Predictors of mortality after pelvic fractures: a retrospective cohort study from a level one trauma centre in Upper Egypt

ConclusionsThe first 24  hours were confirmed to be critical for survival in pelvic fracture patients. Advancing age, associated soft tissue injury, associated head injury, admission to ICU, and positive FAST examination can serve as reliable predictors for an elevated mortality risk in such patients.
Source: International Orthopaedics - Category: Orthopaedics Source Type: research

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Authors: Roy D, Peters ME, Everett AD, Leoutsakos JS, Yan H, Rao V, T Bechtold K, Sair HI, Van Meter T, Falk H, Vassila A, Hall A, Ofoche U, Akbari F, Lyketsos C, Korley F Abstract OBJECTIVE: The authors tested the hypothesis that a combination of loss of consciousness (LOC) and altered mental state (AMS) predicts the highest risk of incomplete functional recovery within 6 months after mild traumatic brain injury (mTBI), compared with either condition alone, and that LOC alone is more strongly associated with incomplete recovery, compared with AMS alone. METHODS: Data were analyzed from 407 patients with mTBI f...
Source: Journal of Neuropsychiatry and Clinical Neurosciences - Category: Psychiatry Tags: J Neuropsychiatry Clin Neurosci Source Type: research
Authors: Stollhof LE, Obertacke U, Eschmann D, Proba S, Bühler M, Neumeier M, Bludau F Abstract OBJECTIVE: In Germany, among patients with minor head injury (MHI), the incidence of coexisting alcohol intoxication is indicated up to 50%. The neurological symptoms of patients with MHI may be caused or altered by alcohol intoxication, this could mislead to further, potential harmful, diagnostic steps or to misinterpretation of the symptoms and to non-execution of necessary treatments. In order to decide which patients need further diagnostics by CCT, S100B has been proposed as a potential selection criterion. On ...
Source: Zeitschrift fur Orthopadie und Unfallchirurgie - Category: Orthopaedics Tags: Z Orthop Unfall Source Type: research
Publication date: Available online 19 September 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): E.W.M. Engelmann, C. Tinley, A.B. van AsAbstractA unique case of vision loss in a two-year-old boy after sustaining a head injury as a pedestrian versus car was seen at our paediatric trauma unit. A CT brain was negative for fracture, intra-cranial haemorrhage and contusion. There were no neurological symptoms and no signs of abuse. Ophthalmological examination demonstrated retinal haemorrhages, cotton wool spots and Purtscher flecken that are pathognomonic for the diagnosis of Purtscher's retinopathy. This occlu...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
Dysfunction of the gut–blood barrier plays an important role in many diseases, such as inflammatory bowel disease, hemorrhagic shock (HS), or burn injury. However, little is known about gut barrier dysfunction after hemodynamically instable polytrauma (PT). Therefore, we aimed to evaluate the effects of PT and HS on remote intestinal damage and barrier dysfunction, especially regarding the role of zonula occludens protein 1 (ZO-1) as an important tight junction protein. Male C57BL/6 mice were subjected to either PT (thorax trauma, closed head injury, soft tissue injury, and distal femoral fracture), 60 min of pres...
Source: Shock - Category: Emergency Medicine Tags: Online Articles Source Type: research
Shyam Lal Yadav, from Rahli village in Madhya Pradesh, suffered a head injury in 2014 which led to the formation of a rare sebaceous horn, known as devil's horn.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
Publication date: 14 September 2019Source: New Scientist, Volume 243, Issue 3247Author(s): Alice Klein
Source: New Scientist - Category: Science Source Type: research
Abstract Head injury is a growing concern within contact sports, including American football. Computational tools such as finite element (FE) models provide an avenue for researchers to study, and potentially optimize safety tools, such as helmets. The goal of this study was to develop an accurate representative helmet model that could be used in further study of head injury to mitigate the toll of concussions in contact sports. An FE model of a Schutt Air XP Pro football helmet was developed through three major steps: geometry development, material characterization, and model validation. The fully assembled helme...
Source: Annals of Biomedical Engineering - Category: Biomedical Engineering Authors: Tags: Ann Biomed Eng Source Type: research
AbstractNeurocognitive impairment (NCI) among HIV-infected patients is heterogeneous in its reported presentations and frequencies. To determine the prevalence of NCI and its associated subtypes as well as predictive variables, we investigated patients with HIV/AIDS receiving universal health care. Recruited adult HIV-infected subjects underwent a neuropsychological (NP) test battery with established normative (sex-, age-, and education-matched) values together with assessment of their demographic and clinical variables. Three patient groups were identified including neurocognitively normal (NN,n = 246), HIV-...
Source: Journal of NeuroVirology - Category: Neurology Source Type: research
The objective of the present work is to in...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
Abstract OBJECTIVE: The authors previously demonstrated that Cerebrolysin is effective for treatment of mild closed head injury (CHI) when administered 4 hours after injury. The aim of this study was to determine Cerebrolysin's effects on functional and histological outcomes in rats subjected to moderate CHI. METHODS: In this randomized, blinded, and vehicle-controlled preclinical trial, male adult Wistar rats subjected to moderate CHI received either Cerebrolysin treatment at a dose of 2.5 ml/kg (n = 13) or vehicle (saline, n = 13) intraperitoneally administered daily for 10 days, starting at 4 hours after i...
Source: Journal of Neurosurgery - Category: Neurosurgery Authors: Tags: J Neurosurg Source Type: research
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