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Performance of trauma scoring systems in predicting mortality in geriatric trauma patients: comparison of the ISS, TRISS, and GTOS based on a systemic review and meta-analysis
ConclusionThis meta-analysis suggested that the TRISS showed better accuracy and performance in predicting mortality in geriatric trauma patients than the ISS and GTOS. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 16, 2024 Category: Emergency Medicine Source Type: research

Long-term functional outcomes in polytrauma: a fundamentally new approach is needed in prediction
ConclusionContrary to their better than population norm preinjury health status, polytrauma patients remain functionally impaired at least 1  year after injury. The identified high risk for non-responding group needs more focused efforts for follow-up. A fundamentally different approach is required in polytrauma research which identify modifiable predictors of poor long-term outcomes. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 15, 2024 Category: Emergency Medicine Source Type: research

Can “Stop The Bleed” training courses for laypersons improve hemorrhage control knowledge, skills, and attitudes? A systematic review
ConclusionSTB courses for laypersons have demonstrated significant improvements in knowledge, skill, confidence, and willingness to intervene to stop traumatic exsanguination. The evaluation of clinically relevant patient outcomes, specifically their effect on preventable deaths from traumatic exsanguination, is needed to strengthen further the evidence behind the recommendations for more widespread teaching of “STB” courses. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 14, 2024 Category: Emergency Medicine Source Type: research

Machine learning prediction models for in-hospital postoperative functional outcome after moderate-to-severe traumatic brain injury
ConclusionThe study concluded that ML models could provide rapid and accurate predictions for postoperative GOS outcomes at discharge following moderate-to-severe TBI. The study also highlighted the crucial role of routine blood tests in improving such predictions, and may contribute to the optimization of surgical treatment decision-making for patients with TBI. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 14, 2024 Category: Emergency Medicine Source Type: research

Disparities in prehospital and emergency surgical care among patients with perforated ulcers and a history of mental illness: a nationwide cohort study
ConclusionOne-third of the population had a history of mental illness or vulnerability. Patients with a history of major mental illness were less likely to be identified with abdominal pain if calling the EMS prior to arrival. They had longer delays from hospital arrival to surgery and higher mortality. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 14, 2024 Category: Emergency Medicine Source Type: research

Longitudinal analysis of caloric requirements in critically ill trauma patients: a retrospective cohort study
ConclusionIn critically ill trauma patients, caloric requirements significantly increased and subsequently decreased over time. Younger age, male sex and higher BMI were identified as independent predictors for higher caloric requirements, whereas severe head trauma was associated with lower caloric requirements over time. These results support the use of IC and will help to adjust nutritional support in critically ill trauma patients. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 14, 2024 Category: Emergency Medicine Source Type: research

Do admission glucose levels independently predict coagulopathy in multiple trauma patients? A retrospective cohort analysis
ConclusionThis study emphasizes the significance of admission blood glucose as an independent predictor of coagulopathy. Monitoring hyperglycemia can aid in identifying high-risk patients. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 14, 2024 Category: Emergency Medicine Source Type: research

Advances of 3D printing technologies in orthopaedic trauma and surgical training: a transformative approach
(Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 14, 2024 Category: Emergency Medicine Source Type: research

Lessons for the next pandemic: analysis of the timing and outcomes including post-discharge decannulation rates for tracheostomy in severe COVID-19 respiratory failure
ConclusionsWe report the first comprehensive analysis of ET and LT that includes LTAC outcomes and stabilization markers in relation to the tracheostomy. ET was associated with improved clinical outcomes and a short LOS, specifically on days of pre-tracheostomy ventilation and in-hospital decannulation rates. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 13, 2024 Category: Emergency Medicine Source Type: research

A 12-year experience in the management of blunt thoracic aortic injury in Otautahi Christchurch
ConclusionManagement of BTAI in our centre compares well with currently published studies. Long-term studies are warranted to guide clinicians in areas of controversy in BTAI management. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 12, 2024 Category: Emergency Medicine Source Type: research

Characteristics and demography of low energy fall injuries in patients   & gt;  60 years of age: a population-based analysis over a decade with focus on undertriage
ConclusionsPatients aged  >  60 years with low energy falls are dominated by head injuries, and the 30-day mortality is 13%. Patients with major trauma are undertriaged in half the cases mandating increased awareness of this patient group. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 7, 2024 Category: Emergency Medicine Source Type: research

Patient satisfaction after elective implant removal of the lower extremity — a retrospective cohort study
ConclusionWhen elective IR for consolidated fractures of the lower extremity is primarily motivated by patients ’ subjective symptoms of discomfort, the risk for postoperative dissatisfaction significantly increases. Objective symptoms on the other hand are associated with higher satisfaction after IR. While the procedure is generally safe, minor complications such as wound healing disorders can occur, espe cially in smokers. Patient education and well-documented informed consent are critical. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 6, 2024 Category: Emergency Medicine Source Type: research

Early prediction for massive fresh frozen plasma transfusion based on fibrinogen/fibrin degradation products and D-dimer in patients with blunt trauma: a single-center, retrospective cohort study
ConclusionFDP and D-dimer levels at the time of hospital arrival showed a higher predictive accuracy for the need for massive FFP transfusion than Fib. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 6, 2024 Category: Emergency Medicine Source Type: research

Hypocalcaemia upon arrival (HUA) in trauma patients who did and did not receive prehospital blood products: a systematic review and meta-analysis
ConclusionHUA is common amongst trauma patients irrespective of transfusion. Transfused patients had a slightly lower initial iCa than those without transfusion, though the clinical impact of this remains to be clarified. These findings question the paradigm of citrate-induced hypocalcaemia alone in trauma. There is a need for consensus for the definition of hypocalcaemia to provide a basis for future research into the role of calcium supplementation in trauma. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 6, 2024 Category: Emergency Medicine Source Type: research

Prehospital management of chest injuries in severely injured patients —a systematic review and clinical practice guideline update
ConclusionSome evidence suggests that ultrasound should be considered to identify pneumothorax in the prehospital setting. Otherwise, the recommendations from 2016 remained unchanged. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 3, 2024 Category: Emergency Medicine Source Type: research