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Trauma Registry

Ashimiyu B Durojaiye, Lisa L Puett, Scott Levin, Matthew Toerper, Nicolette M McGeorge, Kristen L W Webster, Gurmehar S Deol, Hadi Kharrazi, Harold P Lehmann, Ayse P Gurses
BACKGROUND:  Electronic health record (EHR) systems contain large volumes of novel heterogeneous data that can be linked to trauma registry data to enable innovative research not possible with either data source alone. OBJECTIVE:  This article describes an approach for linking electronically extracted EHR data to trauma registry data at the institutional level and assesses the value of probabilistic linkage. METHODS:  Encounter data were independently obtained from the EHR data warehouse ( n  = 1,632) and the pediatric trauma registry ( n  = 1,829) at a Level I pediatric trauma center...
November 19, 2018: Methods of Information in Medicine
Alexandre Tran, Marie-Joe Nemnom, Jacinthe Lampron, Maher Matar, Christian Vaillancourt, Monica Taljaard
BACKGROUND: Due to the challenge of identifying need for intervention in bleeding patients, there is a growing interest in prediction modeling. Massive transfusion (MT; 10 or more packed red cells in 24 h) is the most commonly studied dependent variable, serving as a surrogate for severe bleeding and its prediction guides the need for intervention. The critical administration threshold (CAT; 3 packed red cells in 1 h) has been proposed as an alternative. In this study, we aim to compare the classification accuracy of these two surrogates for hemorrhage-related outcomes in health administrative datasets...
November 10, 2018: Injury
A L Diacon, L A Kimmel, R C Hau, B J Gabbe, E R Edwards
INTRODUCTION: Multitrauma patients suffering hindfoot fractures, including calcaneal and talar fractures, often result in poor outcomes. However, less is known about the outcomes following midfoot fracture in the mutitrauma population. This study aims to describe the epidemiology of midfoot fractures in multitrauma patients and to compare the outcomes of midfoot and hindfoot fractures in this population. METHODS: Data about multitrauma patients (Injury Severity Score >12) sustaining a unilateral midfoot or hindfoot fracture were obtained from the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR) and from retrospective review of medical records at a major trauma centre...
November 12, 2018: Injury
Mitsuaki Kojima, Akira Endo, Atsushi Shiraishi, Yasuhiro Otomo
STUDY OBJECTIVE: Although geriatric trauma patients are becoming more common, few large-scale analyses have comprehensively evaluated geriatric-specific characteristics in trauma. This study aims to clarify the age-specific characteristics, outcomes, and predictive accuracy of current trauma scoring systems among geriatric trauma patients. METHODS: Patients with severe trauma, with an Abbreviated Injury Scale score greater than or equal to 3, and registered in the Japan Trauma Data Bank during 2004 to 2015 were retrospectively reviewed...
November 14, 2018: Annals of Emergency Medicine
C Austin Service, Rachel A Moses, Sarah D Majercik, James M Hotaling, Sorena Keihani, David Rothberg, Jeremy B Myers
OBJECTIVES: To examine the rate of urethral trauma and pubic symphysis diastasis in saddle horn injury, which occurs when horseback riders are bucked into the air and land with their perineum striking the rigid saddle horn, compared to pelvic fracture from other mechanisms. METHODS: A retrospective review was performed of male patients presenting to our level-1 trauma center with pelvic ring fractures between 01/01/2001 and 12/30/2016. Demographics, injury severity score (ISS), mechanism of injury (saddle horn vs...
November 14, 2018: Urology
Nicholas G Matthees, James A Mankin, Amy M Trahan, Sharjeel Israr, Michael D Jones, Jonathan L Dameworth, Scott R Petersen, Jordan A Weinberg
BACKGROUND: Pneumomediastinum following blunt trauma is often observed on CT imaging, and concern for associated aerodigestive injury often prompts endoscopy and/or fluoroscopy. In recent years, adoption of multi-detector CT technology has resulted in high resolution images that may clearly identify aerodigestive injuries. The purpose of this study was to evaluate the utility of multi-detector CT in the identification of blunt aerodigestive injuries. METHODS: Over five years, patients with pneumomediastinum following blunt trauma were identified from the registry of a level 1 trauma center...
November 9, 2018: American Journal of Surgery
Sharon C M Reece, Deva Thiruchelvam, Donald A Redelmeier
BACKGROUND: Agricultural work involves hazards that may harm long-term well-being. We evaluated the risk of long-term disability and death for agricultural workers compared to construction workers with similar demographics. We hypothesized that delays to emergency care and subsequent long-term disability following injury might be worse for agricultural workers compared to those injured in construction. METHODS: We evaluated all adults severely injured on farms or on construction sites in Ontario, Canada, between April 1, 2009, and March 31, 2012, according to the Ontario Trauma Registry...
November 16, 2018: Journal of Rural Health
Yohei Hirano, Toshikazu Abe, Hiroshi Tanaka
PURPOSE: The beneficial effect of the presence of an emergency physician in prehospital major trauma care is controversial. The aim in this study is to assess whether an emergency physician on scene can improve survival outcome of critical trauma patients. METHODS: This retrospective cohort study was conducted by using nationwide trauma registry data between 2004 and 2013 in Japan. Severe trauma patients (injury severity score (ISS) ≥ 16) who were transported directly to the hospital from the injury site were included in our analysis...
November 9, 2018: American Journal of Emergency Medicine
Irma T Ugalde, Mary K Claiborne, Marylou Cardenas-Turanzas, Manish N Shah, James R Langabeer, Rajan Patel
Introduction: Computed tomography angiography (CTA) is used to screen patients for cerebrovascular injury after blunt trauma, but risk factors are not clearly defined in children. This modality has inherent radiation exposure. We set out to better delineate the risk factors associated with blunt cervical vascular injury (BCVI) in children with attention to the predictive value of seatbelt sign of the neck. Methods: We collected demographic, clinical and radiographic data from the electronic medical record and a trauma registry for patients less than age 18 years who underwent CTA of the neck in their evaluation at a Level I trauma center from November 2002 to December 2014 (12 years)...
November 2018: Western Journal of Emergency Medicine
Kapil Dev Soni, Gaurav Kaushik, Amit Gupta, Vishwajeet Singh, Subodh Kumar, Sushma Sagar
Introduction: Emergency department (ED) overcrowding with critically ill trauma patients has been a major concern globally. It has been shown that longer stays in the hospital before Intensive Care Unit (ICU) admission have a higher mortality rate. Objective: The objective of this study was to find whether the delay in ICU admission from ED is associated with significant mortality in a trauma patient. Methods: A prospective trauma registry data of 232 patients collected from the ED of JPNATC trauma center between September 2015 and March 2016 were used in the study...
July 2018: Journal of Emergencies, Trauma, and Shock
John Glasheen, Jeff Hooper, Andrew Donohue, Bronwyn Murray-Smith, Emmeline Finn
OBJECTIVE: Traumatic cardiac arrest (TCA) has been associated with poor outcome, but there are survivors with good neurological outcome. Treatment of hypoxia plays a key part in resuscitation algorithms, but little evidence exists on the ideal method of airway management in TCA. METHODS: LifeFlight Retrieval Medicine is an aeromedical retrieval service based in Queensland, Australia. Data regarding all intubations performed over a 28-month period were accessed from an electronic airway registry...
November 2018: Air Medical Journal
Samuel T Walters, Simon Craxford, Rebecca Russell, Tanvir Khan, Jessica Nightingale, Chris G Moran, Andrew M Taylor, Daren P Forward, Benjamin J Ollivere
OBJECTIVES: To evaluate the outcomes including early mortality following surgical rib fixation using a locking plate system as part of a newly introduced chest trauma pathway. DESIGN: Prospective cohort study with retrospective case-controlled matching with a minimum of one year follow up. SETTING: Regional Level 1 Trauma Centre. PATIENTS/PARTICIPANTS: Consecutive patients undergoing surgical rib fixation were prospectively recruited over a three year period (56 patients), and matched to similar patients managed non-operatively (89 patients) using our local trauma registry...
October 8, 2018: Journal of Orthopaedic Trauma
Cheng-Shyuan Rau, Pao-Jen Kuo, Peng-Chen Chien, Chun-Ying Huang, Hsiao-Yun Hsieh, Ching-Hua Hsieh
BACKGROUND: The purpose of this study was to build a model of machine learning (ML) for the prediction of mortality in patients with isolated moderate and severe traumatic brain injury (TBI). METHODS: Hospitalized adult patients registered in the Trauma Registry System between January 2009 and December 2015 were enrolled in this study. Only patients with an Abbreviated Injury Scale (AIS) score ≥ 3 points related to head injuries were included in this study. A total of 1734 (1564 survival and 170 non-survival) and 325 (293 survival and 32 non-survival) patients were included in the training and test sets, respectively...
2018: PloS One
Kate F Walker, Marion Kibuka, Jim G Thornton, Nia W Jones
BACKGROUND: Epidural analgesia in labour prolongs the second stage and increases instrumental delivery. It has been suggested that a more upright maternal position during all or part of the second stage may counteract these adverse effects. This is an update of a Cochrane Review published in 2017. OBJECTIVES: To assess the effects of different birthing positions (upright or recumbent) during the second stage of labour, on maternal and fetal outcomes for women with epidural analgesia...
November 9, 2018: Cochrane Database of Systematic Reviews
Uday Mann, Logan Zemp, Keith F Rourke
INTRODUCTION: Contemporary Canadian renal trauma data is lacking. Our objective is to describe 10-year outcomes of renal trauma at a Canadian level 1 trauma centre using a conservative approach. METHODS: The Alberta Trauma Registry at the University of Alberta was used to identify renal trauma patients from October 2004 to December 2014. Hospital records and imaging were reviewed to identify clinicoradiographical factors, including patient age, gender, Injury Severity Score (ISS), American Association of the Surgery for Trauma (AAST) grade, computerized tomography (CT) findings, urological interventions, length of stay, transfusion and death rates...
November 5, 2018: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
Rodolfo Romero Pareja, Rafael Castro Delgado, Fernando Turégano Fuentes, Israel Jhon Thissard-Vasallo, David Sanz Rosa, Pedro Arcos González
BACKGROUND: In mass casualty incidents (MCI), death usually occurs within the first few hours and thus early transfer to a trauma centre can be crucial in selected cases. However, most triage systems designed to prioritize the transfer to hospital of these patients do not assess the need for surgery, in part due to inconclusive evidence regarding the value of such an assessment. Therefore, the aim of the present study was to evaluate the capacity of a new triage system-the Prehospital Advanced Triage Method (META)-to identify victims who could benefit from urgent surgical assessment in case of MCI...
November 7, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Julie A Dunn, Thomas J Schroeppel, Michael Metzler, Chris Cribari, Katherine Corey, David R Boyd
There is little to no written information in the literature regarding the origin of the trauma flow sheet. This vital document allows programs to evaluate initial processes of trauma care. This information populates the trauma registry and is reviewed in nearly every Trauma Process Improvement and Patient Safety conference when discerning the course of patient care. It is so vital, a scribe is assigned to complete this documentation task for all trauma resuscitations, and there are continual process improvement efforts in trauma centers across the nation to ensure complete and accurate data collection...
2018: Trauma surgery & acute care open
Prashant Bhandarkar, Ashok Munivenkatappa, Nobhojit Roy, Vineet Kumar, Luis Rafael Moscote-Salazar, Amit Agrawal
Objective: To compare the shock index (SI - which is the ratio of heart rate to systolic blood pressure) and Age SI (Age in years multiplied by SI) with survival outcome of the patients across multicenter trauma registry in India. Methods: Study is based on Towards Improved Trauma Care Outcomes (TITCO) project. Records with valid details of age, heart rate, systolic blood pressure, Injury Severity Scale (ISS) and Glasgow Coma Scale (GCS) score was considered. SI was categorized into four groups; Group I (SI<0...
October 2018: Bulletin of Emergency and Trauma
Paul Vulliamy, Mark Faulkner, Graham Kirkwood, Anita West, Breda O'Neill, Martin P Griffiths, Fionna Moore, Karim Brohi
OBJECTIVES: To describe the epidemiology of assaults resulting in stab injuries among young people. We hypothesised that there are specific patterns and risk factors for injury in different age groups. DESIGN: Eleven-year retrospective cohort study. SETTING: Urban major trauma centre in the UK. PARTICIPANTS: 1824 patients under the age of 25 years presenting to hospital after a stab injury resulting from assault. OUTCOMES: Incident timings and locations were obtained from ambulance service records and triangulated with prospectively collected demographic and injury characteristics recorded in our hospital trauma registry...
November 6, 2018: BMJ Open
Pernilla Brandt Bäckman, Louis Riddez, Lennart Adamsson, Carl-Magnus Wahlgren
BACKGROUND: There is a concern that civilian gunshot injuries in Europe are increasing but there is a lack of contemporary studies. The purpose of this study was to investigate the current epidemiology and outcome of firearm injuries. METHODS: Retrospective cohort study of all patients (n = 235) treated for firearm injuries admitted to a Scandinavian trauma center between 2005 and 2016. Local and national trauma registries were used for data collection. RESULTS: Mean age was 31...
November 3, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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