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

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https://read.qxmd.com/read/30758537/surgical-treatment-strategies-in-pediatric-trauma-patients-etc-vs-dco-an-analysis-of-316-pediatric-trauma-patients-from-the-traumaregister-dgu-%C3%A2
#1
Klemens Horst, Hagen Andruszkow, Christian David Weber, Miguel Pishnamaz, Matthias Knobe, Felix Marius Bläsius, Philipp Lichte, Rolf Lefering, Frank Hildebrand
PURPOSE: External fixation within the damage control concept in unstable multiple trauma patients is widely accepted. Literature about its usage in the pediatric trauma population, however, is rare. The aim of the present study was to elucidate the factors associated with the application of external fixation in the severely injured child. METHODS: Patients with severe trauma aged 0-54 years documented in the TraumaRegister DGU® were included in this study. Demographic data, pattern of injury, injury severity, use of the damage control orthopedics (DCO) or early total care (ETC) concept, duration of mechanical ventilation, intensive care stay, and total hospital stay as well as the occurrence of complications and mortality were evaluated...
February 13, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30758536/minute-to-minute-urine-flow-rate-variability-a-retrospective-survey-of-its-ability-to-provide-early-warning-of-acute-hypotension-in-critically-ill-multiple-trauma-patients
#2
Evgeni Brotfain, Yoram Klein, Ronen Toledano, Micha Yitzhak Shamir, Leonid Koyfman, Uri Barak, Tamar Guttmann, Alexander Zlotnik, Moti Klein
PURPOSE: Dynamic changes in urine output and neurological status are the recognized clinical signs of hemodynamically significant hemorrhage. In the present study, we analyzed the dynamic minute-to-minute changes in the UFR and also the changes in its minute-to-minute variability in a group of critically ill multiple trauma patients whose blood pressures were normal on admission to the ICU but who subsequently developed hypotension within the first few hours of their ICU admission. PATIENTS AND METHODS: The study was retrospective and observational...
February 13, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30747276/severe-head-injury-in-elderly-6-year-comparison-of-treatment-and-outcome-between-southern-finland-and-navarra-spain
#3
Bismil Ali Ali, Tuomas Brinck, Lauri Handolin, Tomas Belzunegui Otano
PURPOSE: To compare the profile, treatment and outcome of elderly patients with severe traumatic brain injuries (TBI) between southern Finland and Navarra (Spain). METHODS: Data collected from, 2010 to 2015, in the Major Trauma Registry of Navarra (MTR-N) and the Helsinki Trauma Registry (HTR) were compared. Patients with New Injury Severity Score (NISS) ≥ 16 and age ≥ 65 with isolated severe TBI were considered. Patients who had been admitted to the hospital ≥ 24 h after the trauma, had been pronounced dead before hospital arrival, or had been injured by hanging, drowning or burns, were excluded...
February 12, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30747275/fracture-patterns-in-patients-with-multiple-fractures-the-probability-of-multiple-fractures-and-the-most-frequently-associated-regions
#4
Xaver Feichtinger, Roland Kocijan, Rainer Mittermayr, Andreas Baierl, Jakob Schanda, Robert Wakolbinger, Heinrich Resch, Christian Fialka, Christian Muschitz
INTRODUCTION: Multiple fractures are of high clinical relevance, as a significant increase in mortality rate has been described. The purpose of this study was to evaluate differences in age and gender distribution in multiple fractures dependent on severity of trauma. Furthermore, affected anatomic regions and frequently associated fracture regions were investigated. METHODS: Patients who had sustained multiple fractures between 2000 and 2012 were included in this study...
February 12, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30747274/differences-between-primary-and-secondary-definitive-osteosynthesis-for-fractures-of-the-lower-leg-with-concomitant-acute-compartment-syndrome
#5
Christopher Ull, Oliver Jansen, Dominik Seybold, Matthias Königshausen, Thomas Armin Schildhauer, Jan Gessmann
PURPOSE: To analyze the differences in outcomes between primary and secondary definitive osteosynthesis for fractures of the lower leg with concomitant acute compartment syndrome (ACS). METHODS: From our trauma database, we identified a total of 107 patients with 126 fractures of AO/OTA type 41-44 and 120 ACS from January 01, 2001 to December 31, 2015 who were treated with primary or secondary definitive osteosynthesis after concomitant fasciotomy. RESULTS: Seventy-one patients with 77 fractures of AO/OTA classification type 41-44 suffering ACS received primary definitive osteosynthesis at the time of compartmental incision (POCI) and were compared to 36 patients with 49 fractures of AO/OTA type 41-44 and ACS, who received secondary definitive osteosynthesis after compartmental incision and soft tissue coverage (SOCI)...
February 12, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30746554/road-traffic-injuries-in-poland-magnitude-and-risk-factors
#6
REVIEW
Witold Pawłowski, Krzysztof Goniewicz, David C Schwebel, Jiabin Shen, Mariusz Goniewicz
INTRODUCTION: The article presents the epidemiology of road traffic injuries and fatalities in Poland in the years 2004-2014. In Poland, every fourth death caused by external reasons is the result of a road traffic crash and Poland has one of the highest road fatality rates in relation to vehicle ownership in Europe, with an average 23 deaths per million residents. This rate is two times higher than most other European Union countries. MATERIALS AND METHODS: The research is based on a secondary analysis of data contained in multiple Polish governmental reports, including those of the Prevention and Analysis Office of Road Traffic Headquarters of Police, National Road Safety Program-GAMBIT 2005, National Road Safety Program 2013 to 2020, and Strategy for Efficient State in 2020, plus previous publications describing road safety in Poland...
February 12, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30737521/computed-tomography-in-suspected-anastomotic-leakage-after-colorectal-surgery-evaluating-mortality-rates-after-false-negative-imaging
#7
Nicolò Tamini, Diletta Cassini, Alessandro Giani, Marco Angrisani, Simone Famularo, Massimo Oldani, Mauro Montuori, Gianandrea Baldazzi, Luca Gianotti
PURPOSES: We sought to investigate the accuracy of abdominal CT scanning for anastomotic leakage and the effect of false-negative scans on the delay in therapeutic intervention and clinical outcome. METHOD: Data from a prospectively bi-institutionally maintained database of all patients who underwent elective colorectal surgery with primary anastomosis for malignant or benign disease between 2010 and 2017 were reviewed. Patients with confirmed anastomotic dehiscence at reintervention who underwent a postoperative CT scan for suspected leakage were identified and radiological reports were retrieved...
February 8, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30725152/paradigm-shift-in-geriatric-fracture-treatment
#8
REVIEW
Pol Maria Rommens
The number of geriatric patients is increasing. These patients exhibit specific characteristics, which influence the type of fracture care. Many patients have comorbidities, which make them more vulnerable to surgical procedures. The soft tissue envelope around the fracture often is compromised due to pre-existing diseases such as diabetes, chronic venous insufficiency or peripheral vascular disease. Bone mineral density has decreased, which enhances the risk of implant loosening. The goals of treatment differ from those, which are valid for younger adults...
February 6, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30721339/extra-parenchymal-splenic-abnormalities-not-vascular-injury-predict-need-for-primary-splenectomy
#9
Margaret Lauerman, Megan Brenner, Nana Simpson, Kathirkamanthan Shanmuganathan, Deborah Stein, Thomas Scalea
PURPOSE: Radiographic indications for primary splenectomy (PS) in blunt splenic injury (BSI) after radiographic diagnosis are unknown. Improved understanding of radiographic characteristics of patients requiring splenectomy will help to appropriately triage patients to PS or non-operative management (NOM). METHODS: A retrospective, single-center review was performed of BSI diagnosed with computerized tomography (CT). Patients undergoing splenectomy prior to CT diagnosis were excluded...
February 5, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30719528/a-differentiated-approach-to-repeat-small-bowel-anastomoses-in-patients-with-postoperative-peritonitis-a-prospective-cohort-study
#10
Andrey N Zharikov, Vladimir G Lubyansky, Andrey A Zharikov
BACKGROUND: Postoperative peritonitis still remains the cause of a high mortality rate in emergency abdominal surgery. Here we aimed to evaluate the efficacy of different surgical strategies for small-bowel perforations that resulted in postoperative peritonitis. METHODS: Surgical management results for 140 patients with postoperative peritonitis due to small-bowel perforations, necrosis and anastomotic leakage were comparatively analyzed. Using the APACHE-II and MPI scoring systems, different surgeon attitudes were examined in three patient groups (primary anastomosis, delayed anastomosis, and enterostomy)...
February 4, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30715553/compartment-pressures-in-children-with-normal-and-fractured-lower-extremities
#11
Hannah Rachel Bussell, Christoph Alexander Aufdenblatten, Ulrike Subotic, Markus Kalisch, Georg Staubli, Daniel Max Weber, Sasha Sasha Tharakan
PURPOSE: Needle manometry is a tool to confirm suspected acute compartment syndrome (ACS). There is scarce evidence of normal pressure values of the lower extremities in children. The aim of this study is to assess the normal compartment pressures in non-injured lower extremities of children. METHODS: This prospective study included children up to the age of 16 years with lower extremity fractures that needed reduction. Between June 2009 and August 2015, 20 children were included...
February 4, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30712060/does-lack-of-thoracic-trauma-attenuate-the-severity-of-pulmonary-failure-an-8-year-analysis-of-critically-injured-patients
#12
Xin Huang, Louis J Magnotti, Timothy C Fabian, Martin A Croce, John P Sharpe
PURPOSE: Patients with thoracic trauma are presumed to be at higher risk for pulmonary dysfunction, but adult respiratory distress syndrome (ARDS) may develop in any patient, regardless of associated chest injury. This study evaluated the impact of thoracic trauma and pulmonary failure on outcomes in trauma patients admitted to the intensive-care unit (ICU). METHODS: All trauma patients admitted to the ICU over an 8-year period were identified. Patients that died within 48 h of arrival were excluded...
February 2, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30710176/a-clinical-comparison-of-laparoscopic-versus-open-appendectomy-for-the-treatment-of-complicated-appendicitis-historical-cohort-study
#13
Tomoya Takami, Tomoyuki Yamaguchi, Hiroyuki Yoshitake, Kotaro Hatano, Naoki Kataoka, Masafumi Tomita, Shinichiro Makimoto
BACKGROUND: Appendectomy is one of the most common operations. Laparoscopic appendectomy (LA) is considered first-line treatment, but the use of LA for treatment of complicated appendicitis remains controversial. Here, we performed a retrospective analysis to compare clinical outcomes between patients treated with LA and those who underwent open appendectomy (OA). METHODS: Data for 179 patients who underwent an operation for the treatment of complicated appendicitis at our hospital between 2011 and 2017 were retrospectively analyzed...
February 2, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30706111/focus-on-non-union-of-fractures
#14
EDITORIAL
Ingo Marzi
No abstract text is available yet for this article.
January 31, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30683959/examining-the-impact-of-small-bowel-resection-procedure-timing-in-patients-with-blunt-traumatic-injury-a-propensity-matched-analysis
#15
Nasim Ahmed, Patricia Greenberg
OBJECTIVE: The purpose of this study was to evaluate the impact of the timing of small bowel resection in small bowel injury on patients' outcomes. METHODS: This study was performed using data from patients included in the National Trauma Data Bank (2007-2010) who sustained blunt injuries and underwent a small bowel resection (SBR) within 24 h of arrival to the hospital. The patients' characteristics and outcomes were compared between two groups: SBR within 4 h (Group 1) and SBR between 4 and 24 h (Group 2) using Chi-square, Fisher exact, and Wilcoxon rank-sum tests...
January 25, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30673807/limited-value-of-the-column-concept-in-the-operative-management-of-posterior-column-tibial-plateau-fractures
#16
Juriaan van den Berg, Stefaan Nijs, Harm Hoekstra
INTRODUCTION: The three-column concept has been proposed as tool in surgical decision-making for treating tibial plateau fractures. Recent studies have underscored the negative effect of posterior column tibial plateau fractures on clinical outcome. The purpose of this study was to assess the value of the three-column concept and posterior plating in posterior column fractures. We hypothesized that treating patients according to the three-column concept improves functional outcome. METHODS: 111 consecutive tibial plateau fractures, treated between January 2009 and December 2016, with at least a posterior column fracture were included...
January 23, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30671588/reoperations-after-surgery-for-acute-subdural-hematoma-reasons-risk-factors-and-effects
#17
Jan Chrastina, Čeněk Šilar, Tomáš Zeman, Michal Svoboda, Jan Krajsa, Barbora Musilová, Zdeněk Novák
PURPOSE: To analyze the reasons and patient-related and injury-related risk factors for reoperation after surgery for acute subdural hematoma (SDH) and the effects of reoperation on treatment outcome. METHODS: Among adult patients operated on for acute SDH between 2013 and 2017, patients reoperated within 14 days after the primary surgery were identified. In all patients, parameters were identified that related to the patient (age, anticoagulation, antiplatelet, and antiepileptic treatment, and alcohol intoxication), trauma (Glasgow Coma Score, SDH thickness, midline shift, midline shift /hematoma thickness rate, other surgical lesion, primary surgery-trephination, craniotomy, or decompressive craniotomy), and Glasgow Outcome Score (GOS)...
January 23, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30661136/an-observational-study-evaluating-the-demand-of-major-trauma-on-different-surgical-specialities-in-a-uk-major-trauma-centre
#18
Patrick Quinn, Benjamin Walton, David Lockey
INTRODUCTION: Major Trauma Centres (MTCs) should ideally have all key surgical specialities on site. This may not always be the case since trauma is only one factor influencing speciality location. The implications of this can only be understood when the demands on specific specialities are established and this is not well documented. We investigated surgical speciality demand by quantifying the frequency and urgency of surgical trauma interventions. PATIENTS AND METHODS: Data on adult trauma admissions for a UK MTC were retrieved from the UK Trauma Audit and Research Network for a 2-year period and analysed to establish the frequency and urgency of surgical interventions...
January 19, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30643920/mid-term-results-of-minimally-invasive-deltoid-split-versus-standard-open-deltopectoral-approach-for-philos%C3%A2-proximal-humeral-internal-locking-system-osteosynthesis-in-proximal-humeral-fractures
#19
Joëlle Borer, Jochen Schwarz, Silke Potthast, Marcel Jakob, Philipp Lenzlinger, Urs Zingg, Arby Babians
PURPOSE: Only a few reports compare the mid- and long-term outcome of the minimally invasive deltoid split (MIDS) with the classic anterior deltopectoral (DP) approach for osteosynthesis in proximal humeral fractures. This study compared the mid-term functional and the radiological results in patients with proximal humeral fractures undergoing osteosynthesis with the proximal humeral internal locking system (PHILOS™). METHODS: All patients undergoing osteosynthesis between 2008 and 2015 were clinically and radiologically examined with a minimal follow-up period of 1 year...
January 14, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30631886/observed-versus-expected-mortality-in-pediatric-patients-intubated-in-the-field-with-glasgow-coma-scale-scores-9
#20
Pedram Emami, Patrick Czorlich, Friederike S Fritzsche, Manfred Westphal, Johannes M Rueger, Rolf Lefering, Michael Hoffmann
PURPOSE: A Glasgow Coma Scale (GCS) score of 8 or less in patients suffering from severe traumatic brain injury (TBI) represents a decision-making marker in terms of intubation. This study evaluated the impact of prehospital intubation on the mortality of these TBI cases among different age groups. METHODS: This study included the data from patients predominantly suffering from severe TBI [Abbreviated Injury Scale (AIS) of the head ≥ 3, GCS score < 9, Injury Severity Score (ISS) > 9] who were registered in TraumaRegister DGU® from 2002 to 2013...
January 10, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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