Comparison of injury severity scores derived from ICD-10-AM codes with trauma registry derived scores: a study from New Zealand
Trauma registries play a key role in trauma systems, providing useful information on patterns of injury and outcomes, monitoring of the quality of care, and informing injury prevention and control actions [1]. Injury severity is an important measure in trauma research, with the Injury Severity Score (ISS) one of the most commonly used indices [2]. The ISS is an anatomically based score used to rate the overall severity of multiple injuries, and is calculated using the Abbreviated Injury Scale (AIS) [3]. (Source: Injury)
Source: Injury - March 17, 2024 Category: Orthopaedics Authors: Luisa Montoya, Gabrielle Davie, Rebbecca Lilley, Bridget Dicker, Bridget Kool Source Type: research
A Comparison of the Psychometric Properties of a Person-Administered vs. Automated Screening Tool for Posttraumatic Stress Disorder (PTSD) in Traumatically Injured Patients
Poor mental health outcomes, including posttraumatic stress disorder (PTSD), affect greater than 20% of trauma patients 12 months post-injury.[1,2] PTSD after traumatic injury is associated with poor physical recovery, social functioning, and quality of life.[3,4] Despite the known effects that adverse mental health outcomes have on trauma patient recovery, only a small portion of trauma centers have protocols in place to address PTSD.[5] For these reasons, the American College of Surgeons Committee on Trauma (ACS-CoT) has required that trauma centers have mental health screening and referral protocols in place by 2023. (Source: Injury)
Source: Injury - March 15, 2024 Category: Orthopaedics Authors: Amber Brandolino, Elise A. Biesboer, Morgan Leissring, Rachel Weber, Sydney Timmer-Murillo, Terri A. deRoon-Cassini, Mary E. Schroeder Source Type: research
The Relationship Between Patient Volume And Mortality In NSW Major Trauma Service Hospitals
Trauma is the most common cause of death in first world jurisdictions for people under 45 years of age. In Australia road trauma and self-harm were both amongst the top ten causes of years of life lost in 2013 [1]. Systems of trauma care which decrease mortality are therefore important public health measures. Based on systems originally developed in the United States in the 1970s and 1980s modern trauma systems designate specialist centres for the management of severely injured patients as this has been associated with lower mortality [2]. (Source: Injury)
Source: Injury - March 15, 2024 Category: Orthopaedics Authors: Alan A Garner, Leela Sai Krishna Suryadevara, Charlie Sewalt, Stuart Lane, Rajneesh Kaur Source Type: research
Mechanism and Outcomes of Recreational and Sports-Related Open Globe Injuries
Open globe injury (OGI) is defined as a full-thickness wound that typically occurs near the limbus and insertion of the rectus muscles due to blunt trauma or penetrating objects [1]. These injuries are divided into three different zones, with zone 1 defined as an injury of the whole cornea and corneoscleral limbus, zone 2 as an injury from the corneoscleral limbus to a point 5 mm posterior into the sclera, and zone 3 as an injury posterior to the anterior 5 mm of the sclera [2]. Notably, while the association of blunt trauma with increased zone 3 OGIs is well documented, OGIs caused by penetrating mechanisms have also been...
Source: Injury - March 14, 2024 Category: Orthopaedics Authors: Bronson M. Ciavarra, Emma C. Stenz, Matthew R. Barke, Andrew W. Gross, Alice Z. Chuang, Eric L. Crowell Source Type: research
Physiologic Parameters and Radiologic Findings can Predict Pulmonary Complications and Guide Management in Traumatic Rib Fractures
Traumatic rib fracture is associated with a high morbidity rate and identifying patients at risk of developing pulmonary complications (PC) can guide management and potentially decrease unnecessary intensive care admissions. Therefore, we sought to assess and compare the utility of a physiologic parameter, vital capacity (VC), with the admission radiologic findings (RibScore) in predicting PC in patients with rib fractures. (Source: Injury)
Source: Injury - March 13, 2024 Category: Orthopaedics Authors: Abdul Hafiz Al Tannir, Courtney J. Pokrzywa, Christopher Dodgion, Kelly A. Boyle, Savo Bou Zein Eddine, Elise A. Biesboer, David J. Milia, Marc A. de Moya, Thomas W. Carver Source Type: research
Prevalence of chronic pain after severe lower limb injury (SLLI): a systematic review and meta-analysis
Globally, severe lower limb injuries (SLLIs) are the predominant cause of long-term injury related disability and poor functional outcomes. Chronic pain is a major source of this morbidity, but the magnitude of the contribution is not clearly understood. The aim of this systematic review and meta-analysis was to determine the prevalence of chronic pain following SLLIs in civilian and military patients. (Source: Injury)
Source: Injury - March 11, 2024 Category: Orthopaedics Authors: Shareef Mahdi, Rebecca Stoner, James Wyatt, Henry De'Ath, Zane Perkins Source Type: research
Effect of trauma quality improvement initiatives on outcomes and costs at community hospitals: A scoping review
Traumatic injury is a major cause of death and disability worldwide. An estimated 5.8 million people die from trauma annually, with many more experiencing substantial ongoing disability [1]. A disproportionate proportion of major trauma affect individuals in developing countries, with low socioeconomic status, certain racial and ethnic groups, and rural inhabitants [2,3,4,5]. The organization of trauma systems has been associated with a decrease in trauma-related mortality when implemented [6,7]. (Source: Injury)
Source: Injury - March 11, 2024 Category: Orthopaedics Authors: Reba McIver, Mete Erdogan, Robin Parker, Allyson Evans, Robert Green, David Gomez, Tyler Johnston Source Type: research
The Paediatric polytrauma CT-Indication (PePCI)-Score - Development of a prognostic model to reduce unnecessary CT scans in paediatric trauma patients
Whole-Body CT (WBCT) is frequently used in emergency situations for promptly diagnosing paediatric polytrauma patients, given the challenges associated with obtaining precise details about the mechanism and progression of trauma. However, WBCT does not lead to reduced mortality in paediatric patients, but is associated with high radiation exposure. We therefore wanted to develop a screening tool for CT demand-driven emergency room (ER)-trauma diagnostic to reduce radiation exposure in paediatric patients. (Source: Injury)
Source: Injury - March 9, 2024 Category: Orthopaedics Authors: Strahl Andr é, Willemsen Jan Fritjof, Schoof Benjamin, Reinshagen Konrad, Frosch Karl-Heinz, Wintges Kristofer Source Type: research
The Economic and Resource Burden of E-Scooter-Related Orthopaedic Injuries: A District General Hospital's Experience
Electric scooters (e-scooters) are becoming an increasingly popular and convenient method of transportation in major urban cities across the world. There is existing evidence that there is an increasing frequency of significant orthopaedic injuries associated with e-scooters and that they incur a financial burden to our healthcare system.[1 –3] (Source: Injury)
Source: Injury - March 9, 2024 Category: Orthopaedics Authors: M. Antonik, S Sankar, J Shepherd, S Hassan Source Type: research
Modified medial gastrocnemius myocutaneous flap with extended anterior, inferior and/or posterior boundaries: anatomical observation and report of a clinical series of 33 flaps
Soft tissue defects in the periphery of the knee caused by trauma, osteomyelitis or tumour resection are often encountered in the clinical setting. Although the reconstruction of these defects has entered the era of perforator flaps [1 –7], the gastrocnemius myocutaneous flap, especially the medial gastrocnemius myocutaneous (MGM) flap, is still a workhorse flap for repairing soft tissue defects in the middle and upper leg, knee and lower thigh due to its reliable survival, large dimension and relatively easy procedure [8–11]. (Source: Injury)
Source: Injury - March 8, 2024 Category: Orthopaedics Authors: Shibin Tao, Zhonggen Dong, Jianwei Wei, Lihong Liu, Lijun Zhang, Shimu Shi Source Type: research
Pack the Chest: Damage Control Strategy for Management in Thoracic Trauma
Damage control surgery aims to control hemorrhage and contamination in the operating room (OR) with definitive management of injuries delayed until normal physiology is restored in the intensive care unit (ICU). There are limited studies evaluating the use of damage control thoracotomy (DCT) in trauma, and the best method of temporary closure is unclear. (Source: Injury)
Source: Injury - March 7, 2024 Category: Orthopaedics Authors: Anthony D. Douglas, Thaddeus J. Puzio, Patrick B. Murphy, Gabriel B. Kinnaman, Ashley D. Meagher Source Type: research
Corrigendum to “Improved documentation following the implementation of a trauma registry: A means of sustainability for trauma registries in low- and middle-income countries” [Injury, 52 (2021) pages 2672–2676]
The authors regret affiliations for authors Tessa Robinson and Martin Situma were incorrect in the original publication of this article. The correct affiliations are: (Source: Injury)
Source: Injury - March 7, 2024 Category: Orthopaedics Authors: Chantalle L. Grant, Christine Tumuhimbise, Consolet Ninsiima, Tessa Robinson, Dean Eurich, David Bigam, Martin Situma, Abdullah Saleh Tags: Corrigendum Source Type: research
The Clinical Frailty Scale as a Predictor of Orthopaedic Outcomes: A Narrative Review
The Clinical Frailty Scale (CFS) is a scoring tool used by clinicians to quantify the degree of frailty in patients. Previous research has demonstrated a correlation between high CFS scores and poor patient outcomes, underpinning its relevance in providing care for the ageing population. [1] The CFS is a 9-point system scaled from 1 (very fit) to 9 (severe frailty with terminal illness) A person with a score of ≥ 5 is considered frail. [2] (Source: Injury)
Source: Injury - March 5, 2024 Category: Orthopaedics Authors: Harri G. Jones, Isaac Hathaway, Sean Glossop, Hari Bhachoo, Lucy Hoade, Joseph Froud, Lily Scourfield, Arwel T Poacher Tags: Review Source Type: research
Functional outcome and associations with prehospital time and urban-remote disparities in trauma: a Norwegian national population-based study.
There is a lack of knowledge regarding the functional outcomes of patients after trauma. Remote areas in Norway has been associated with an increased risk of trauma-related mortality. However, it is unknown how this might influence trauma-related morbidity. The aim of this study was to assess the functional outcomes of patients in the Norwegian trauma population and the relationship between prehospital time and urban-remote disparities on functional outcome. (Source: Injury)
Source: Injury - March 5, 2024 Category: Orthopaedics Authors: IMW Nilsbakken, T Wisborg, S Sollid, E Jeppesen Source Type: research
Techniques and results of reconstruction of femoral head fractures: An Update
A narrative review of the literature was conducted to examine the data on femoral head fractures, with a particular focus on their management, complications and clinical outcomes.A PRISMA strategy was used. Medline and Scopus library databases were queried using pre-defined MeSH terms and Boolean operators. Quality of evidence was evaluated based on OCEBM and GRADE systems. The 50 eligible articles that met the predefined inclusion criteria reported on 1403 femoral head fractures. A detailed analysis of the surgical approaches used was performed in 38 articles with 856 fractures. (Source: Injury)
Source: Injury - March 5, 2024 Category: Orthopaedics Authors: Martin Kloub, Pavel L átal, Peter Giannoudis Source Type: research