keyword
https://read.qxmd.com/read/38529473/spectrum-and-antibiotic-sensitivity-of-bacterial-keratitis-a-retrospective-analysis-of-eight-years-in-a-tertiary-referral-hospital-in-southwest-china
#21
JOURNAL ARTICLE
Rui-Qin Guo, Ji Yang, Ya-Bin Yang, Ya-Nan Chen, Yu-Yuan Xiao, Ping Xiang, Meng-Jie Dong, Min-Fang He, Yin-Ting Wang, Yun-Ling Xiao, Hong-Qin Ke, Hai Liu
PURPOSE: The objective of this study was to investigate the epidemiological characteristics, distribution of isolates, prevailing patterns, and antibiotic susceptibility of bacterial keratitis (BK) in a Tertiary Referral Hospital located in Southwest China. METHODS: A retrospective analysis was conducted on 660 cases of bacterial keratitis occurring between January 2015 and December 2022. The demographic data, predisposing factors, microbial findings, and antibiotic sensitivity profiles were examined...
2024: Frontiers in Cellular and Infection Microbiology
https://read.qxmd.com/read/38528716/workforce-training-needs-to-address-social-and-emotional-wellbeing-in-home-based-aboriginal-and-torres-strait-islander-aged-care
#22
JOURNAL ARTICLE
Adriana Parrella, Jonathon Zagler, Matilda D'Antoine, Tina Brodie, Kate Smith, Aunty Martha Watts, Tameeka Ieremia, Graham Aitken, Alex Brown, Odette Pearson
ObjectiveTo explore the training needs of the home care workforce in supporting the social and emotional wellbeing (SEWB) of Aboriginal and Torres Strait Islander peoples receiving aged care services through the Home Care Package (HCP) Program.MethodsA mixed-methods design including (1) a focus group and interview with coordinators of HCP Program services for Aboriginal and Torres Strait Islander peoples across metropolitan and rural South Australia in April and June 2022, and (2) a desktop review of training, professional development opportunities and resources for existing and pre-entry workforce addressing the SEWB of Aboriginal and Torres Strait Islander peoples in aged care across the Vocational Education Training and higher education sectors in South Australia, the Australian Indigenous HealthInfoNet, the Department of Health and Aged Care website and aged care email alerts between December 2021 and September 2022...
March 26, 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38528572/characteristics-of-traumatic-major-haemorrhage-in-a-tertiary-trauma-center
#23
JOURNAL ARTICLE
Pieter van Wyk, Marcus Wannberg, Anna Gustafsson, Jane Yan, Agneta Wikman, Louis Riddez, Carl-Magnus Wahlgren
BACKGROUND: Major traumatic haemorrhage is potentially preventable with rapid haemorrhage control and improved resuscitation techniques. Although advances in prehospital trauma management, haemorrhage is still associated with high mortality. The aim of this study was to use a recent pragmatic transfusion-based definition of major bleeding to characterize patients at risk of major bleeding and associated outcomes in this cohort after trauma. METHODS: This was a retrospective cohort study including all trauma patients (n = 7020) admitted to a tertiary trauma center from January 2015 to June 2020...
March 25, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38528277/pre-hospital-emergency-medicine-a-spectrum-of-imaging-findings
#24
REVIEW
Ryan T Whitesell, Aaron M Burnett, Sean K Johnston, Douglas H Sheafor
The goal of emergency medical services (EMS) is to provide urgent medical care and stabilization prior to patient transport to a healthcare facility for definitive treatment. The number and variety of interventions performed in the field by EMS providers continues to grow as early management of severe injuries and critical illness in the pre-hospital setting has been shown to improve patient outcomes. The sequela of many field interventions, including those associated with airway management, emergent vascular access, cardiopulmonary resuscitation (CPR), patient immobilization, and hemorrhage control may be appreciated on emergency department admission imaging...
March 26, 2024: Emergency Radiology
https://read.qxmd.com/read/38527728/epidemiology-of-craniomaxillofacial-fractures-over-a-5-year-period-at-a-midwestern-level-1-trauma-center-serving-a-large-rural-population
#25
JOURNAL ARTICLE
Shreya Rangarajan, Ethan W Chen, Mai Nguyen, Deepak Lakshmipathy, Knika Sethi, Jonathan Bailey
BACKGROUND: Though the epidemiology of craniomaxillofacial (CMF) fractures has been well documented at urban hospitals, the characteristics of these fractures in rural hospitals have not been well studied. PURPOSE: The purpose of this study is to report on the epidemiology of CMF fractures at a regional Level 1 trauma center serving a large rural population in central Illinois. STUDY DESIGN, SETTING, SAMPLE: This is a retrospective cohort study at a community-based regional tertiary referral center that serves a predominantly rural population...
March 6, 2024: Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38527493/rural-vascular-trauma-time-to-care
#26
JOURNAL ARTICLE
Kirran Bakhshi, Heather Rhodes-Lyons, Ayman Ahmed
Previous rural vascular trauma research has focused on case series dating back two decades. The current research aims to measure clinical decline in comparison to time to care in rural vascular trauma. This single-center retrospective cohort study included adult trauma patients with vascular injury who were admitted to a level II trauma center. Multivariable logistic regression assessed the effect of clinical decline based on arrival within the golden hour. 149 patients were included. For every 1 unit increase in the shock index ratio, there was 99...
March 25, 2024: American Surgeon
https://read.qxmd.com/read/38527489/risk-factors-for-venous-thromboembolism-and-eventual-amputation-in-traumatic-femoral-and-iliac-vein-injuries-a-trauma-quality-improvement-program-analysis
#27
JOURNAL ARTICLE
Allison K Falcon, Ladd M Caballero, Dina M Filiberto, Emily K Lenart, Thomas S Easterday, Maunil N Bhatt, Erica L Mitchell, Saskya Byerly
BACKGROUND: Iliac and femoral venous injuries represent a challenging dilemma in trauma surgery with mixed results. Venous restoration of outflow (via repair or bypass) has been previously identified as having higher rates of VTE (venous thromboembolism) compared to ligation. We hypothesized that rates of VTE and eventual amputation were similar whether restoration of venous outflow vs ligation was performed at initial operation. METHODS: Patients in the 2019-2021 National Trauma Data Bank with iliac and femoral vein injuries were abstracted and analyzed...
March 25, 2024: American Surgeon
https://read.qxmd.com/read/38526929/timing-of-decompressive-surgery-in-patients-with-acute-spinal-cord-injury-systematic-review-update
#28
JOURNAL ARTICLE
Michael G Fehlings, Laureen D Hachem, Lindsay A Tetreault, Andrea C Skelly, Joseph R Dettori, Erika D Brodt, Shay Stabler-Morris, Britt J Redick, Nathan Evaniew, Allan R Martin, Benjamin Davies, Farzin Farahbakhsh, James D Guest, Daniel Graves, Radha Korupolu, Stephen L McKenna, Brian K Kwon
STUDY DESIGN: Systematic review and meta-analysis. OBJECTIVE: Surgical decompression is a cornerstone in the management of patients with traumatic spinal cord injury (SCI); however, the influence of the timing of surgery on neurological recovery after acute SCI remains controversial. This systematic review aims to summarize current evidence on the effectiveness, safety, and cost-effectiveness of early (≤24 hours) or late (>24 hours) surgery in patients with acute traumatic SCI for all levels of the spine...
March 2024: Global Spine Journal
https://read.qxmd.com/read/38525740/risk-factors-analysis-for-90-day-mortality-of-adult-patients-with-mild-traumatic-brain-injury-in-an-italian-emergency-department
#29
JOURNAL ARTICLE
Daniele Orso, Giulia Furlanis, Alice Romanelli, Federica Gheller, Marzia Tecchiolli, Franco Cominotto
Purpose : The most prominent risk factors for mortality after mild traumatic brain injury (TBI) have not been established. This study aimed to establish risk factors related to 90-day mortality after a traumatic event. Methods : A retrospective cohort study on adult patients entering the Emergency Department of the University Hospital of Trieste for mild TBI from 1 January 2020 to 31 December 2020 was conducted. Results : The final population was 1221 patients (median age of 78 years). The 90-day mortality rate was 7% (90 patients)...
February 23, 2024: Geriatrics
https://read.qxmd.com/read/38525582/the-burden-and-outcomes-of-firearm-injuries-at-two-district-level-emergency-centres-in-cape-town-south-africa-a-descriptive-analysis
#30
JOURNAL ARTICLE
L Bush, C Hendrikse, C Van Koningsbruggen, K Evans
BACKGROUND: In South Africa (SA), injuries are the second leading cause of years of healthy life lost, and interpersonal violence dominates the SA injury profile. Half of all injury-related deaths in SA are intentional, and firearms contribute to a quarter of these deaths. Injury surveillance systems are essential to develop, implement and monitor strategies that reduce preventable trauma. OBJECTIVES: To describe the burden of patients with firearm injuries and their outcomes at district-level emergency centres in the Western Cape...
February 13, 2024: South African Medical Journal
https://read.qxmd.com/read/38525545/secondary-ambulance-transfers-during-the-mass-casualty-terrorist-attack-in-israel-on-october-7-2023
#31
JOURNAL ARTICLE
Evan Avraham Alpert, Jacob Assaf, Ahmad Nama, Ruchama Pliner, Eli Jaffe
On October 7, 2023, Israel experienced the worst terror attack in its history - 1,200 people were killed, 239 people were taken hostage, and 1,455 people were wounded. This mass-casualty event (MCE) was more specifically a mega terrorist attack. Due to the overwhelming number of victims who arrived at the two closest hospitals, it became necessary to implement secondary transfers to centers in other areas of the country. Historically, secondary transfer has been implemented in MCEs but usually for the transfer of critical patients from a Level 2 or Level 3 Trauma Center to a Level 1 Center...
March 25, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38524859/characteristics-and-influencing-factors-of-post-traumatic-growth-a-cross-sectional-study-of-psychiatric-nurses-suffering-from-workplace-violence-in-guangdong-china
#32
JOURNAL ARTICLE
Wen Wang, Junrong Ye, Yanheng Wei, Lexin Yuan, Jialan Wu, Zhichun Xia, Jiawei Huang, Haoyun Wang, Zezhi Li, Jianxiong Guo, Aixiang Xiao
BACKGROUND: Workplace violence (WPV) had become an important issue that endangered the occupational safety of psychiatric nurses. A growing number of studies showed positive post-traumatic growth (PTG) resulting from coping with trauma. OBJECTIVE: To investigate the characteristics of PTG in psychiatric nurses who experienced violence in the workplace and analyze its influencing factors. METHODS: A total of 1202 psychiatric nurses participated in the study...
2024: Journal of Multidisciplinary Healthcare
https://read.qxmd.com/read/38524724/comparison-of-sociodemographic-and-radiographic-features-in-distal-radio-fracture-treatment-hand-surgeons-versus-non-specialists
#33
JOURNAL ARTICLE
Rafael Bulyk Veiga, Renê Hobi, Ricardo Pereira Marot, Gustavo Zeni Schuroff, Roberto Luiz Sobania, Ivan Killing Kuhn, Ana Lucia Campos Faccioni
Objective:  This study evaluated sociodemographic and radiographic features of patients with distal radial fractures treated at a trauma hospital in southern Brazil, comparing those treated by hand surgery specialists (group 1) and non-specialists (group 2). Methods:  This study consists of a retrospective cohort of 200 patients treated in 2020. After reviewing medical records and radiographs, the following parameters were analyzed: age, gender, trauma mechanism, laterality, associated comorbidities and fractures, fracture classification (AO), radial height, radial inclination, and volar inclination...
February 2024: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/38524187/spontaneous-rupture-of-a-nongravid-uterus-a-case-report
#34
Cecille A Tapia-Santiago, Dalanda Diallo
Rupture of a gravid uterus is a known complication of a cesarean hysterotomy. Uterine rupture of a nongravid uterus is usually caused by trauma, instrumentation, a pelvic mass, infection, or malignancy. Spontaneous rupture of a nongravid uterus is a rare event with only 4 cases reported in the English literature since 2011. This was the case of a healthy 52-year-old woman with a remote history of 2 cesarean deliveries and an endometrial ablation. The patient presented with severe right lower-quadrant pain. The hospital evaluation revealed a hemoperitoneum, a 5 cm endometrial complex or mass, and layering of blood product along the cesarean delivery scar...
May 2024: AJOG global reports
https://read.qxmd.com/read/38524069/a-prospective-comparative-study-of-pre-debridement-and-post-debridement-cultures-in-open-fractures-of-the-extremities
#35
JOURNAL ARTICLE
Jaga Dish, Arun H Shanthappa, Arvind Natarajan
Introduction Amputations and recurrent infections are two terrible outcomes of open fractures that can leave patients with permanent impairments. Rapid and effective treatment can protect patients from open fracture sequelae and the long-term financial burden these injuries frequently cause. Over 50% of open fractures are caused by high energy trauma, which most frequently happens in car accidents or severe falls. There hasn't been much research done on the first bacterial ecology of open fracture wounds in the Indian environment...
February 2024: Curēus
https://read.qxmd.com/read/38524060/a-study-of-clinical-profile-and-treatment-in-adult-hemophilia-patients-with-special-reference-to-the-inhibitor-levels
#36
JOURNAL ARTICLE
Renuka Vasava, Minal Shastri, Vaishnavi M Rathod, Gayatri Laha, Vaishnovi Vaishnovi, Nipakumari J Patel, Rajani Deshagoni, Prerna Singh, Nandan Joshi, Darshankumar M Raval
Introduction Hemophilia is an uncommon, X-linked recessive bleeding condition characterized by a lack of either factor VIII or factor IX. It is more prevalent in men. Due to the substantial impact inhibitor development has on patient prognosis, the primary treatment for hemophilia is the transfusion of recombinant factors. The aim of our study is to investigate 40 adult patients with hemophilia in terms of their clinical profile, clinically relevant risk factors for inhibitor development, therapy-related aspects such as treatment duration, factor requirements, transfusion frequency, presence of inhibitors, and complications...
February 2024: Curēus
https://read.qxmd.com/read/38523964/unveiling-the-surge-a-comprehensive-analysis-of-e-scooter-related-injuries-at-an-urban-level-1-trauma-center-in-vilnius-lithuania-2018-2021
#37
JOURNAL ARTICLE
Kristupas A Suslavičius, Simonas Utkus, Valentinas Uvarovas, Tomas Sveikata, Sigitas Ryliškis
Background The surge in electric scooter (e-scooter) adoption in 2019 fueled by sharing platforms has raised safety concerns, leading to an increased incidence of e-scooter-related injuries. Despite regulatory efforts, there has been a notable rise in accidents, prompting a comprehensive investigation. This study conducted at the Republican Vilnius University Hospital (RVUH), a level 1 trauma center, is one of the first in the Baltic States aiming to analyze the causes, severity, and frequency of e-scooter injuries from 2018 to 2021...
February 2024: Curēus
https://read.qxmd.com/read/38523141/identifying-factors-predicting-outcomes-after-major-trauma-in-older-patients-prognostic-systematic-review-and-meta-analysis
#38
JOURNAL ARTICLE
Mayura Thilanka Iddagoda, Michelle Trevenen, Claire Meaton, Christopher Etherton-Beer, Leon Flicker
INTRODUCTION: Trauma is the most common cause of morbidity and mortality in older people and it is important to determine the predictors of outcomes after major trauma in older people. METHODS: MEDLINE, Embase, Web of Science and manual search of relevant papers since 1987 to February 2023 was searched. Random effects meta-analyses were performed. The primary outcome of interest was mortality and secondary outcomes were medical complications, length of stay, discharge destination, readmission, and intensive care requirement...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38523132/exposure-to-statin-therapy-decreases-the-incidence-of-venous-thromboembolism-after-trauma
#39
JOURNAL ARTICLE
Kelly E Sanders, Gabrielle E Hatton, Atharwa R Mankame, Addison C Allen, Sarah Cunningham, Jan Michael Van Gent, Erin E Fox, Xu Zhang, Charles E Wade, Bryan A Cotton, Jessica C Cardenas
INTRODUCTION: Venous thromboembolism (VTE) is a leading cause of morbidity and mortality in trauma patients, despite chemoprophylaxis. Statins have been shown capable of acting upon the endothelium. We hypothesized that statin therapy in the pre- or in-hospital settings leads to a decreased incidence of VTE. METHODS: We conducted a retrospective cohort study of injured patients who received statin therapy pre- or in-hospital. Adult, highest-level trauma activation patients admitted January 2018 - June 2022 were included...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38523131/thoracic-cavity-irrigation-prevents-retained-hemothorax-and-decreases-surgical-intervention-in-trauma-patients
#40
JOURNAL ARTICLE
Abdul Hafiz Al Tannir, Elise A Biesboer, Simin Golestani, Morgan Tentis, Morgan Maring, Jaclyn Gellings, Jacob R Peschman, Patrick B Murphy, Rachel S Morris, Anuoluwapo Elegbede, Marc A de Moya, Thomas W Carver
INTRODUCTION: Retained hemothorax (HTX) is a common complication following thoracic trauma. Small studies demonstrate the benefit of thoracic cavity irrigation at the time of tube thoracostomy for the prevention of retained HTX. We sought to assess the effectiveness of chest irrigation in preventing retained HTX leading to a secondary surgical intervention. METHODS: We performed a single-center retrospective study from 2017-2021 at a Level I trauma center comparing bedside thoracic cavity irrigation via tube thoracostomy (TT) versus no irrigation...
March 25, 2024: Journal of Trauma and Acute Care Surgery
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