874 results match your criteria The Polytraumatized Patient


Economic and clinical benefits of immediate total-body CT in the diagnostic approach to polytraumatized patients: a descriptive analysis through a literature review.

Radiol Med 2022 Jun 12;127(6):637-644. Epub 2022 May 12.

Department of General and Emergency Radiology, "A. Cardarelli" Hospital, Via A. Cardarelli 9, 80131, Naples, Italy.

Major trauma is an event causing injuries that may determine an immediate or potential risk to the patient survival. A correct management of major trauma is decisive in reducing disability, which has relevance both from the point of view of the quality of life of the single individual and from the point of view of health expenditure. The primary clinical approach to the polytraumatized patients is managed, in most cases, as outlined in the guidelines of Advanced Trauma Life Support, proposing conventional radiological investigations, such as chest and pelvis x-ray, and of FAST (focused abdominal sonography in trauma)/E-FAST (extended FAST) examinations, followed by selective targeted computed tomography (CT). Read More

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Admission Triage With Pain, Inspiratory Effort, Cough Score can Predict Critical Care Utilization and Length of Stay in Isolated Chest Wall Injury.

J Surg Res 2022 Sep 6;277:310-318. Epub 2022 May 6.

Division of Traumatology, Surgical Critical Care and Emergency Surgery, University of Pennsylvania, Philadelphia.

Introduction: Damage to the thoracic cage is common in the injured patient, both when the injuries are confined to this single cavity and as part of the overall injury burden of a polytraumatized patient. In a subset of these patients, the severity of injury to the intrathoracic viscera is either underappreciated at admission or blossom over the following 48-72 h. The ability to promptly identify these patients and abrogate complications therefore requires triage of such at-risk patients to close monitoring in a critical care environment. Read More

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September 2022

The acute phase management of spinal cord injury affecting polytrauma patients: the ASAP study.

World J Emerg Surg 2022 04 25;17(1):20. Epub 2022 Apr 25.

Department of Anesthesia and Intensive Care, Parma University Hospital, Via Gramsci 14, 43100, Parma, Italy.

Background: Few data on the management of acute phase of traumatic spinal cord injury (tSCI) in patients suffering polytrauma are available. As the therapeutic choices in the first hours may have a deep impact on outcome of tSCI patients, we conducted an international survey investigating this topic.

Methods: The survey was composed of 29 items. Read More

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Combined pericapsular nerve group and lateral femoral cutaneous nerve blocks for hip fracture in a polytraumatized patient-A case report.

Saudi J Anaesth 2022 Apr-Jun;16(2):211-213. Epub 2022 Mar 17.

Emergency Department and Critical Care Area, Anesthesia and Intensive Care Unit, Santa Maria Annunziata Hospital, Bagno a Ripoli, Florence, Italy.

Locoregional anesthetic techniques in hip fracture are significant in order to control pain, reduce postoperative opioid use, and perioperative adverse events. Pericapsular nerve group (PENG) block has been described and proved as an effective analgesic method for hip surgery as an alternative to other regional nerve blocks. The association of PENG and lateral femoral cutaneous nerve (LCFN) block can be performed to achieve skin and subcutaneous tissues analgesia or anesthesia. Read More

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25-Year experience with adult polytraumatized patients in a European level 1 trauma center: polytrauma between 1995 and 2019. What has changed? A retrospective cohort study.

Arch Orthop Trauma Surg 2022 Apr 12. Epub 2022 Apr 12.

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

Purpose: To analyze the changes of the clinical characteristics, injury patterns, and mortality rates of polytraumatized patients within the past 25 years in a European Level I trauma center.

Methods: 953 consecutive polytraumatized patients treated at a single-level 1 trauma center between January 1995 and December 2019 were enrolled retrospectively. Polytrauma was defined as AIS ≥ 3 points in at least two different body regions. Read More

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The impact of obesity on polytraumatized patients with operatively treated fractures.

Injury 2022 Jul 27;53(7):2519-2523. Epub 2022 Mar 27.

Divison of Orthopaedic Surgery, Sidra Medicine, Doha, Qatar. Electronic address:

Introduction: The objective of this study was to evaluate the effect of obesity on outcomes following operative treatment of fractures in obese polytrauma patients.

Methods: This was a prospective cohort study at a level I trauma centre from January 2014 until December 2017. The eligibility criteria were adult (age >= 18 years) polytrauma patients who presented with at least one orthopaedic fracture that required operative fixation. Read More

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Heridas por asta de toro, análisis de 138 casos.

Cir Cir 2022 ;90(2):242-247

Servicio de Cirugía General y del Aparato Digestivo.

Objective: Bull-horn injuries (BHI) are unique and there is reduced published literature about it. We present an analysis of a 11-year BHI case series.

Method: Study of 138 cases developed during a 11-year period with hospitalization admission greater than 24 hours with diagnosis of BHI/contusion. Read More

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Long term results of olecranon fractures treated using the XS nail® system.

Chin J Traumatol 2022 Mar 9. Epub 2022 Mar 9.

Division of Orthopaedics and Trauma Surgery, Rotkreuzklinik Wertheim GGmbH, Wertheim Am Main, Germany.

Purpose: Olecranon fractures are particularly vulnerable to distraction and subsequent fracture dislocation due to the high tensile forces. Surgical treatment aims at reducing the fracture and restoring the anatomical joint surface condition, as well as neutralizing the strain inhibiting fracture healing. The XS nail® (Intercus GmbH, Bad Blankenberg, Germany), an intramedullary implant exerting compression across the entire fracture surface, unlike plates, leaves a minimal extra-cortical profile, and can be secured with threaded locking wires, thereby retaining the anatomical reduction without displacement or steps within the articular surface, which was often found in tension band wiring. Read More

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Scapular Fractures at a Level 1 Trauma Center: A Cross-Sectional Study.

Qatar Med J 2022 2;2022(1). Epub 2022 Mar 2.

Division of Orthopaedic Surgery, Department of Surgery, Sidra Medicine, Doha, Qatar.

Purpose: Scapular fractures are uncommon injuries that account for up to 1% of all fractures and 5% of all shoulder girdle fractures. Moreover, most of the evidence on the treatment of scapular fractures stems from case series, with paucity of comparative studies. Despite the lack of standardized criteria for the operative treatment of scapular fractures, a set of suggested radiological parameters has been recently reported. Read More

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Early Stages Management of Traumatic Spinal Cord Injury in Latin America: A Scoping Review.

World Neurosurg 2022 Jun 11;162:138-149.e29. Epub 2022 Mar 11.

Neuroscience Institute, Universidad El Bosque, Bogotá, Colombia; NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, United Kingdom; Meditech Foundation, Cali, Colombia.

Objective: To understand the extent and type of evidence on diagnosis, clinical presentation, management, outcomes, and costs of traumatic spinal cord injury (TSCI) in the early stages in Latin America.

Methods: The Joanna Briggs Institute methodology for scoping reviews was followed. Extracted data included study aim, country, methodology, population characteristics, and outcome measures. Read More

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Improving the protocol for whole-body CT scans in trauma patients.

Eur J Trauma Emerg Surg 2022 Jan 28. Epub 2022 Jan 28.

Department of Orthopedic and Trauma Surgery, Lucerne Cantonal Hospital, Spitalstrasse, 6000, Lucerne 16, Switzerland.

Purpose: While whole-body computed tomography is an established diagnostic method for the work up of polytraumatized patients, the protocols used differ between trauma centers. This study aimed to compare scan duration and estimated radiation of two protocols. Secondary aim was to assess if using the revised CT protocol reduced the number of additional images of the upper extremities. Read More

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January 2022

Lung Transplantation following Emergency Pneumonectomy in a Polytraumatized 18-Year-Old.

Case Rep Transplant 2021 29;2021:5584827. Epub 2021 Dec 29.

Trauma Department, Hannover Medical School, Hannover, Germany.

. On rare occasions, a pneumonectomy needs to be performed after a severe polytrauma. Statistically, this procedure increases the mortality rate to 50%. Read More

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December 2021

Early Outcomes of Pelvic Trauma Patients - Complications, ICU Stay and Treatment Concepts in Two ATLS Compliant Trauma Centers: Germany and Qatar.

Acta Chir Orthop Traumatol Cech 2021 ;88(6):418-422

BG Trauma Center at Ruprecht-Karls-Universität Heidelberg, Ludwigshafen, Germany.

PURPOSE OF THE STUDY Pelvic trauma causes severe threats especially to polytraumatized patients. Not only it is in itself a possible cause for significant bleeding, but it also indicates a high risk for intra-abdominal injuries. The initial treatment of patients with pelvic trauma follows the ATLS principles of priority-oriented treatment. Read More

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January 2022

Development of a Swine Polytrauma Model in the Absence of Fluid Resuscitation.

J Spec Oper Med 2021 ;21(4):77-82

Background: In locations in which access to resuscitative therapy may be limited, treating polytraumatized patients present a challenge. There is a pressing need for adjuncts that can be delivered in these settings. To assess these adjuncts, a model representative of this clinical scenario is necessary. Read More

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January 2022

Cytological Effects of Serum Isolated from Polytraumatized Patients on Human Bone Marrow-Derived Mesenchymal Stem Cells.

Stem Cells Int 2021 28;2021:2612480. Epub 2021 Nov 28.

Trauma Department, Hannover Medical School, 30625 Hannover, Germany.

Due to their immunomodulatory and regenerative capacity, human bone marrow-derived mesenchymal stem cells (hBMSCs) are promising in the treatment of patients suffering from polytrauma. However, few studies look at the effects of sera from polytraumatized patients on hBMSCs. The aim of this study was to explore changes in hBMSC properties in response to serum from polytrauma patients taken at different time points after the trauma incident. Read More

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November 2021

Blunt abdominal trauma managed with mesenteric embolization: case report.

Cir Cir 2021 ;89(6):822-826

Departamento de Medicina, Universidad El Bosque. Bogotá, Colombia.

Blunt abdominal trauma occurs in 20% of polytraumatized patients, of which approximately 5% may have mesenteric lesions. We present a case of a woman suffering from a blunt abdominal trauma, who underwent computed tomography with evidence of hematoma on the right flank, which was controlled by angioembolization of the superior mesenteric artery. Treatment of mesenteric lesions will be determined according to the hemodynamic status of the patient, since in view of stability, a choice can be made between open surgery and embolization, but in case of instability, laparotomy is recommended. Read More

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December 2021

Applicability of Anatomic and Physiologic Scoring Systems for the Prediction of Outcome in Polytraumatized Patients with Blunt Aortic Injuries.

Diagnostics (Basel) 2021 Nov 21;11(11). Epub 2021 Nov 21.

Trauma Department, Hannover Medical School, 30625 Hannover, Germany.

Background: Most patients with blunt aortic injuries, who arrive alive in a clinic, suffer from traumatic pseudoaneurysms. Due to modern treatments, the perioperative mortality has significantly decreased. Therefore, it is unclear how exact the prediction of commonly used scoring systems of the outcome is. Read More

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November 2021

Shock index combined with age and the Glasgow Coma Scale during the initial care of polytraumatized patients as a predictor of mortality.

Emergencias 2021 Dec;33(6):427-432

Servicio de Cirugía Torácica, Hospital Universitario Doctor Negrín de Las Palmas de Gran Canaria, España.

Objectives: To study whether combining age and the Glasgow Coma Scale (GCS) with the shock index (SI) - SIA/G - during the initial care of polytraumatized patients can improve the ability of the SI alone to predict mortality. To compare the predictive performance of the SIA/G combination to other prognostic scales: the addition of points for the GCS, age and systolic blood pressure (GAP); the Revised Trauma Score (RTS); and the Injury Severity Score (ISS).

Material And Methods: Observational cohort study of patients with severe trauma admitted to the intensive care unit of a tertiary care hospital between 2015 and 2020. Read More

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December 2021

Floating hip in polytraumatized patients: complications, mechanism of injury, and surgical strategy.

Int Orthop 2022 02 15;46(2):361-368. Epub 2021 Nov 15.

Department of Orthopedic Surgery and Traumatology, Niguarda Hospital, Milan, Italy.

Purpose: Floating hip fractures are severe and rare injuries with high complication rate and lack of standard management. The purpose of this retrospective study was to review the outcomes of a case series of polytraumatized patients with floating hip injuries, in order to describe the relationship between complication rate and floating hip injury type, the pathomechanism of injury, and the surgical treatment strategy.

Methods: Forty-five patients with floating hip injuries were analyzed. Read More

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February 2022

Patient Satisfaction with a Tertiary Hospital in Egypt using a HCAHPS-Derived Survey.

J Multidiscip Healthc 2021 28;14:3053-3060. Epub 2021 Oct 28.

Department of General Surgery, Ain Shams University, Cairo, Egypt.

Study Design: Retrograde cross-sectional study.

Objective: To assess patient satisfaction and outcomes in polytraumatized patients in EL-Demerdash hospital.

Background: This is the first study that assessed patient satisfaction with a tertiary hospital in Egypt. Read More

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October 2021

Staged laparotomy for acute non-traumatic intra-abdominal emergencies in a tertiary South African unit.

ANZ J Surg 2021 Dec 12;91(12):2637-2643. Epub 2021 Oct 12.

Department of Surgery, University of KwaZulu-Natal, Pietermaritzburg, South Africa.

Introduction: Patients undergoing laparotomy for emergency general surgery (EGS) have poor outcomes. Attempts have been made to improve these outcomes by adopting damage control principles known to benefit polytraumatized patients. Studies describing the use of staged laparotomy (SL) in EGS have been modest in size and heterogenous. Read More

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December 2021

Orthopaedic Trauma Research Priorities in Latin America: Developing Consensus Through a Modified Delphi Approach.

J Bone Joint Surg Am 2021 12;103(24):2318-2323

University of California San Francisco, San Francisco, California.

Background: Despite a substantial burden of musculoskeletal injury, orthopaedic trauma studies in Latin America are lacking. The purpose of the present study was to identify research priorities among orthopaedic trauma surgeons in Latin America.

Methods: Research questions were solicited from members of the Asociación de Cirujanos Traumatólogos de las Américas. Read More

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December 2021

[Emotional experience and change in psychodynamic inpatient psychotherapy].

Z Psychosom Med Psychother 2022 Jun 24;68(2):112-126. Epub 2021 Sep 24.

Hospital zum heiligen Geist Psychosomatische Klinik Lange Straße 4-6 D-60311 Frankfurt Deutschland.

The subject of the present study is the recording of emotional experience and its change through inpatient psychodynamic psychotherapy, taking into account the factors of age, gender, and traumatic experiences in childhood and adolescence. The following standardized instruments were used on the clinical sample of 971 patients (413 inpatient, 558 day clinic patients) at the beginning and at the end of the treatment: Questionnaire for the Assessment of Emotional Experience and Emotion Regulation (EER), Childhood-Trauma-Questionnaire (CTQ), Inventory of Interpersonal Problems (IIP), Helping Alliance Questionnaire (HAQ), Symptom-Check-List (SCL-90-R). The mean duration of treatment was 66. Read More

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Trauma Scores and Their Prognostic Value for the Outcome Following Pediatric Polytrauma.

Front Pediatr 2021 3;9:721585. Epub 2021 Sep 3.

Department of Pediatric Surgery, Dr. von Hauner Children's Hospital, Ludwig-Maximilians-University, Munich, Germany.

The management and prognostic assessment of pediatric polytrauma patients can pose substantial challenges. Trauma scores developed for adults are not universally applicable in children. An accurate prediction of the severity of trauma and correct assessment of the necessity of surgical procedures are important for optimal treatment. Read More

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September 2021

[Urogenital Injury in Polytrauma Patients: a Five-year Epidemiological Study].

Acta Chir Orthop Traumatol Cech 2021 ;88(4):307-312

Urologická klinika 3. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha.

INTRODUCTION The authors present an overview of polytrauma patients with urinary tract injuries managed in the Level I trauma centre. The purpose of this study was to evaluate the frequency of injuries to the urinary system, the mechanism of their injury and the method of treatment in the cohort of polytrauma patients treated in the trauma centre. MATERIAL AND METHODS Between 2012 and 2016, a total of 231 polytrauma patients were treated, of whom 47 (20. Read More

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September 2021

Hand injuries in polytrauma patients.

Pol Przegl Chir 2021 Mar;93(4):21-27

Multiple Trauma Treatment Center, Pomeranian Medical University in Szczecin, Poland.

Hand and forearm injuries are relatively rare in polytrauma patients; their incidence is estimated at 2-5%. Hand and forearm injuries are usually not life threatening, and, therefore are considered of secondary importance, replaced by serious injuries of other body parts. However, they should be treated immediately after stabilization of the general condition of patients, as their delayed management may result in serious dysfunction of the hand. Read More

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Blunt Chest Trauma in Polytraumatized Patients: Predictive Factors for Urgent Thoracotomy.

J Clin Med 2021 Aug 27;10(17). Epub 2021 Aug 27.

Department of Trauma-, Hand- and Reconstructive Surgery, Albert-Schweitzer-Campus 1, University Hospital Muenster, Building W1, 48149 Muenster, Germany.

Purpose: Current guidelines on urgent thoracotomy of polytraumatized patients are based on data from perforating chest injuries. We aimed to identify predictive factors for urgent thoracotomy after chest-tube placement for blunt chest trauma in a civilian setting.

Methods: Polytraumatized patients (Injury Severity Score ≥16) with blunt chest trauma, submitted to a level I trauma centre during a period of 12 years that received at least one chest tube were included. Read More

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Distal Radius Fractures and the Dorsal Spanning Plate in the Management of the Polytraumatized Patient.

J Orthop Trauma 2021 Sep;35(Suppl 3):s6-s10

Department of Orthopaedic Surgery, UT Southwestern Medical Center, Dallas, TX.

Summary: Distal radius fractures are some of the most common fractures treated by the orthopaedic surgeon. There are a variety of methods of fixation to treat these fractures; however, in patients with polytrauma and in high-energy fracture patterns, fixation options can be limited. In the past, these fractures were treated with plaster, Kirschner wires, or external fixators that were fraught with complications. Read More

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September 2021

A retrospective cohort study of 27,049 polytraumatized patients age 60 and above: identifying changes over 16 years.

Eur Geriatr Med 2022 02 29;13(1):233-241. Epub 2021 Jul 29.

Department of Trauma, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.

Purpose: The number of severely injured patients exceeding the age of 60 has shown a steep increase within the last decades. These patients present with numerous co-morbidities, polypharmacy, and increased frailty requiring an adjusted treatment approach. In this study, we establish an overview of changes we observed in demographics of older severe trauma patients from 2002 to 2017. Read More

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February 2022