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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/38926171/influencing-factors-for-delayed-diagnosed-injuries-in-multiple-trauma-patients-introducing-the-risk-for-delayed-diagnoses-score-ridd-score
#21
JOURNAL ARTICLE
Denis Gümbel, Gerrit Matthes, Axel Ekkernkamp, Fabian Laue, Rolf Lefering
PURPOSE: Delayed diagnosed injuries (DDI) in severely injured patients are an essential problem faced by emergency staff. Aim of the current study was to analyse incidence and type of DDI in a large trauma cohort. Furthermore, factors predicting DDI were investigated to create a score to identify patients at risk for DDI. METHODS: Multiply injured patients admitted between 2011 and 2020 and documented in the TraumaRegister DGU® were analysed. Primary admitted patients with severe injuries and/or intensive care who survived at least 24 h were included...
June 26, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38926170/tibial-plateau-fractures-are-associated-with-ligamentous-and-meniscal-injuries-preoperative-evaluation-of-magnetic-resonance-imaging-influences-surgical-treatment
#22
JOURNAL ARTICLE
Salvatore Risitano, Fortunato Giustra, Francesco Bosco, Antonio Rea, Giorgio Cacciola, Raffaella Rizzolo, Luigi Sabatini, Marcello Capella, Alessandro Massè
BACKGROUND: Tibial plateau fractures (TPFs) are usually associated with ligamentous or meniscal injuries that could remain misdiagnosed. An appropriate and early recognition may change the surgical management of these soft tissue injuries (STIs) that could be addressed concomitantly with TPF treatment. Magnetic resonance imaging (MRI) is an efficient diagnostic test to identify all associated STIs in TPFs. This study aims to analyze the MRI impact in identifying and guiding the STIs treatment in TPFs...
June 26, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38907860/biomechanical-evaluation-of-double-stranded-knot-configurations-in-high-strength-sutures-and-tapes
#23
JOURNAL ARTICLE
Mehar Dhillon, Tatjana Pastor, Ivan Zderic, Sarina Hebsacker, Björn-Christian Link, James Fletcher, R Geoff Richards, Boyko Gueorguiev, Torsten Pastor
PURPOSE: Recently, a new dynamic high-strength suture (DC) was introduced, also available in tape form (DT), featuring a salt-infused silicone core attracting water in a fluid environment to preserve tissue approximation. The aims of this study were to (1) assess the influence of securing throw number on knot security of two double-stranded knot configurations (Cow-hitch and Nice-knot) tied with either dynamic (DC and DT) or conventional (FW and ST) high-strength sutures and tapes, and (2) compare the ultimate force and knot slippage of the novel dynamic versus conventional sutures and tapes when used with their minimal number of needed securing throws...
June 22, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38888792/time-to-traumatic-intracranial-hematoma-evacuation-contemporary-standard-and-room-for-improvement
#24
JOURNAL ARTICLE
Michael P Merakis, Natasha Weaver, Angela Fischer, Zsolt J Balogh
PURPOSE: Traumatic intracranial hematoma (TICH) is a neurosurgical emergency with high mortality and morbidity. The time to operative decompression is a modifiable but inconsistently reported risk factor for TICH patients? OUTCOMES: We aimed to provide contemporary time to evacuation data and long-term trends in timing of TICH evacuation in a trauma system. METHODS: A 13-year retrospective cohort study ending in 2021 at a trauma system with one level-1 trauma center included all patients undergoing urgent craniotomy or craniectomy for evacuation of TICH...
June 18, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38888791/impact-of-pre-existing-medical-conditions-on-mortality-in-geriatric-trauma-a-nationwide-study-in-japan
#25
JOURNAL ARTICLE
Kenichiro Ishida, Yusuke Katayama, Tetsuhisa Kitamura, Tomoya Hirose, Masahiro Ojima, Shunichiro Nakao, Jotaro Tachino, Takeyuki Kiguchi, Kosuke Kiyohara, Jun Oda, Mitsuo Ohnishi
PURPOSE: To investigate the relationship between pre-existing medical conditions and outcomes in elderly trauma patients in Japan. METHODS: This multicenter observational study utilized data from the Japan Trauma Data Bank (JTDB) from 2019 to 2020. The primary outcome was in-hospital mortality. Factors associated with in-hospital mortality were identified using multivariate logistic regression analysis, from which adjusted odds ratios (AOR) and 95% confidence intervals (CI) were determined...
June 18, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38888790/surgical-management-of-chest-injuries-in-patients-with-multiple-and-or-severe-trauma-a-systematic-review-and-clinical-practice-guideline-update
#26
REVIEW
C Schreyer, S Schulz-Drost, A Markewitz, J Breuing, B Prediger, L Becker, C Spering, J Neudecker, B Thiel, D Bieler
PURPOSE: Our aim was to update evidence-based and consensus-based recommendations for the surgical and interventional management of blunt or penetrating injuries to the chest in patients with multiple and/or severe injuries on the basis of current evidence. This guideline topic is part of the 2022 update of the German Guideline on the Treatment of Patients with Multiple and/or Severe Injuries. METHODS: MEDLINE and Embase were systematically searched to May and June 2021 respectively for the update and new questions...
June 18, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38888789/alcohol-is-a-risk-factor-for-helmet-non-use-and-fatalities-in-off-road-vehicle-and-motorcycle-crashes
#27
JOURNAL ARTICLE
Nelofar Kureshi, Simon Walling, Mete Erdogan, Izabella Opra, Robert S Green, David B Clarke
OBJECTIVES: Off-road vehicle (ORV) and motorcycle use is common in Canada; however, risk of serious injury is heightened when these vehicles are operated without helmets and under the influence of alcohol. This study evaluated the impact of alcohol intoxication on helmet non-use and mortality among ORV and motorcycle crashes. METHODS: Using data collected from the Nova Scotia Trauma Registry, a retrospective analysis (2002-2017) of ORV and motorcycle crashes resulting in major traumatic brain injury was performed...
June 18, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38888788/a-decade-long-overview-of-damage-control-laparotomy-for-abdominal-gunshot-wounds
#28
JOURNAL ARTICLE
Reuben He, Victor Kong, Jonathan Ko, Anantha Narayanan, Howard Wain, John Bruce, Grant Laing, Vassil Manchev, Wanda Bekker, Damian Clarke
PURPOSE: Over the last three decades, damage control laparotomy (DCL) has become important in the management of abdominal gunshot wounds (GSW). This paper reviews the experience of a single institution over a decade with the use of DCL for GSW of the abdomen. METHODS: Longitudinal data (2013-2022) was collected from the Hybrid Electronic Medical Registry database to identify all patients with an abdominal GSW over the study period. The data was stratified based on patients who underwent DCL and those who did not...
June 18, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38886237/assessing-associated-factors-for-failure-of-nonoperative-management-in-pediatric-blunt-liver-and-spleen-injuries-a-secondary-analysis-of-the-shipps-study
#29
JOURNAL ARTICLE
Shunichiro Nakao, Morihiro Katsura, Masayuki Yagi, Hiroshi Ogura, Jun Oda
PURPOSE: The purpose of this study was to describe the characteristics of pediatric patients who underwent nonoperative management (NOM) for blunt splenic and hepatic injuries and to explore factors associated with NOM failure. METHODS: This was a secondary analysis of a multicenter cohort study of pediatric patients with blunt liver and spleen injuries in Japan. Participants included pediatric trauma patients aged 16 years or younger between 2008 and 2019 with NOM, which was defined as no surgery provided within 6 h of hospital arrival...
June 18, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38886236/comparison-of-whole-body-computed-tomography-findings-with-physician-predictions-in-high-energy-blunt-trauma-patients-prospective-observational-study
#30
JOURNAL ARTICLE
Sedat Akkan, Ömür Uyanik, Muhammet Ceyhan, Fatma Nur Karaarslan
BACKGROUND: The whole-body computed tomography (WBCT) procedure is increasingly common in evaluating patients presenting with high-energy trauma. However, it remains unclear in which population WBCT provides benefit and whether its routine application is truly beneficial. In this study, we aimed to compare physician predictions with WBCT findings in patients with high-energy blunt trauma. METHODS: The study was conducted as a single-center prospective observational study at a tertiary center...
June 17, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38878063/no-drains-versus-drains-after-perforated-peptic-ulcer-repair-a-randomized-controlled-trail
#31
JOURNAL ARTICLE
Mohammed Elshwadfy Nageeb, Wael Tobar, Ahmed Saqr, Amr Aly Ragab, Ahmed Mohammed Salah Eldeen Othman Elansary
PURPOSE: The study aimed to evaluate safety of omitting the intraabdominal drains after perforated peptic ulcer repairs. MATERIALS AND METHODS: We conducted a prospective, randomized, controlled trial from January 2022 to January 2024 at the Emergency surgery department. Patients with perforated peptic ulcers were evaluated for eligibility. They were randomly assigned into two groups. In group A: two intraabdominal drains (pelvic and hepatorenal). in group B: no intraabdominal drains...
June 15, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38874625/symmetry-of-the-left-and-right-tibial-plafond-a-comparison-of-75-distal-tibia-pairs
#32
JOURNAL ARTICLE
Joy Verbakel, Miriam R Boot, Nynke van der Gaast, Hans Dunning, Max Bakker, Ruurd L Jaarsma, Job N Doornberg, Michael J R Edwards, Sebastiaan A W van de Groes, Erik Hermans
PURPOSE: Tibia plafond or pilon fractures present a high level of complexity, making their surgical management challenging. Three-Dimensional Virtual Planning (3DVP) can assist in preoperative planning to achieve optimal fracture reduction. This study aimed to assess the symmetry of the left and right tibial plafond and whether left-right mirroring can reliably be used. METHODS: Bilateral CT scans of the lower limbs of 75 patients without ankle problems or prior fractures of the lower limb were included...
June 14, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38874624/role-of-low-pressure-negative-pleural-suction-in-patients-with-thoracic-trauma-a-randomized-controlled-trial
#33
JOURNAL ARTICLE
Amit Priyadarshi, Sahil Gupta, Pratyusha Priyadarshini, Abhinav Kumar, Junaid Alam, Dinesh Bagaria, Narendra Choudhary, Sushma Sagar, Amit Gupta, Biplab Mishra, Shivam Pandey, Subodh Kumar
BACKGROUND: Thoracic trauma frequently includes a pneumothorax, hemothorax, or hemopneumothorax, which may necessitate an Intercostal drainage (ICD) for air and fluid evacuation to improve breathing and circulatory function. It is a simple and life-saving procedure; nevertheless, it carries morbidity, even after its removal. Efforts have been made continuously to shorten the duration of ICD, but mostly in non-trauma patients. In this study, we evaluated the impact of negative pleural suction over the duration of ICD...
June 14, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38869511/impact-of-covid-19-pandemic-induced-surgical-restrictions-on-operational-performance-a-case-study-at-the-university-hospital-of-ulm
#34
JOURNAL ARTICLE
Thomas Datzmann, Lena Dörfer, Gregor Freude, Michael Hannemann, Gayathiri Tharmaratnam, Philipp Stangl, Walter Swoboda, Sylvia Schafmeister, Florian Gebhard, Udo X Kaisers, Markus Huber-Lang
INTRODUCTION: The operating room (OR) is a high-cost and high-revenue area in a hospital comprising extremely complex process steps to treat patients. The perioperative process quality can be optimized through an efficiency-oriented central OR management based on performance indices. However, during the COVID-19 pandemic with the corresponding OR restrictions, there was a significant nation- and worldwide decline in the performance, which may have a lasting impact. Therefore, we proposed the hypothesis that COVID-19 pandemic-related OR restrictions could reduce operative performance in the long term...
June 13, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819683/shock-index-to-predict-outcomes-in-patients-with-trauma-following-traffic-collisions-a-retrospective-cohort-study
#35
JOURNAL ARTICLE
Te-Kai Liao, Chung-Han Ho, Ying-Jia Lin, Li-Chin Cheng, Hsuan-Yi Huang
PURPOSE: Taiwan, which has a rate of high vehicle ownership, faces significant challenges in managing trauma caused by traffic collisions. In Taiwan, traffic collisions contribute significantly to morbidity and mortality, with a high incidence of severe bleeding trauma. The shock index (SI) and the modified shock index (MSI) have been proposed as early indicators of hemodynamic instability. In this study, we aimed to assess the efficacy of SI and MSI in predicting adverse outcomes in patients with trauma following traffic collisions...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819682/treatment-of-unstable-forearm-fractures-at-the-metaphyseal-diaphyseal-junction-in-children-antegrade-esin-vs-transepiphyseal-intramedullary-k-wire-fixation
#36
JOURNAL ARTICLE
Markus Dietzel, Simon Scherer, Jakob Spogis, Hans Joachim Kirschner, Jörg Fuchs, Justus Lieber
BACKGROUND: Treatment of unstable forearm fractures in the metaphyseal-diaphyseal junction (MDJ) zone is still a matter of debate. Major drawbacks of all types of fixations include either invasiveness, technical impracticality, or lack of acceptance by patients. This study reports results after antegrade ESIN (a-ESIN) compared to transepiphyseal intramedullary K-wire (TIK) for unstable MDJ forearm fractures. METHODS: The MDJ of the forearm was defined as the square over the joints of both forearm bones subtracted with the square over the metaphysis of the radius alone...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819681/the-importance-of-predictive-markers-in-incarcerated-abdominal-wall-hernia
#37
JOURNAL ARTICLE
Mehmet Alperen Avci, Can Akgun, Omer Faruk Buk, Ahmet Can Sari
PURPOSE: Emergency abdominal wall hernia repairs play a significant role in general surgical emergencies. In such cases, the time taken to decide on surgery is crucial, as the situation may progress to necrosis, perforation, and organ resection due to strangulation following incarceration. To facilitate the early detection of this condition, studies have been conducted on various predictive markers, most of which are related to similar markers used in acute mesenteric ischemia. This study aims to assess the predictive significance of preoperative laboratory and imaging findings in incarcerated abdominal wall hernia with strangulation...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819680/incidence-and-predictors-of-dorsal-comminution-in-older-adults-with-low-energy-distal-radius-fracture
#38
JOURNAL ARTICLE
Hyoung-Seok Jung, Jeuk Lee, Kyu-Tae Kang, Jae-Sung Lee
PURPOSE: To identify the incidence of dorsal comminution using computed tomography (CT) images and identify predictors of this phenomenon in older adults with low-energy distal radius fractures (DRFs). METHODS: A total of 150 patients aged > 50 years with fall-induced dorsally angulated DRFs were enrolled in this study. Patients were divided into two groups based on the presence of dorsal comminution, defined as a metaphyseal void of greater than one-third of the maximum posterior to anterior depth of the bone on at least three cuts in the sagittal plane on post-reduction CT images...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819679/the-dynamic-locking-blade-plate-seven-year-follow-up-results-of-389-patients-with-a-femoral-neck-fracture
#39
JOURNAL ARTICLE
J H Kalsbeek, W H Roerdink, P Krijnen, C A S Berende, J T Winkelhorst, A D P van Walsum, I B Schipper
PURPOSE: This study aimed to investigate the long-term outcomes of patients with a femoral neck fracture (FNF), treated with the Dynamic Locking Blade Plate (DLBP). METHODS: Retrospective analysis of prospectively collected data of a multicentre cohort of patients with FNFs was conducted, regarding the long-term incidence of revision surgery after DLBP. Implant failure was evaluated using Kaplan-Meier and Cox regression analysis. Secondary outcomes were the indication for revision surgery, complications, time to revision surgery, rate of elective removal of the implant, potential predictors for revision surgery and mortality...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38819678/variation-in-care-and-outcome-for-fragile-hip-fracture-patients-a-european-multicentre-study-benchmarking-fulfilment-of-established-quality-indicators
#40
JOURNAL ARTICLE
E Coeckelberghs, K Vanhaecht, A Akiki, P Castillón, B Cox, R El Attal, N B Foss, F Frihagen, T G Gerich, N K Kanakaris, M T Kristensen, M Mohaddes, M Panella, H C Pape, A Sermon, D Seys, S Nijs
PURPOSE: Despite the availability of clinical guidelines for hip fracture patients, adherence to these guidelines is challenging, potentially resulting in suboptimal patient care. The goal of this study was (1) to evaluate and benchmark the adherence to recently established quality indicators (QIs), and (2) to study clinical outcomes, in fragile hip fracture patients from different European countries. METHODS: This observational, cross-sectional multicenter study was performed in 10 hospitals from 9 European countries including data of 298 consecutive patients...
May 31, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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