European journal of trauma and emergency surgery : official publication of the European Trauma Society
-
Eur J Trauma Emerg Surg · Dec 2022
Treatment of upper extremity nerve defects by direct suturing in high elbow or wrist flexion.
To evaluate functional outcomes after direct suturing of upper extremity nerve defects in high elbow or wrist flexion. ⋯ Temporary high joint flexion allows for direct coaptation of upper extremity nerve defects up to 4 cm located near the elbow or wrist. In this small and heterogenous cohort, functional outcomes seemed to be comparable to those obtained with short autografting.
-
Eur J Trauma Emerg Surg · Dec 2022
A validation study for a clinical decision rule for acute wrist injury.
Acute wrist injury is a common reason for visiting the emergency department. To date, there are no implemented clinical decision rules to predict a fracture in this group of patients. We previously identified six clinical predictors in adult patients with acute wrist trauma. The aim of this study was to validate these predictors as a decision rule in a validation cohort. ⋯ The decision rule showed a high sensitivity and low specificity, possible due to the high pre-test probability of a wrist fracture in the cohort. Our study needs further validation in other populations.
-
Eur J Trauma Emerg Surg · Dec 2022
Trauma-Angio score as a predictor of urgent angioembolization for blunt trauma: development and validation using independent cohorts.
This research aimed to establish a scoring system for selecting candidates for urgent angioembolization (AE). ⋯ The Trauma-Angio scoring system can be used as a trigger to suggest the possibility of urgent AE.
-
Eur J Trauma Emerg Surg · Dec 2022
Mortality risk stratification in isolated severe traumatic brain injury using the revised cardiac risk index.
Traumatic brain injury (TBI) continues to be a significant cause of mortality and morbidity worldwide. As cardiovascular events are among the most common extracranial causes of death after a severe TBI, the Revised Cardiac Risk Index (RCRI) could potentially aid in the risk stratification of this patient population. This investigation aimed to determine the association between the RCRI and in-hospital deaths among isolated severe TBI patients. ⋯ An elevated RCRI ≥ 2 is significantly associated with an increased risk of in-hospital mortality among patients with an isolated severe traumatic brain injury. The simplicity and bedside applicability of the index makes it an attractive choice for risk stratification in this patient population.
-
Eur J Trauma Emerg Surg · Dec 2022
Observational StudyEpidemiology, classification and treatment of patella fractures: an observational study of 3194 fractures from the Swedish Fracture Register.
Basic epidemiological data on patella fractures derived from large nationwide and multicenter studies are scarce. This observational register study describes patient epidemiology, fracture classification and treatment of patella fractures in adults in a Swedish population. ⋯ Patella fractures mainly occur in elderly women (> 65 years), commonly caused by low-energy trauma. The main treatment is non-operative (67%), except for transverse (AO/OTA C3) fractures. TBW remains the most used operative treatment of choice. These results may help health care providers, researchers and clinicians better understand the panorama of patella fractures in Sweden.