MorbidityCentersOutcomesInjuriesMethodsOutcomeInfectionOverall mortality rateEmergency severity indexTraumaticDisease severityTriageSevereSepsisMultiple traumaCardiovascular diseaseAssessmentTomographyDischargeSeverely injuredFracturesVascularAbdominalFactorsIntubationExposureDiagnosisSerumSubstantialMajor traumaEpidemiologicalCriticallyHospitalsInterventionMechanismBlunt traumaIncreasesRatesRateAirwayTertiary careDeathsHead trauma
Morbidity9
- Given the low incidence of these traumas, their actual morbidity and mortality have not been clearly established in the literature. (biomedcentral.com)
- [ 3 ] Higher rates of morbidity and mortality resulting from TBI are seen in low-income and middle-income counties, making this a global health challenge. (medscape.com)
- Lower limb fractures account for approximately one third of all fractures and may result in substantial mortality and morbidity. (bmj.com)
- To demonstrate the impact of psychological morbidity 1 month post-injury on subsequent post-injury quality of life (HRQoL) in a general injury population in the UK to inform development of trauma care and rehabilitation services. (springer.com)
- Injuries are a leading cause of mortality and morbidity. (springer.com)
- The aim of this study was therefore to demonstrate the impact of psychological morbidity one month post-injury on subsequent quality of life in a general injury population in the UK to inform development of trauma care and rehabilitation services. (springer.com)
- ST-elevation myocardial infarction (STEMI) following successful primary percutaneous coronary intervention (pPCI) is the leading cause of mortality and morbidity worldwide in major adverse coronary events (MACEs) due to mechanical complications, acute heart failure and cardiac shock after successful procedure. (bmj.com)
- Thereby, poor airway management both pre-hospital and upon hospital arrival continues to be identified as an avoidable cause of morbidity and mortality [ 2 ]. (biomedcentral.com)
- According to Höfelmann and Blank 13 , health self-evaluation is an important predictor of morbidity and mortality and most of its effects are influenced by the chronic diseases and/or symptoms. (bvsalud.org)
Centers9
- INTRODUCTION: The American College of Surgeons has developed evidence-based guidelines to triage the care of severely injured children to Level 1 and 2 trauma centers. (bvsalud.org)
- Level 1 and 2 trauma centers must partner with lower-level trauma centers to ensure children receive equitable care. (bvsalud.org)
- Recent data from Iraq supporting early aggressive use of fresh frozen plasma (FFP) in a 1:1 ratio to packed red blood cells (PRBCs) has led many civilian trauma centers to adopt this resource intensive strategy. (nih.gov)
- This randomized clinical trial study was carried out at the two trauma centers in Mashhad, Iran. (magiran.com)
- Mild TBI appears to be vastly underdiagnosed in the setting of systemic trauma, even in trauma centers. (medscape.com)
- United States trauma system guidelines specify when to triage patients to specialty centers. (biomedcentral.com)
- No physician demographic characteristics correlated with perceptual sensitivity, but men and physicians working at non-trauma centers without a trauma-center affiliation had higher decisional thresholds. (biomedcentral.com)
- Well-established clinical practice guidelines in trauma specify when to triage patients to specialty trauma centers [ 7 ]. (biomedcentral.com)
- Trauma activation data of 15 trauma centers in LA County from the Trauma and Emergency Medicine Information System Registry were abstracted from January 1, 2018, to December 31, 2021. (silverchair.com)
Outcomes10
- Telemedicine has been proposed as one strategy to improve local trauma care and decrease disparities between rural and urban trauma outcomes. (nih.gov)
- This study was conducted to describe the effect of telemedicine on management and clinical outcomes for trauma patients in North Dakota. (nih.gov)
- Multivariable generalized estimating equations were developed to identify associations between telemedicine consultation and availability and outcomes such as transfer, timeliness of care, trauma imaging, and mortality. (nih.gov)
- We aimed to explore the injury characteristics and outcomes of older adult trauma patients on a nationwide scale. (bvsalud.org)
- We aimed to describe changes in pediatric firearm injury rates, severity, and outcomes after the coronavirus disease 2019 stay-at-home order in Los Angeles (LA) County. (silverchair.com)
- African Medical Journal describing its use of service claims data to patient investigation and treatment, as well as providing a framework determine standardised mortality rates, across hospital systems, for against which clinical outcomes can be measured. (who.int)
- For all eligible patients, blood sample was drawn for measurement of serum level of vitamin D3 and the correlation of this vitamin with outcomes such as mortality, renal failure, liver failure and etc. was assessed. (ac.ir)
- This paper will review the current evidence regarding LTOT in COPD and the impact on mortality and functional outcomes as well as reviewing technological challenges. (rcjournal.com)
- We report on how levels of pollutants, particulate matter levels (PM10) and oxides of Nitrogen (NOx) influence hospital outcomes (30-day in-hospital mortality). (peertechzpublications.com)
- We report on particulate matter and its relationship to hospital mortality outcomes at such lower levels. (peertechzpublications.com)
Injuries9
- This study was conducted to identify demographic and sociocultural aspects of burn patients, to investigate the factors affecting outcome and mortality of burns and to determine the magnitude of the problem of burns among all injuries admitted to the Alexandria Main University Hospital over a period of one year. (who.int)
- This article aims to examine the impact of risk factors and unobserved heterogeneity on the severity of driver injuries in angle collisions by utilizing angle crash data in the United States from 2016 to 2021. (bvsalud.org)
- Although there is no consensus regarding the criteria that should be used to indicate angiotomography for BCVI diagnosis, we conclude that the criteria used in the current study led to a diagnosis of BCVI in 0.93% of 2,467 trauma patients, BCVI injuries were associated with more severe traumas and did not affect mortality. (biomedcentral.com)
- The incidence of this type of injury is difficult to evaluate as many emergency room patients are neurologically asymptomatic or have symptoms attributed to cranial trauma or to other associated injuries. (biomedcentral.com)
- [ 9 ] Permanent disability in survivors ranges from 10-100%, depending on the severity of the injuries. (medscape.com)
- See Pediatric Concussion and Other Traumatic Brain Injuries , a Critical Images slideshow, to help identify the signs and symptoms of TBI, determine the type and severity of injury, and initiate appropriate treatment. (medscape.com)
- Rates of firearm injuries, severity, discharge capacity, and Child Opportunity Index (COI) were compared between the groups. (silverchair.com)
- Of the 7693 trauma activations, 530 (6.9%) were from firearm injuries, including 260 (49.1%) in the prepandemic group and 270 (50.9%) in the during-pandemic group. (silverchair.com)
- Using existing medical records, we were able to enter data on most variables including mechanism of injuries, burden of severe injuries and quality indicators such as length of stay in ED, injury to arrival delay, as well as generate injury severity and survival probability but missed information such as ethnicity, ED notification. (biomedcentral.com)
Methods4
- METHODS: This is a retrospective analysis of 2017-2019 American College of Surgeons Trauma Quality Improvement Program. (bvsalud.org)
- METHODS: The relationship between risk factors and driver injury severities in angle crashes was investigated using a random parameter bivariate ordered probit model (RPBOP) with 4 categories of injury severity classified as outcome variables, including no injury, possible injury, minor injury, and serious jury. (bvsalud.org)
- METHODS@#All trauma patients with blunt chest wall trauma and subsequent pulmonary contusion, COVID-19-related signs and symptoms before the trauma were enrolled in this retrospective study from February to May 2020. (bvsalud.org)
- Methods: This was cross-sectional study including all the patients with extremity trauma who underwent conventional angiography during the 2 year period from 2011 to 2013 in Angiography departments of Mashhad University of Medical Sciences. (ac.ir)
Outcome3
- Stepwise regression models were performed controlling for age, gender, mechanism of injury, injury severity, and acute physiology and chronic health evaluation (APACHE) 2 score to determine if early aggressive use of PRBC:FFP improved outcome. (nih.gov)
- Therefore, risk prediction models need to provide poor neurological outcome estimates other than mortality. (biomedcentral.com)
- The primary outcome at 12 months was mortality. (rcjournal.com)
Infection1
Overall mortality rate1
- The overall mortality rate is up to 24.4%, but can be as high as 54% in infants between 22 to 24 weeks of gestation and 30% between 25 to 28 weeks of gestation [ 17 ] [ 18 ] . (encyclopedia.pub)
Emergency severity index1
- In 2003, the USA adopted and designed the emergency severity index (ESI). (medium.com)
Traumatic4
- Patients aged less than 18 y were included if they presented to a Level 3 or nontrauma center (NTC) and were diagnosed with a traumatic injury with an injury severity score >15 based on International Classification of Diseases 10 codes. (bvsalud.org)
- Given the burden of disability arising from severe traumatic brain injury (TBI) [ 1 ], plain assessment of mortality certainly underestimates the impact of TBI. (biomedcentral.com)
- [ 9 ] Traumatic brain injury (TBI) results in more deaths than does trauma to other specific body regions. (medscape.com)
- Traumatic brain injury (TBI), also known as acquired brain injury, head injury, or brain injury, causes substantial disability and mortality. (medscape.com)
Disease severity1
- emergency treatments based based on disease severity. (who.int)
Triage4
- The objective of the study was to characterize sensory and decisional determinants of emergency physician trauma triage decision-making. (biomedcentral.com)
- Using trauma triage guidelines as our reference standard, we estimated physicians' perceptual sensitivity (ability to discriminate between patients who did and did not meet guidelines for transfer) and decisional threshold (tolerance for false positive or false negative decisions). (biomedcentral.com)
- On a case vignette-based questionnaire, both sensory and decisional elements in emergency physicians' cognitive processes contributed to the under-triage of trauma patients. (biomedcentral.com)
- The objective of this study was to assess whether decision making in trauma triage primarily reflected physicians' perceptual sensitivity or their decisional thresholds. (biomedcentral.com)
Severe4
- To develop French guidelines on the management of patients with severe abdominal trauma. (bvsalud.org)
- [ 12 ] Alcohol or drug use contributes to as many of 38% of cases of severe head trauma in younger patients. (medscape.com)
- [ 7 , 9 ] Patients with severe head injury have a 30-50% mortality rate, and those who survive are often left with severe neurological deficits that may include a persistent vegetative state. (medscape.com)
- It often results from inadequate renal perfusion due to severe trauma, illness, or surgery but is sometimes caused by a rapidly progressive, intrinsic renal disease. (msdmanuals.com)
Sepsis2
- Only age (r=-0.261, p=0.037) and mortality (r=-0.426, p=0.025) showed a significant correlation with mean vitamin D. Sepsis patients with older age and those who died had a lower level of vitamin D. Area under the ROC curve of serum vitamin D level regarding 1-month mortality of the sepsis patients was 0.701 (95%CI: 0.439 â€" 0.964). (ac.ir)
- Currently, there are several markers used for sepsis evaluation, such as hematological indices, acute phase reactants, cytokines, which by themselves do not show acceptable sensitivity and specificity for the diagnosis of EOS in neonates. (encyclopedia.pub)
Multiple trauma3
- A prospective study enrolling 133 patients (109 male/76 female) with TBI (associated or not with multiple trauma) and GCS ≤8 admitted to our ICU. (biomedcentral.com)
- This retrospective study was performed on multiple trauma patients admitted to a tertiary hospital inthe north of Iran in 2020. (magiran.com)
- All patients with multiple trauma who had undergone a chest spiral CT were includedin this study. (magiran.com)
Cardiovascular disease2
- One major concern is the relationship between hurricanes and cardiovascular disease (CVD) mortality. (biomedcentral.com)
- Cancer is one of the world's most incurable diseases and has the second highest mortality rate after cardiovascular disease ( 1 ). (frontiersin.org)
Assessment2
- Trauma registries (TRs) play an integral role in the assessment of trauma care quality. (biomedcentral.com)
- The Focused Assessment with Sonography in Trauma (FAST) scan has been consistently included as part of the Advanced Trauma Life Support (ATLS) course over the latest editions (Royal College of Surgeons 2017). (healthmanagement.org)
Tomography1
- 205). Therefore, FAST may be an option for the initial evaluation of a patient to detect haemoperitoneum in non-trauma patients, but it does not replace computed tomography (CT) scanning. (healthmanagement.org)
Discharge1
- The aim of the study was to determine whether a simple combination of early clinical indices may be predictive of disability after ICU discharge. (biomedcentral.com)
Severely injured2
- ED-based telemedicine consultation is requested for the most severely injured rural trauma patients. (nih.gov)
- We included moderate to severely injured (Injury Severity Score >8) older adult (≥65 y) trauma patients. (bvsalud.org)
Fractures1
- This study compared fixation of open fractures in HIV-positive and -negative patients in South Africa, a country with very high rates of both HIV and high-energy trauma. (ox.ac.uk)
Vascular2
Abdominal1
- One of the earliest uses of ultrasound (US) outside of radiology was in the detection of intra-abdominal free fluid (or blood) in the context of trauma. (healthmanagement.org)
Factors1
- OBJECTIVE: Angle crashes have been acknowledged as a concerning issue in the traffic safety field, though there is limited understanding of the contributions of risk factors to injury severity. (bvsalud.org)
Intubation3
- There is growing interest in non-invasive techniques, including aerosolisation, to deliver surfactant without the potential trauma of intubation. (bmj.com)
- Airway management and use of intravenous anaesthetics to facilitate tracheal intubation after major trauma remains controversial. (biomedcentral.com)
- Despite a high degree of standardization in pre-hospital trauma care, airway management and more particularly the use of intravenous anaesthetic drugs to facilitate tracheal intubation remains controversial. (biomedcentral.com)
Exposure4
- Patients with community onset infections had higher body mass indices than the general population and those with community onset after exposure to a health care facility, had higher rates of IBD, and lower prior antibacterial drug exposure than patients who had CDI onset in a health care facility. (cdc.gov)
- Overall, epidemiological evidence also indicates an elevated mortality rate among individuals with COPD following exposure to PM [7,8]. (peertechzpublications.com)
- 1988. Threshold limit values and biological exposure indices for 1988-1989. (cdc.gov)
- 2001. Threshold limit values for chemical substances and physical agents and biological exposure indices. (cdc.gov)
Diagnosis4
- Of note, reticular distortions and subpleural spares were exclusively detected in the Group PP.@*CONCLUSION@#We concluded that the criteria set by RSNA for the diagnosis of COVID-19 are not appropriate in trauma patients. (bvsalud.org)
- The objectives of the current study were: To evaluate the accuracy of criteria used to recommend angiotomography in the diagnosis of cervical BCVI in 100 patients with blunt cervical trauma in the trauma services section of a Brazilian quaternary care hospital. (biomedcentral.com)
- Therefore, the high index of suspicion is fundamental to the diagnosis of these lesions in blunt cervical trauma. (biomedcentral.com)
- Clinical signs are nonspecific, leading to a late diagnosis and high mortality. (encyclopedia.pub)
Serum1
Substantial1
- This large study analysed prehospital administration of anaesthetics in trauma patients, showing a substantial change from 2006 to 2015 despite the lack of any high-level evidence. (biomedcentral.com)
Major trauma3
- We sought to evaluate the association between patient and hospital characteristics and secondary undertriage in children after major trauma. (bvsalud.org)
- CONCLUSIONS: After major trauma, a significant proportion of children are secondarily undertriaged at teaching NTCs. (bvsalud.org)
- Based on a large helicopter emergency medical service (HEMS) database in Germany between 2006 and 2015, a total of 9720 HEMS missions after major trauma leading to RSI on scene were analysed. (biomedcentral.com)
Epidemiological1
- Epidemiological data comprised monthly CVD mortality rates constructed from monthly county-level CVD death counts from the CDC WONDER database and the US Census population estimates. (biomedcentral.com)
Critically1
Hospitals1
- We recruited a national convenience sample of emergency medicine physicians who worked at hospitals without level I/II trauma center certification. (biomedcentral.com)
Intervention2
- p=0.46).Conclusion: Hyperglycemia in the first 24-hours of TBI is associated with higher rate of surgical intervention, higher complication and mortality rates. (ac.ir)
- The air pollution control legislation brought about a decrease in the average black smoke concentration for Dublin approximating to a reduction of 35.6μg/m3 [10] Death rates were also assessed with adjusted non-trauma death rates evidencing a decrease by 5.7%, respiratory deaths by 15.5% and cardiovascular deaths by 10.3%, providing solid evidence for the governmental intervention [10]. (peertechzpublications.com)
Mechanism1
- Mechanism of trauma, type of injury and angiographic findings were recorded in a questionnaire for each patient. (ac.ir)
Blunt trauma1
- During the study period 2467 blunt trauma patients were admitted. (biomedcentral.com)
Increases1
- A previous investigation at our institution, just over three decades ago, showed an association between increases in mortality and urban air pollution [9]. (peertechzpublications.com)
Rates5
- In 2019, Discovery Health published a risk adjustment model to determine standardised mortality rates across South African private hospital systems, with the aim of contributing towards quality improvement in the private healthcare sector. (who.int)
- Previous research has found an association between high levels of social capital and lower rates of cardiovascular (CVD) mortality. (biomedcentral.com)
- We examined the association between county-level hurricane damage and CVD mortality rates after Hurricane Matthew, and the moderating effect of several aspects of social capital and hurricane damage on this relationship. (biomedcentral.com)
- We hypothesized that (1) higher (vs. lower) levels of hurricane damage would be associated with increased CVD mortality rates and (2) in highly damaged counties, higher (vs. lower) levels of social capital would be associated with lower CVD mortality. (biomedcentral.com)
- We used cluster robust Poisson population average models to determine the moderating effect of social capital on CVD mortality rates in both high and low-damage counties. (biomedcentral.com)
Rate2
- Hyperglycemia was associated with higher complication (p=0.019) and mortality rate (p=0.039). (ac.ir)
- The incidence of EOS varies from 0.5-2 per 1000 live births in developed countries, up to 9.8 per 1000 live births in low resource settings, generating a high mortality rate, especially in extremely low birth weight neonates. (encyclopedia.pub)
Airway1
- However, beyond dispute the first priority in trauma management is the evaluation and affirmation of a patent airway and to ensure adequate oxygenation and ventilation [ 1 ]. (biomedcentral.com)
Tertiary care1
- We present a case study of development and pilot implementation of "Karachi Trauma Registry" (KITR), using existing medical records at a tertiary-care hospital of Karachi, Pakistan to present results of initial data and describe its process of implementation. (biomedcentral.com)
Deaths3
- Head injury significantly contributes to deaths from trauma. (medscape.com)
- The mean Injury Severity Score (ISS) was 4.99 and there were 8 deaths. (biomedcentral.com)
- Ninety per cent of trauma- and injury-related deaths and disabilities occur in low-and middle-income countries (LMICs) [ 12 ]. (biomedcentral.com)
Head trauma1
- Cerebral concussion is defined as an altered mental state that may or may not include loss of consciousness that occurs as a result of head trauma. (medscape.com)