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https://www.readbyqxmd.com/read/28716470/early-or-delayed-reconstruction-in-multi-ligament-knee-injuries-a-systematic-review-and-meta-analysis
#1
REVIEW
Erik Hohmann, Vaida Glatt, Kevin Tetsworth
BACKGROUND: Whether early or delayed surgical intervention in patients with multi-ligament injuries results in better outcomes, is of current and controversial debate. PURPOSE: The purpose of this study was to perform a meta-analysis comparing early versus late surgical treatment of multi-ligament knee injuries. METHODS: We performed a systematic review of Medline, Embase, Scopus, and Google Scholar to identify relevant studies in the English and German literature...
July 14, 2017: Knee
https://www.readbyqxmd.com/read/28708779/midshaft-fracures-of-the-clavicle-a-meta-analysis-comparing-surgical-fixation-via-anteroinferior-plating-versus-superior-plating
#2
Alex Nourian, Satvinder Dhaliwal, Sitaram Vangala, Peter S Vezeridis
OBJECTIVE: Tto compare the outcomes of clavicle fracture fixation using anteroinferior versus superior plate placement. METHODS: We performed a meta-analysis of studies that have reported on outcomes following superior or anteroinferior plate fixation for acute midshaft clavicle fractures (OTA 15-B). A computerized literature search in the Pubmed, Scopus, and Cochrane Library databases was utilized to identify relevant articles. Only full text articles without language restrictions were evaluated...
June 22, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28690892/outcomes-of-multi-trauma-road-traffic-crashes-at-a-tertiary-hospital-in-oman-does-attendance-by-trauma-surgeons-versus-non-trauma-surgeons-make-a-difference
#3
Ammar Al-Kashmiri, Sultan Z Al-Shaqsi, Nada Al-Marhoobi, Mahmood Hasan
OBJECTIVES: Trauma surgeons are essential in hospital-based trauma care systems. However, there are limited data regarding the impact of their presence on the outcome of multi-trauma patients. This study aimed to assess the outcomes of multi-trauma road traffic crash (RTC) cases attended by trauma surgeons versus those attended by non-trauma surgeons at a tertiary hospital in Oman. METHODS: This retrospective study was conducted in December 2015. A previously published cohort of 821 multi-trauma RTC patients admitted between January and December 2011 to the Sultan Qaboos University Hospital, Muscat, Oman, were reviewed for demographic, injury and hospitalisation data...
May 2017: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/28660196/endovascular-repair-of-traumatic-isthmic-ruptures-special-concerns
#4
REVIEW
Nikolaos Patelis, Athanasios Katsargyris, Chris Klonaris
Injury of the aortic isthmus is the second most frequent cause of death in cases of blunt traumatic injury. Conventional open repair is related to significant morbidity and mortality. Thoracic endovascular aortic repair (TEVAR) has increasing role in traumatic isthmic rupture, as it avoids the thoracotomy-related morbidity, aortic cross clamping, and cardiopulmonary bypass. Additionally to the technical difficulties of open repair, multi-trauma patients may not tolerate the manipulations necessary to undergo open surgery, due to concomitant injuries...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28585119/the-effectiveness-of-hybrid-treatment-for-sever-multiple-trauma-a-case-of-multiple-trauma-for-damage-control-laparotomy-and-thoracic-endovascular-repair
#5
Naofumi Bunya, Keisuke Harada, Yosuke Kuroda, Tsubasa Toyohara, Takashi Toyohara, Narumi Kubota, Ryuichiro Kakizaki, Hideto Irifune, Shuji Uemura, Eichi Narimatsu
BACKGROUND: Time is a crucial factor for the successful early management of the multi-trauma patient. Hybrid operating theaters, which support the integration of surgical treatment and interventional radiology, provide opportunities to reduce the time-to-surgery for life threatening conditions. CASE PRESENTATION: We describe the early successful treatment of a 54-year-old male who sustained multiple injuries when he was hit by a 1000 kg bale of wheat that fell from a height...
December 2017: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28410790/which-multi-trauma-patients-benefit-from-performing-a-total-body-ct
#6
S Dios-Barbeito, V Durán-Muñoz-Cruzado, C Martín-García, M Rubio-Manzanares-Dorado, F J Padillo-Ruiz, F Pareja-Ciuró
No abstract text is available yet for this article.
April 12, 2017: Medicina Intensiva
https://www.readbyqxmd.com/read/28382257/the-right-team-at-the-right-time-multidisciplinary-approach-to-multi-trauma-patient-with-orthopedic-injuries
#7
REVIEW
John A Bach, John J Leskovan, Thomas Scharschmidt, Creagh Boulger, Thomas J Papadimos, Sarah Russell, David P Bahner, Stanislaw P A Stawicki
Integrated, multidisciplinary team approach to the multiply injured patient can help optimize care, minimize morbidity, and reduce mortality. It also provides a framework for accelerated postinjury rehabilitation course. The characteristics and potential benefits of this approach, including team dynamics and interactions, are discussed in this brief review. Emphasis is placed on synergies provided by specialty teams working together in the framework of care coordination, timing of surgical and nonsurgical interventions, and injury/physiologic considerations...
January 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28378236/a-new-low-dose-multi-phase-trauma-ct-protocol-and-its-impact-on-diagnostic-assessment-and-radiation-dose-in-multi-trauma-patients
#8
Zlatan Alagic, Andreas Eriksson, Erika Drageryd, Sara Rezaei Motamed, Marius C Wick
PURPOSE: Computed tomography (CT) examinations, often using high-radiation dosages, are increasingly used in the acute management of polytrauma patients. This study compares a low-dose polytrauma multi-phase whole-body CT (WBCT) protocol on a latest generation of 16-cm detector 258-slice multi-detector CT (MDCT) scanner with advanced dose reduction techniques to a single-phase polytrauma WBCT protocol on a 64-slice MDCT scanner. METHODS: Between March and September 2015, 109 polytrauma patients (group A) underwent acute WBCT with a low-dose multi-phase WBCT protocol on a 258-slice MDCT whereas 110 polytrauma patients (group B) underwent single-phase trauma CT on a 64-slice MDCT...
April 5, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28323524/comparison-of-two-predictive-models-for-short-term-mortality-in-patients-after-severe-traumatic-brain-injury
#9
Klara Kesmarky, Cecile Delhumeau, Marie Zenobi, Bernhard Walder
The Glasgow Coma Scale (GCS) and the Abbreviated Injury Score of the head region (HAIS) are validated prognostic factors in traumatic brain injury (TBI). The aim of this study was to compare the prognostic performance of an alternative predictive model including motor GCS, pupillary reactivity, age, HAIS, and presence of multi-trauma for short-term mortality with a reference predictive model including motor GCS, pupil reaction, and age (IMPACT core model). A secondary analysis of a prospective epidemiological cohort study in Switzerland including patients after severe TBI (HAIS >3) with the outcome death at 14 days was performed...
April 26, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/28076441/effects-of-an-integrated-fast-track-rehabilitation-service-for-multi-trauma-patients-a-non-randomized-clinical-trial-in-the-netherlands
#10
MULTICENTER STUDY
Ans I E Bouman, Bea Hemmen, Silvia M A A Evers, Henk van de Meent, Ton Ambergen, Pieter E Vos, Peter R G Brink, Henk A M Seelen
OBJECTIVES: The effects on health related outcomes of a newly-developed rehabilitation program, called 'supported Fast Track multi-trauma rehabilitation service' (Fast Track), were evaluated in comparison with conventional trauma rehabilitation service (Care as Usual). METHODS: Prospective, multi-center, non-randomized controlled study. Between 2009 and 2012, 132 adult multi-trauma patients were included: 65 Fast Track and 67 Care as Usual patients with an Injury Severity Score ≥16, complex multiple injuries in several extremities or complex pelvic and/or acetabulum fractures...
2017: PloS One
https://www.readbyqxmd.com/read/28073488/plasma-mitochondrial-dna-levels-were-independently-associated-with-lung-injury-in-elderly-hip-fracture-patients
#11
Jian-Zheng Zhang, Juan Wang, Wen-Chun Qu, Xiao-Wei Wang, Zhi Liu, Ji-Xin Ren, Li Han, Tian-Sheng Sun
INTRODUCTION: Hip fracture in the elderly can induce systemic inflammatory response (SIRS) and lung injury which increases the risk of lung infection and death. Mitochondrial DNA (mtDNA) plays a role in SIRS and lung injury in patients with multi-trauma, and also in patients with hip fractures. This study evaluated the potential value of plasma mtDNA in the early prognosis of lung injury in elderly fracture patients. METHODS: This study enrolled 156 elderly patients with intertrochanteric fracture...
February 2017: Injury
https://www.readbyqxmd.com/read/27540552/ketamine-infusion-therapy-as-an-alternative-pain-control-strategy-in-patients-with-multi-trauma-including-rib-fracture-case-report-and-literature-review
#12
Ashley K Losing, Justin M Jones, Adis Keric, Steven E Briggs, David D Leedahl
Ketamine is a promising alternative agent for pain control that offers benefit to traditional strategies, particularly in the setting of rib fracture. Current pharmacologic therapies have clear adverse effects, and other options may be invasive, cost prohibitive, or marginally effective. We describe three consecutive patients with traumatic injuries including rib fracture for which a ketamine infusion was utilized as part of their pain control strategy.  For each patient, use of a ketamine infusion trended toward reduced opioid requirements with stable pain scores...
July 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27054639/multivariate-analysis-of-patients-with-blunt-trauma-and-possible-factors-affecting-mortality
#13
Adnan Özpek, Metin Yücel, İbrahim Atak, Gürhan Baş, Orhan Alimoğlu
BACKGROUND: This study aimed to investigate the signs and prognosis of the patients hospitalized due to blunt trauma injuries and identify possible factors that affect mortality. METHODS: Between January 2009 and January 2013, a total of 237 patients admitted with blunt trauma injury were retrospectively analyzed. The age and gender of the patients, type of the trauma, injury site, Injury Severity Scores (ISS), Revised Trauma Scores (RTS), Focused Assessment with Sonography in Trauma (FAST) results, hemodynamic status, need for transfusion, treatment modalities, treatment outcomes, and mortality rates were recorded...
December 2015: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27028098/record-linkage-is-feasible-with-non-identifiable-trauma-and-rehabilitation-datasets
#14
Jane Wu, Steven G Faux, Ian Harris, Christopher J Poulos, Tara Alexander
OBJECTIVES: 1) Describe probabilistic linkage (PL) for road trauma and rehabilitation records in New South Wales (NSW) Australia. 2) Determine the accuracy of linkage for these records. METHODS: Data were extracted from the NSW Trauma Registry for all road trauma admissions for the years 2009-2012 and from Australasian Rehabilitation Outcomes Centre for January 2009 to June 2013. PL was performed using: age; sex; residential postcode; and date of acute discharge = date of admission to rehabilitation...
June 2016: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/26979003/retrievable-inferior-vena-cava-filters-indications-indwelling-time-removal-success-and-complication-rates
#15
Alisher Tashbayev, Alexander Belenky, Sergey Litvin, Michael Knizhnik, Gil N Bachar, Eli Atar
BACKGROUND: Various vena cava filters (VCF) are designed with the ability to be retrieved percutaneously. Yet, despite this option most of them remain in the inferior vena cava (IVC). OBJECTIVES: To report our experience in the placement and retrieval of three different types of VCFs, and to compare the indications for their insertion and retrieval as reported in the literature. METHODS: During a 5 year period three types of retrievable VCF (ALN, OptEase, and Celect) were inserted in 306 patients at the Rabin Medical Center (Beilinson and Hasharon hospitals)...
February 2016: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/26815746/multiple-trauma-in-young-and-elderly-are-there-any-differences
#16
Chaim Frizis, Anastasios Papadopoulos, Georgios Akritidis, Renee-Hanna Frizis, Ioannis Sougkas, Georgios Chatzitheoharis
BACKGROUND: Old age is considered a risk factor; however, its effect on the prognosis of injured elderly patients remains uncertain. AIM: To find the effect of old age on final outcome of elderly patients withmultiple trauma and to determine whether a different therapeutic approach is needed. METHODS: All patients with at least two injured body regions, as defined by the ISS, of grade 4 in AIS, were included. RESULTS: We studied 165 patients up to 64 years (Y) of age and 56 patients older than 65 years (E) in a 10-year period...
June 2008: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/26791144/a-technique-for-continuous-bedside-monitoring-of-global-cerebral-energy-state
#17
Rasmus Jakobsen, Troels Halfeld Nielsen, Asger Granfeldt, Palle Toft, Carl-Henrik Nordström
BACKGROUND: Cerebral cytoplasmatic redox state is a sensitive indicator of cerebral oxidative metabolism and is conventionally evaluated from the extracellular lactate/pyruvate (LP) ratio. In the present experimental study of global cerebral ischemia induced by hemorrhagic shock, we investigate whether the LP ratio obtained from microdialysis of cerebral venous blood may be used as a surrogate marker of global cerebral energy state. METHODS: Six female pigs were anesthetized and vital parameters were recorded...
December 2016: Intensive Care Medicine Experimental
https://www.readbyqxmd.com/read/26635315/nosocomial-acinetobacter-pneumonia-treatment-and-prognostic-factors-in-356-cases
#18
Tülay Özvatan, Halis Akalın, Melda Sınırtaş, Gökhan Ocakoğlu, Emel Yılmaz, Yasemin Heper, Nermin Kelebek, Remzi İşçimen, Ferda Kahveci
BACKGROUND AND OBJECTIVE: Acinetobacter baumannii and A. baumannii/calcoaceticus complex are commonly encountered pathogens in nosocomial infections. This study aimed to evaluate the treatment and prognostic risk factors in nosocomial pneumonia caused by these microorganisms. METHODS: The study was conducted retrospectively in Uludag University Hospital and included 356 adult non-neutropenic patients with nosocomial pneumonia. RESULTS: Of the subjects, 94...
February 2016: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/26604522/extra-peritoneal-pressure-packing-without-external-pelvic-fixation-a-life-saving-stand-alone-surgical-treatment
#19
Guy Ron, Dan Epstein, Peleg Ben-Galim, Yoram Klein, Alexander Kaban, Shaul Sagiv
PURPOSE: Traditional maneuvers aim to decrease retroperitoneal bleeding in hemodynamically unstable multi-trauma patients with unstable pelvic fractures, are reportedly successful in approximately only 50%. The life-saving effect of extra-peritoneal pressure packing (EPPP) is based on direct compression and control of both venous and arterial retroperitoneal bleeders. This study describes the safety and efficacy of emergent EPPP employment, as a stand-alone surgical treatment, that is, carried out without external pelvic fixation or emergent angiography...
October 2015: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/26588478/a-pilot-study-on-pharmacokinetic-pharmacodynamic-target-attainment-in-critically-ill-patients-receiving-piperacillin-tazobactam
#20
Jiřina Martínková, Manu L N G Malbrain, Eduard Havel, Petr Šafránek, Jan Bezouška, Milan Kaška
BACKGROUND: In critically ill patients, multi-trauma and intensive therapy can influence the pharmacokinetics (PK) and pharmacodynamics (PD) of antibiotics with time-dependent bacterial killing. Consequently, PK/PD targets (%fT>MIC) - crucial for antimicrobial effects -may not be attained. METHODS: Two patients admitted to the surgical ICU of the University Hospital in Hradec Králove for multiple-trauma were given piperacillin/tazobactam by 1-hour IV infusion 4/0...
2016: Anaesthesiology Intensive Therapy
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