798 results match your criteria The Polytraumatized Patient


Electric Scooter Orthopaedic Injury Demographics at an Urban Level I Trauma Center.

J Orthop Trauma 2020 May 5. Epub 2020 May 5.

Department of Orthopaedic Surgery, University of California, San Diego, CA, USA.

Objectives: This study highlights demographics and Orthopaedic injuries of electric scooter related trauma that presented to our institution over a 27-month period.

Design: Retrospective Review.

Setting: Urban Level 1 Trauma Center. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001803DOI Listing

[Management of thoracic trauma and intrathoracic injuries].

Authors:
C Schreyer R Schwab

Chirurg 2020 Jun;91(6):517-530

Klinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Bundeswehr-Zentralkrankenhaus Koblenz, Rübenacher Str. 170, 56072, Koblenz, Deutschland.

More than 45% of polytraumatized patients in Germany suffer from severe thoracic trauma. Due to the urgent time factor (e.g. Read More

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http://dx.doi.org/10.1007/s00104-020-01176-wDOI Listing

Vestiges of Ossified Spheno-occipital Suture in an Elderly Patient With Down Syndrome and Lateral Skull Base Fracture.

In Vivo 2020 May-Jun;34(3):1427-1432

Department of Neuroradiology, Eppendorf University Hospital, University of Hamburg, Hamburg, Germany.

Background/aim: Down syndrome (DS) patients often show characteristic changes in the skull, e.g. short cranial base. Read More

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http://dx.doi.org/10.21873/invivo.11924DOI Listing
January 2020

Post-Traumatic Sepsis Is Associated with Increased C5a and Decreased TAFI Levels.

J Clin Med 2020 Apr 24;9(4). Epub 2020 Apr 24.

Department of Trauma, Hand and Reconstructive Surgery, Goethe University, 60590 Frankfurt, Germany.

Background: Sepsis frequently occurs after major trauma and is closely associated with dysregulations in the inflammatory/complement and coagulation system. Thrombin-activatable fibrinolysis inhibitor (TAFI) plays a dual role as an anti-fibrinolytic and anti-inflammatory factor by downregulating complement anaphylatoxin C5a. The purpose of this study was to investigate the association between TAFI and C5a levels and the development of post-traumatic sepsis. Read More

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http://dx.doi.org/10.3390/jcm9041230DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230984PMC

[Essential aspects during the resuscitation of intravascular volume in polytraumatized patients].

Medwave 2020 Apr 23;20(3):e7879. Epub 2020 Apr 23.

Cátedra de Anestesiología y Reanimación, Hospital General Docente Comandante Pinares, San Cristóbal, Cuba. ORCID: 0000-0002-8634-1476.

Trauma is the leading cause of death in the first four decades of life, responsible for 3.5 million deaths a year and carrying a high economic and social impact. Hemorrhagic shock is the consequence of injuries in these patients. Read More

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http://dx.doi.org/10.5867/medwave.2020.03.7879DOI Listing

[Effect of implementation of a trauma leader on process parameters for polytrauma treatment in the shock room of a tertiary care hospital].

Anaesthesist 2020 Apr 24. Epub 2020 Apr 24.

Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Köln (AöR), Medizinische Fakultät, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland.

Background: In patients up to the age of 40 years old severe trauma is the most frequent cause of death in Germany. According to the current S3 guidelines on treatment of polytrauma and the severely injured, since 2011 the presence of a shock room coordinator should be considered, who can improve the survival of patients by optimized treatment quality and times. The aim of the present study was to analyze various parameters of shock room treatment for polytraumatized patients before and after implementation of a shock room coordinator for treatment of polytrauma. Read More

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http://dx.doi.org/10.1007/s00101-020-00776-9DOI Listing

Complex program of diagnostics and treatment of polytraumatized patients with II-III degrees obesity.

Wiad Lek 2020 ;73(3):521-524

Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.

Objective: The aim: Elaboration of the complex program of diagnostics and treatment of the polytraumatized overweight patients.

Patients And Methods: Materials and methods: Clinical material was composed of 64 patients with the combined body trauma who suffered from II-III grade obesity.

Results: Results: Main principles of rendering the aid to the polytraumatized overweight patients included the pathophysiological and topographic features of the group. Read More

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Polytrauma in Older Adults Leads to Significantly Increased TIMP-1 Levels in the Early Posttraumatic Period.

J Immunol Res 2020 9;2020:4936374. Epub 2020 Mar 9.

Department of Trauma Surgery, University Hospital Munich, Ludwig-Maximilians University, Nussbaumstr. 20, 80336 Munich, Germany.

Background: Patients after polytrauma regularly suffer from posttraumatic immune system destabilization, which closely influences the further clinical development. Increasing age has recently been identified as an isolated risk factor for an adverse outcome after major trauma. Higher rates and intensity of acute inflammation following severe injury suggest that deregulated inflammation may contribute to these higher rates of posttraumatic morbidity and mortality in older adults. Read More

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http://dx.doi.org/10.1155/2020/4936374DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085877PMC

[Analysis of the frequency of polytraumatized patients in motorcycle accidents in the pediatric publication attended in the Pediatric Hospital of Sinaloa between the years 2015 and 2017].

Acta Ortop Mex 2019 Jul-Aug;33(4):197-203

Departamento de Cirugía Pediátrica. Hospital Pediátrico de Sinaloa «Dr. Rigoberto Aguilar Pico», Sinaloa, México.

Objectives: Determine the frequency of polytraumatized pediatric patients involved in motorcycle accidents treated at the Pediatric Hospital of Sinaloa between 2015 and 2017, as well as to determine the frequency of traumatic brain injuries, thoracic, abdominal, limb injuries, days of hospital stay and mortality.

Material And Methods: The selected population were patients under 18 years of age who were involved in motorcycle accidents treated at the Pediatric Hospital of Sinaloa in a period between January 1st, 2015 and December 31, 2017.

Results: The most affected gender was the male with the most frequent age of 14 years, accidents occurred more frequently on Fridays and Saturdays at night. Read More

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Shoulder injuries in polytraumatized patients: an analysis of the TraumaRegister DGU®.

Eur J Trauma Emerg Surg 2020 Mar 27. Epub 2020 Mar 27.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, Albert-Schweitzer-Campus, Building W1, 48149, Muenster, Germany.

Background: The aim of the present study was to analyze the prevalence, epidemiology and relevance of shoulder injuries in polytraumatized patients in a large national trauma database. We hypothesize a high prevalence of shoulder injuries in traffic accidents and a high prevalence of concomitant injuries of the thorax leading to an aggravated clinical course and higher Injury Severity Score (ISS). Furthermore, we hypothesize an increased rate of surgical treatment with the severity of the injury. Read More

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http://dx.doi.org/10.1007/s00068-020-01340-1DOI Listing

Unique Indications for Covered Stent Grafts in Neuroradiology Departments of Level 1 Trauma Centers.

J Neurol Surg A Cent Eur Neurosurg 2020 May 11;81(3):243-252. Epub 2020 Feb 11.

Unfallkrankenhaus Berlin, Department of Radiology and Neuroradiology, Berlin, Germany.

Objective:  To describe unique indications for covered stent grafts in trauma-associated cerebrovascular injuries.

Patients:  Between 2006 and 2018, five patients with cerebrovascular injuries were treated with a covered stent graft. We present a retrospective analysis of technique and outcomes. Read More

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http://dx.doi.org/10.1055/s-0039-1697604DOI Listing

Reamed Intramedullary Nailing of a Femur Fracture in a Polytraumatized Patient on Extracorporeal Membrane Oxygenation: A Case Report.

JBJS Case Connect 2020 Jan-Mar;10(1):e0349

Stanford University Medical Center, Stanford, California.

Case: We present the case of a young adult with blunt lung trauma and acute respiratory distress syndrome requiring extracorporeal membrane oxygenation (ECMO) after a motor vehicle crash with a concomitant diaphyseal femur fracture who underwent reamed intramedullary nailing (IMN) while on ECMO support.

Conclusion: This case is important because it demonstrates that reamed IMN of the femur has been performed safely in a critically ill patient on ECMO. Read More

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http://dx.doi.org/10.2106/JBJS.CC.19.00349DOI Listing
February 2020

In-hospital outcomes of patients with non-iatrogenic civilian vascular trauma.

Vasa 2020 Apr 27;49(3):225-229. Epub 2020 Jan 27.

Department of Vascular Surgery, University Hospital Erlangen, Erlangen, Germany.

: Morbidity, lesion pattern, management and short-term outcomes of civilian vascular trauma are rarely evaluated. Therefore, analysis of in hospital results in patients with non-iatrogenic vascular trauma in a tertiary referral hospital was performed. : Retrospective evaluation of patients with vascular trauma from 2007-2017 was done. Read More

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http://dx.doi.org/10.1024/0301-1526/a000849DOI Listing
April 2020
1.213 Impact Factor

Retrospective Analysis and Systematic Review of Isolated Traumatic Dissections of the Celiac Artery.

Ann Vasc Surg 2020 Jan 8. Epub 2020 Jan 8.

Department of Radiology and Neuroradiology, Unfallkrankenhaus Berlin, Berlin, Germany; Department for Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Greifswald, Germany. Electronic address:

Background: Isolated dissections of the celiac artery (CA) after blunt trauma are rarely described. This retrospective analysis and systematic review analyzes epidemiology, radiologic examinations, patterns of injuries, therapeutic measures, clinical courses, and outcomes.

Methods: Retrospective analysis of polytraumatized patients admitted between 1997 and 2012 to a trauma center level I. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.01.005DOI Listing
January 2020

Fracture fixation in the polytrauma patient: Markers that matter.

Injury 2019 Dec 17. Epub 2019 Dec 17.

MetroHealth Medical Center, Cleveland, OH, USA. Electronic address:

Timing and type of fracture fixation in the multiply-injured trauma patient have been important and controversial topics. Ideal care for these patients come from providers who communicate well with one another in a team fashion and view the whole person, rather than focusing on injury to individual systems. This group encompasses a wide range of musculoskeletal and other injuries, further complicated by the broad spectrum of patients, with variability in age, medical and social comorbidities, all of which may have profound impact upon outcomes. Read More

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http://dx.doi.org/10.1016/j.injury.2019.12.024DOI Listing
December 2019

The Prognostic Value of Troponin in Pediatric Polytrauma.

Front Pediatr 2019 20;7:477. Epub 2019 Nov 20.

Department of Traumatology, Hand-, Plastic-, and Reconstructive Surgery, Center of Surgery, University Hospital of Ulm, Ulm, Germany.

Severe trauma accounts for a great number of deaths among children and adolescents. The diagnostic value of troponin serum levels of severely injured patients has been reported for adults, but data on pediatric polytrauma (PT) are scarce. Therefore, we conducted a retrospective monocentered study analyzing the prognostic value of troponin T (TnT) in pediatric trauma patients at the time point of hospital admission. Read More

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http://dx.doi.org/10.3389/fped.2019.00477DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6879657PMC
November 2019

Is Systemic Inflammatory Response Syndrome Relevant to Pulmonary Complications and Mortality in Multiply Injured Children?

J Pediatr Orthop 2020 Jan;40(1):1-7

The Children's Hospital of Philadelphia, Philadelphia, PA.

Background: Systemic inflammatory response syndrome (SIRS) is a well-recognized phenomenon in adult trauma populations. The "initial hit" of the traumatic event is often coupled with a systemic immune response characterized by changes in vital signs and laboratory indicators. A "second hit" from surgery during this time frame often results in acute lung injury, along with deterioration of the patient's clinical condition. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001085DOI Listing
January 2020

[Ultrasound Course in Ifakara (Tanzania) with Case Studies].

Praxis (Bern 1994) 2019 Nov;108(15):1013-1018

EFSUMB Ultrasound Learning Center, Klinik Hirslanden, Zürich.

Ultrasound Course in Ifakara (Tanzania) with Case Studies Presentation of two practical cases from the ultrasound course in Ifakara, Tanzania. Case 1 shows the diagnostic value of abdominal and thorax ultrasound in a polytraumatized patient with splenic rupture. In case 2 the sonographic signs of pulmonary and extrapulmonary tuberculosis are presented. Read More

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http://dx.doi.org/10.1024/1661-8157/a003397DOI Listing
November 2019

Posterior Sternoclavicular Dislocation: Do We Need "Cardiothoracic Backup"? Insights From a National Sample.

J Orthop Trauma 2020 Feb;34(2):e67-e71

Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA.

Objectives: To describe the incidence of and risk factors for vascular injury associated with P-SCD.

Methods: We used data from the HCUP-NIS from 2015 to 2016 and defined a cohort of patients with sternoclavicular dislocation (SCD) using ICD-10-CM diagnosis codes. We further isolated a subset with P-SCD. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001685DOI Listing
February 2020

Improving the Diagnosis of Ipsilateral Femoral Neck and Shaft Fractures: A New Imaging Protocol.

J Bone Joint Surg Am 2020 Feb;102(4):309-314

Orthopaedic Trauma Service (T.S.A., J.L.G., A.M.C., M.L.R., J.W.M., and S.J.W.) and Department of Radiology (M.K.), McGovern Medical School at UTHealth Houston (N.B.R. and B.E.H.), Houston, Texas.

Background: Despite increased awareness of ipsilateral femoral neck fractures in patients with high-energy femoral shaft fractures and advanced imaging with thin-cut high-resolution computed tomography (CT), failure of diagnosis remains problematic. The purpose of the present study was to determine if the preoperative diagnosis of ipsilateral femoral neck fractures in patients with high-energy femoral shaft fractures can be improved with magnetic resonance imaging (MRI) compared with radiographic and CT imaging.

Methods: In response to delayed diagnoses of femoral neck fractures despite thin-cut high-resolution CT, our institutional imaging protocol for acute, high-energy femoral shaft fractures was altered to include rapid limited-sequence MRI to evaluate for occult femoral neck fractures. Read More

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http://dx.doi.org/10.2106/JBJS.19.00568DOI Listing
February 2020

Functional immune monitoring in severely injured patients-A pilot study.

Scand J Immunol 2020 Feb 3;91(2):e12837. Epub 2019 Nov 3.

Department of Orthopaedic and Trauma Surgery, University Hospital Erlangen, Erlangen, Germany.

After severe trauma, the resulting excessive inflammatory response is countered by compensatory anti-inflammatory mechanisms. The systemic inflammatory response to trauma enhanced by inappropriately timed surgical second hits may be detrimental for the patient. On the other hand, overwhelming anti-inflammatory mechanisms may put patients at increased risk from secondary local and systemic infections. Read More

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http://dx.doi.org/10.1111/sji.12837DOI Listing
February 2020
2 Reads

Sialochemical analysis in polytraumatized patients in intensive care units.

PLoS One 2019 3;14(10):e0222974. Epub 2019 Oct 3.

School of Life Sciences, Department of Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.

The profiles of polytraumatized patients in intensive care units were characterized. Serum and salivary markers were compared with normality between Classes I and II of APACHE II and between periods of hospitalization; these results were correlated. This was a prospective study on saliva charts and collection (n = 70). Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0222974PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776458PMC

External Orthopaedic Implants in the Magnetic Resonance Environment: Current Concepts and Controversies.

J Am Acad Orthop Surg 2020 Feb;28(4):e139-e144

From the Orthopaedic Surgery Resident, UPMC Pinnacle, Harrisburg, PA (Dr. Milby), the Department of Orthopaedics and Rehabilitation (Dr. Bible and Dr. Mosher), and the Department of Radiology (Dr. Mosher), Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA, and the Department of Orthopaedic Trauma, Penn State College of Medicine, Milton S. Hershey Medical Center, Hershey, PA (Dr. Garner).

MRI provides diagnostic three-dimensional imaging and remains extremely important in the diagnosis and management of spinal trauma as well as other acute traumatic injuries, including those of the extremities. The American Society for Testing and Materials has created standards against which all implantable medical devices are tested to ensure safety in an MR environment. Most implantable passive orthopaedic devices can undergo MRI without consequence to the patient. Read More

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http://dx.doi.org/10.5435/JAAOS-D-19-00178DOI Listing
February 2020
2 Reads

Timing of major fracture care in polytrauma patients - An update on principles, parameters and strategies for 2020.

Injury 2019 Oct 13;50(10):1656-1670. Epub 2019 Sep 13.

Trauma & Orthopaedic Surgery, Clarendon Wing, A Floor, Great George Street, Leeds General Infirmary University Hospital, University of Leeds, Leeds, LS1 3EX, UK. Electronic address:

Objectives: Sustained changes in resuscitation and transfusion management have been observed since the turn of the millennium, along with an ongoing discussion of surgical management strategies. The aims of this study are threefold: a) to evaluate the objective changes in resuscitation and mass transfusion protocols undertaken in major level I trauma centers; b) to summarize the improvements in diagnostic options for early risk profiling in multiply injured patients and c) to assess the improvements in surgical treatment for acute major fractures in the multiply injured patient.

Methods: I. Read More

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http://dx.doi.org/10.1016/j.injury.2019.09.021DOI Listing
October 2019
2 Reads

Magnetic Resonance Imaging in Pelvic Fractures - Part 1: Which Criteria Lead Us to Supplementary MRI Diagnostics?

Z Orthop Unfall 2019 Sep 18. Epub 2019 Sep 18.

Klinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm.

Introduction: Isolated pelvic fractures are relatively rare with an incidence of 3 - 6% of all fractures, but their incidence in polytraumatized individuals increases to 25%. The S3 guideline Polytrauma gives a clear recommendation for diagnostics by means of pelvic radiography (X-ray) and computed tomography (CT). A recommendation for the diagnosis by means of magnetic resonance tomography (MRI) especially in patients with low energetic/missing trauma does not currently exist. Read More

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http://dx.doi.org/10.1055/a-0965-7589DOI Listing
September 2019
2 Reads

Clinical ultrasound in the management of polytraumatized patients in the daily practice of the anesthesiologist.

Rev Esp Anestesiol Reanim 2019 Oct 26;66(8):434-438. Epub 2019 Aug 26.

Servicio de Anestesiología, Instituto Português de Oncologia do Porto-Francisco Gentil, Porto, Portugal.

Ultrasound has an important role in the diagnosis and prognosis of polytrauma patients. We describe a case of a 52-year-old man with hemodynamic instability and multiple injuries. Abdominal ultrasound evaluation was positive for hemoperitoneum, so an exploratory laparotomy was performed. Read More

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http://dx.doi.org/10.1016/j.redar.2019.06.005DOI Listing
October 2019
1 Read

[Polytrauma in old age-Knowledge from the TraumaRegister DGU®].

Chirurg 2019 Oct;90(10):791-794

Klinik für Unfallchirurgie und Orthopädie, BG Klinik Ludwigshafen, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Deutschland.

The geriatric fracture patient is becoming more and more in the forefront due to the demographic development. It is expected that the number of polytraumatized geriatric patients in the coming years will rise in line with demographic trends. The TraumaRegister DGU® of the German Trauma Society (DGU) provides interesting insights into the age structure and patient outcome. Read More

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http://dx.doi.org/10.1007/s00104-019-01019-3DOI Listing
October 2019
1 Read

The Importance of Sex Differences on Outcome after Major Trauma: Clinical Outcome in Women Versus Men.

J Clin Med 2019 Aug 20;8(8). Epub 2019 Aug 20.

Department of Orthopedics & Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria.

Purpose: The purpose of this study was to evaluate epidemiological and clinically relevant sex-related differences in polytraumatized patients at a Level 1 Trauma Center.

Methods: 646 adult patients (210 females and 436 males) who were classified as polytraumatized (at the point of admission) and treated at our Level I Trauma Center were reviewed and included in this study. Demographic data as well as mechanism of injury, injury severity, injury pattern, frequency of preclinical intubation, hemodynamic variables on admission, time of mechanical ventilation and of intensive care unit (ICU) treatment, as well as the incidence of acute respiratory distress syndrome (ARDS), multi organ failure (MOF), and mortality were extracted and analyzed. Read More

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http://dx.doi.org/10.3390/jcm8081263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722913PMC
August 2019
3 Reads

IL-33 and its increased serum levels as an alarmin for imminent pulmonary complications in polytraumatized patients.

World J Emerg Surg 2019 19;14:36. Epub 2019 Jul 19.

University Department of Orthopedics and Trauma-Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.

Background: According to recently published findings, we hypothesized that serum interleukin-33 (IL-33) may qualify for predicting pulmonary complications in polytraumatized patients.

Methods: One hundred and thirty patients (age ≥ 18 years, ISS ≥ 16) were included in our prospective analysis after primary admission to our level I trauma center during the first post-traumatic hour. Serum samples immediately after admission and on day 2 after trauma were obtained and analyzed. Read More

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http://dx.doi.org/10.1186/s13017-019-0256-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6642565PMC
April 2020
5 Reads

Experiences and Quality of Life in Critically Ill Patients: Can Technology Lead to Improvements?

Stud Health Technol Inform 2019 Jul;262:122-125

Department of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, Greece.

Experiences and outcomes of critically ill patients reflect quality of intensive care. The aim of this study was twofold: a) to investigate factors affecting patients' experiences to Intensive Care Units (ICUs) and b) to measure patients' post discharge Health-Related Quality of Life (HRQOL).

Methods: A cross-sectional study with retrospective data collection was carried out. Read More

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http://dx.doi.org/10.3233/SHTI190032DOI Listing
July 2019
3 Reads

A nationwide fluidics biobank of polytraumatized patients: implemented by the Network "Trauma Research" (NTF) as an expansion to the TraumaRegister DGU of the German Trauma Society (DGU).

Eur J Trauma Emerg Surg 2019 Jul 19. Epub 2019 Jul 19.

Department of Trauma, Hand and Reconstructive, Surgery, University Hospital Frankfurt, Goethe-University, 60590, Frankfurt, Germany.

To decrypt the complexity of the posttraumatic immune responses and to potentially identify novel research pathways for exploration, large-scale multi-center projects including not only in vivo and in vitro modeling, but also temporal sample and material collection along with clinical data capture from multiply injured patients is of utmost importance. To meet this gap, a nationwide biobank for fluidic samples from polytraumatized patients was initiated in 2013 by the task force Network "Trauma Research" (Netzwerk Traumaforschung, NTF) of the German Trauma Society (Deutsche Gesellschaft für Unfallchirurgie e.V. Read More

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http://dx.doi.org/10.1007/s00068-019-01193-3DOI Listing
July 2019
2 Reads

Older polytrauma: Mortality and complications.

Injury 2019 Aug 25;50(8):1440-1447. Epub 2019 Jun 25.

Department of Trauma Surgery, University Medical Centre Groningen (UMCG), Groningen, the Netherlands. Electronic address:

Introduction: Older adults enduring a polytrauma have an increased mortality risk. Apart from age, the role of other predisposing factors on mortality are mainly described for the total polytrauma population. This study aimed to describe the mortality pattern of older polytrauma patients, its associated risk factors, and the role and etiology of in-hospital complications. Read More

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http://dx.doi.org/10.1016/j.injury.2019.06.024DOI Listing
August 2019
9 Reads

Systemic release of heat-shock protein 27 and 70 following severe trauma.

Sci Rep 2019 07 3;9(1):9595. Epub 2019 Jul 3.

Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

Trauma represents a major cause of morbidity and mortality worldwide. The endogenous inflammatory response to trauma remains not fully elucidated. Pro-inflammation in the early phase is followed by immunosuppression leading to infections, multi-organ failure and mortality. Read More

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http://dx.doi.org/10.1038/s41598-019-46034-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6610099PMC
July 2019
1 Read

Safety of the patient in an emergency situation: perceptions of the nursing team.

Rev Bras Enferm 2019 Jun 27;72(3):753-759. Epub 2019 Jun 27.

Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brasil.

Objective: To know the perception of nursing professionals about the essential aspects to provide safe care to polytraumatized patients in emergency services.

Method: Descriptive and mixed study, performed with a focus group and projective techniques. The sample was made of seven nursing professionals. Read More

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http://dx.doi.org/10.1590/0034-7167-2018-0544DOI Listing
June 2019
1 Read

Multimodal analgesia for treatment of allodynia and hyperalgesia after major trauma in a cat.

JFMS Open Rep 2019 Jan-Jun;5(1):2055116919855809. Epub 2019 Jun 18.

University of Chile, Veterinary Hospital.

Case Summary: A 2-year-old polytraumatized male cat was admitted to a teaching hospital for correction of a defective inguinal herniorrhaphy. Upon arrival, the cat showed signs of neuropathic pain, including allodynia and hyperalgesia. Analgesic therapy was initiated with methadone and metamizole; however, 24 h later, the signs of pain continued. Read More

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http://dx.doi.org/10.1177/2055116919855809DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6582303PMC
June 2019
6 Reads

Clinical simulation in the polytraumatized patient. Application in medical students.

Med Intensiva 2019 Jun 6. Epub 2019 Jun 6.

Medicina Intensiva, Hospital Universitario Marqués de Valdecilla-IDIVAL, Santander, España; Facultad de Medicina, Universidad de Cantabria, Santander, España.

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http://dx.doi.org/10.1016/j.medin.2019.05.002DOI Listing
June 2019
2 Reads

Talus fractures. Functional results for polytraumatized patients.

Rev Esp Cir Ortop Traumatol 2019 Sep - Oct;63(5):336-341. Epub 2019 May 8.

Departamento de Cirugía Ortopédica y Traumatología, Hospital Universitario Virgen del Rocío, Sevilla, España.

Talar fractures are uncommon lesions (0.1-0.9%) and have a high rate of complications. Read More

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http://dx.doi.org/10.1016/j.recot.2019.04.004DOI Listing
February 2020
8 Reads

Entrapment of the urinary bladder: A rare mechanism of bladder injury in pelvic trauma.

Trauma Case Rep 2019 Jun 25;21:100199. Epub 2019 Apr 25.

Harvard Medical School, Brigham and Women's Hospital, United States of America.

A pelvic fracture with entrapment of the urinary bladder in the fracture site is a rare pattern of injury. As the "team captains" in the trauma bay and in the care of polytraumatized patients, trauma surgeons must be aware of this entity and its implications. We report a case of acute bladder entrapment in the fracture site of a lateral compression pelvic fracture. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100199DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6484216PMC
June 2019
24 Reads

Damage control orthopedics applied in an 8-year-old child with life-threatening multiple injuries: A CARE-compliant case report.

Medicine (Baltimore) 2019 Apr;98(16):e15294

University Children's Hospital Basel (UKBB), Department of Pediatric Surgery, 4056 Basel.

Rationale: Damage control is a staged surgical approach to manage polytraumatized patients. The damage control approach comprises three steps. First, bleeding is controlled and fractures are stabilized temporarily; second, vital parameters are stabilized and the child is rewarmed in the intensive care unit; and third, the child is reoperated for definitive repair of injuries. Read More

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http://Insights.ovid.com/crossref?an=00005792-201904190-0005
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http://dx.doi.org/10.1097/MD.0000000000015294DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494245PMC
April 2019
14 Reads

The impact of polytrauma on sRAGE levels: evidence and statistical analysis of temporal variations.

World J Emerg Surg 2019;14:13. Epub 2019 Mar 18.

1Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.

Background: According to recently published findings, levels of the soluble receptor of advanced glycation end products (sRAGE) and its clearance from the blood may reflect the evolution of lung damage during hospitalization. Thus, the objective of this study was to reveal the course of sRAGE levels over the first three posttraumatic weeks, focusing on the severity of thoracic trauma and the development of acute respiratory distress syndrome (ARDS) and/or pneumonia.

Methods: Twenty-eight consecutive surviving polytraumatized patients suffering thoracic trauma, age ≥ 18 years, Injury Severity Score ≥ 16, and directly admitted to our level I trauma center were enrolled in this prospective study. Read More

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https://wjes.biomedcentral.com/articles/10.1186/s13017-019-0
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http://dx.doi.org/10.1186/s13017-019-0233-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421664PMC
June 2019
26 Reads

[3D-printed template-assisted reduction of long bone fractures].

Unfallchirurg 2019 Apr;122(4):286-292

Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Introduction: In multiply injured patients, the time period between the initial treatment with external fixators (damage control) and the definitive treatment can last from days to weeks. A poor reduction result with the fixator (e.g. Read More

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http://dx.doi.org/10.1007/s00113-019-0627-7DOI Listing
April 2019
7 Reads

A new minimally invasive U-shaped lumbopelvic stabilization technique.

Eur J Orthop Surg Traumatol 2019 Aug 25;29(6):1223-1230. Epub 2019 Mar 25.

Trauma Department, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.

Lumbopelvic stabilization is a surgical technique used frequently to treat lumbosacral fractures; however, it can also be used in revision cases, infections, or during deformity correction. However, the related soft tissue complication rates associated with open lumbopelvic stabilization are high. Different authors have recently reported minimally invasive surgical techniques. Read More

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http://dx.doi.org/10.1007/s00590-019-02421-7DOI Listing
August 2019
2 Reads

[SMART©-a new time-saving diagnostic emergency room management algorithm].

Chirurg 2019 Oct;90(10):845-850

Klinik und Poliklinik für Allgemein‑, Viszeral‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Bonn, Bonn, Deutschland.

Background: Primary computed tomography (CT) plays an increasingly important role in diagnosing life-threatening conditions in polytrauma patients; however, it is associated with two major problems: suboptimal interobserver reliability with unstructured reports especially when the reporting is undertaken by physicians in training during working hours and a delay in beginning urgent surgical interventions, which is mainly due to the time taken until the CT report is available and less to the technical time necessary for the CT. This is why the clinical benefits of a primary CT scan in hemodynamically unstable patients after polytrauma is currently under interdisciplinary discussion.

Objective: The present study focused on the development and evaluation of a standardized imaging and reporting protocol for initial CT diagnostics of injuries that need immediate treatment after polytrauma. Read More

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http://dx.doi.org/10.1007/s00104-019-0811-xDOI Listing
October 2019
2 Reads

[Influence of massive blood transfusion and traumatic brain injury on TIMP‑1 and MMP‑9 serum levels in polytraumatized patients].

Unfallchirurg 2019 Dec;122(12):967-976

Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Universität München, LMU München, Nußbaumstr. 20, 80336, München, Deutschland.

Background: The morbidity and mortality of polytrauma patients are substantially influenced by the extent of the posttraumatic inflammatory reaction. Studies have shown that TIMP‑1 and MMP‑9 play a major role in posttraumatic immune disorder in genome-wide mRNA microarray analyses. Furthermore, both showed differential gene expression profiles depending on the clinical parameters massive blood transfusion and traumatic brain injury. Read More

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http://dx.doi.org/10.1007/s00113-019-0623-yDOI Listing
December 2019
7 Reads

[Current treatment concepts for trauma-related cardiac arrest : Focal points, differences and similarities].

Anaesthesist 2019 03;68(3):132-142

Institut für Rettungs- und Notfallmedizin, Universitätsklinikum Schleswig-Holstein, Kiel, Deutschland.

Trauma-related deaths are not only a relevant medical problem but also a socioeconomic one. The care of a polytraumatized patient is one of the less commonly occurring missions in the rescue and emergency medical services. The aim of this article is to compare the similarities and differences between different course concepts and guidelines in the treatment of trauma-related cardiac arrests (TCA) and to filter out the main focus of each concept. Read More

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http://dx.doi.org/10.1007/s00101-019-0538-6DOI Listing
March 2019
2 Reads

Risk factors for complications and adverse outcomes in polytrauma patients with associated upper extremity injuries.

Patient Saf Surg 2019 4;13. Epub 2019 Feb 4.

1Department of Trauma, Universitaetsspital, University of Zurich, Raemistr.100, 8091 Zurich, Switzerland.

Background: In terms of upper extremity fractures by patients with multiple injuires, a lot of studies have assessed the functional outcome following trauma to have less favorable outcomes in regards to functional recovery. We tested the hypothesis that differences in clinical outcome occur between shaft and articular injuries of the upper extremity, when patients that sustained neurologic deficits (e.g. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
Publisher Site
http://dx.doi.org/10.1186/s13037-019-0187-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360674PMC
February 2019
8 Reads

Long-Term Patient-Reported Functional Outcome of Polytraumatized Patients With Operatively Treated Pelvic Fractures.

J Orthop Trauma 2019 Feb;33(2):64-70

Department of Pelvic and Acetabular Surgery, Southmead Hospital, North Bristol NHS Trust, Bristol, United Kingdom.

Objectives: To report the long-term functional outcome of a cohort of patients with operatively treated unstable pelvic fractures using validated patient-reported outcome measures.

Design: Long-term observational study using prospective and retrospective data.

Setting: Tertiary referral pelvic trauma center, Bristol, United Kingdom. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001355DOI Listing
February 2019
6 Reads

Fenestrated Endovascular Repair with Debranching Technique for Blunt Traumatic Isthmus Injury.

Ann Vasc Dis 2018 Dec;11(4):565-568

Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.

Thoracic endovascular repair (TEVAR) is a safe treatment alternative to open repair for blunt traumatic aortic injury (BTAI). A 29 year-old-female had multiple traffic injuries, including BTAI located in lesser curve of the isthmus close to the left common carotid artery with an isolated left vertebral artery. TEVAR with simple covering of the left subclavian artery was not adequate to prevent the endoleak. Read More

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http://dx.doi.org/10.3400/avd.cr.18-00088DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326042PMC
December 2018
8 Reads

Automatic rib cage unfolding with CT cylindrical projection reformat in polytraumatized patients for rib fracture detection and characterization: Feasibility and clinical application.

Eur J Radiol 2019 Jan 13;110:121-127. Epub 2018 Nov 13.

Service d'Imagerie Guilloz, Hôpital Central, Centre Hospitalier Universitaire de Nancy, 29 Ave du Maréchal de Lattre de Tassigny, Nancy, 54035, France.

Objectives: To assess the use of CT with unfolded cylindrical projection (UCP) for rib fracture detection and characterization.

Methods: The images from 60 polytraumatized patients who underwent whole body CT were evaluated for the presence and characterization of rib fractures (displaced or not, single or multiple). Two readers independently evaluated conventional CT images and UCP images in two readout sessions at least one month apart. Read More

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http://dx.doi.org/10.1016/j.ejrad.2018.11.011DOI Listing
January 2019
36 Reads