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Research article | DOI: https://doi.org/10.31579/2693-2156/148
3rd year medical student - Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil.
4rd year medical student - Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
4rd year medical student - Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
*Corresponding Author: Wagner Ramos Borges, PhD in Medicine and Health/ Faculdade de Medicina da Bahia da Universidade Federal da Bahia; Vascular Surgeon, full member of Sociedade Brasileira de Angiologia e de Cirurgia Vascular and Colégio Brasileiro de Cirurgiões, CEO Vivasc A
Citation: Maria Clara Mello Lopes, Matheus Oliveira Figueiredo, Pedro Lucas Leal Pamponet Kuhn and Wagner Ramos Borges, (2025), Epidemiological overview of Brazilian hospital records of vascular trauma by anatomical region over the last 20 years., Journal of Thoracic Disease and Cardiothoracic Surgery; 6(5); DOI: 10.31579/2693-2156/148
Copyright: © 2025 Wagner Ramos Borges, this is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Received: 10 September 2025 | Accepted: 22 September 2025 | Published: 30 September 2025
Keywords: vascular trauma; vascular injuries; vascular accidents
Trauma is an important cause of hospitalizations and surgeries in emergency services, with high morbidity and mortality rates and in Brazil, it presents relevant statistics, with variations in mechanisms and topographies depending on the context. This study analyzed hospital data on vascular traumas by anatomical region in the Unified Health System (SUS) over the past 20 years, seeking to highlight relevant epidemiological information according to the particularities of vascular injuries in the Brazilian context. Ecological, descriptive, time-series study with a quantitative approach. Data were obtained through SIH/SUS, via TABWIN/DATASUS, between February and April 2024, referring to hospital admission records for the surgical treatment of vascular trauma, according to specific coding. There was a higher concentration of hospitalizations between 2012 and 2016, peaking in 2012, and a slight declining trend until 2024, with the highest number of hospitalizations (32%) in the Southeast. Men accounted for 76.6% of hospitalizations, but the relative risk of death was higher among women (RR=1.36). Upper limbs were the most affected, while abdominal traumas presented the highest lethality (22.1%) and lower limbs the longest hospital stay (6.6 days). Most procedures were performed under emergency conditions (88.4%), representing the highest mortality rate (6.3%). Although the majority of hospitalizations occurred among the population aged 15 to 49 years (60%), the highest mortality rates were observed at the age extremes: infants (11%) and the group over 50 years (10%).
Trauma is a cause associated with hospital admissions and surgical interventions in urgent and emergency hospitals, with high morbidity and mortality rates, and in Brazil, its statistics have been increasing like a major epidemic. Considering that deaths from trauma worldwide are estimated to be 1.7 times more frequent than deaths caused by HIV/AIDS, tuberculosis, and malaria combined, and that, of this index, injuries to large vessels and associated hemorrhagic shock are the main causes of mortality and sequelae among victims, it is clear that vascular trauma needs to be addressed as an important focus for further study at the public health level. In this context, vascular trauma refers to traumatic injuries that compromise the integrity of blood vessels, constituting an important complication associated with trauma.
For clinical and therapeutic purposes, traumatic vascular injuries have several classifications. Regarding the nature of the injury, they are segmented into blunt and penetrating injuries, each with their respective associated trauma mechanisms. Blunt injuries are mainly linked to car accidents, falls, crushing, and assaults, while penetrating injuries are linked to injuries caused by firearms and bladed weapons.3 In terms of etiopathogenesis, the injury is classified according to histological damage. The main documented types correspond to laceration (simple; with partial wall loss), punctiform injury, complete section, contusion (simple; with intimal injury with flap; with spasms; with subintimal hematoma or dissection), pseudoaneurysms, and arteriovenous fistula.3 Vascular trauma is also classified according to the affected topography in cervical, thoracic, abdominal, and extremities (upper and/or lower limbs, unilateral or bilateral). This segmentation is essential for identifying which vascular segments and associated anatomical structures are injured, guiding reasoning and stratifying risk and prognosis.
The vast majority of injuries occur among young men, but there are variations in the mechanisms and anatomical regions most affected depending on the context of the analysis. For example, while in European countries, Australia, and Japan, blunt force mechanisms, such as traffic accidents, are the most prevalent, in Brazil and the United States, most injuries result from penetrating trauma by firearms and knives. In Brazil, these differences are also vast, given that it is a country of continental dimensions.
There are socioeconomic, cultural, political, and educational differences between states that explain their different prevalences of traumatic vascular injuries. For example, a study conducted in the south, at the General Trauma Hospital in Canoas/Rio Grande do Sul, found that blunt injuries prevailed over penetrating injuries, and most affected the lower limbs. Another study conducted in the North of the country, at the Metropolitan Emergency Hospital of the State of Pará, found a prevalence of penetrating firearm injuries, predominantly affecting the upper limbs.
The vast continental expanse of Brazil reflects different epidemiological characteristics of vascular trauma. This study aims to analyze and compare hospital data on vascular trauma by anatomical region in the Unified Health System (SUS) over the last 20 years, considering regional singularities in order to highlight, according to the topography of the injury, relevant epidemiological information according to the particularities of vascular injuries.
This is an ecological, descriptive study with a time series design and quantitative approach, based on secondary data from official publicly accessible databases. The unit of analysis was the Brazilian territory, subdivided into five major geographic regions (North, Northeast, Southeast, South, and Midwest), during the period from January 2008 to March 2025.
The information was obtained through the SUS Hospital Information System (SIH/SUS), accessed via the TABWIN platform, statistical tabulation software provided by the SUS IT Department (DATASUS), linked to the Ministry of Health. The research was conducted based on the extraction of hospital records related to hospitalization for the treatment of vascular trauma, according to specific coding in the SIH/SUS database.
We defined vascular trauma as an injury to a blood vessel (artery or vein), which can be caused by blunt trauma (such as crushing or twisting) or penetrating trauma (such as a cut or gunshot wound). This injury interrupts the supply of blood and oxygen to the tissues, which can lead to blood loss, ischemia (lack of oxygen), and, in severe cases, amputation or death, requiring immediate medical attention.
The spreadsheet constructed for analysis included the following variables: year of admission, sex, age group, color/race, geographic region, anatomical location of trauma, total number of admissions, absolute number of deaths, proportional hospital mortality rate (%), mean or median length of hospital stay (in days), and type of care (emergency or elective). Aggregate measures such as mean, standard deviation, and interquartile range (IQR) were also extracted according to the data distribution.
The hospital mortality rate was calculated from the ratio between the number of deaths and the total number of hospitalizations, expressed as a percentage. Relative risk (RR) was used as a measure of comparison between categories (e.g., female vs. male) in order to quantify the proportional risk of death between the analyzed groups.
Microsoft Excel and Jamovi software were used for statistical analysis. Categorical variables were described using absolute and relative frequencies. Quantitative variables were submitted to the Shapiro-Wilk normality test. For those with normal distribution, the results were expressed as mean and standard deviation, and for those with asymmetric distribution, as median and IQR. When relevant, comparative analyses between groups were applied using measures of association.
With regard to ethical aspects, this study did not require submission to the Research Ethics Committee, as it used only secondary data in the public domain, as recommended by current Brazilian legislation. Nevertheless, all stages of the research respected the ethical principles established in Resolution No. 466/2012 of the National Health Council, ensuring the responsible, honest, and anonymous use of the information analyzed.
Throughout the historical series analyzed, approximately 70,000 hospital admissions related to surgical procedures for the treatment of vascular trauma were recorded in Brazil, according to data obtained from the DATASUS system between January 2008 and March 2025.
The highest concentration of hospitalizations occurred between 2012 and 2016, peaking in 2012, when 4,759 hospitalizations were recorded. In more recent years (2019 to 2024), there was a slight downward trend, with the lowest annual number recorded in 2024, totaling 3,618 procedures. We believe that the coronavirus pandemic (and the effects of lockdown) may have influenced these data between 2020 and 2022.
In the analysis by gender, it was observed that males accounted for about 76.6% of hospitalizations, representing approximately three times more cases than females (23.4%).
Regarding the nature of care, most were performed on an emergency basis (88.4%), while 11.6% were elective.
The mortality rate was higher among emergency care (6.3%) when compared to elective procedures (5.7%).
Despite the predominance of hospitalizations among males, proportional mortality was higher among females, with a rate of 7.8%, in contrast to 5.7% among males. This finding corresponds to a relative risk (RR) of 1.36, indicating that, proportionally, women had a 36% higher risk of death from vascular trauma than men.
When broken down by geographic region, the Southeast had the highest number of hospitalizations, with 23,000 cases (32% of the total), followed by the South (4,074), Northeast (3,880), North (2,134), and Midwest (2,534).
In terms of distribution by anatomical topography, hospitalizations were most frequently associated with upper limb trauma, with an annual average of 1,647±85, followed by lower limbs with 1,283±147, the cervical region with 1,042±143, and the abdominal region with a median of 382 cases (IQR: 103). .
Regarding the length of hospitalization, the longest median hospital stay was observed in cases of lower limb trauma (6.6 days; IQR: 0.3), followed by the cervical region (5.8±0.3 days), abdominal region (5.6±0.4 days), and upper limbs (4.5±0.2 days).
The mortality rate varied according to anatomical topography, being highest in abdominal trauma, at 22.1±2.4%, followed by lower limbs (11.8±2.87%), cervical region (7.4±0.8%), and upper limbs (2.3%; IQR: 0.7).
The integrated analysis shows that, although lower limb trauma accounted for most hospitalizations during the period, abdominal trauma, although less frequent, was proportionally the most lethal among all anatomical locations evaluated.
Time series of hospital admissions from 2008 to 2024
Comparison between proportional hospital admission and in-hospital mortality from 2020 to 2025 by age group
Proportional hospital admission from 2020 to 2025 by race group
Deaths by anatomical site
Hospital mortality rate between 2008 and 2024 by anatomical region.
The increase in the number of hospital records may be related not only to greater demand for care, but also to improvements in hospital information systems, given that, as of January 1998, it became mandatory to include the secondary diagnosis referring to the external cause of the injury (ICD-10: V01-Y98) in Hospital Admission Authorization (AIH) records, in addition to the description of the nature of the injury (ICD-10: S00-T98)6, which was an initial step toward improving the accuracy of trauma notifications in the SIH/SUS databases.
The slight decline in the number of hospitalizations for vascular trauma in SUS 2019-2024, with the lowest annual number recorded in 2024, totaling 3,618 procedures, can be attributed to the effects of the COVID-19 pandemic on health services. The literature explains that there was a significant reduction in the number of hospitalizations for traumatic causes during the most critical periods of the pandemic, given the prioritization of public resources to combat COVID-19 and social distancing measures, with mobility restrictions and lockdowns imposed throughout the country and worldwide. The population's reduced exposure to risk situations and the overload and fragility of the health system during this period, especially in 2020 and 2021, may have contributed to the reduction in demand for emergency care and the limitation of hospital response capacity, including an increase in underreporting.
The male population representing the majority of victims is evident in the study. Despite the higher number of male hospitalizations, the proportional mortality among women is more significant than among men. This represents a relative risk (RR) of 1.36, showing that, proportionally, women victims of vascular trauma have a 36% higher risk of death compared to men. The greater exposure of men to traumatic injuries leads us to assume that the relative risk of death would be higher in the male group, proportionally consistent with the group with the highest percentage of victims.
A study by Haider et al. analyzed the difference in survival between men and women in trauma scenarios, showing that women not only have higher survival rates after a traumatic injury when compared to men with similar injuries, but also demonstrate less susceptibility to the development of fatal complications. The authors also point out that when these complications occur, the relative risk of death in women becomes higher than that observed in men. 10 Therefore, the relative risk of death found in this study may suggest that women victims of vascular trauma in the SUS experience a more significant rate of in-hospital complications than men, which increases the relative risk of death in this group. Given the limitations of DATASUS, which does not provide medical record data related to the complications and specific characteristics of these patients, this hypothesis cannot be explored in this study. However, it is of interest to the scientific community to compare the risk of death between men and women victims of vascular trauma hospitalized in the SUS, using medical record data as a basis, seeking to explain why in Brazil women have a higher risk of death compared to men after traumatic vascular injuries, even though they represent less than ¼ of the victims, in addition to exploring the impact of complications on these rates and, possibly, evaluating the effectiveness of managing these complications.
Hospitalizations occurred predominantly among patients aged 15 to 49 years. This finding reinforces the literature, which points out that victims of vascular trauma are generally mostly young1,2,3,4,5. The justification, according to the study by Góes Junior et al, is that the group that makes up the main economically active portion is more exposed to traffic accidents, work accidents, and urban violence, which makes them more susceptible to blunt and penetrating trauma. 5 Another study, conducted by Lentsck, Sato, and Mathias, reinforces this picture by highlighting the epidemiological relevance of trauma in this population profile.11
Data related to the color/race of hospitalized patients show that most victims identified themselves as brown/black. To analyze these data, it is necessary to interpret them based on some social, historical, and cultural particularities of the country. Brazil, despite being ethnically diverse, is a predominantly black country (including black and brown), with this group representing 55.4% of the Brazilian population, according to the latest census by the IBGE (Brazilian Institute of Geography and Statistics) in 2022. 12
At the same time, it is a country with a long history of slavery, which makes the role of color/race as a social determinant that permeates issues of inequality and prejudice in different structural spheres, including public health, undeniable. The study by Souza, Barros, and Silva analyzed the completion of the race/color question in patient identification and showed that this practice has important limitations, since it depends on self-declaration in a country with a strong history of denial of Afro-descendant identity. 13 Complementarily, Albuquerque et al. investigated regional health inequalities in Brazil between 2000 and 2016 and highlighted that this fragility in the collection of hospital records reflects and reinforces structural disparities in the health system.14
The data reveal a predominance in the Southeast region (32% of the total), followed by the South (4,074), Northeast (3,880), North (2,134), and Midwest (2,534) regions. These results can be explained by some regional disparities. The first corresponds to population distribution, which is not uniform throughout Brazil. According to the latest IBGE census, in 2022, the Southeast region comprised 42.99% of the country's population, followed by the Northeast region with 27.27% of the total, then the South region with 15.11%, the North region with 8.78%, and the Midwest region with 8.12% of the country's inhabitants. The most populous regions have more specialized services, more hospital beds, and a greater number of professionals. The significant proportion of victims in the Southeast region reflects, among other parameters, the larger population in that region and, following the same logic, the North and Midwest regions have the lowest hospitalization rates.
The study by Lima et al. identified that, despite the expansion of service provision among the SUS Health Regions, the groups with higher levels of socioeconomic development and better service provision remained concentrated mainly in the South and Southeast regions. In addition, the AMIB/2024 Census showed that the North and Northeast regions have less hospital infrastructure, reduced availability of ICU beds and specialized teams, which limits access to intensive care and is reflected in the hospitalization rates observed in this study.
The density of car accidents and rates of urban violence in these regions, factors linked to the urbanization process, are also important parameters to be considered in the analysis of the results, since it is widely reinforced in the literature that penetrating injuries from firearm projectiles and blunt injuries from car accidents are the main causes of vascular trauma in the country.
In 2022, the urban population represented 87.4% of Brazilians, with the highest percentages observed in the Southeast (94.44%) and Midwest (91.35%) regions, followed by the South (88.24%), North (78.47%), and Northeast (77.64%) regions. According to the National Road Safety Observatory (2023), also in 2022, the Southeast and Northeast regions had the highest percentages of deaths from car accidents compared to other regions of the country. At the same time, the Atlas of Violence 2025, prepared by Cerqueira et al. (2025), pointed out that the lowest homicide rates per 100,000 inhabitants were recorded in the southern states, in addition to São Paulo and Minas Gerais, while the highest rates were concentrated in the North and Northeast. In terms of urbanization, the South and Southeast stand out again. However, the North and Northeast have higher rates of urban violence and, after the Southeast, the Northeast stands out with the highest density of car accidents, corroborating the findings of this study in explaining why these regions have numbers of hospitalizations of vascular trauma victims close to those of the Southeast and South, and higher than those of the Midwest, despite disparities in population, urbanization, and the provision of specialized services.
The most frequent cases of hospital admission for vascular trauma occurred in the upper limbs. There are variations in the most affected anatomical regions depending on the context of the analysis. However, the literature supports that, in general, the extremities are more commonly affected in vascular trauma in Brazil. 1,4,15
Although less prevalent, abdominal vascular trauma has the highest mortality rate, accounting for 22.1% of vascular trauma deaths recorded in DATASUS, followed by trauma to the lower limbs (11.8%), cervical region (7.4%), and upper limbs (2.3%). The abdominal cavity houses large, high-caliber vessels capable of generating difficult-to-control bleeding when injured. Reinforcing this perspective, Perkins et al. demonstrated that bleeding and shock are among the main factors contributing to complexity and mortality in these cases. This understanding had already been proposed previously by Kashuk et al., who suggested a unified approach to the management of abdominal vascular trauma given the severity of the outcomes.16,17 Furthermore, success in this scenario presupposes the presence of trained teams, vascular surgeons, and adequate hospital infrastructure, which, as previously discussed, is not always available due to disparities in the concentration of specialized services in the country. The high mortality rate may also reflect delays in prehospital care and difficulty in accessing referral centers.
Regarding hospital stay, the data showed that lower limb trauma required the longest hospital stay, with a median of 6.6 days, while cervical and abdominal trauma had similar times (5.8 and 5.6 days, respectively), and upper limb trauma resulted in shorter hospital stays, with a mean of 4.5 days. These results can be correlated with the susceptibility of these injuries to develop complications that prolong ICU hospitalization and require multiple interventions. The literature argues that factors such as prolonged ischemia (>6 h), blunt trauma, associated fractures, compartment syndrome, and hemodynamic instability are strongly associated with prolonged hospital stays in patients with vascular trauma, especially in the lower limbs,18-24 corroborating the findings of this study.
Regarding the nature of care, 88.4% were urgent/emergency cases, while 11.6% were elective. The mortality rate followed the same trend, being higher among urgent care cases. Trauma accounts for high morbidity and mortality rates and requires rapid intervention precisely because of the potential severity of the injuries and, in vascular trauma, the hemodynamic instability of patients. Therefore, the results reflect the profile of this type of injury, especially in Brazil, where these injuries are mainly caused by firearm projectiles and car accidents. The most prevalent mechanisms of vascular trauma in Brazil are associated with more complex injuries, requiring rapid prehospital and intrahospital care to control bleeding and repair damage. This scenario justifies a prevalence of emergency care, which, in turn, has higher mortality rates due to the greater severity of the injuries.25,26
The study has limitations related to underreporting of data due to failure to collect and record data not controlled by these researchers. More multicenter and comparative studies are needed to better determine the interference of other variables.
Young black men are the majority of vascular trauma victims in Brazil, with most cases requiring emergency care and the highest concentration of cases in the most populous and developed regions, especially in the Southeast, reflecting regional disparities in the country.
The upper limbs were most affected (defensive injuries), while lower limb injuries accounted for the longest hospitalization time, suggesting that associated complications prolong the period of hospitalization.
Abdominal vascular trauma, although less prevalent, showed higher mortality rates, reflecting the complexity of this type of injury and the structural challenge in the face of the need for rapid and specialized pre- and intra-hospital care in a context of strong regional socioeconomic disparities.
There was a higher relative risk of death among female victims, contrasting with the international literature and suggesting that, in Brazil, this group may experience high rates of intra-hospital complications.
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Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.
Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed
Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.
Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.
Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.
