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"Trauma" AND "Mechanism Of Injury"

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https://www.readbyqxmd.com/read/30516252/factors-predicting-the-early-mortality-of-trauma-patients
#1
Won Young Yong Jin, Jin Hee Jeong, Dong Hoon Kim, Tae Yun Kim, Changwoo Kang, Soo Hoon Lee, Sang Bong Lee, Seong Chun Kim, Yong Joo Park, Daesung Lim
BACKGROUND: The aim of this study was to identify factors predicting early mortality in trauma patients. METHODS: This was a study of 6288 trauma patients admitted to the hospital between July 2011 and June 2016. Among the variables recorded for a prospective trauma registry, the following were selected for analysis: sex; age; a combination of the Glasgow Coma Scale score, age, and systolic blood pressure (SBP) (GAP); a combination of the mechanism of injury, the Glasgow Coma Scale score, age, and SBP (MGAP); SBP; respiratory rate; peripheral oxygen saturation (SpO2 value); the Glasgow Coma Scale score; laboratory variables; and presentation time...
November 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30507930/identifying-temporal-patterns-in-trauma-admissions-informing-resource-allocation
#2
David P Stonko, Bradley M Dennis, Rachael A Callcut, Richard D Betzold, Michael C Smith, Andrew J Medvecz, Oscar D Guillamondegui
BACKGROUND: Increased knowledge of the temporal patterns in the distribution of trauma admissions could be beneficial to staffing and resource allocation efforts. However, little work has been done to understand how this distribution varies based on patient acuity, trauma mechanism or need for intervention. We hypothesize that temporal patterns exist in the distribution of trauma admissions, and that deep patterns exist when traumas are analyzed by their type and severity. STUDY DESIGN: We conducted a cross-sectional observational study of adult patient flow at a level one trauma center over three years, 7/1/2013-6/30/2016...
2018: PloS One
https://www.readbyqxmd.com/read/30503331/outcome-measures-after-medial-ulnar-collateral-ligament-reconstructions-in-a-military-population
#3
John B Fuller, John C Dunn, Nicholas A Kusnezov, Leon J Nesti, Kelly G Kilcoyne
BACKGROUND: Medial ulnar collateral ligament (MUCL) reconstruction outcomes are well described in competitive throwers but not in nonthrowers. This investigation elucidated epidemiologic variables, functional outcomes, and prognostic factors after MUCL reconstruction in young active patients. METHODS: United States military service members undergoing MUCL reconstruction were isolated using the Management Analysis and Reporting Tool (M2) database from 2009 to 2016...
November 28, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/30502275/comparison-of-geriatric-trauma-outcomes-when-admitted-to-a-medical-or-surgical-service-after-a-fall
#4
Rahman G Barry, Thao T Wolbert, Farid B Mozaffari, Peter D Ray, Errington C Thompson, Todd W Gress, David A Denning
BACKGROUND: Blunt trauma in the geriatric population is fraught with poor outcomes, with injury severity and comorbidities impacting morbidity and mortality. METHODS: We retrospectively reviewed 2172 patients aged ≥65 y who fell, requiring hospital admission between January 2012 and December 2016. There were 403 patients in the surgical arm (SA) and 1769 patients in the medical arm (MA). Ground-level falls were the only mechanism of injury included. We excluded all ICU admissions and deaths within 24 h...
January 2019: Journal of Surgical Research
https://www.readbyqxmd.com/read/30497861/impact-of-time-to-repair-on-outcomes-in-patients-with-lower-extremity-arterial-injuries
#5
Abdul Q Alarhayem, Stephen M Cohn, Oliver Cantu-Nunez, Brian J Eastridge, Todd E Rasmussen
BACKGROUND: Six hours has long been considered the threshold of ischemia after peripheral artery injury. However, there is a paucity of evidence regarding the impact of operative delays on morbidity and mortality in patients with lower extremity arterial injuries. METHODS: We analyzed the records of 3,441,259 injured patients entered into the National Trauma Data Bank Research Dataset from 2012 to 2015. Patients (≥16 years) with lower extremity arterial injuries were identified by International Classification of Diseases, Ninth Revision injury and procedure codes...
November 26, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/30489493/evaluating-for-racial-differences-in-pain-management-of-long-bone-fractures-in-a-pediatric-rural-population
#6
Lucia Liao, Lilia Reyes
OBJECTIVES: The aim of this study was to determine if a racial disparity exists in the administration of an analgesic, time to receiving analgesic, and type of analgesic administered to children with long-bone fractures. Prior studies have reported the existence of racial disparity but were mostly in adult and urban populations. METHODS: This is a retrospective chart review of 727 pediatric patients (aged 2-17 years) with International Classification of Diseases, Ninth Revision (or 10th revision) codes for long-one fractures in an emergency department that cares for a suburban and rural population between January 2013 and January 2016...
November 26, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/30482362/cervical-spine-trauma-evaluation
#7
Daniel Blatz, Brendon Ross, Joseph Dadabo
Cervical spine trauma is a relatively rare but catastrophic event in sports. These critical situations depend on sports medicine personnel understanding every aspect of sideline care to ensure a safe and successful evaluation. This involves thorough preparation, vigilant observation of the sporting event to detect the possible mechanism of injury, and initiation of the appropriate action plan when a potentially catastrophic injury is suspected. Sideline management of cervical spine trauma requires the appropriate primary survey, with spine stabilization if necessary, secondary survey for concomitant injury, and, potentially, initiation of full spine stabilization with a spine board...
2018: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/30478726/morbidity-and-mortality-of-hispanic-trauma-patients-with-diabetes-mellitus
#8
Alanna Maria Guzman-Martinez, Omar Garcia-Rodriguez, Ediel Omar Ramos-Melendez, Lourdes Guerrios-Rivera, Pablo Rodriguez-Ortiz
PURPOSE: DM and trauma are leading causes of death in Hispanic patients, yet the interaction between them remains obscure. We aimed to assess the complications and in-hospital mortality rate of Hispanic diabetic trauma patients. METHODS: A retrospective cohort study was carried out using data from the Puerto Rico Trauma Hospital databank. Patients were matched based on gender, age, mechanism of injury, Glasgow Coma Scale, and Injury Severity Score using propensity-score matching...
November 26, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30476614/trends-and-outcomes-of-pediatric-vascular-injuries-in-the-united-states-an-analysis-of-the-national-trauma-data-bank
#9
Mohammad H Eslami, Zein M Saadeddin, Denis V Rybin, Efthymios D Avgerinos, Pegeen W Eslami, Jeffrey J Siracuse, Alik Farber
BACKGROUND: According to the Center for Disease Control and Prevention, trauma is the leading cause of death in children >1 year in the United States (US). Although vascular injuries occur in only 0.6-1% of pediatric trauma patients, they are a major mortality contributor. This study aims to examine epidemiology and outcomes after pediatric vascular injuries (Ped VIs) in the US. METHODS: National Trauma Data Bank (2002-2012) was queried to identify children (0-16) with PedVIs...
November 23, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/30472050/relevance-of-early-ct-scan-diagnosis-of-blunt-diaphragmatic-injury-a-retrospective-analysis-from-the-northern-french-alps-emergency-network
#10
A Mancini, A Duramé, S Barbois, J Abba, F-X Ageron, C Arvieux
INTRODUCTION: Diaphragmatic rupture following blunt trauma occurs rarely. Classically described after high-velocity accidents, ruptures are often associated with multiple organ injuries. The diagnosis is sometimes difficult. The goal of this study was to analyze and to discuss the modalities of early radiologic diagnosis and management of these injuries. PATIENTS AND METHODS: This multicenter retrospective study included patients seen between 2009 and 2017 within the Northern Alpine Emergency Network [REseau Nord Alpin des Urgences (RENAU)]...
November 21, 2018: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/30471941/postoperative-cd4-counts-predict-anastomotic-leaks-in-patients-with-penetrating-abdominal-trauma
#11
Martin Mauser, Christos Bartsokas, Martin Brand, Frank Plani
INTRODUCTION: The influence of trauma- and surgical stress-induced decrease of CD4 count on anastomotic leaks after penetrating abdominal trauma has to date not been investigated. A prospective study was performed to explore the effect of CD4 count 24 h after surgery on the anastomotic leak rate and to identify risk factors for anastomotic leaks. METHODS: This was a prospective study including 98 patients with small or large bowel resection and subsequent anastomosis due to penetrating abdominal trauma...
November 16, 2018: Injury
https://www.readbyqxmd.com/read/30470686/patterns-of-moderate-and-severe-injury-in-children-after-the-introduction-of-major-trauma-networks
#12
Samantha Jones, Sarah Tyson, Michael Young, Matthew Gittins, Naomi Davis
OBJECTIVE: To describe the demographics, mechanisms, presentation, injury patterns and outcomes for children with traumatic injuries. SETTING: Data collected from the UK's Trauma and Audit Research Network. DESIGN AND PATIENTS: The demographics, mechanisms of injury and outcomes were described for children with moderate and severe injuries admitted to the Major Trauma Network in England between 2012 and 2017. RESULTS: Data regarding 9851 children were collected...
November 23, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/30463726/incidence-outcomes-and-recidivism-of-elderly-patients-admitted-for-isolated-hip-fracture
#13
Shadd Cabalatungan, Nicholas Divaris, Jane E McCormack, Emily C Huang, Riyaz Kamadoli, Robert Abdullah, James A Vosswinkel, Randeep S Jawa
INTRODUCTION: Isolated hip fracture (IHF) is a common injury in the elderly after a fall. However, there is limited study on elderly IHF patients' subsequent hospitalization for a new injury, that is, trauma-related recidivism. METHODS: A retrospective review of the trauma registry at an ACS level I trauma center was performed for all elderly (age ≥ 65 y) blunt trauma patients admitted between 2007 and 2017, with a focus on IHF patients. IHF was defined as a fracture of the femoral head, neck, and/or trochanteric region without any other injuries except minor soft tissue trauma after a fall...
December 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/30456157/head-injury-burden-in-a-major-referral-hospital-emergency-centre-in-botswana
#14
Megan Cox, Timothy D Becker, Mpapho Motsumi
Introduction: This study describes the demographics, aetiology, emergency centre diagnosis and severity indicators of patients with head injuries presenting to the largest referral hospital emergency centre in Botswana. Methods: Cross-sectional retrospective data was collected from July 2015 to September 2015 for all emergency centre head injury presentations at Princess Marina Hospital. Information was extracted from emergency centre records regarding patient demographics, mechanism of injury, clinical observations, diagnosis, and treatment...
September 2018: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
https://www.readbyqxmd.com/read/30456155/the-association-between-hospital-arrival-time-transport-method-prehospital-time-intervals-and-in-hospital-mortality-in-trauma-patients-presenting-to-khayelitsha-hospital-cape-town
#15
Anders Möller, Luke Hunter, Lisa Kurland, Sa'ad Lahri, Daniël J van Hoving
Introduction: Trauma is a leading cause of unnatural death and disability in South Africa. The aim of the study was to determine whether method of transport, hospital arrival time or prehospital transport time intervals were associated with in-hospital mortality among trauma patients presenting to Khayelitsha Hospital, a district-level hospital on the outskirts of Cape Town, South Africa. Methods: The Khayelitsha Hospital Emergency Centre database was retrospectively analysed for trauma-related patients presenting to the resuscitation area between 1 November 2014 and 30 April 2015...
September 2018: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
https://www.readbyqxmd.com/read/30454067/mortality-of-civilian-patients-with-suspected-traumatic-haemorrhage-receiving-pre-hospital-transfusion-of-packed-red-blood-cells-compared-to-pre-hospital-crystalloid
#16
J E Griggs, J Jeyanathan, M Joy, M Q Russell, N Durge, D Bootland, S Dunn, E D Sausmarez, G Wareham, A Weaver, R M Lyon
BACKGROUND: Major haemorrhage is a leading cause of mortality following major trauma. Increasingly, Helicopter Emergency Medical Services (HEMS) in the United Kingdom provide pre-hospital transfusion with blood products, although the evidence to support this is equivocal. This study compares mortality for patients with suspected traumatic haemorrhage transfused with pre-hospital packed red blood cells (PRBC) compared to crystalloid. METHODS: A single centre retrospective observational cohort study between 1 January 2010 and 1 February 2015...
November 20, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30447946/older-blood-is-associated-with-increased-mortality-and-adverse-events-in-massively-transfused-trauma-patients-secondary-analysis-of-the-proppr-trial
#17
Allison R Jones, Rakesh P Patel, Marisa B Marques, John P Donnelly, Russell L Griffin, Jean-Francois Pittet, Jeffrey D Kerby, Shannon W Stephens, Stacia M DeSantis, John R Hess, Henry E Wang
STUDY OBJECTIVE: The transfusion of older packed RBCs may be harmful in critically ill patients. We seek to determine the association between packed RBC age and mortality among trauma patients requiring massive packed RBC transfusion. METHODS: We analyzed data from the Pragmatic, Randomized Optimal Platelet and Plasma Ratios trial. Subjects in the parent trial included critically injured adult patients admitted to 1 of 12 North American Level I trauma centers who received at least 1 unit of packed RBCs and were predicted to require massive blood transfusion...
November 14, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30447268/urethral-trauma-following-pelvic-fracture-from-horseback-saddle-horn-injury-versus-other-mechanisms-of-pelvic-trauma
#18
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
https://www.readbyqxmd.com/read/30431354/pediatric-and-adolescent-injury-in-skiing
#19
Aaron J Provance, Ariel K Daoud, Alex Tagawa, Jason Rhodes
This review examines risks that accompany child and adolescent participation in downhill skiing. Falls and non-collision events were the most common mechanism of injury, but significant data implicate head injuries, blunt abdominal trauma, and spinal trauma as the leading causes of morbidity and mortality in this population. School-aged children and youth (7-14 years) are more likely to sustain an injury, compared to children (0-6 years) and older teenagers (15-17 years). Knee injuries were the most common injury, reported as 10...
2018: Research in Sports Medicine
https://www.readbyqxmd.com/read/30429930/tranexamic-acid-in-civilian-trauma-care-in-the-california-prehospital-antifibrinolytic-therapy-study
#20
Michael M Neeki, Fanglong Dong, Jake Toy, Reza Vaezazizi, Joe Powell, David Wong, Michael Mousselli, Massoud Rabiei, Alex Jabourian, Nichole Niknafs, Michelle Burgett-Moreno, Richard Vara, Shanna Kissel, Xian Luo-Owen, Karen R O'Bosky, Daniel Ludi, Karl Sporer, Troy Pennington, Tommy Lee, Rodney Borger, Eugene Kwong
Introduction: Hemorrhage is one of the leading causes of death in trauma victims. Historically, paramedics have not had access to medications that specifically target the reversal of trauma-induced coagulopathies. The California Prehospital Antifibrinolytic Therapy (Cal-PAT) study seeks to evaluate the safety and efficacy of tranexamic acid (TXA) use in the civilian prehospital setting in cases of traumatic hemorrhagic shock. Methods: The Cal-PAT study is a multi-centered, prospective, observational cohort study with a retrospective comparison...
November 2018: Western Journal of Emergency Medicine
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