal C. Influence of age on outcome following rib fractures \u2013 a case-control analysis. Geriatr Orthop Surg Rehabil. 2024;15:1\u20139. https:\/\/doi.org\/10.1177\/21514593241280879.","journal-title":"Geriatr Orthop Surg Rehabil"},{"issue":"5","key":"1676_CR23","doi-asserted-by":"publisher","first-page":"2471","DOI":"10.1007\/s00068-024-02611-x","volume":"50","author":"VS Panossian","year":"2024","unstructured":"Panossian VS, Lagazzi E, Rafaqat W, Abiad M, Nzenwa IC, Arnold S, et al. Outcomes of severe isolated blunt chest trauma in young and geriatric patients. Eur J Trauma Emerg Surg. 2024;50(5):2471\u201380. https:\/\/doi.org\/10.1007\/s00068-024-02611-x.","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"1","key":"1676_CR24","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/S1010-7940(03)00256-2","volume":"24","author":"M Sirmali","year":"2003","unstructured":"Sirmali M. A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. Eur J Cardio-Thorac Surg. 2003;24(1):133\u201338. https:\/\/doi.org\/10.1016\/S1010-7940(03)00256-2.","journal-title":"Eur J Cardio-Thorac Surg"},{"issue":"2","key":"1676_CR25","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1097\/BOT.0000000000000750","volume":"31","author":"E Swart","year":"2017","unstructured":"Swart E, Laratta J, Slobogean G, Mehta S. Operative treatment of rib fractures in flail chest injuries: a meta-analysis and cost-effectiveness analysis. J Orthop Trauma. 2017;31(2):64\u201370. https:\/\/doi.org\/10.1097\/BOT.0000000000000750.","journal-title":"J Orthop Trauma"},{"key":"1676_CR26","doi-asserted-by":"publisher","unstructured":"Qureshi I, Kharel R, Mujahid N, Neupane I. Rib fracture management in older adults: a scoping review. J Brown Hosp Med. 2023;2(3). https:\/\/doi.org\/10.56305\/001c.82211.","DOI":"10.56305\/001c.82211"},{"issue":"4","key":"1676_CR27","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1007\/s00068-018-0918-7","volume":"45","author":"J Peek","year":"2019","unstructured":"Peek J, Smeeing DPJ, Hietbrink F, Houwert RM, Marsman M, de Jong MB. Comparison of analgesic interventions for traumatic rib fractures: a systematic review and meta-analysis. Eur J Trauma Emerg Surg. 2019;45(4):597\u2013622. https:\/\/doi.org\/10.1007\/s00068-018-0918-7.","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"1","key":"1676_CR28","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1007\/s00068-020-01412-2","volume":"48","author":"J Peek","year":"2022","unstructured":"Peek J, Beks RB, Hietbrink F, De Jong MB, Heng M, Beeres FJP, et al. Epidemiology and outcome of rib fractures: a nationwide study in the Netherlands. Eur J Trauma Emerg Surg. 2022;48(1):265\u201371. https:\/\/doi.org\/10.1007\/s00068-020-01412-2.","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"3","key":"1676_CR29","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1097\/TA.0000000000003830","volume":"94","author":"K Mukherjee","year":"2023","unstructured":"Mukherjee K, Schubl SD, Tominaga G, Cantrell S, Kim B, Haines KL, et al. Non-surgical management and analgesia strategies for older adults with multiple rib fractures: a systematic review, meta-analysis, and practice management guideline from the Eastern association for the surgery of trauma and the chest Wall injury society. J Trauma Acute Care Surg. 2023;94(3):398\u2013407. https:\/\/doi.org\/10.1097\/TA.0000000000003830.","journal-title":"J Trauma Acute Care Surg"},{"issue":"2","key":"1676_CR30","doi-asserted-by":"publisher","first-page":"887","DOI":"10.1007\/s00402-022-04362-z","volume":"143","author":"RJ Hoepelman","year":"2022","unstructured":"Hoepelman RJ, Beeres FJP, Heng M, Knobe M, Link B-C, Minervini F, et al. Rib fractures in the elderly population: a systematic review. Arch Orthop Trauma Surg. 2022;143(2):887\u201393. https:\/\/doi.org\/10.1007\/s00402-022-04362-z.","journal-title":"Arch Orthop Trauma Surg"},{"issue":"1","key":"1676_CR31","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1097\/TA.0000000000004692","volume":"100","author":"JJ Blank","year":"2026","unstructured":"Blank JJ, de Moya MA. Traumatic pneumothorax and hemothorax: what you need to know. J Trauma Acute Care Surg. 2026;100(1):12\u201317. https:\/\/doi.org\/10.1097\/TA.0000000000004692.","journal-title":"J Trauma Acute Care Surg"},{"issue":"5","key":"1676_CR32","doi-asserted-by":"publisher","first-page":"1013","DOI":"10.55730\/1300-0144.5880","volume":"54","author":"M \u00c7etin","year":"2024","unstructured":"\u00c7etin M, Solak N, \u00d6zdemir \u00c7iflik B, T\u00fcrk \u0130, Ermanc\u0131k SS, Aydo\u011fdu K. Thoracic trauma in the geriatric population and possible preventive measures: a retrospective analysis of 261 cases. Turk J Med Sci. 2024;54(5):1013\u201320. https:\/\/doi.org\/10.55730\/1300-0144.5880.","journal-title":"Turk J Med Sci"},{"key":"1676_CR33","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.jss.2016.07.015","volume":"207","author":"DS Strosberg","year":"2017","unstructured":"Strosberg DS, Housley BC, Vazquez D, Rushing A, Steinberg S, Jones C. Discharge destination and readmission rates in older trauma patients. J Surg Res. 2017;207:27\u201332. https:\/\/doi.org\/10.1016\/j.jss.2016.07.015.","journal-title":"J Surg Res"},{"key":"1676_CR34","doi-asserted-by":"publisher","unstructured":"Altherwi T. Geriatric trauma: identifying research gaps and opportunities for improvement. Cureus. 2024;16(7). https:\/\/doi.org\/10.7759\/cureus.65135.","DOI":"10.7759\/cureus.65135"},{"issue":"1","key":"1676_CR35","doi-asserted-by":"publisher","first-page":"110972","DOI":"10.1016\/j.injury.2023.110972","volume":"55","author":"K El-Qawaqzeh","year":"2024","unstructured":"El-Qawaqzeh K, Magnotti LJ, Hosseinpour H, Nelson A, Spencer AL, Anand T, et al. Geriatric trauma, frailty, and ACS trauma center verification level: Are there any correlations with outcomes? Injury. 2024;55(1):110972. https:\/\/doi.org\/10.1016\/j.injury.2023.110972.","journal-title":"Injury"},{"issue":"6","key":"1676_CR36","doi-asserted-by":"publisher","first-page":"2064","DOI":"10.3390\/jcm14062064","volume":"14","author":"S Ivanova","year":"2025","unstructured":"Ivanova S, Hilverdink EF, Bastian JD, Jakob DA, Exadaktylos AK, Keel MJB, et al. Short- and long-term mortality in severely injured older trauma patients: a retrospective analysis. JCM. 2025;14(6):2064. https:\/\/doi.org\/10.3390\/jcm14062064.","journal-title":"JCM"},{"issue":"8","key":"1676_CR37","doi-asserted-by":"publisher","first-page":"766","DOI":"10.1001\/jamasurg.2014.296","volume":"149","author":"B Joseph","year":"2014","unstructured":"Joseph B, Pandit V, Zangbar B, Kulvatunyou N, Hashmi A, Green DJ, et al. Superiority of frailty over age in predicting outcomes among geriatric trauma patients: a prospective analysis. JAMA Surg. 2014;149(8):766\u201372. https:\/\/doi.org\/10.1001\/jamasurg.2014.296.","journal-title":"JAMA Surg"},{"issue":"6","key":"1676_CR38","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1136\/emermed-2018-207943","volume":"36","author":"N Ferrah","year":"2019","unstructured":"Ferrah N, Cameron P, Gabbe B, Fitzgerald M, Judson R, Marasco S, et al. Ageing population has changed the nature of major thoracic injury. Emerg Med J. 2019;36(6):340\u201345. https:\/\/doi.org\/10.1136\/emermed-2018-207943.","journal-title":"Emerg Med J"},{"issue":"4","key":"1676_CR39","doi-asserted-by":"publisher","first-page":"781","DOI":"10.1016\/j.amjsurg.2015.12.018","volume":"212","author":"M Campbell-Furtick","year":"2016","unstructured":"Campbell-Furtick M, Moore B, Overton TL, Laureano Phillips J, Simon KJ, Gandhi R, et al. Post-trauma mortality increase at age 60: A cutoff for defining elderly? Am J Surg. 2016;212(4):781\u201385. https:\/\/doi.org\/10.1016\/j.amjsurg.2015.12.018.","journal-title":"Am J Surg"},{"issue":"3","key":"1676_CR40","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1016\/j.injury.2022.01.005","volume":"53","author":"F Mun","year":"2022","unstructured":"Mun F, Ringenbach K, Baer B, Pradhan S, Jardin K, Chinchilli VM, et al. Factors influencing geriatric orthopaedic trauma mortality. Injury. 2022;53(3):919\u201324. https:\/\/doi.org\/10.1016\/j.injury.2022.01.005.","journal-title":"Injury"}],"container-title":["Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13049-026-01676-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13049-026-01676-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13049-026-01676-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T16:02:35Z","timestamp":1787328155000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s13049-026-01676-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,17]]},"references-count":40,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["1676"],"URL":"https:\/\/doi.org\/10.1186\/s13049-026-01676-4","relation":{},"ISSN":["1757-7241"],"issn-type":[{"value":"1757-7241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,17]]},"assertion":[{"value":"27 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The study was approved by the Swedish Ethical Review Authority (reference number 2025\u201304264-01).","order":1,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"142"}}