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Trauma Registry

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https://read.qxmd.com/read/30761224/the-impact-of-marijuana-legalization-on-vehicular-trauma
#1
Natash Keric, Luke J Hofmann, Rachelle Babbitt-Jonas, Joel Michalek, Mathew Dolich, Leen Khoury, Javier Martin Perez, Stephen M Cohn
Background Drugged driving, or driving under the influence of any drug, is a growing public health concern, especially with the recent legislation legalizing marijuana use in certain states in the USA. We sought to gain a better understanding of the surgeons' perspective regarding marijuana (MJ) and alcohol (ETOH) and the relationship of recent laws to identification of MJ and ETOH in trauma victims. Methods Members of a national trauma surgical organization were asked to participate in an Institutional Review Board (IRB)-approved, web-based survey which centered on attitudes, knowledge, and beliefs regarding ETOH and MJ as they related to injury...
December 3, 2018: Curēus
https://read.qxmd.com/read/30760357/computed-tomography-with-intravenous-contrast-is-not-associated-with-development-of-acute-kidney-injury-in-severely-injured-pediatric-patients
#2
McGaha Paul K, Jeremy Johnson, Tabitha Garwe, Zoona Sarwar, Prasenjeet Motghare, William Daly, Robert Letton
Data for the incidence of acute kidney injury (AKI) related to intravenous contrast administration in the pediatric trauma population are limited. Obtaining a creatinine value before elective CT scans is a relatively accepted standard of care. We sought to determine whether there was any significant difference in the incidence of AKI between severely injured patients who received IV contrast and those who did not. We reviewed data from the trauma registry at our Level I pediatric trauma center. We limited the patients to severely injured pediatric traumas (<15 years old) directly transported from the scene of injury with a creatinine level measured on arrival...
January 1, 2019: American Surgeon
https://read.qxmd.com/read/30760346/comorbidities-in-trauma-injury-severity-scoring-system-refining-current-trauma-scoring-system
#3
Adel Elkbuli, Reed Yaras, Ahmad Elghoroury, Dessy Boneva, Shaikh Hai, Mark McKenney
The revised trauma score combined with the Injury Severity Score (ISS) remains the mostly commonly used system for predicting trauma mortality, but these scoring systems do not account for the patient's comorbidities. This study aims to evaluate the effect of comorbidities on ISS-related mortality and length of stay. A review of our trauma center's data registry from 2014 to 2016 was carried out. Patients were divided according to ISS into two groups: ISS ≤ 15 and ISS > 15. Each ISS group was then subdivided by number of comorbidities into two groups: 1 to 2 or ≥3 comorbidities...
January 1, 2019: American Surgeon
https://read.qxmd.com/read/30760326/achieving-ethnic-equality-in-the-israel-trauma-healthcare-system-the-case-of-the-elderly-population
#4
Nura Abdel-Rahman, Nechemia Yoffe, Maya Siman-Tov, Irina Radomislensky, Kobi Peleg
OBJECTIVE: To determine if ethnic disparities exist with regard to the risk of injury and injury outcomes among elderly hospitalized casualties in Israel. METHODS: A retrospective study based on data from the Israeli National Trauma Registry between 2008 and 2017. Data included demographic, injury and hospitalization characteristics. Descriptive statistics and adjusted logistic regression were used to examine the differences between Jewish and Arab casualties, aged 65 and older...
February 13, 2019: Israel Journal of Health Policy Research
https://read.qxmd.com/read/30760289/is-there-an-association-between-female-gender-and-outcome-in-severe-trauma-a-multi-center-analysis-in-the-netherlands
#5
M Pape, G F Giannakópoulos, W P Zuidema, E S M de Lange-Klerk, E J Toor, M J R Edwards, M H J Verhofstad, T N Tromp, E M M van Lieshout, F W Bloemers, L M G Geeraedts
INTRODUCTION: Little evidence suggest that female gender is associated with a lower risk of mortality in severely injured patients, especially in premenopausal women. Previous clinical studies have shown contradictory results regarding protective effects of gender on outcome after severe trauma. The objective of this study was to determine the association between gender and outcome (mortality and Intensive Care Unit (ICU) admission) among severely injured patients in the Netherlands. METHODS: A retrospective multicentre study was performed including all polytrauma patients (Injury Severity Score (ISS) ≥16) admitted to the ED of three level 1 trauma centres, between January 1st, 2006 and December 31st, 2014...
February 13, 2019: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/30747642/patient-characteristics-associated-with-comfort-care-among-trauma-patients-at-a-level-i-trauma-center
#6
Sean P Geary, Maria R Brown, Christopher Decker, Lisa M Angotti, Ashar Ata, Carl Rosati
Trauma patients admitted to the intensive care unit are a unique population with high mortality. This study aims to identify characteristics predicting the likelihood of progressing to palliative management often referred to as comfort care measures, thus enabling the trauma team to broach end-of-life decisions earlier in these patients' care. This is a retrospective analysis of the prospectively collected New York State Trauma Registry database for a single Level I trauma center for patients admitted from 2008 to 2015...
November 1, 2018: American Surgeon
https://read.qxmd.com/read/30747641/the-utility-of-additional-imaging-in-trauma-consults-with-mild-to-moderate-injury
#7
Andrew L Plaster, Mark E Hamill, Daniel I Lollar, Katie M Love, Emily R Faulks, Daniel W Freeman, Andrew D Benson, Michael S Nussbaum, Bryan R Collier
Limiting CT imaging in the ED has gained interest recently. After initial trauma workup for consultations in the ED, additional CT imaging is frequently ordered. We assessed the benefits of this additional imaging. Our hypothesis was that additional imaging in lower acuity trauma consults results in the diagnosis of new significant injuries with a change in treatment plan and increased Injury Severity Score (ISS). The registry at our Level I trauma center was queried from November 2015 to November 2016 for trauma consults initially evaluated by ED physicians...
November 1, 2018: American Surgeon
https://read.qxmd.com/read/30747276/severe-head-injury-in-elderly-6-year-comparison-of-treatment-and-outcome-between-southern-finland-and-navarra-spain
#8
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/30742282/first-step-toward-a-better-trauma-management-initial-results-of-the-northern-izmir-trauma-registry-system-for-children
#9
Mustafa Onur Öztan, Murat Anıl, Ayşe Berna Anıl, Demet Yaldız, İlhan Uz, Ali Turgut, Işıl Köse, Kerim Acar, Turhan Sofuoğlu, Gökhan Akbulut
BACKGROUND: Trauma is an important health problem in children, and improvement in national trauma care is only possible through the knowledge gathered from trauma registry systems. This information is not available in our country, because there is no current trauma registry system at the hospitals. Our aim is to explain the trauma registry system we have developed and present the first year's data. METHODS: The planned trauma registry system was integrated into the emergency department registry system of 14 hospitals in Izmir province...
January 2019: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/30736667/developing-a-low-budget-trauma-registry
#10
Muhammad Asad Moosa, Ahmad Jawad, Iqra Jangda, Hasnain Zafar
Trauma registry plays an essential role in collecting epidemiological injury data which is used in quality care improvement and research. This paper was planned toshare our experience of having developed a low-budget user-friendly trauma registry with the help of Microsoft Access. This was used because of its ease of use, quickdevelopment style, and support for relational database d esign. Var iable i nc lud ed in our registr y were demographics, description of injury, International Classification of Disease 9 Clinical Modification (ICD9- CM) external injury classification codes, date and time of arrival, length of hospital stay, referral to and from hospital, physiological assessment along with scores for assessing the injury severity...
February 2019: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/30736644/analysing-outcomes-through-orthopaedic-trauma-registry-a-prospective-cohort-study
#11
Tashfeen Ahmad, Zehra Abdul Muhammad, Shahryar Noordin, Ammar Humayun
OBJECTIVE: To develop a registry for recording injury-specific data to identify gaps and improve care. Methods: The prospective cohort study was conducted at Aga Khan University Hospital, Karachi, from June 2015 to July 2018 though enrollment of patients with limb trauma is continuing to date. Data on injuries and management related to Tibia shaft fractures was collected from medical records, and outcomes were assessed on follow-up visits. Internationally validated injury-specific scores were utilised for assessing functional, clinical and radiological outcomes...
February 2019: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/30723895/thoracic-endovascular-repair-tevar-versus-open-surgery-for-blunt-traumatic-thoracic-aortic-injury
#12
REVIEW
Dominic Pang, Diane Hildebrand, Paul Bachoo
BACKGROUND: Blunt traumatic thoracic aortic injury (BTAI) is a life-threatening surgical emergency associated with mortality up to 8000 per year, most commonly caused by rapid acceleration/deceleration injury sustained through motor vehicle accident and/or blunt thoracic trauma. BTAI has high pre-hospital mortality following the primary injury, with only 10% to 15% of patients surviving long enough to reach the hospital. Open surgical repair had remained the standard treatment option for BTAI since successfully introduced in 1959...
February 6, 2019: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/30711319/bioabsorbable-implants-in-foot-trauma-surgery
#13
Walter Daghino, Alessandro Bistolfi, Alessandro Aprato, Alessandro Massè
BACKGROUND: Resorbable osteosynthesis has been used in orthopaedic surgery for many years. However, indications for the use of these implants in the surgery of traumatic lesions of the foot have not yet been clearly defined. The aim of this study is to analyse reported experiences with the bioabsorbable devices and to suggest guidelines for their use in foot trauma surgery METHODS: We conducted a literature review to identify known indications for the use of absorbable devices in traumatic lesions of the foot...
January 23, 2019: Injury
https://read.qxmd.com/read/30703539/evolution-of-firearm-violence-over-20-years-integrating-law-enforcement-and-clinical-data
#14
Nathan R Manley, Martin A Croce, Peter E Fischer, Donald E Crowe, James H Goines, John P Sharpe, Timothy C Fabian, Louis J Magnotti
BACKGROUND: Data linking ballistics to injury is lacking. To address this data chasm, a partnership with law enforcement was developed to describe clinical outcomes from specific firearms. METHODS: A random sample of patients with gunshot wounds over a 20-year period, ending 2015 was identified. Circumstances of incident, firearm type and/or caliber were extracted from police reports. Data on demographics, mortality, injury severity and clinical outcomes were collected from the trauma registry, and these datasets were linked...
January 28, 2019: Journal of the American College of Surgeons
https://read.qxmd.com/read/30700488/prehospital-factors-associated-with-death-on-hospital-arrival-after-traffic-crash-in-japan-a-national-observational-study
#15
Yusuke Katayama, Tetsuhisa Kitamura, Kosuke Kiyohara, Junya Sado, Tomoya Hirose, Tasuku Matsuyama, Takeyuki Kiguchi, Junichi Izawa, Yuko Nakagawa, Takeshi Shimazu
OBJECTIVE: Although it is important to assess prehospital factors associated with traffic crash fatalities to decrease them as a matter of public health, such factors have not been fully revealed. METHODS: Using data from the Japanese Trauma Data Bank, a large hospital-based trauma registry in Japan, we retrospectively analysed traffic crash patients transported to participating facilities that treated patients with severe trauma from 2004 to 2015. This study defined registered emergency patients whose systolic blood pressure was 0 mm Hg or heart rate was 0 bpm at hospital arrival as being in prehospital cardiopulmonary arrest (CPA)...
January 29, 2019: BMJ Open
https://read.qxmd.com/read/30700077/high-level-of-childhood-trauma-predicts-a-poor-response-to-spinal-cord-stimulation-in-chronic-neuropathic-pain
#16
Jaakko Maatta, Antti Martikainen, Maarit Pakarinen, Tiina-Mari Ikaheimo, Mette Nissen, Mikael von Und Zu Fraunberg, Heimo Viinamaki, Jukka Huttunen
BACKGROUND: Spinal cord stimulation (SCS) relieves pain by delivering doses of electric current to the dorsal column of the spinal cord and has been found to be most effective in the treatment of neuropathic pain. Psychological distress is a significant risk factor for the development of chronic pain and has been found to affect the outcome of SCS. Childhood trauma is a risk factor for chronic pain, but has not previously been studied in SCS patients. OBJECTIVES: The objective of this prospective registry-based study was to investigate the prevalence of 5 domains of childhood trauma (emotional neglect, emotional abuse, physical neglect, physical abuse, and sexual abuse) and their relationship with the outcome of spinal cord stimulation on patients suffering from treatment-resistant chronic pain...
January 2019: Pain Physician
https://read.qxmd.com/read/30698401/introduction-of-a-novel-questionnaire-to-assess-the-quality-of-post-discharge-outpatient-care-and-socioeconomic-state-after-severe-multiple-injury
#17
Sigune Kaske, Rolf Lefering, Bertil Bouillon, Marc Maegele
BACKGROUND: Trauma registries provide knowledge about the pathophysiological events that follow severe injuries but only little is known about outpatient care and socioeconomic consequences at later stages in case of survival. We introduce a novel questionnaire to specifically assess the quality of post-discharge outpatient care and socioeconomic burden up to two years after severe multiple injury. DESIGN: Observational Study. SETTING: Post-discharge outpatient treatment and socioeconomic burden within two years after severe trauma...
January 28, 2019: European Journal of Physical and Rehabilitation Medicine
https://read.qxmd.com/read/30697033/developing-a-low-budget-trauma-registry
#18
Muhammad Asad Moosa, Ahmad Jawad, Iqra Jangda, Hasnain Zafar
Trauma registry plays an essential role in collecting epidemiological injury data which is used in quality care improvement and research. This paper was planned toshare our experience of having developed a low-budget user-friendly trauma registry with the help of Microsoft Access. This was used because of its ease of use, quickdevelopment style, and support for relational database d esign. Var iable i nc lud ed in our registr y were demographics, description of injury, International Classification of Disease 9 Clinical Modification (ICD9- CM) external injury classification codes, date and time of arrival, length of hospital stay, referral to and from hospital, physiological assessment along with scores for assessing the injury severity...
February 2019: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/30697010/analysing-outcomes-through-orthopaedic-trauma-registry-a-prospective-cohort-study
#19
Tashfeen Ahmad, Zehra Abdul Muhammad, Shahryar Noordin, Ammar Humayun
OBJECTIVE: To develop a registry for recording injury-specific data to identify gaps and improve care. Methods: The prospective cohort study was conducted at Aga Khan University Hospital, Karachi, from June 2015 to July 2018 though enrollment of patients with limb trauma is continuing to date. Data on injuries and management related to Tibia shaft fractures was collected from medical records, and outcomes were assessed on follow-up visits. Internationally validated injury-specific scores were utilised for assessing functional, clinical and radiological outcomes...
February 2019: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/30696939/epidemiology-patterns-of-treatment-and-mortality-of-pediatric-trauma-patients-in-japan
#20
Makoto Aoki, Toshikazu Abe, Daizoh Saitoh, Kiyohiro Oshima
Limited information exists regarding the epidemiology, patterns of treatment, and mortality of pediatric trauma patients in Japan. To evaluate the characteristics and mortality of pediatric trauma patients in Japan, especially in traffic accidents. This was a retrospective cohort study between 2004 and 2015 from a nationwide trauma registry in Japan. Pediatric trauma patients divided into four age groups: <1 years; 1 ≤ 5 years; 6 ≤ 10 years; and 11 ≤ 15 years. Data on patients' demographics, trauma mechanism and severity, treatments and in-hospital mortality were analyzed between the groups...
January 29, 2019: Scientific Reports
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