European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Jun 2022
Rectus sheath hematoma: conservative, endovascular or surgical treatment? A single-center artificial neural network analysis.
Rectum sheath hematoma (RSH) is a rare and often misdiagnosed disease. We aimed to determine outcomes of patients affected by RSH and identify variables associated with the need of prompt intervention. ⋯ Conservative treatment might be effective in selected patients with RSH. Our artificial neural network analysis might help selecting patients who require endovascular or surgical treatment.
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Eur J Trauma Emerg Surg · Jun 2022
Drain versus no drain after hip hemi-arthroplasty for femoral neck fractures; differences in clinical outcomes.
The routine use of surgical drains in elective hip arthroplasty has been abandoned. Also in acute hip arthroplasty for femoral neck fractures drain use reduces. Question is, whether this is justified in geriatric patients, where the incidence of anticoagulation use is high. Therefore, the aim of this study is to compare the clinical outcomes in patients with and without the use of a wound drain after hip hemiarthroplasty. ⋯ Surgical drain placement was not associated with a reduced risk of post-operative deep surgical site infections, nor one-year mortality. However, a decreased risk of post-operative wound hematoma was observed. Furthermore, patients with a drain needed more days to be ready for discharge, show more hemoglobin loss and need more packed cell supplementation during admission.
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Eur J Trauma Emerg Surg · Jun 2022
Determinants of long-term unplanned readmission and mortality following self-inflicted and non-self-inflicted major injury: a retrospective cohort study.
To describe the characteristics of major injury and identify determinants of long-term unplanned readmission and mortality after self-inflicted and non-self-inflicted injury to inform potential readmission screening. ⋯ Unplanned readmission after injury is associated with injury intent, age, and comorbid health. Screening for anxiety and drug-related dependence after major injury, accompanied by service referrals and post-discharge follow-up, has potential to prevent readmission.
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Eur J Trauma Emerg Surg · Jun 2022
Characteristics and outcomes of pediatric blunt renal trauma: a nationwide cohort study in Japan.
The aim of this study was to describe epidemiologic features of pediatric blunt renal trauma. ⋯ We described decreasing trends in nephrectomy and in-hospital mortality in pediatric blunt renal trauma and found traffic accident and sports-related injury were common in the pediatric population in Japan.
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Eur J Trauma Emerg Surg · Jun 2022
On the black slope: analysis of the course of a blunt renal trauma collective in a winter sports region.
The aim of this study was to analyze the injury patterns and clinical course of a winter sport dominated by blunt renal trauma collective. ⋯ Sports-associated blunt renal trauma is more likely to occur isolated, and has a lower risk of severe outcomes, compared to other trauma mechanisms. NOM can successfully be performed in over 90% of all trauma grades.