European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Aug 2022
Early video-assisted thoracoscopic surgery (VATS) for non-emergent thoracic trauma remains underutilized in trauma accredited centers despite evidence of improved patient outcomes.
Thoracic injury is a major contributor to morbidity in trauma patients. There is limited data regarding practice patterns of video-assisted thoracoscopic surgery (VATS) across trauma-accredited hospitals in the United States. We hypothesized that early VATS remains underutilized affecting patient outcomes. ⋯ Despite established practice guidelines supporting early VATS for thoracic trauma management, there is underutilization with less than half of patients undergoing early VATS. Early VATS is associated with improved patient outcomes.
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Eur J Trauma Emerg Surg · Aug 2022
Reevaluation of a classification system: stable and unstable odontoid fractures in geriatric patients-a radiological outcome measurement.
We carried out a retrospective cohort study to differentiate geriatric odontoid fractures into stable and unstable and correlated it with fracture fusion rates. Results are based on the literature and on our own experience. The authors propose that the simple Anderson and D'Alonzo classification may not be sufficient for geriatric patients. ⋯ Level III.
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The aim of this study was to present our experience of treating humerus fracture sustained during arm wrestling. ⋯ IV.
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Eur J Trauma Emerg Surg · Aug 2022
Association between the time to definitive care and trauma patient outcomes: every minute in the golden hour matters.
This study examined the association between lapsed time and trauma patients, suggesting that a shorter time to definitive care leads to a better outcome. ⋯ Even within 2 h, a shorter time to definitive care is positively associated with patient survival and functional outcome, especially in the subgroups of major trauma and torso injury.
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Eur J Trauma Emerg Surg · Aug 2022
Risk and prognostic factors of replantation failure in patients with severe traumatic major limb mutilation.
Traumatic mutilation of major limbs can result in limb loss, motor disability, or death. Patients who had replantation failure needed to undergo additional surgeries (even amputation) and had a longer length of hospital stay. Here, we determined the risk and prognostic factors of replantation failure in patients with traumatic major limb mutilation. ⋯ Lower limb trauma, mangled extremity severity scores, and cumulative water balance were associated with replantation failure, implying that fluid management is necessary for major limb salvage. More studies are needed to explore the predictive power of indicators related to tissue oxygenation and wound healing for replantation failure.