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Trauma Registry

Sarah Luu, Claire Dendle, Penelope Jones, Samar Ojaimi, Ian J Woolley
OBJECTIVE: To evaluate quality of patient knowledge and rates of adherence to guidelines amongst splenectomised patients registered to the Spleen Australia registry. METHOD: Registrants recruited for assessment of residual splenic function post-splenectomy also underwent an assessment of quality of knowledge and a review of their long-term management. Eligible patients were ≥ 18 years of age, registered to the Spleen Australia clinical registry and had been splenectomised at least 1 year prior to their visit...
July 18, 2018: Human Vaccines & Immunotherapeutics
Juan Pablo Herrera-Escobar, Michel Apoj, Christina Weed, Alyssa Fitzpatrick Harlow, Syeda Sanam Al Rafai, Elizabeth Lilley, George Kasotakis, Karen Brasel, Haytham Ma Kaafarani, George Velmahos, Ali Salim, Adil Hussein Haider
BACKGROUND: Chronic pain after trauma is associated with serious clinical, social, and economic burden. Due to limitations in trauma registry data and previous studies, the current prevalence of chronic pain after trauma is unknown, and little is known about the association of pain with other long-term outcomes. We sought to describe the long-term burden of self-reported pain after injury, and determine its association with positive screen for posttraumatic stress disorder (PTSD), functional status, and return to work...
July 17, 2018: Journal of Trauma and Acute Care Surgery
Hridesh Chatha, Ian Sammy, Michael Hickey, Abdo Sattout, John Hollingsworth
Background: Falling down a flight of stairs is a common injury mechanism in major trauma patients, but little research has been undertaken into the impact of age and alcohol intoxication on the injury patterns of these patients. The aim of this study was to compare the impact of age and alcohol intoxication on injury pattern and severity in patients who fell down a flight of stairs. Methods: This was a retrospective observational study of prospectively collected trauma registry data from a major trauma centre in the United Kingdom comparing older and younger adult patients admitted to the Emergency Department following a fall down a flight of stairs between July 2012 and March 2015...
July 2018: Trauma
Jacob E Sunshine, Andrew T Humbert, Benjamin Booth, Steven M Bowman, Eileen M Bulger, Sam R Sharar
BACKGROUND: Virtually all anesthesiologists care for patients who sustain traumatic injuries; however, the frequency with which operative anesthesia care is provided to this specific patient population is unclear. We sought to better understand the degree to which anesthesia providers participate in operative trauma care and how this differs by trauma center designation (levels I-V), using data from a comprehensive, regional database-the Washington State Trauma Registry (WSTR). We also sought to specifically assess operative anesthesia care frequency vis a vis the American College of Surgeons guidelines for continuous anesthesiology coverage for Level II trauma center accreditation...
July 11, 2018: Anesthesia and Analgesia
XianXiu Chen, Cheng-Li Lin, Yuan-Chih Su, Kuan-Fei Chen, Shih-Wei Lai, Sung-Tai Wei, Ching-Tien Peng, Cheng-Di Chiu, Shwn-Huey Shieh, Chun-Chung Chen
OBJECTIVE Although no benefits of extracranial-intracranial (EC-IC) bypass surgery in preventing secondary stroke have been identified previously, the outcomes of initial symptomatic ischemic stroke and stenosis and/or occlusion among the Asian population in patients with or without bypass intervention have yet to be discussed. The authors aimed to evaluate the subsequent risk of secondary vascular disease and cardiac events in patients with and without a history of this intervention. METHODS This retrospective nationwide population-based Taiwanese registry study included 205,991 patients with initial symptomatic ischemic stroke and stenosis and/or occlusion, with imaging data obtained between 2001 and 2010...
June 1, 2018: Journal of Neurosurgery
Stephen M Mann, Daniel Banaszek, Katherine Lajkosz, Susan B Brogly, Shelby M Stanojev, Chris Evans, Davide D Bardana, Jeff Yach, Stephen Hall
INTRODUCTION: Although fractures of the pelvic ring account for only 2-3% of all fractures, they are present in approximately 7-20% of patients with high-energy polytrauma. High-energy pelvic fractures are life-threatening injuries, with mortality estimates ranging from 6 to 35%. The purpose of this study was to examine trends in the incidence, diagnosis, treatment, and mortality rates of high-energy pelvic fractures in Ontario, Canada over a 10-year period. METHODS: A cohort of 3915 patients who sustained a high-energy pelvic fracture in Ontario between 01 April 2005 and 31 March 2015 was identified using the Ontario Trauma Registry and administrative healthcare data linked by the Institute for Clinical Evaluative Science (ICES)...
July 6, 2018: Injury
Jennifer C Kanady, Lisa S Talbot, Shira Maguen, Laura D Straus, Anne Richards, Leslie Ruoff, Thomas J Metzler, Thomas C Neylan
STUDY OBJECTIVES: Our study aims were to examine (1) the association between fear of sleep and posttraumatic stress disorder (PTSD) symptoms, (2) the association between fear of sleep and subjective and objective insomnia symptoms and disruptive behaviors during sleep, and (3) whether fear of sleep decreases following cognitive behavioral therapy for insomnia (CBT-I). METHODS: Forty-five adults with PTSD and insomnia participated in the study. Fear of sleep was assessed using the Fear of Sleep Inventory; PTSD symptoms were assessed using the Clinician Administered PTSD Scale; and sleep disturbance symptoms were assessed using the Insomnia Severity Index, polysomnography, sleep diaries, and the Pittsburgh Sleep Quality Index Addendum for PTSD...
July 6, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Charles T Harris, Brittney M Dudley, Daniel Davenport, Jacob Higgins, Lisa Fryman, Andrew Bernard
Early initiation of a high ratio massive transfusion can lower trauma patient mortality by 80%. Long transport times from rural Level IV trauma centers therefore require that damage control resuscitation begin before patient transfer. This study evaluates the current use of fresh frozen plasma (FFP) at Level IV trauma centers and the feasibility of implementing trauma transfusion protocols at these centers. Demographic and clinical data were collected for trauma patients at all state Level IV trauma centers who would have met criteria for massive transfusion protocol (MTP) activation based on the Assessment of Blood Consumption (ABC) score...
July 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
Aubrey Ashie, Andrew Wilhelm, Daniel Carney, Thomas DiPasquale, Chelsea Bush
OBJECTIVE: The motorcyclist demographic is shifting to a larger proportion of riders over the age of 40. We sought to identify differences in orthopedic injury distribution and severity between three age cohorts, and identify independent factors that contribute to fractures following a motorcycle collision (MCC). METHODS: A trauma registry at a Level I trauma center was queried for motorcycle-related orthopedic injuries between January 1, 2008 and December 31, 2014...
July 9, 2018: Traffic Injury Prevention
Stephanie L Watson, Vannessa Leung
BACKGROUND: Recurrent corneal erosion is a common cause of disabling ocular symptoms and predisposes the cornea to infection. It may follow corneal trauma. Measures to prevent the development of recurrent corneal erosion following corneal trauma have not been firmly established. Once recurrent corneal erosion develops, simple medical therapy (standard treatment) may lead to resolution of the episode. However, some people continue to suffer when such therapy fails and repeated episodes of erosion develop...
July 9, 2018: Cochrane Database of Systematic Reviews
Bogdan Kovcan, Janez Vodicar, Jožef Šimenko, Mateja Videmšek, Primož Pori, Hadžiž Vedran
Introduction: Injury registration is an important first step of the musculoskeletal injury (MSI) prevention process that helps establish the magnitude of the problem and focus prevention on the body parts that are most frequently injured. However, an injury definition used in that process may influence the reported prevalence of MSI, causing some injuries to be under-reported which in turn alters the prevention efforts. The primary goal of our study was to identify the 10-year prevalence of MSI in members of the Slovenian Armed Forces (SAF), to help plan and implement preventive measures for the reduction of MSI...
July 3, 2018: Military Medicine
Audis Bethea, Elliot Adams, Frank C Lucente, Damayanti Samanta, Julton Tomanguillo Chumbe
Enoxaparin regimens commonly used for prophylaxis fail to achieve optimal anti-factor Xa levels in up to 70 per cent of trauma patients. Accordingly, trauma services at the study institution endeavored to develop a standardized approach to optimize pharmacologic prevention with enoxaparin. An enoxaparin venous thromboembolism (VTE) prophylaxis protocol implemented in October 2015 provided weight-adjusted initial dosing parameters with subsequent dose titration to achieve targeted anti-factor Xa levels. Symptomatic VTE rate was evaluated 12 months pre- and post-implementation...
June 1, 2018: American Surgeon
Neal Bhutiani, Keith R Miller, Matthew V Benns, Nicholas A Nash, Glen A Franklin, Jason W Smith, Brian G Harbrecht, Matthew C Bozeman
To date, no studies have examined the relationship between geographic and socioeconomic factors and the frequency of pedestrians sustaining traumatic injuries from a motor vehicle. The objective of this study was to analyze the impact of location on the frequency of pedestrian injury by motor vehicle. The University of Louisville Trauma Registry was queried for patients who had been struck by a motor vehicle from 2010 to 2015. Demographic and injury information as well as outcome measures were evaluated to identify those impacting risk of pedestrian versus motor vehicle accidents...
June 1, 2018: American Surgeon
Pamela Daher, Pedro G Teixeira, Thomas B Coopwood, Lawrence H Brown, Sadia Ali, Jayson D Aydelotte, Brent J Ford, Adam S Hensely, Carlos V Brown
Acute respiratory distress syndrome (ARDS) is a complex inflammatory process with multifactorial etiologies. Risk factors for its development have been extensively studied, but factors associated with worsening severity of disease, as defined by the Berlin criteria, are poorly understood. A retrospective chart and trauma registry review identified trauma patients in our surgical intensive care unit who developed ARDS, defined according to the Berlin definition, between 2010 and 2015. The primary outcome was development of mild, moderate, or severe ARDS...
June 1, 2018: American Surgeon
Bradley S Rostad, Kimberly E Applegate, Tammy Kim, Renee M Mansour, Sarah S Milla
BACKGROUND: Many patients at our pediatric hospital have had a contrast-enhanced CT of the abdomen and pelvis performed by an outside imaging facility before admission. We have noticed that many of these exams are multiphase, which may contribute to unnecessary radiation dose. OBJECTIVE: To determine the frequency of multiphase acquisitions and radiation dose indices in contrast-enhanced CTs of the abdomen and pelvis performed by outside imaging facilities in patients who were subsequently transferred to our pediatric hospital for care, and compare these metrics to contrast-enhanced CTs of the abdomen and pelvis performed internally...
July 7, 2018: Pediatric Radiology
Egle Bartuseviciene, Justina Kacerauskiene, Arnoldas Bartusevicius, Marija Paulionyte, Ruta Jolanta Nadisauskiene, Mindaugas Kliucinskas, Virginija Stankeviciute, Laima Maleckiene, Dalia Regina Railaite
OBJECTIVE: To compare midwife-led and obstetrician-led care and their relation to caesarean section rates and obstetric and neonatal outcomes in low-risk births. DESIGN: Hospital registry based retrospective cohort study. SETTING: Tertiary-care women's hospital in Kaunas, Lithuania. PARTICIPANTS: A total of 1384 and 1283 low-risk delivering women in 2012 and 2014, respectively. METHODS: The women choose either a midwife as their lead carer (midwife-led group), or an obstetrician-gynaecologist (obstetrician-led group)...
June 21, 2018: Midwifery
Matthew J Bradley, Angela T Kindvall, Ashley E Humphries, Elliot M Jessie, John S Oh, Debra M Malone, Jeffrey A Bailey, Philip W Perdue, Eric A Elster, Carlos J Rodriguez
Background: The Joint Trauma System has demonstrated improved outcomes through coordinated research and process improvement programs. With fewer combat trauma patients, our military American College of Surgeons level 2 trauma center's ability to maintain a strong trauma Process Improvement (PI) program has become difficult. As emergency general surgery (EGS) patients are similar to trauma patients, our Trauma and Acute Care Surgery (TACS) service developed an EGS PI program analogous to what is done in trauma...
2018: Patient Safety in Surgery
G Sadigh, N Kadom, P Karthik, D Sengupta, K J Strauss, D Frush, K E Applegate
BACKGROUND AND PURPOSE: Radiologists should manage the radiation dose for pediatric patients to maintain reasonable diagnostic confidence. We assessed the variation in estimated radiation dose indices for pediatric noncontrast head CT in the United States. MATERIALS AND METHODS: Radiation dose indices for single-phase noncontrast head CT examinations in patients 18 years of age and younger were retrospectively reviewed between July 2011 and June 2016 using the American College of Radiology CT Dose Index Registry...
July 5, 2018: AJNR. American Journal of Neuroradiology
Craig D Newgard, Susan Malveau, Dana Zive, Joshua Lupton, Amber Lin
OBJECTIVE: To describe and validate construction of a population-based, longitudinal cohort of injured older adults from 911 call to 1-year follow-up using existing data sources, probabilistic linkage, and multiple imputation. METHODS: This was a descriptive cohort study conducted in seven counties in Oregon and Washington from January 1, 2011 through December 31, 2011, with follow-up through December 31, 2012. The primary cohort included all injured adults ≥ 65 years served by 44 EMS agencies...
July 3, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Sharon Goldman, Irina Radomislensky, Arnona Ziv, Kobi Peleg
OBJECTIVES: To examine the relationship between neighborhood socioeconomic level (NSEL) and injury-related hospitalization. METHODS: The National Trauma Registry (INTR) and the National Population Census (NPC), including NSEL, were linked by individual identity number. Age-adjusted logistic regression predicted injury hospitalization. Mantel-Haenszel  X2 was used for linear trends. NSEL was divided into 20 clusters. RESULTS: The population comprised 7,412,592 residents, of which 125,829 (1...
July 3, 2018: International Journal of Public Health
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