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Article
Peer-Review Record

Negative Factors Influencing Multiple-Trauma Patients

Clin. Pract. 2024, 14(4), 1562-1570; https://doi.org/10.3390/clinpract14040126
by Mihaela Anghele 1, Virginia Marina 2,*, Aurelian-Dumitrache Anghele 3, Cosmina-Alina Moscu 4 and Liliana Dragomir 1
Reviewer 1:
Reviewer 2: Anonymous
Clin. Pract. 2024, 14(4), 1562-1570; https://doi.org/10.3390/clinpract14040126
Submission received: 11 July 2024 / Revised: 3 August 2024 / Accepted: 8 August 2024 / Published: 13 August 2024

Round 1

Reviewer 1 Report

Comments and Suggestions for Authors

The manuscript is a well-written study on “Negative Factors influencing Polytraumatized Patient”. The work is of considerable importance for both the patients and caregivers. However, there are areas for Improvement.

There is an ongoing conusion with the terms “polytrauma” and “multiple trauma” in the medical literature worldwide. In my point of view, “multiple trauma” is more convenient to describe trauma involving more than one organ systems. The term “polytrauma” is mosty used by European authors to cite the phenomenon.

The table legends should be more explanatory with respect to their contents, irrespective of the main text. These statements should provide satisfactory insight into the interpretations of the contents of the tables.

In the results section, the numerical findings (n) should accompany the percentages (%).

A paragraph for limitations can be added to help the readers understand the article’s deficiencies and weak points.

 

P values are missing in the statistical results. The authors should give explanations on this point. 

Comments on the Quality of English Language

None.

Author Response

R1

Open Review

(x) I would not like to sign my review report
( ) I would like to sign my review report

Quality of English Language

( ) I am not qualified to assess the quality of English in this paper
( ) English very difficult to understand/incomprehensible
( ) Extensive editing of English language required
( ) Moderate editing of English language required
(x) Minor editing of English language required
( ) English language fine. No issues detected

 

 

 

Yes

Can be improved

Must be improved

Not applicable

Does the introduction provide sufficient background and include all relevant references?

(x)

( )

( )

( )

Is the research design appropriate?

(x)

( )

( )

( )

Are the methods adequately described?

( )

(x)

( )

( )

Are the results clearly presented?

( )

(x)

( )

( )

Are the conclusions supported by the results?

(x)

( )

( )

( )

Comments and Suggestions for Authors

The manuscript is a well-written study on “Negative Factors influencing Polytraumatized Patient”. The work is of considerable importance for both the patients and caregivers. However, there are areas for Improvement.

Negative Factors influencing Multiple trauma Patient”.

There is an ongoing conusion with the terms “polytrauma” and “multiple trauma” in the medical literature worldwide. In my point of view, “multiple trauma” is more convenient to describe trauma involving more than one organ systems. The term “polytrauma” is mosty used by European authors to cite the phenomenon.

I replaced the term.

The table legends should be more explanatory with respect to their contents, irrespective of the main text. These statements should provide satisfactory insight into the interpretations of the contents of the tables.

In the results section, the numerical findings (n) should accompany the percentages (%).

 

A paragraph for limitations can be added to help the readers understand the article’s deficiencies and weak points.

 

P values are missing in the statistical results. The authors should give explanations on this point. 

I corrected.

Comments on the Quality of English Language

None.

Submission Date

11 July 2024

Date of this review

29 Jul 2024 10:22:50

 

Thank you for collaboration.

30.07.2024

 

Reviewer 2 Report

Comments and Suggestions for Authors

The authors present a manuscript describing a study examining data at a community hospital to better understand the impact and predicted outcomes of patients who experience polytrauma. Overall, the manuscript will make a contribution to the field and help us to better understand the effects of polytrauma. The authors need to examine and correct the reference numbering. The suggestions below are to improve clarity:

Introduction: 

page 1-line 17 and 19: Citations needed. 

page 1-line 23: References start at the number 2. Where is #1 cited prior to this?

page 1-line 23: Citations not numbered according to order (i.e. 2,13,43??).

page 1-line 34: Citation needed.

page 2-line 49: How does this citation (#16) relate to the statement? Please provide further details.

page 2-lines 62-65: Does citation #6 cover all the information stated?

Materials and Methods:

page 2-line 78: Inclusion criteria should be included next to the sentence where it is first mentioned.  What is your exclusion criteria?

page 2-lines 98-99: You mention percentages in "subsequent years.." but you then present data from previous years. Please clarify.

Results:

page 3-line 109: This sentence appears to be in isolation but does related to the next paragraph. It should be all in one paragraph if it is talking about the GSC score.

page 3-line 123: CFT -I think this refers to craniofacial trauma but where is it define prior to this? If this is the first time, please spell out.

page 3-Table 3: Definition of table terms needed as a footnote to the table.

page 4-line 138: "According to the literature...." please provide a citation to what literature you are referring to. Also indicate in line 139 how the findings compare to the literature.

page 4-line 141: It would be helpful to have a brief description of these terms: "pneumomediaiastinum", "hemoperitoneum".

page 5-line 156: What is SAH (subarachnoid hemorrhage?). If this is the first mention of this term it would be helpful to spell out.

page 5-Table 4: Please include term definitions in this table as a footnote.

Discussion

page 5-line 178: Citation needed.

page 6-line 237-240: According to the literature...." Citation needed.

page 7-line 253: What is this sentence ("The goals of pharmocotherapy....) referring to? Please provide further details.

page 7-Conclusion: Conclusion should be in a single paragraph. 

 

Comments on the Quality of English Language

English language needs reviewed and ammended. 

Author Response

R2

Open Review

(x) I would not like to sign my review report
( ) I would like to sign my review report

Quality of English Language

( ) I am not qualified to assess the quality of English in this paper
( ) English very difficult to understand/incomprehensible
( ) Extensive editing of English language required
( ) Moderate editing of English language required
(x) Minor editing of English language required
( ) English language fine. No issues detected

 

 

 

Yes

Can be improved

Must be improved

Not applicable

Does the introduction provide sufficient background and include all relevant references?

( )

(x)

( )

( )

Is the research design appropriate?

(x)

( )

( )

( )

Are the methods adequately described?

( )

(x)

( )

( )

Are the results clearly presented?

( )

(x)

( )

( )

Are the conclusions supported by the results?

( )

(x)

( )

( )

Comments and Suggestions for Authors

The authors present a manuscript describing a study examining data at a community hospital to better understand the impact and predicted outcomes of patients who experience polytrauma. Overall, the manuscript will make a contribution to the field and help us to better understand the effects of polytrauma. The authors need to examine and correct the reference numbering. The suggestions below are to improve clarity:

Introduction: 

page 1-line 17 and 19: Citations needed. I have done.

page 1-line 23: References start at the number 2. Where is #1 cited prior to this? I corrected.

page 1-line 23: Citations not numbered according to order (i.e. 2,13,43??).No , Citations are numbered according to  alphabetic order.

page 1-line 34: Citation needed. I have done.

page 2-line 49: How does this citation (#16) relate to the statement? Please provide further details. I replaced.

page 2-lines 62-65: Does citation #6 cover all the information stated? yes

Materials and Methods:

page 2-line 78: Inclusion criteria should be included next to the sentence where it is first mentioned.  What is your exclusion criteria? I have done

The  exclusion criteria for the study included  patients and their families who refused to participate as well as  patients with isolated traumas that posed a  minimalor non-existent risk of complications.

 

page 2-lines 98-99: You mention percentages in "subsequent years.." but you then present data from previous years. Please clarify. I corrected.

Results:

page 3-line 109: This sentence appears to be in isolation but does related to the next paragraph. It should be all in one paragraph if it is talking about the GSC score. I deleted it.

page 3-line 123: CFT -I think this refers to craniofacial trauma but where is it define prior to this? If this is the first time, please spell out. I have done.

page 3-Table 3: Definition of table terms needed as a footnote to the table. I have done.

page 4-line 138: "According to the literature...." please provide a citation to what literature you are referring to. Also indicate in line 139 how the findings compare to the literature. I have done.

page 4-line 141: It would be helpful to have a brief description of these terms: "pneumomediaiastinum", "hemoperitoneum". I have done.

page 5-line 156: What is SAH (subarachnoid hemorrhage?). If this is the first mention of this term it would be helpful to spell out. I have done.

page 5-Table 4: Please include term definitions in this table as a footnote. I have done.

Discussion

page 5-line 178: Citation needed. I have done.

page 6-line 237-240: According to the literature...." Citation needed. I have done.

page 7-line 253: What is this sentence ("The goals of pharmocotherapy....) referring to? Please provide further details.

The goals of pharmacotherapy are to reduce morbidity,  prevent complications, and

improve symptoms and quality of life, decrease hospitalizations, and improve mortality. The goal of pharmacologic therapy is to control symptoms and  initiate and escalate drugs that reduce mortality and morbidity in multiple trauma patients.

page 7-Conclusion: Conclusion should be in a single paragraph. I have done.

 Comments on the Quality of English Language

English language needs reviewed and ammended. 

Submission Date

11 July 2024

Date of this review

23 Jul 2024 22:16:50

 

Thank you for collaboration.

 30.07.2024

 

Round 2

Reviewer 1 Report

Comments and Suggestions for Authors

It can be accepted in the current form. 

Reviewer 2 Report

Comments and Suggestions for Authors

The authors have comprehensively addressed reviewer feedback. 

Comments on the Quality of English Language

It would be helpful to edit for English language. 

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