scholarly journals The TRAAGIC score: early predictors of inpatient mortality in adult trauma patients

2020 ◽  
Vol 63 (1) ◽  
pp. E38-E45
Author(s):  
Kamyar Kahnamoui ◽  
Paul Lysecki ◽  
Cassandra Uy ◽  
Forough Farrokhyar ◽  
Laura VanderBeek ◽  
...  
Keyword(s):  
Trauma Patients ◽  
Inpatient Mortality ◽  
Early Predictors

Early predictors for massive transfusion in older adult severe trauma patients

Injury ◽  
2017 ◽  
Vol 48 (5) ◽  
pp. 1006-1012 ◽  
Author(s):  
Takao Ohmori ◽  
Taisuke Kitamura ◽  
Junko Ishihara ◽  
Hirokazu Onishi ◽  
Tsuyoshi Nojima ◽  
...  
Keyword(s):  
Older Adult ◽  
Massive Transfusion ◽  
Severe Trauma ◽  
Trauma Patients ◽  
Early Predictors

Low baseline (pre-injury) blood pressure predicts inpatient mortality in elderly trauma patients

2016 ◽  
Vol 81 (6) ◽  
pp. 1142-1149 ◽  
Author(s):  
Jordan D. Bohnen ◽  
David C. Chang ◽  
Elie P. Ramly ◽  
Olubode A. Olufajo ◽  
Ryan T. Le ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Trauma Patients ◽  
Inpatient Mortality ◽  
Elderly Trauma Patients

scholarly journals Effects of the COVID-19 lockdown on orthopaedic trauma: a multicentre study across Scotland

2020 ◽  
Vol 1 (9) ◽  
pp. 541-548 ◽  
Author(s):  
David R. W. MacDonald ◽  
David W. Neilly ◽  
Peter S. E. Davies ◽  
Christopher R. Crome ◽  
Bilal Jamal ◽  
...  
Keyword(s):  
Operative Treatment ◽  
Relative Frequency ◽  
Marked Reduction ◽  
Road Traffic ◽  
Occupational Injuries ◽  
Trauma Patients ◽  
Inpatient Mortality ◽  
Self Harm ◽  
Musculoskeletal Trauma ◽  
The Uk

Aims The UK government declared a national lockdown on 23 March 2020 to reduce transmission of COVID-19. This study aims to identify the effect of lockdown on the rates, types, mechanisms, and mortality of musculoskeletal trauma across Scotland. Methods Data for all musculoskeletal trauma requiring operative treatment were collected prospectively from five key orthopaedic units across Scotland during lockdown (23 March 2020 to 28 May 2020). This was compared with data for the same timeframe in 2019 and 2018. Data collected included all cases requiring surgery, injury type, mechanism of injury, and inpatient mortality. Results A total of 1,315 patients received operative treatment from 23 March 2020 to 28 May 2020 compared with 1,791 in 2019 and 1,719 in 2018. The numbers of all injury types decreased, but the relative frequency of hip fractures increased (36.3% in 2020 vs 30.2% in 2019, p < 0.0001 and 30.7% in 2018, p < 0.0001). Significant increases were seen in the proportion of DIY-related injuries (3.1% in 2020 vs 1.7% in 2019, p = 0.012 and 1.6% in 2018, p < 0.005) and injuries caused by falls (65.6% in 2020 vs 62.6% in 2019, p = 0.082 and 61.9% in 2018, p = 0.047). Significant decreases were seen in the proportion of road traffic collisions (2.6% in 2020 vs 5.4% in 2019, p < 0.0001 and 4.2% in 2018, p = 0.016), occupational injuries (1.8% in 2020 vs 3.0% in 2019, p = 0.025 and 2.3% in 2018, p = 0.012) and infections (6.8% in 2020 vs 7.8% in 2019, p = 0.268 and 10.3% in 2018, p < 0.012). Cycling injuries increased (78 in 2020 vs 64 in 2019 vs 42 in 2018). A significant increase in the proportion of self-harm injuries was seen (1.7% in 2020 vs 1.1% in 2019, p = 0.185 and 0.5% in 2018, p < 0.0001). Mortality of trauma patients was significantly higher in 2020 (5.0%) than in 2019 (2.8%, p = 0.002) and 2018 (1.8%, p < 0.0001). Conclusion The UK COVID-19 lockdown has resulted in a marked reduction in musculoskeletal trauma patients undergoing surgery in Scotland. There have been significant changes in types and mechanisms of injury and, concerningly, mortality of trauma patients has risen significantly. Cite this article: Bone Joint Open 2020;1-9:541–548.

Early predictors of prolonged mechanical ventilation in major torso trauma patients who require resuscitation

2006 ◽  
Vol 192 (6) ◽  
pp. 822-827 ◽  
Author(s):  
Steven C. Agle ◽  
Lillian S. Kao ◽  
Frederick A. Moore ◽  
Ernest A. Gonzalez ◽  
Gary A. Vercruysse ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Prolonged Mechanical Ventilation ◽  
Trauma Patients ◽  
Early Predictors ◽  
Torso Trauma

Predicting inpatient mortality for pediatric trauma patients with blunt injuries: A better alternative

2000 ◽  
Vol 35 (2) ◽  
pp. 155-159 ◽  
Author(s):  
Edward L. Hannan ◽  
Louise Szypulski Farrell ◽  
Philip S. Meaker ◽  
Arthur Cooper Rensselaer
Keyword(s):  
Pediatric Trauma ◽  
Trauma Patients ◽  
Inpatient Mortality ◽  
Blunt Injuries

scholarly journals Development of atrial fibrillation following trauma increases short term risk of cardiovascular events

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Sean P. Nassoiy ◽  
Robert H. Blackwell ◽  
McKenzie Brown ◽  
Anai N. Kothari ◽  
Timothy P. Plackett ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Atrial Fibrillation ◽  
Cardiovascular Events ◽  
Prior History ◽  
Trauma Patients ◽  
Index Hospitalization ◽  
Inpatient Mortality ◽  
Increased Risk ◽  
History Of ◽  
New Onset

Abstract Context New onset atrial fibrillation (AF) is associated with poor outcomes in several different patient populations. Objectives To assess the effect of developing AF on cardiovascular events such as myocardial infarction (MI) and cerebrovascular accident (CVA) during the acute index hospitalization for trauma patients. Methods The Healthcare Cost and Utilization Project State Inpatient Databases for California and Florida were used to identify adult trauma patients (18 years of age or older) who were admitted between 2007 and 2010. After excluding patients with a history of AF and prior history of cardiovascular events, patients were evaluated for MI, CVA, and death during the index hospitalization. A secondary analysis was performed using matched propensity scoring based on age, race, and preexisting comorbidities. Results During the study period, 1,224,828 trauma patients were admitted. A total of 195,715 patients were excluded for a prior history of AF, MI, or CVA. Of the remaining patients, 15,424 (1.5%) met inclusion criteria and had new onset AF after trauma. There was an associated increase in incidence of MI (2.9 vs. 0.7%; p<0.001), CVA (2.6 vs. 0.4%; p<0.001), and inpatient mortality (8.5 vs. 2.1%; p<0.001) during the index hospitalization in patients who developed new onset AF compared with those who did not. Cox proportional hazards regression demonstrated an increased risk of MI (odds ratio [OR], 2.35 [2.13–2.60]), CVA (OR, 3.90 [3.49–4.35]), and inpatient mortality (OR, 2.83 [2.66–3.00]) for patients with new onset AF after controlling for all other potential risk factors. Conclusions New onset AF in trauma patients was associated with increased incidence of myocardial infarction (MI), cerebral vascular accident (CVA), and mortality during index hospitalization in this study.

Sign in / Sign up

Export Citation Format

Share Document