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"Trauma Centre" OR "Trauma Center"

Adil H Haider, Juan P Herrera-Escobar, Syeda S Al Rafai, Alyssa F Harlow, Michel Apoj, Deepika Nehra, George Kasotakis, Karen Brasel, Haytham M A Kaafarani, George Velmahos, Ali Salim
OBJECTIVE: The aim of this study was to determine factors associated with patient-reported outcomes, 6 to 12 months after moderate to severe injury. SUMMARY OF BACKGROUND DATA: Due to limitations of trauma registries, we have an incomplete understanding of factors that impact long-term patient-reported outcomes after injury. As 96% of patients survive their injuries, several entities including the National Academies of Science, Engineering and Medicine have called for a mechanism to routinely follow trauma patients and determine factors associated with survival, patient-reported outcomes, and reintegration into society after trauma...
December 13, 2018: Annals of Surgery
Jansen N Seheult, Vincent P Anto, Nadim Farhat, Michelle N Stram, Philip C Spinella, Louis Alarcon, Jason Sperry, Darrell J Triulzi, Mark H Yazer
BACKGROUND: A supervised machine learning algorithm was used to generate decision trees for the prediction of massive transfusion at a Level 1 trauma center. METHODS: Trauma patients who received at least one unit of RBCs and/or low-titer group O whole blood between January 1, 2015, and December 31, 2017, were included. Massive transfusion was defined as the transfusion of 10 or more units of RBCs and/or low-titer group O whole blood in the first 24 hours of admission...
December 12, 2018: Transfusion
Mark C Fitzgerald, Kate Curtis, Peter A Cameron, Jane E Ford, Teresa S Howard, John A Crozier, Ailene Fitzgerald, Russell L Gruen, Clifford Pollard
INTRODUCTION: Injuries are a major cause of disability and lost productivity. The case for a national trauma registry has been recognized by the Australian Commission on Safety and Quality in Health Care and at a policy level. BACKGROUND: The need was flagged in 1993 by the Royal Australasian College of Surgeons and the Australasian Trauma Society. In 2003, the Centre of National Research and Disability funded the Australian and New Zealand National Trauma Registry Consortium, which produced three consecutive annual reports...
December 11, 2018: ANZ Journal of Surgery
Rafael De Ayala-Hillman, Nelson A Crespo-Martínez, Omar García-Rodríguez, Ediel O Ramos-Meléndez, Pablo Rodriguez-Ortiz
OBJECTIVE: Temporary intravascular shunts (TIVSs) are commonly used as a damagecontrol procedure in trauma settings. Currently, there is scarce literature in the civilian field, and what there is is limited to large trauma centers with multiple resources. Therefore, we aimed to describe TIVS usage, and the outcomes of that usage, at Puerto Rico Trauma Hospital. MATERIALS AND METHODS: This is a case series conducted from 2009 to 2013 with 32 patients who suffered vascular trauma, of which 13 needed TIVSs...
December 2018: Puerto Rico Health Sciences Journal
Shahram Paydar, Nader Moein-Vaziri, Maryam Dehghankhalili, Hossein Abdolrahimzaeh, Shahram Bolandparvaz, Hamid Reza Abbasi
Purpose The aim of the current study was to report the surgical outcome and complications of jejunostomy with enteroenterostomy for enteral nutrition (EN) in critically ill trauma patients with prolonged nasogastric (NG) nutrition. Methods This cross-sectional study was carried out in a level I trauma center in Shiraz, southern Iran during a one-year period from 2016 to 2017. We included a total number of 30 patients with severe trauma admitted to the intensive care unit (ICU) with more than three months NG nutrition and bowel atrophy...
October 9, 2018: Curēus
Minoo Sharbafshaaer
Traumatic brain injury (TBI) is one of main causes of death and disability among many young and old populations in different countries. Objective: The aim of this study were to consider and predict the cognitive impairments according to different levels and causes of TBI, and education status. Methods: The study was performed using the Mini-Mental State Examination (MMSE) to estimate cognitive impairment in patients at a trauma center in Zahedan city. Individuals were considered eligible if 18 years of age or older...
October 2018: Dementia & Neuropsychologia
(no author information available yet)
Military neurosurgery has played an integral role in the development and innovation of neurosurgery and neurocritical care in treating battlefield injuries. It is of paramount importance to continue to train and prepare the next generation of military neurosurgeons. For the Army, this is currently primarily achieved through the military neurosurgery residency at the National Capital Consortium and through full-time out-service positions at the Veterans Affairs-Department of Defense partnerships with the University of Florida, the University of Texas-San Antonio, and Baylor University...
December 1, 2018: Neurosurgical Focus
(no author information available yet)
OBJECTIVEIn the ongoing conflict in southern Thailand, the improvised explosive device (IED) has been a common cause of blast-induced traumatic brain injury (bTBI). The authors investigated the particular characteristics of bTBI and the factors associated with its clinical outcome.METHODSA retrospective cohort study was conducted on all patients who had sustained bTBI between 2009 and 2017. Collected data included clinical characteristics, intracranial injuries, and outcomes. Factors analysis was conducted using a forest plot...
December 1, 2018: Neurosurgical Focus
Jin-Fu Huang, Yu-Chin Tsai, Cheng-Shyuan Rau, Shiun-Yuan Hsu, Peng-Chen Chien, Hsiao-Yun Hsieh, Ching-Hua Hsieh
BACKGROUND: A systolic blood pressure (SBP) lower than the heart rate (HR) could indicate a poor condition in trauma patients. In such scenarios, the reversed shock index (RSI) is <1, as calculated by the SBP divided by the HR. This study aimed to clarify whether RSI could be used to identify high-risk adult patients with isolated traumatic brain injury (TBI). METHODS: This retrospective study reviewed 1,216 hospitalized adult patients with isolated TBI at a Level I trauma center between January 1, 2009 and December 31, 2015...
December 10, 2018: International Journal of Surgery
Noora Airaksinen, Ilona Nurmi-Lüthje, Heikki Kröger, Peter Lüthje
OBJECTIVE: In Finland, the severity of road traffic injuries is determined using the International Classification of Diseases, 10th Revision, Finnish Modification (ICD-10-FM) injury codes from Finnish Hospital Discharge data and the automatic conversion tool (ICD-AIS map) developed by the Association for the Advancement of Automotive Medicine (AAAM). The aim of this study was to evaluate the ability of the ICD-AIS map to identify seriously injured patients due to traffic accidents in Finnish injury data by comparing the severity rating generated by an expert and by the ICD-AIS map...
December 13, 2018: Traffic Injury Prevention
Arnold J Suda, Christian T Schamberger, Tim Viergutz
INTRODUCTION: In distal radius fractures with metaphyseal comminution, bone grafting or the use of a bone substitute may be necessary. Harvesting autologous iliac crest bone graft for other orthopedic procedures has complications. The aim of this study was to evaluate the complication rate after harvesting a small amount of bone as used for the treatment of radius fractures. PATIENTS AND METHODS: Patients treated in a single level I trauma center with surgical treatment for distal radius fracture with iliac crest bone graft between January 2008 and December 2012 were included in this retrospective study...
December 12, 2018: Archives of Orthopaedic and Trauma Surgery
Andrew S Maertens, Murphy P Martin, Chase S Dean, David Rojas, Joshua A Parry, Michael Maher, Cyril P Mauffrey
PURPOSE: To determine the most common injury patterns, root cause, and the frequency with which unrecognized contralateral posterior ring injury occurs in patients presenting with surgically treated pelvic fractures. METHODS: The medical records of 73 patients presenting to our level I trauma center (52 male and 21 female patients; mean age 41.8 years; range 18-89 years) with surgically treated pelvic ring fractures between January 1, 2016 and January 1, 2018 were reviewed...
December 11, 2018: International Orthopaedics
Rindi Uhlich, Jeffrey David Kerby, Patrick Bosarge, Parker Hu
Background: Missed injury of the diaphragm may result in hernia formation, enteric strangulation, and death. Compounding the problem, diaphragmatic injuries are rare and difficult to diagnose with standard imaging. As such, for patients with high suspicion of injury, operative exploration remains the gold standard for diagnosis. As no current data currently exist, we sought to perform a pragmatic evaluation of the diagnostic ability of 256-slice multidetector CT scanners for diagnosing diaphragmatic injuries after trauma...
2018: Trauma surgery & acute care open
Shokei Matsumoto, Kyoungwon Jung, Alan Smith, Motoyasu Yamazaki, Mitsuhide Kitano, Raul Coimbra
Background: The National Trauma Data Bank (NTDB) has served as a global benchmark for trauma care quality and outcomes. Herein, we compared patient characteristics, trauma management, and outcomes between Japanese emergency and critical care centers and US level 1 trauma centers using the Japanese Trauma Data Bank (JTDB) and NTDB. Methods: A retrospective cohort matching (1:1) study was performed. Patients treated in 2013 with an Injury Severity Score ≥9 were included...
2018: Trauma surgery & acute care open
Kyoungwon Jung, Shokei Matsumoto, Alan Smith, Kyungjin Hwang, John Cook-Jong Lee, Raul Coimbra
Background: This study aimed to compare treatment outcomes between patients with severe pelvic fractures treated at a representative trauma center that was established in Korea since 2015 and matched cases treated in the USA. Methods: Two cohorts were selected from a single institution trauma database in South Korea (Ajou Trauma Data Bank (ATDB)) and the National Trauma Data Bank (NTDB) in the USA. Adult blunt trauma patients with a pelvic Abbreviated Injury Scale >3 were included...
2018: Trauma surgery & acute care open
Iver Anders Gaski, Jorunn Skattum, Adam Brooks, Tomohide Koyama, Torsten Eken, Paal Aksel Naess, Christine Gaarder
Background: Although non-operative management (NOM) has become the treatment of choice in hemodynamically normal patients with liver injuries, the optimal management of Organ Injury Scale (OIS) grades 4 and 5 injuries is still controversial. Oslo University Hospital Ulleval (OUHU) has since 2008 performed angiography only with signs of bleeding. Simultaneously, damage control resuscitation was implemented. Would these changes result in a decreased laparotomy rate and need for angioembolization (AE), as well as decreased mortality? Methods: We performed a retrospective study on all adult patients with liver injuries admitted at OUHU between 2002 and 2014...
2018: Trauma surgery & acute care open
Lukas Leopold Negrin, Reinhard Hahn, Thomas Heinz, Stefan Hajdu
Introduction: The incidence of acute kidney injury (AKI) considerably increases the mortality rate in polytrauma victims. Undoubtedly, early identification of patients at risk is crucial for timely implementation of preventive strategies in order to improve their prognosis. Therefore, we aimed to investigate if serum neutrophil gelatinase-associated lipocalin (sNGAL) may serve as a diagnostic biomarker of early AKI in polytrauma victims, especially considering patients needing renal replacement theory (RRT)...
2018: BioMed Research International
Dustin A Greenhill, Shawn Funk, Marilyn Elliot, Chan-Hee Jo, Brandon A Ramo
BACKGROUND: Either casting or in situ fixation (to prevent displacement) are recommended for minimally displaced pediatric lateral condyle fractures of indeterminate stability with ≤2 mm lateral displacement and narrowed fracture extension to the epiphyseal articular cartilage. This study compares casting only, acute prophylactic in situ pinning, and surgery if casting fails due to displacement. METHODS: In total, 738 fractures at a level 1 trauma center between 2008 and 2014 were reviewed...
December 8, 2018: Journal of Pediatric Orthopedics
Robert J Winchell, Paige Xu, Lauren E Mount, Reed Huegerich
INTRODUCTION: Decisions around trauma center (TC) designation have become contentious in many areas. There is no consensus regarding the ideal number and location of TC, and no accepted metrics to assess the effect of changes in system structure. We aim to develop metrics of TC access, using publicly available data and analytic tools. We hypothesize that geospatial analysis can provide a reproducible approach to quantitatively asses potential changes in trauma system structure. METHODS: A region in New York State was chosen for evaluation...
December 6, 2018: Journal of Trauma and Acute Care Surgery
Hiba Abdel Aziz, John Lunde, Robert Barraco, John J Como, Zara Cooper, Thomas Hayward, Franchesca Hwang, Lawrence Lottenberg, Caleb Mentzer, Anne Mosenthal, Kaushik Mukherjee, Joshua Nash, Bryce Robinson, Kristan Staudenmayer, Rebecca Wright, James Yon, Marie Crandall
BACKGROUND: Despite an aging population and increasing number of geriatric trauma patients annually, gaps in our understanding of best practices for geriatric trauma patients persist. We know that trauma center care improves outcomes for injured patients generally, and palliative care processes can improve outcomes for disease-specific conditions, and our goal was to determine effectiveness of these interventions on outcomes for geriatric trauma patients. METHODS: A priori questions were created regarding outcomes for patients age 65+ with respect to care at trauma centers versus non trauma centers and use of routine palliative care processes...
December 6, 2018: Journal of Trauma and Acute Care Surgery
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