9,680 results match your criteria inpatient trauma


Same-day discharge arthroplasty has a higher overall complications rate than fast-track arthroplasty: a systematic review and meta-analysis.

Arch Orthop Trauma Surg 2021 Jun 15. Epub 2021 Jun 15.

Department of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, 37# Guoxue Road, 610041, Chengdu, Sichuan, People's Republic of China.

Background: Published studies have reported many inconsistent results regarding the comparison of same-day discharge total joint arthroplasty (TJA) and inpatient TJA. More notably, many recent studies comparing same-day discharge TJA with fast-track TJA presented higher rates of complications for same-day discharge TJA, which raises concerns about the safety of same-day discharge TJA.

Methods: We systematically searched the MEDLINE, Embase, and Cochrane Central Register of Controlled Trials databases up to June 2020 for studies comparing mortality, readmission, and complications in same-day discharge and inpatient total hip or knee arthroplasty. Read More

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The Effectiveness of De-Escalation Techniques as Compared to Physical Restraint/Seclusion on Inpatient Psychiatric Units: A Quantitative Systematic Review.

Authors:
Shavar Chase

CNS Spectr 2021 Apr;26(2):175-176

Rutgers University, Newark, NJ, USA.

Background: Restraint and seclusion were considered a form of treatment but consistently has led to physical and mental injuries to staff and patients. De-escalation has been viewed as a safer option. Understanding which intervention yields decreased injuries, aggression and violence will guide policy and inform practice. Read More

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Risk factors for a second nonsimultaneous hip fracture in a prospective cohort study.

Arch Orthop Trauma Surg 2021 Jun 14. Epub 2021 Jun 14.

Musculoskeletal Research Unit, IMIM-Parc Salut Mar, CIBERFES, Universitat Autonoma de Barcelona, Doctor Aiguader 88, 20, 08003, Barcelona, Spain.

Introduction: The risk factors for a second nonsimultaneous hip fracture are unclear, and in general, it is empirically assumed that they are similar to those associated with the first hip fracture. We aimed to determine the incidence of a second hip fracture and define the characteristics of the patients sustaining the event in a prospective cohort study in a Spanish population.

Materials And Methods: We conducted a multicentric, prospective cohort study in a representative sample of 45 hospitals from 15 autonomic regions in Spain. Read More

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Pediatric Emergency Departments and Urgent Care Visits in Houston after Hurricane Harvey.

West J Emerg Med 2021 May 26;22(3):763-768. Epub 2021 May 26.

Baylor College of Medicine, Department of Pediatrics, Section of Emergency Medicine, Houston, Texas.

Introduction: Natural disasters are increasingly common and devastating. It is essential to understand children's health needs during disasters as they are a particularly vulnerable population. The objective of this study was to evaluate pediatric disease burden after Hurricane Harvey compared to the preceding month and the same period in the previous year to inform pediatric disaster preparedness. Read More

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Nonfatal Firearm Injuries by Intent in the United States: 2016-2018 Hospital Discharge Records from the Healthcare Cost and Utilization Project.

West J Emerg Med 2021 May 21;22(3):462-470. Epub 2021 May 21.

Pacific Institute for Research and Evaluation, Calverton, Maryland.

Introduction: In addition to the nearly 40,000 firearm deaths each year, nonfatal firearm injuries represent a significant public health burden to communities in the United States. We aimed to describe the incidence and rates of nonfatal firearm injuries.

Methods: We calculated nonfatal firearm injury estimates using the Healthcare Cost and Utilization Project of the Agency for Healthcare Research and Quality, including the Nationwide Emergency Department Samples and the National Inpatient Samples. Read More

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Brief Report: Characteristics and Needs of Persons Admitted to an Inpatient Psychiatric Hospital With Workers' Compensation Coverage.

Front Psychiatry 2021 28;12:673123. Epub 2021 May 28.

Department of Health Sciences, Lakehead University, Thunder Bay, ON, Canada.

The rise of mental health issues in the workplace is widely known. Though mental health issues were not covered by the Workplace Safety Insurance Board (WSIB) in Ontario (Canada) until 2018, it was listed as responsible for payment of inpatient psychiatric hospital stays between 2006 and 2016. This population-level observational analytic study compares the clinical and service needs of 1,091 individuals admitted to inpatient psychiatry with WSIB coverage to all other admissions ( = 449,128). Read More

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Pediatric Ocular Injury Due to Hand Sanitizer Exposure An Emerging Hazard.

Pediatr Emerg Care 2021 Jun 11. Epub 2021 Jun 11.

From the Department of Ophthalmology, Shaare Zedek Medical Center, Jerusalem Edmond and Lily Safra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer Pediatric Emergency Medicine, Shaare Zedek Medical Center, Jerusalem, Israel.

Objectives: The objective of this study was to describe the incidence and severity of ocular exposure to alcohol-based hand rub (ABHR) in children presenting to a tertiary medical center during the severe acute respiratory syndrome coronavirus 2 pandemic.

Methods: A retrospective single-center observational study conducted from February 21, 2020, to October 11, 2020. Subjects 10 years or younger who presented with ABHR-induced ocular injury were included. Read More

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WWII traumatic events, subjective well-being and valuation of life in the very old.

Z Gerontol Geriatr 2021 Jun 11. Epub 2021 Jun 11.

Chair of Rehabilitative Gerontology, Department of Special Education and Rehabilitation Science, Faculty of Human Sciences, University of Cologne, Herbert-Lewin-Str. 2, 50931, Cologne, Germany.

Background: Experiencing war is a major trigger for physical and mental health problems. People in the German population who are currently over 80 years of age experienced the Second World War (WWII) as children or adolescents, at a time when psychological vulnerability is high. Empirical results show that positive subjective well-being (SWB) and valuation of life (VoL) in older cohorts are widespread; however, when confronted with existential age-associated changes, many older adults experience increased burden, sometimes bringing biographical vulnerabilities to the forefront. Read More

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What is the burden of osteomyelitis in Germany? An analysis of inpatient data from 2008 through 2018.

BMC Infect Dis 2021 Jun 10;21(1):550. Epub 2021 Jun 10.

Department for Trauma Surgery, University Medical Center Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.

Background: The epidemiology of osteomyelitis in Germany is unknown, which makes it difficult to estimate future demands. Therefore, we aimed to analyse how the numbers of cases have developed over the last decade as a function of osteomyelitis subtype, age group, gender, and anatomical localization.

Methods: Osteomyelitis rates were quantified based on annual ICD-10 diagnosis codes from German medical institutions between 2008 through 2018, provided by the Federal Statistical Office of Germany (Destatis). Read More

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Changes in intolerance of uncertainty over the course of treatment predict posttraumatic stress disorder symptoms in an inpatient sample.

Clin Psychol Psychother 2021 Jun 10. Epub 2021 Jun 10.

Discipline of Clinical Psychology, University of Technology, Sydney, Australia.

Intolerance of uncertainty (IU) is the inability to tolerate distress that arises in response to the absence of important information. The level of IU has been investigated across various psychological disorders; however, few studies have examined IU in trauma-affected samples. We aimed to investigate the relationship between IU and posttraumatic stress disorder (PTSD) across the course of treatment. Read More

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Hospital effects drive variation in access to inpatient rehabilitation after trauma.

J Trauma Acute Care Surg 2021 Apr 8. Epub 2021 Apr 8.

Department of Surgery, University of Michigan, Ann Arbor, MI Center for Health Outcomes and Policy Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI.

Background: Post-acute care rehabilitation is critically important to recover after trauma but many patients do not have access. A better understanding of the drivers behind inpatient rehabilitation facility (IRF) use has the potential for major cost-savings as well as higher quality, and more equitable patient care. We sought to quantify the variation in hospital rates of trauma patient discharge to inpatient rehabilitation and understand which factors (patient- vs injury- vs hospital-level) contribute the most. Read More

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Transfusion timing relative to surgery does not impact outcomes in hip fracture patients.

Eur J Orthop Surg Traumatol 2021 Jun 9. Epub 2021 Jun 9.

Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.

Purpose: The purpose of this study is to determine the effects of blood transfusion timing in hip fracture patients.

Methods: A consecutive series of hip fracture patients 55 years and older who required a blood transfusion during hospitalization were reviewed for demographic, injury, clinical outcome, and cost information. A validated risk predictive score (STTGMA) was calculated for each patient. Read More

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Resting-state functional connectivity in patients with a complex PTSD or complex dissociative disorder before and after inpatient trauma treatment.

Brain Behav 2021 Jun 9:e02200. Epub 2021 Jun 9.

Department of Psychiatry, Psychotherapy, and Psychosomatics, University Hospitals and University of Halle (Saale), Halle, Germany.

Introduction: Recent research suggests that traumatized patients are characterized by disrupted resting-state functional connectivity. We examined whether neural networks involved in resting-state change over the course of a phase-oriented inpatient treatment for complex traumatized and dissociative disorder patients. We also investigated associations between these network alterations and clinical symptoms and emotion regulation skills. Read More

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IMPACT of COVID-19 on hip fracture services: A global survey by the International Multicentre Project Auditing COVID-19 in Trauma & Orthopaedics.

Surgeon 2021 May 24. Epub 2021 May 24.

Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, UK; Department of Orthopaedics & Trauma, Usher Institute, University of Edinburgh, UK; Scottish Orthopaedic Research Trust into Trauma (SORT-IT), UK.

Introduction: The Coronavirus Disease 2019 (COVID-19) pandemic resulted in major disruption to hip fracture services. This frail patient group requires specialist care, and disruption to services is likely to result in increases in morbidity, mortality and long-term healthcare costs.

Aims: To assess disruption to hip fracture services during the COVID-19 pandemic. Read More

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Effects of COVID-19 pandemic curfew on orthopedic trauma in a tertiary care hospital in Turkey.

Acta Orthop Traumatol Turc 2021 May;55(3):191-195

Department of Orthopedics and Traumatology, İbn'i Sina Training and Research Hospital, Ankara University, School of Medicine, Ankara, Turkey.

Objective: This study aimed to investigate whether various curfew practices affect trauma prevalence, epidemiological differences among the population admitted to hospital because of trauma, and treatment practices used after trauma.

Methods: Patients who suffered from fractures or soft-tissue trauma between March 21, 2020, and June 1, 2020, (group pandemic) and during the same period in 2019 (control group) were included in our single-center retrospective study. Each group was also divided into 3 subgroups according to the age of patients (≤ 20 years, 21-64 years, and ≥ 65 years). Read More

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E-scooter incidents in Berlin: an evaluation of risk factors and injury patterns.

Emerg Med J 2021 06 7. Epub 2021 Jun 7.

Department of Emergency Medicine, Charité University Medicine Berlin, Berlin, Germany.

Background: E-scooters have emerged as a frequently used vehicle in German cities due to their high availability and easy access. However, investigations about the causes and mechanisms of E-scooter incidents and their trauma-specific consequences are rare.

Methods: We analysed all patients involved in E-scooter incidents from June to December 2019 who presented to four inner-city EDs in Berlin. Read More

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A retrospective observational cohort study: Epidemiology and outcomes of pediatric unintentional falls in US emergency departments.

Injury 2021 May 16. Epub 2021 May 16.

Emergency Medicine, Stanford University School of Medicine, Stanford, CA, United States. Electronic address:

Introduction: The objective is to determine how outcomes from unintentional falls differ for children with and without developmental disabilities, with a sensitivity analysis specifically examining those with ADHD.

Materials And Methods: This is a retrospective observational cohort study of 2010-2015 data from the Nationwide Emergency Department Sample (NEDS). The NEDS is a sampling of ED visits across 953 hospitals in 36 states. Read More

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Accuracy of institutional orthopedic trauma databases: a retrospective chart review.

J Orthop Surg Res 2021 Jun 7;16(1):363. Epub 2021 Jun 7.

Orthopaedic Trauma Institute, UCSF Department of Orthopaedic Surgery, 2550 23rd St, San Francisco, CA, 94110, USA.

Introduction: Academic trauma institutions rely on fracture databases as research and quality control tools. Frequently, these databases are populated by trainees, but the completeness and accuracy of such databases has not yet been evaluated. The purpose of this study is to determine the capture rate of a resident-populated database in collecting extremity fractures and to determine the accuracy of assigned Orthopaedic Trauma Association (OTA) classifications. Read More

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Preinjury Functional Independence is not Associated with Discharge Location in Older Trauma Patients.

J Surg Res 2021 Jun 4;266:413-420. Epub 2021 Jun 4.

Department of Surgery, University of Wisconsin School of Medicine, Madison, WI.

Background: The purpose of this study was to evaluate the association between pre-injury Katz Index of Independence in Activities of Daily Living (Katz ADL) functional status and discharge to a facility in non-neurologically injured older trauma patients.

Methods: Data were obtained from 207 patients in the Trauma Medical Home study cohort. Multivariable logistic regression was performed to identify factors associated with non-home discharge. Read More

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Clinical Characteristics and Risk Factors Associated With Acute Kidney Injury Inpatient With Exertional Heatstroke: An Over 10-Year Intensive Care Survey.

Front Med (Lausanne) 2021 19;8:678434. Epub 2021 May 19.

The First School of Clinical Medicine, Southern Medical University, Guangzhou, China.

Exertional heat stroke (EHS) is a life-threatening injury that can lead to acute kidney injury (AKI). The clinical characteristics of and risk factors for EHS complicated with AKI have been poorly documented. A retrospective study with EHS admitted to the intensive care unit (ICU) from January 2008 to June 2019 was performed. Read More

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Parental acceptance and willingness to pay for a newly designed kitchen rack to reduce paediatric burns.

Burns 2021 May 15. Epub 2021 May 15.

Department of Global Public Health, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.

The majority of pediatric burns in Mongolia occur within the home, particularly in the spaces dedicated to cooking. This makes home environment modification a priority for injury prevention. Many of these injuries are caused by electric appliances used in traditional tent-like dwellings (called a ger). Read More

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Severity and patterns of injury in helmeted vs. non-helmeted motorcyclists in a rural state.

J Safety Res 2021 06 20;77:212-216. Epub 2021 Mar 20.

Department of Surgery, Maine Medical Center, Portland, ME 04102, USA. Electronic address:

Introduction: Under current law in our rural state, there is no universal requirement for motorcyclists to wear helmets. Roughly 500 motorcycle crashes are reported by the state each year and only a fraction of those riders wear helmets. We sought to determine the difference in injury patterns and severity in helmeted versus non-helmeted riders. Read More

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QUALITY OF LIFE DETERMINANTS IN PERSONS WITH DISABILITY AFTER MUSKULOSCELETAL INJURIES.

Wiad Lek 2021 ;74(5):1093-1098

IVANO-FRANKIVSK NATIONAL MEDICAL UNIVERSITY, IVANO-FRANKIVSK, UKRAINE.

Objective: The aim: To study the intrinsic and extrinsic factors affecting quality of life in persons with disability after musculoskeletal injuries.

Patients And Methods: Materials and methods: A medical and social research was conducted on151 individuals with re-confirmed disability after musculoskeletal injuries.

Results: Results: It was found that a third of people with disabilities after musculoskeletal injuries (35. Read More

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Health literacy and clinical outcomes in patients with total knee arthroplasty in different rehabilitation settings: An exploratory prospective observational study.

Int J Orthop Trauma Nurs 2021 May 5;42:100865. Epub 2021 May 5.

UMIT-Private University for Health Sciences, Medical Informatics and Technology, Department of Nursing Science and Gerontology, Division of Integrated Care, Hall in Tirol, Austria.

Background: Limited health literacy is associated with negative clinical outcomes. Although research on health literacy has increased in recent years, there is still a lack of evidence for orthopaedic patients undergoing joint replacement and in the rehabilitation sector.

Objectives: The aims of this study were to assess health literacy of patients undergoing total knee arthroplasty (TKA) and to observe its course during rehabilitation. Read More

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Admission trends in pediatric isolated linear skull fracture across the United States.

J Neurosurg Pediatr 2021 Jun 4:1-13. Epub 2021 Jun 4.

2Surgical Outcomes Center for Kids, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville.

Objective: Pediatric isolated linear skull fractures commonly result from head trauma and rarely require surgery, yet patients are often admitted to the hospital-a costly care plan. In this study, the authors utilized a national database to investigate trends in admission for skull fractures across the United States.

Methods: Children younger than 18 years with isolated linear skull fracture, according to ICD-9 diagnosis codes in the Kids' Inpatient Database of the Healthcare and Utilization Project (HCUP), who presented between 2003 and 2016 were included. Read More

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Impact of the SARS-CoV-2 pandemic on ophthalmic care in Germany.

Ophthalmologe 2021 Jun 4. Epub 2021 Jun 4.

Commission for Cross-Sectoral Ophthalmology of the DOG (German Ophthalmological Society e. V.) and BVA (Professional Association of German Ophthalmologists), Munich/Düsseldorf, Germany.

Background: Survey by the commission for cross-sectoral ophthalmology, as a joint commission of the German Ophthalmological Society (DOG) and the Professional Association of German Ophthalmologists (BVA) on the effects of the SARS-CoV‑2 pandemic on ophthalmological patient care in Germany.

Methods: Online-based survey.

Results: A total of 1190 questionnaires were (partly) answered. Read More

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The incidence and nature of adverse events in rehabilitation inpatients with acquired brain injuries.

PM R 2021 Jun 3. Epub 2021 Jun 3.

Toronto Rehabilitation Institute, University Health Network.

Introduction: Patient safety is important in all healthcare settings. Few studies have examined the state of patient safety in rehabilitation and none have examined patient safety in the setting of acquired brain injury (ABI) rehabilitation.

Objectives: To determine the incidence, most common types, and severities of adverse events among inpatients undergoing ABI rehabilitation. Read More

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Aging with Traumatic Brain Injury: Deleterious Effects of Injury Chronicity Are Most Pronounced in Later Life.

J Neurotrauma 2021 Jun 3. Epub 2021 Jun 3.

University of Alabama School of Medicine, Departments of Opthamology and Visual Sciences and Physical Medicine and Rehabilitation, Birmingham, Alabama, United States;

Understanding the effects of age on longitudinal traumatic brain injury (TBI) outcomes requires attention to both chronic and evolving TBI effects and age-related changes in health and function. The present study examines the independent and interactive effects of aging and chronicity on functional outcomes after TBI. We leveraged a well-defined cohort of individuals who sustained a moderate/severe TBI and received acute inpatient rehabilitation at specialized centers with high follow up rate as part of their involvement in the TBI Model Systems longitudinal study. Read More

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