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Journals European Journal of Trauma and...

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society

https://read.qxmd.com/read/37249592/maturation-of-trauma-systems-in-europe
#1
JOURNAL ARTICLE
Samantha Scharringa, Suzan Dijkink, Pieta Krijnen, Inger B Schipper
PURPOSE: To provide an overview of trauma system maturation in Europe. METHODS: Maturation was assessed using a self-evaluation survey on prehospital care, facility-based trauma care, education/training, and quality assurance (scoring range 3-9 for each topic), and key infrastructure elements (scoring range 7-14) that was sent to 117 surgeons involved in trauma, orthopedics, and emergency surgery, from 24 European countries. Average scores per topic were summed to create a total score on a scale from 19 to 50 per country...
May 30, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37233748/outcome-predictors-of-patients-who-underwent-limb-amputation-s-following-trauma-at-a-level-i-trauma-center-in-north-india
#2
JOURNAL ARTICLE
Parvez Mohi Ud Din Dar, Nida Mir, Anand Kumar Katiyar, Hem Chandra Sati, Pratyusha Priyadarshini, Junaid Alam, Subodh Kumar, Amit Gupta, Sushma Sagar
PURPOSE: Limb amputation is one of the oldest medical operations, dating back over 2500 years to Hippocrates' time. In developing countries like India, most of the patients are young, and trauma is the primary cause of limb amputation. The objectives of this study were to investigate the factors that can predict the outcome of patients who underwent upper or lower limb amputations. MATERIALS AND METHODS: This was a retrospective analysis of the prospectively collected data of patients who underwent limb amputations from January 2015 to December 2019...
May 26, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37227462/factors-associated-with-the-need-for-long-term-total-parenteral-nutrition-in-survivors-of-acute-superior-mesenteric-artery-occlusion
#3
JOURNAL ARTICLE
Yuki Nakao, Hideki Sasanuma, Naohiro Sata, Nobumi Tagaya, Kenji Matsumoto, Taiki Mizobuchi, Fumiki Koga, Errington Thompson, Alan Lefor
BACKGROUND: Acute superior mesenteric artery (SMA) occlusion is an uncommon condition associated with high mortality. If extensive bowel resection is performed for patients with acute SMA occlusion and the patient survives, long-term total parenteral nutrition (TPN) may be needed due to short bowel syndrome. This study examined factors associated with the need for long-term TPN after the treatment of acute SMA occlusion. METHODS: We retrospectively analyzed 78 patients with acute SMA occlusion...
May 25, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37225875/outcomes-of-resuscitative-and-emergent-thoracotomies-following-injury-at-the-largest-trauma-center-in-estonia
#4
JOURNAL ARTICLE
Sten Saar, Edgar Lipping, Artjom Bahhir, Maarja Talviste, Jaak Lepp, Marika Väli, Peep Talving
BACKGROUND: An emergency department thoracotomy (EDT) is performed in critically injured patients after a recent or in an imminent cardiac arrest following trauma. Emergent thoracotomy (ET) or operation room thoracotomy is reserved for more stable patients. However, the number of these interventions performed in an European settings is limited. Thus, we initiated the current study to investigate outcomes and risk factors for mortality of patients required EDT or ET at the largest trauma center in Estonia...
May 25, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37191713/sex-disparities-in-adverse-outcomes-after-surgically-managed-isolated-traumatic-spinal-injury
#5
JOURNAL ARTICLE
Ahmad Mohammad Ismail, Maximilian Peter Forssten, Babak Sarani, Marcelo A F Ribeiro, Parker Chang, Yang Cao, Frank Hildebrand, Shahin Mohseni
BACKGROUND: Traumatic spinal injury (TSI) encompasses a wide range of injuries affecting the spinal cord, nerve roots, bones, and soft tissues that result in pain, impaired mobility, paralysis, and death. There is some evidence suggesting that women may have different physiological responses to traumatic injury compared to men; therefore, this study aimed to investigate if there are any associations between sex and adverse outcomes following surgically managed isolated TSI. METHODS: Using the 2013-2019 TQIP database, all adult patients with isolated TSI, defined as a spine AIS ≥ 2 with an AIS ≤ 1 in all other body regions, resulting from blunt force trauma requiring spinal surgery, were eligible for inclusion in the study...
May 16, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37188975/parameters-influencing-health-related-quality-of-life-after-severe-trauma-a-systematic-review-part-ii
#6
REVIEW
Annesimone Lotfalla, Jens Anthony Halm, Tim Schepers, Georgios Fredericus Giannakópoulos
INTRODUCTION: It is increasingly recognized that health-related quality of life (HRQoL) is a relevant outcome to study in populations comprising severely injured patients. Although some studies have readily demonstrated a compromised HRQoL in those patients, evidence regarding factors that predict HRQoL is scarce. This hinders attempts to prepare patient-specific plans that may aid in revalidation and improved life satisfaction. In this review, we present identified predictors of HRQoL in patients that have suffered severe trauma...
May 15, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37184568/concomitant-trauma-of-brain-and-upper-cervical-spine-lessons-in-injury-patterns-and-outcomes
#7
JOURNAL ARTICLE
Nicolò Marchesini, Andreas K Demetriades, Wilco C Peul, Nicola Tommasi, Paolo Zanatta, Giampietro Pinna, Francesco Sala
PURPOSE: The literature on concomitant traumatic brain injury (TBI) and traumatic spinal injury is sparse and a few, if any, studies focus on concomitant TBI and associated upper cervical injury. The objective of this study was to fill this gap and to define demographics, patterns of injury, and clinical data of this specific population. METHODS: Records of patients admitted at a single trauma centre with the main diagnosis of TBI and concomitant C0-C1-C2 injury (upper cervical spine) were identified and reviewed...
May 15, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37162555/recidivism-after-orthopaedic-trauma-has-diminished-over-time
#8
JOURNAL ARTICLE
Isabella M Heimke, Madison Connelly, Amelia Clarke, Belinda De Mario, Mary A Breslin, Ryan Furdock, Timothy A Moore, Heather A Vallier
PURPOSE: The purpose was to analyze our trauma population during two periods to assess for predictors of recidivism. METHODS: Prior (2007-2011, n = 879) and recent (2014-2019, n = 954) orthopaedic trauma patients were reviewed. Recidivists were those returning with an unrelated injury. Recidivism rates were compared, and factors associated with recidivism were identified. RESULTS: Recidivism decreased: 18.7% to 14...
May 10, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37162554/stay-and-play-or-load-and-go-the-association-of-on-scene-advanced-life-support-interventions-with-return-of-spontaneous-circulation-following-traumatic-cardiac-arrest
#9
JOURNAL ARTICLE
Tanner Smida, Bradley S Price, James Scheidler, Remle Crowe, Alison Wilson, James Bardes
INTRODUCTION: Traumatic out-of-hospital cardiac arrest (tOHCA) has a mortality rate over 95%. Many current protocols dictate rapid intra-arrest transport of these patients. We hypothesized that on-scene advanced life support (ALS) would increase the odds of arriving at the emergency department with ROSC (ROSC at ED) in comparison to performance of no ALS or ALS en route. METHODS: We utilized the 2018-2021 ESO Research Collaborative public use datasets for this study, which contain patient care records from ~2000 EMS agencies across the US...
May 10, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37160440/simultaneous-ipsilateral-floating-hip-and-knee-the-double-floating-extremity-a-systematic-review-and-proposal-of-a-treatment-algorithm
#10
REVIEW
Vincenzo Giordano, Kenji Fonseca Miura, Igor Tirelo Calegari, Robinson Esteves Pires, Anderson Freitas, Marco Antonio Altamirano-Cruz, Danilo Taype, Peter V Giannoudis
PURPOSE: To systematically review the currently available existing evidence related to the presentation and management of simultaneous floating hip and knee injuries to identify injury characteristics, treatment strategies, and complications. METHODS: Data sources: Relevant articles were identified by searching Medline, PubMed, and Google Scholar databases with no language restrictions. Manual searches of other relevant databases (SciELO and grey literature databases) and reference lists of primary articles found from initial searches were also conducted...
May 9, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37072565/preoperative-ct-parameters-to-predict-tibiofibular-syndesmosis-injury-associated-with-ankle-fracture-a-propensity-score-matched-analysis
#11
JOURNAL ARTICLE
Qinliang Lei, Pinhua Chen, Xueyi He, Zhixian Xu, Wubing He
BACKGROUND: Untreated ankle fractures with concomitant tibiofibular syndesmosis injury often lead to postoperative pain and early traumatic arthritis. CT has advantages in the preoperative diagnosis of combined ankle injuries. However, a few studies have investigated the best preoperative CT parameters to predict tibiofibular syndesmosis injuries associated with ankle fractures. This study aimed to identify and evaluate the optimal preoperative CT parameters for predicting tibiofibular syndesmosis injuries associated with ankle fractures...
April 18, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37067552/pre-hospital-tranexamic-acid-administration-in-patients-with-a-severe-hemorrhage-an-evaluation-after-the-implementation-of-tranexamic-acid-administration-in-the-dutch-pre-hospital-protocol
#12
JOURNAL ARTICLE
Max Gulickx, Robin D Lokerman, Job F Waalwijk, Bert Dercksen, Karlijn J P van Wessem, Rinske M Tuinema, Luke P H Leenen, Mark van Heijl
PURPOSE: To evaluate the pre-hospital administration of tranexamic acid in ambulance-treated trauma patients with a severe hemorrhage after the implementation of tranexamic acid administration in the Dutch pre-hospital protocol. METHODS: All patients with a severe hemorrhage who were treated and conveyed by EMS professionals between January 2015, and December 2017, to any trauma-receiving emergency department in the eight participating trauma regions in the Netherlands, were included...
April 17, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37060443/advancing-the-scientific-study-of-prehospital-mass-casualty-response-through-a-translational-science-process-the-t1-scoping-literature-review-stage
#13
REVIEW
Eric S Weinstein, Joseph L Cuthbertson, Teri Lynn Herbert, George T Voicescu, Michelangelo Bortolin, Sabina Magalini, Daniele Gui, Mariana Helou, Kristina Lennquist Montan, Carl Montan, Chaim Rafalowsky, Giuseppe Ratto, Stefano Damele, Simone Bazurro, Itamar Laist, Federica Marzi, Alessandro Borrello, Pietro Fransvea, Andrea Fidanzio, Carlos Yanez Benitez, Roberto Faccincani, Luca Ragazzoni, Marta Caviglia
PURPOSE: The European Union Horizon 2020 research and innovation funding program awarded the NIGHTINGALE grant to develop a toolkit to support first responders engaged in prehospital (PH) mass casualty incident (MCI) response. To reach the projects' objectives, the NIGHTINGALE consortium used a Translational Science (TS) process. The present work is the first TS stage (T1) aimed to extract data relevant for the subsequent modified Delphi study (T2) statements. METHODS: The authors were divided into three work groups (WGs) MCI Triage, PH Life Support and Damage Control (PHLSDC), and PH Processes (PHP)...
April 15, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37052627/estes-recommendation-on-thoracolumbar-spine-fractures-january-2023
#14
REVIEW
Klaus Wendt, Christoph Nau, Marko Jug, Hans Christoph Pape, Richard Kdolsky, Sam Thomas, Frank Bloemers, Radko Komadina
No abstract text is available yet for this article.
April 13, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37041259/minimally-invasive-bilateral-fixed-angle-locking-fixation-of-the-dorsal-pelvic-ring-clinical-proof-of-concept-and-preliminary-treatment-results
#15
JOURNAL ARTICLE
Ivan Marintschev, Gunther O Hofmann
PURPOSE: Dorsal pelvic ring fractures may result from high energy trauma in younger patients or from osteoporosis as fragility fractures in elderly patients. To date, no strong consensus exists on the best surgical technique to treat posterior pelvic ring injuries. The aim of this study was to evaluate the surgical performance of a new implant for angle-stable fixation of the posterior pelvic ring and patient outcome. METHODS: In a prospective pilot study, 27 patients (age: 39-87 years) with posterior pelvic ring fractures classified according to the AO classification (n = 5) or to the fragility fractures of the pelvis (FFP) classification (n = 22) were treated using the new implant...
April 12, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37039830/five-year-outcomes-after-bypass-graft-versus-fogarty-balloon-catheter-for-the-treatment-of-acute-blunt-popliteal-artery-injury
#16
JOURNAL ARTICLE
Gang Liu, Lin Li, Han Xu, Bin Kang
PURPOSE: To evaluate long-term clinical outcomes after revascularization by bypass graft versus Fogarty balloon catheter in acute blunt popliteal artery injury and identify risk factors contributing to amputation. METHODS: A retrospective review was conducted in patients treated for acute blunt PAI between 2011 and 2019. Inclusion criteria were patients who underwent bypass graft and Fogarty balloon catheter. The cumulative limb salvage rate was calculated by the Kaplan-Meier test and compared with Breslow-Wilcoxon test...
April 11, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37031437/risk-factors-of-second-ventilator-associated-pneumonia-in-trauma-patients-a-retrospective-cohort-study
#17
JOURNAL ARTICLE
Alejandro Villaamil, Lien Han, Philippine Eloy, Delphine Bachelet, Maël Gennequin, Caroline Jeantrelle, Jean-Denis Moyer, Emmanuel Weiss, Arnaud Foucrier
BACKGROUND: Ventilator acquired pneumonia (VAP) is a frequent and serious complication in ICU. Second episodes of VAP are common in trauma patients and may be related to severity of underlying conditions, treatment or bacterial factors of the first VAP. The aim of this study was to identify risk factors of second VAP episodes in trauma injured patients (defined as the development of a new pulmonary infection during or remotely following the first episode). DESIGN: This is a single-center, retrospective cohort study of trauma injured patients who underwent a first episode of VAP between January 1, 2013 and December 31, 2020 at Beaujon Hospital...
April 9, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37029792/rule-of-four-an-anatomic-and-value-based-approach-to-stent-graft-inventory-for-blunt-thoracic-aortic-injury
#18
JOURNAL ARTICLE
Kristofor A Olson, C Yvonne Chung, Nikolas O Aksamit, Charles E Hill, Carlos V R Brown, Pedro G Teixeira
PURPOSE: As blunt thoracic aortic injury (BTAI) treatment has shifted from open to thoracic endovascular aortic repair (TEVAR), logistical challenges exist in creating and maintaining inventories of appropriately sized stent-grafts, including storage demands, shelf-life management and cost. We hypothesized that most injured aortas can be successfully repaired with a narrow range of stent-graft sizes and present a value-based anatomic approach to optimizing inventory. METHODS: CT-scans of all patients with BTAI admitted to our Level I trauma center from Apr 2010-Dec 2018 were reviewed...
April 8, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37029198/a-multi-analysis-of-nomogram-model-for-the-identification-of-banded-adhesions-and-matted-adhesions-in-adhesive-small-bowel-obstruction
#19
JOURNAL ARTICLE
Yong Wei, Tianran Liao, Xinchang Shangguan, Manduo Ouyang, Zhiyong Chen, Enshuang Zheng, Bingqiang Lin, Xianqiang Chen
BACKGROUND: Preoperative diagnosis of the cause of adhesive small bowel obstruction (ASBO) is very challenging for surgeons. We aimed to develop a nomogram model for the identification of banded adhesions (BA) and matted adhesions (MA) of ASBO. METHODS: This retrospective study enrolled patients with ASBO between January 2012 and December 2020, classified into BA and MA groups according to the intraoperative findings. A nomogram model was developed by using multivariable logistic regression analysis...
April 7, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37027013/deep-vein-thrombosis-and-validation-of-the-caprini-risk-assessment-model-in-chinese-orthopaedic-trauma-patients-a-multi-center-retrospective-cohort-study-enrolling-34-893-patients
#20
JOURNAL ARTICLE
Xian Zhang, Anqi Hao, Yihan Lu, Weifeng Huang
BACKGROUND: The risk of venous thromboembolism among orthopaedic trauma patients is high, but prevalence of deep vein thrombosis (DVT) remains unknown. In addition, the Caprini risk assessment model (RAM) score in orthopaedic trauma patients is undetermined in previous research. This study is aimed to determine the incidence of DVT and then validate the Caprini RAM in orthopaedic trauma patients. METHODS: This is a retrospective cohort study enrolling orthopaedic trauma inpatients from seven tertiary and secondary hospitals during a 3-year period (from April 1, 2018 through April 30, 2021)...
April 7, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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