Injury
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Review Multicenter Study
Bias towards dementia: are hip fracture trials excluding too many patients? A systematic review.
Patients with hip fractures are older and often present many co-morbidities, including dementia. These patients cannot answer quality of life questionnaires and are generally excluded from trials. We hypothesized that a significant number of patients are being excluded from these studies and this may impact outcomes. ⋯ Only two studies compared demented and non-demented groups. In these studies significant increases in both mortality and complications were found. In summary, when investigating hip fractures, choosing appropriate objective endpoints is essential to ensure results are also applicable to patients with dementia.
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Multidisciplinary trauma care systems have been shown to improve patient outcomes. Medical care in support of the global war on terror has provided opportunities to refine these systems. We report on the multidisciplinary trauma care system at the Role III Hospital at Kandahar Airfield, Afghanistan. ⋯ The mean number of procedures per case in 2009 was 1.27, compared to 3.11 in 2010. Multinational, multidisciplinary care is required for the large number of severely injured patients seen at Kandahar Airfield. Multidisciplinary trauma care in Kandahar is effective and can be readily employed in combat hospitals in Afghanistan and serve as a model for civilian centres.
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Multicenter Study
Unintentional cutting or piercing injuries at home amongst young and middle-aged New Zealanders resulting in hospital admission: context and characteristics.
This study investigated the characteristics and contexts of unintentional cutting or piercing injuries at home amongst young and middle-aged adults. ⋯ Prevention strategies aimed at reducing the burden of cutting or piercing injuries occurring at home should focus on those most at risk including males aged 20-24 years, from injury by sharp glass, and those aged 40-64 years, from powered lawnmower, hand tool or household machinery-related injuries.
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Falls have been identified as a leading cause of injury-related morbidity and mortality in India. However, very little is known about the context and characteristics of such falls. The aim of this study was to describe the context and characteristics of fall related injuries in patients admitted to hospital for fall injury. ⋯ Fall related injuries are an important contributor to hospital emergency presentations, particularly falls from buildings in children, and slips and trips in older people. Given the high proportion of falls that resulted in head injury and death, there is a significant need to develop appropriate interventions to prevent such falls.
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Comparative Study
Effectiveness of motorcycle protective clothing: riders' health outcomes in the six months following a crash.
Little is known about the contribution of protective clothing worn in motorcycle crashes to subsequent health-related outcomes, impairment and quality of life. ⋯ We found strong associations between use of protective clothing and mitigation of the consequences of injury in terms of post-crash health and well-being. Given this evidence it seems likely that the use of protective clothing will confer significant benefits to riders in the event of a crash.