European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Dec 2022
Review Meta AnalysisTreatment options in extra-articular distal radius fractures: a systematic review and meta-analysis.
This systematic literature review aimed to make a detailed overview on the clinical and functional outcomes and to get insight into the possible superiority of a treatment method for extra-articular distal radius fractures. ⋯ Current literature does not provide uniform evidence to prove superiority of a particular treatment method when looking at complications, re-interventions, and long-term functional outcomes.
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Eur J Trauma Emerg Surg · Dec 2022
ReviewLeft subclavian artery coverage during endovascular repair of thoracic aorta injury in trauma and non-trauma patients.
In thoracic endovascular aortic repair (TEVAR), the left subclavian artery (LSA) is often occluded. Although most patients tolerate this, some develop ischemic symptoms to the brain or left upper extremity (LUE). A revascularization procedure may be associated with significant complications. The purpose of this review was to assess the incidence of LSA occlusion, resulting ischemic symptoms, and complications related to revascularization operations in trauma patients compared to non-trauma patients. ⋯ LSA coverage following TEVAR is common and associated with significant complications, often requiring operative management. The incidence of ischemic complications after occlusion of the LSA is significantly higher in the trauma population. Revascularization procedures to correct the occlusion have a high rate of complications.
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Eur J Trauma Emerg Surg · Dec 2022
Analysis of risk factors affecting traffic accident injury in United Arab Emirates (UAE).
The mortality and severe injuries due to traffic accidents in United Arab Emirates (UAE) are hastening the necessity for a study that can identify the consequential risk factors. This study was conducted by utilizing a 5740 traffic accidents police reports that occurred in Abu Dhabi, UAE between 2008 and 2013. A multinomial logit regression model was applied to determine the significant factors among the 14 potential risk factors that were used in this study. ⋯ In contrast, rear-end collisions and intersections had a lower probability of causing fatal injury. Then, the eight significant predictors were included in a neural network to compare the performance of both methods and to identify the normalized importance values for the significant independent variables. The neural network had proven to be more accurate in general than the traditional regression models such as the multinomial logit model.
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Eur J Trauma Emerg Surg · Dec 2022
Meta AnalysisThe effect of cerclage wiring with intramedullary nail surgery in proximal femoral fracture: a systematic review and meta-analysis.
The aim of this study was to evaluate the utility of cerclage wiring with intramedullary nail surgery in the treatment of proximal femoral fractures. ⋯ Intramedullary nailing with cerclage wiring is considered a useful treatment method for proximal femoral fractures. It enables anatomic reduction and stable fixation, thereby reducing union time and facilitating rapid functional recovery.
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Eur J Trauma Emerg Surg · Dec 2022
Development and internal validation of a clinical prediction model using machine learning algorithms for 90 day and 2 year mortality in femoral neck fracture patients aged 65 years or above.
Preoperative prediction of mortality in femoral neck fracture patients aged 65 years or above may be valuable in the treatment decision-making. A preoperative clinical prediction model can aid surgeons and patients in the shared decision-making process, and optimize care for elderly femoral neck fracture patients. This study aimed to develop and internally validate a clinical prediction model using machine learning (ML) algorithms for 90 day and 2 year mortality in femoral neck fracture patients aged 65 years or above. ⋯ Prognostic Level II.