Trauma Severity Indices
Severity of Illness Index
Trauma Centers
Use of ultrasonography in the patient with acute renal trauma. (1/646)
The purpose of this study was to assess the use of emergent ultrasonographic examination in acute traumatic renal injuries. Over a 3 year period, prospective data of all patients who had an emergency ultrasonogram were recorded. Thirty-two patients with 37 renal injuries were studied retrospectively to identify in how many patients the sonogram detected free fluid or a renal parenchymal abnormality. Free fluid in the abdomen was identified in 19 of 32 patients (59%). However, 12 of these 19 patients had concomitant injury, such as splenic rupture requiring splenectomy, severe liver lacerations, or bowel lacerations requiring repair, that were possible causes of the free fluid. Eliminating these patients, only seven of 20 patients with isolated renal injuries had free fluid in the abdomen (35%), whereas 13 of 20 patients (65%) had no evidence of free fluid. All seven patients with free fluid had moderate or severe renal injuries. Renal parenchymal abnormalities were identified on ultrasonograms in eight of 37 (22%) of injured kidneys. The abnormalities were detected more commonly in cases of severe injury (60%). In conclusion, acute injuries of the kidney from blunt abdominal trauma often are associated with significant splenic, hepatic, or bowel trauma. Isolated renal injuries frequently occur without the presence of free fluid in the abdomen. Furthermore, the ultrasonogram of the kidney often is normal with acute renal injuries, but it is more likely to be abnormal with severe (grade II or greater) renal injuries. Sonography may be used in the triage of patients with blunt abdominal trauma and possible renal injury. However, a negative ultrasonogram does not exclude renal injury, and, depending on clinical and laboratory findings, other imaging procedures such as computed tomography should be performed. (+info)Employment of trauma and injury severity score and a severity characterization of trauma in the outcome evaluation of trauma care and their research advances. (2/646)
OBJECTIVE: To review the application of trauma and injury severity score (TRISS) and a severity characterization of trauma (ASCOT) in the outcome evaluation of trauma care and their research advances. DATA SOURCES: Both Chinese- and English-language literature searched by using MEDLINE/CD-ROM (1985-1996) and Index of Chinese-Language Literature (1985-1996). STUDY SELECTION: Over fifty papers and reviews published over the past ten years were selected. RESULTS AND CONCLUSION: TRISS can be employed for different purposes, that is, preliminary outcome-based evaluation (PRE) and definitive outcome-based evaluation (DEF). TRISS is a method which is now the most extensively used for the outcome evaluation of trauma. Even so, it still has some shortcomings, e.g., trauma can not be given the weights that should be given, and the section of age is too simple. ASCOT is also a physiologic and anatomic combined method for the evaluation of injury severity and outcome. To some extent, this method obviates the shortcomings of TRISS in the calculation of probability of survival (Ps) with injury severity score (ISS). Therefore, ASCOT is considered to be superior to TRISS in the evaluation of Ps. However, TRISS is still now more extensively used than ASCOT just because ASCOT was recently developed. (+info)Relation of a TNF gene polymorphism to severe sepsis in trauma patients. (3/646)
OBJECTIVE: To investigate the relation of the biallelic Nco1 restriction fragment length polymorphism in the first intron of the tumor necrosis factor (TNF) beta gene with the development of severe sepsis in multiply injured patients. SUMMARY BACKGROUND DATA: The biallelic Nco1 polymorphism of the TNFbeta gene has been described to be associated with autoimmune diseases and with the mortality rate in severe sepsis. Therefore, the Nco1 polymorphism may be associated with the clinical finding that despite comparable risk factors, posttraumatic sepsis develops in some patients but not others. METHODS: The study group consisted of 110 patients with severe blunt trauma (Injury Severity Score > or = 17). Typing of each patient for the biallelic Nco1 polymorphism was performed by analyzing restriction fragments of an Nco1-digested DNA fragment obtained using polymerase chain reaction. Genotypes were then related to the occurrence of severe posttraumatic sepsis and TNFalpha serum concentrations. RESULTS: Fifty-seven patients showed an uncomplicated posttraumatic recovery, and severe sepsis developed in 53 patients. The overall allele frequency (TNFB1 0.29, TNFB2 0.71) and genotype distribution (TNFB1 homozygous 7.3%, TNFB1/TNFB2 42.7%, TNFB2 homozygous 50%) were in agreement with the distribution in healthy volunteers. Genotype distribution in patients with an uncomplicated clinical course was significantly different from that in patients with severe posttraumatic sepsis. Development of severe posttraumatic sepsis was significantly increased in patients homozygous for the allele TNFB2. In patients with severe posttraumatic sepsis, TNFalpha serum concentrations were significantly higher in TNFB2-homozygous individuals compared with heterozygous and TNFB1 -homozygous individuals. The age- and injury-matched odds ratio for the homozygous TNFB2 genotype compared with the heterozygous genotype was 5.22 (p = 0.007, 95% confidence interval 1.6 to 17.9). CONCLUSIONS: In multiply injured patients, the Nco1 polymorphism within the TNFbeta gene is associated with the development of severe posttraumatic sepsis and with increased TNFalpha serum levels when severe sepsis has occurred. This suggests a genetic determination of the individual inflammatory response after infection or tissue damage, which significantly influences susceptibility to severe nosocomial infections. (+info)The effect of recall on estimation of incidence rates for injury in Ghana. (4/646)
BACKGROUND: Injury is a major public health problem in many developing countries. Due to limitations of vital registry and health service data, surveys are an important tool to obtain information about injury in these countries. The value of such surveys can be limited by incomplete recall. The most appropriate recall period to use in surveys on injury in developing countries has not been well addressed. METHODS: A household survey of injury in Ghana was conducted. Estimated annual non-fatal injury incidence rates were calculated for 12 recall periods (1-12 months prior to the interview, with each successively longer period including the preceding shorter periods). RESULTS: There was a notable decline in the estimated rate from 27.6 per 100 per year for a one-month recall period to 7.6 per 100 per year for a 12-month recall period (72% decline). The extent of this decline was not influenced by age, gender, rural versus urban location, nor by type of respondent (in-person versus proxy). Rate of decline was influenced by severity of injury. Injuries resulting in <7 days of disability showed an 86% decline in estimated rates from a one-month to a 12-month recall period, whereas injuries resulting in > or =30 days of disability showed minimal decline. CONCLUSIONS: In this setting, longer recall periods significantly underestimate the injury rate compared to shorter recall periods. Shorter recall periods (1-3 months) should be used when calculating the overall non-fatal injury incidence rate. However, longer recall periods (12 months) may be safely used to obtain information on the more severe, but less frequent, injuries. (+info)Local mitochondrial function following traumatic brain injury in rats. (5/646)
The effect of lateral fluid percussion injury on mitochondrial function in the rat brain was investigated by quantitative imaging of changes in the regional activity of succinate dehydrogenase (SDH), a mitochondrial enzyme of the tricarboxylic acid cycle for adenosine triphosphate production. Regional SDH was measured in the frontal, parietal, temporal, and occipital cortices, CA1 and CA2-3 of the hippocampus, thalamus, corpus callosum, caudate/putamen, and cerebellum 1 hour and 72 hours after low, medium, and high pressure injury. No regional difference between the hemispheres in the activity of SDH was observed in the sham group. The hippocampus showed high SDH activity. The CA2-3 regions showed the highest activity among the regions examined. The corpus callosum, which is white matter, showed the lowest. One hour after low pressure fluid percussion injury, only the frontal lobe showed significantly lower SDH activity than the sham control in the ipsilateral hemisphere, whereas after 72 hours SDH activity was significantly lower in the frontal, parietal, and temporal lobes. SDH activity was significantly lower in the frontal, parietal, and temporal lobes in the medium and high pressure injury groups than in the sham control 1 hour after injury, and SDH activity in the CA1 and CA2-3 of the hippocampus was significantly decreased 72 hours after injury. No decrease in SDH activity was observed in any region of the contralateral hemisphere either 1 hour or 72 hours after injury. Mitochondrial dysfunction of the ipsilateral cortex and hippocampus following fluid percussion injury is correlated with the severity of injury and advances with time after injury. The results suggest that progression of mitochondrial dysfunction is associated with secondary bioenergetic deterioration. (+info)Decision analytic approach to severe head injury management. (6/646)
Severe head injury management in the intensive care unit is extremely challenging due to the complex domain, the uncertain intervention efficacies, and the time-critical setting. We adopt a decision analytic approach to automate the management process. We document our experience in building a simplified influence diagram that involves about 3000 numerical parameters. We identify the inherent problems in structuring a model with unclear domain relationships, numerous interacting variables, and real-time multiple inputs. We analyze the effectiveness and limitations of the decision analytic approach and present a set of desiderata for effective knowledge acquisition in this setting. We also propose a semi-qualitative approach to parameter elicitation. (+info)Air bags and ocular injuries. (7/646)
PURPOSE: This investigation retrospectively examined ocular injuries associated with air bag deployment to gain a better appreciation of potential risk factors in motor vehicle accidents. National statistics regarding the efficacy of air bags were reviewed. METHODS: Review of the literature from 1991 to 1998 identified 44 articles describing 97 patients with air-bag-induced ocular injuries. Variables extracted from each case were age, sex, height, position in the car, eye wear, vehicle impact speed, visual acuity, and specific ocular injuries. RESULTS: Corneal abrasions occurred in 49% of occupants, hyphemas in 43%, vitreous or retinal hemorrhages in 25%, and retinal tears or detachments in 15%. The globe was ruptured in 10 patients. Patients involved in higher-speed accidents (over 30 mph) sustained a greater percentage of vitreous or retinal hemorrhages and traumatic cataracts, while those at slower speeds were more prone to retinal tears or detachments. In a subset of 14 patients with serious ocular injuries, the impact speed of 11 patients was recorded at 30 mph or less. Slower speed may be a risk factor for some ocular injuries. Occupant height was not a significant factor. National statistics confirm that air bags reduce fatalities in motor vehicle accidents. However, children sitting in the front seat without a seat belt and infants in passenger-side rear-facing car seats are at risk for fatal injury. CONCLUSION: Air bags combined with seat belts are an effective means of reducing injury and death in adults during motor vehicle accidents. However, this study has documented a wide variety of ocular injuries associated with air bag deployment. It is hoped that researchers can develop modifications that continue to save lives while minimizing additional harm. (+info)The devastating potential of blunt vertebral arterial injuries. (8/646)
OBJECTIVE: To formulate management guidelines for blunt vertebral arterial injury (BVI). SUMMARY BACKGROUND DATA: Compared with carotid arterial injuries, BVIs have been considered innocuous. Although screening for BVI has been advocated, particularly in patients with cervical spine injuries, the appropriate therapy of lesions is controversial. METHODS: In 1996 an aggressive arteriographic screening protocol for blunt cerebrovascular injuries was initiated. A prospective database of all screened patients has been maintained. Analysis of injury mechanisms and patterns, BVI grades, treatment, and outcomes was performed. RESULTS: Thirty-eight patients (0.53% of blunt trauma admissions) were diagnosed with 47 BVIs during a 3.5-year period. Motor vehicle crash was the most common mechanism, and associated injuries were common. Cervical spine injuries were present in 71% of patients, but there was no predilection for cervical vertebral level or fracture pattern. The incidence of posterior circulation stroke was 24%, and the BVI-attributable death rate was 8%. Stroke incidence and neurologic outcome were independent of BVI injury grade. In patients treated with systemic heparin, fewer overall had a poor neurologic outcome, and fewer had a poor outcome after stroke. Trends associated with heparin therapy included fewer injuries progressing to a higher injury grade, fewer patients in whom stroke developed, and fewer patients deteriorating neurologically from diagnosis to discharge. CONCLUSIONS: Blunt vertebral arterial injuries are more common than previously reported. Screening patients based on injury mechanisms and patterns will diagnose asymptomatic injuries, allowing the institution of therapy before stroke. Systemic anticoagulation appears to be effective therapy: it is associated with improved neurologic outcome in patients with and without stroke, and it appears to prevent progression to a higher injury grade, stroke, and deterioration in neurologic status. (+info)"Trauma severity indices" refer to various scoring systems used by healthcare professionals to evaluate the severity of injuries in trauma patients. These tools help standardize the assessment and communication of injury severity among different members of the healthcare team, allowing for more effective and consistent treatment planning, resource allocation, and prognosis estimation.
There are several commonly used trauma severity indices, including:
1. Injury Severity Score (ISS): ISS is an anatomical scoring system that evaluates the severity of injuries based on the Abbreviated Injury Scale (AIS). The body is divided into six regions, and the square of the highest AIS score in each region is summed to calculate the ISS. Scores range from 0 to 75, with higher scores indicating more severe injuries.
2. New Injury Severity Score (NISS): NISS is a modification of the ISS that focuses on the three most severely injured body regions, regardless of their anatomical location. The three highest AIS scores are squared and summed to calculate the NISS. This scoring system tends to correlate better with mortality than the ISS in some studies.
3. Revised Trauma Score (RTS): RTS is a physiological scoring system that evaluates the patient's respiratory, cardiovascular, and neurological status upon arrival at the hospital. It uses variables such as Glasgow Coma Scale (GCS), systolic blood pressure, and respiratory rate to calculate a score between 0 and 7.84, with lower scores indicating more severe injuries.
4. Trauma and Injury Severity Score (TRISS): TRISS is a combined anatomical and physiological scoring system that estimates the probability of survival based on ISS or NISS, RTS, age, and mechanism of injury (blunt or penetrating). It uses logistic regression equations to calculate the predicted probability of survival.
5. Pediatric Trauma Score (PTS): PTS is a physiological scoring system specifically designed for children under 14 years old. It evaluates six variables, including respiratory rate, oxygen saturation, systolic blood pressure, capillary refill time, GCS, and temperature to calculate a score between -6 and +12, with lower scores indicating more severe injuries.
These scoring systems help healthcare professionals assess the severity of trauma, predict outcomes, allocate resources, and compare patient populations in research settings. However, they should not replace clinical judgment or individualized care for each patient.
A Severity of Illness Index is a measurement tool used in healthcare to assess the severity of a patient's condition and the risk of mortality or other adverse outcomes. These indices typically take into account various physiological and clinical variables, such as vital signs, laboratory values, and co-morbidities, to generate a score that reflects the patient's overall illness severity.
Examples of Severity of Illness Indices include the Acute Physiology and Chronic Health Evaluation (APACHE) system, the Simplified Acute Physiology Score (SAPS), and the Mortality Probability Model (MPM). These indices are often used in critical care settings to guide clinical decision-making, inform prognosis, and compare outcomes across different patient populations.
It is important to note that while these indices can provide valuable information about a patient's condition, they should not be used as the sole basis for clinical decision-making. Rather, they should be considered in conjunction with other factors, such as the patient's overall clinical presentation, treatment preferences, and goals of care.
A Trauma Center is a hospital that has specialized resources and capabilities to provide comprehensive care for severely injured patients. It is a designated facility that has met strict criteria established by the American College of Surgeons (ACS) and/or state or regional trauma systems. These criteria include having a dedicated trauma team, available 24/7, with specially trained healthcare professionals who can promptly assess, resuscitate, operate, and provide critical care to patients suffering from traumatic injuries.
Trauma centers are categorized into levels (I-V), based on the resources and capabilities they offer. Level I trauma centers have the highest level of resources and are capable of providing comprehensive care for all types of traumatic injuries, including conducting research and offering education in trauma care. In contrast, lower-level trauma centers may not have the same extent of resources but still provide essential trauma care services to their communities.
The primary goal of a trauma center is to ensure that severely injured patients receive prompt, high-quality care to minimize the risk of complications, reduce long-term disability, and improve overall outcomes.
Multiple trauma, also known as polytrauma, is a medical term used to describe severe injuries to the body that are sustained in more than one place or region. It often involves damage to multiple organ systems and can be caused by various incidents such as traffic accidents, falls from significant heights, high-energy collisions, or violent acts.
The injuries sustained in multiple trauma may include fractures, head injuries, internal bleeding, chest and abdominal injuries, and soft tissue injuries. These injuries can lead to a complex medical situation requiring immediate and ongoing care from a multidisciplinary team of healthcare professionals, including emergency physicians, trauma surgeons, critical care specialists, nurses, rehabilitation therapists, and mental health providers.
Multiple trauma is a serious condition that can result in long-term disability or even death if not treated promptly and effectively.
List of MeSH codes (G03)
List of MeSH codes (N05)
List of MeSH codes (L01)
List of MeSH codes (N04)
List of MeSH codes (E05)
Affective neuroscience
Molar incisor hypomineralisation
Mood swing
Social anxiety
Comorbidity
Mental health during the COVID-19 pandemic
Methylprednisolone
Malingering of post-traumatic stress disorder
Assessment of suicide risk
Tooth mobility
Palatal lift prosthesis
Heart rate variability
Psoriasis
Post-cardiac arrest syndrome
Pancreatitis
Ehlers-Danlos syndromes
Intubation granuloma
Periodontology
1997 Central Texas tornado outbreak
Feminization of poverty
N-Acylethanolamine
Physiology of decompression
Typhoon Haiyan
Colostrum
Occupational burnout
Childhood and adolescent sports-related overuse injuries
Aging is only significant factor causing CPR-induced injuries and serious injuries
WHO EMRO | Epidemiological and sociocultural study of burn patients in Alexandria, Egypt | Volume 3, issue 3 | EMHJ volume 3,...
List of MeSH codes (G03) - Wikipedia
Emergency evacuation readiness of full-time wheelchair users with spinal cord injury - D-Scholarship@Pitt
Portal Regional da BVS
BIGG
BVS Brasil
Pesquisa | Portal Regional da BVS
Toxicity Tests | Harvard Catalyst Profiles | Harvard Catalyst
Search | Global Index Medicus
Neoplasm Transplantation | Profiles RNS
Finite Element Analysis | Profiles RNS
Archives of Trauma Research - Keyword Index
Fourier transform infrared spectroscopic analysis of normal and torn rotator-cuff tendons. - Nuffield Department of...
Prediction of psychological outcomes one year after a motor vehicle accident. - Department of Experimental Psychology
The effect of HIV on early wound healing in open fractures treated with internal and external fixation. - The Oxford University...
Knee dislocation and vascular injury: 4 year experience at a UK Major Trauma Centre and vascular hub. - Nuffield Department of...
Knee dislocation and vascular injury: 4 year experience at a UK Major Trauma Centre and vascular hub. - The Oxford University...
Validating New Summary Indices for the Childhood Trauma Interview: Associations With First Onsets of Major Depressive Disorder...
Faculty Collaboration Database - Return to work outcomes after work-related hand trauma: the role of causal attributions. J...
MeSH Browser
Fetal Research | Colorado PROFILES
DeCS
Games, Experimental | Colorado PROFILES
DeCS
Interferometry | Profiles RNS
Biological Assay | Profiles RNS
Dermatoglyphics | Profiles RNS
Injuries5
- 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)
- 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)
- 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)
Centers5
- 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)
- 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)
Severe3
- 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)
- 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)
Disorders1
- The new indices were examined in association with first onsets of major depressive disorder (MDD) and anxiety disorders across a 5-year period using annual clinical diagnostic interviews (Structured Clinical Interview for DSM-IV-TR). (escholarship.org)
Mortality2
- Given the low incidence of these traumas, their actual morbidity and mortality have not been clearly established in the literature. (biomedcentral.com)
- Emergency medicine physicians are constantly under psychological trauma due to encountering critically ill patients, mortality, and violence, which can negatively affect their mental and physical health. (ac.ir)
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)
Traumatic3
- For the community sample, managing the pain mediated the relationship between childhood trauma, the different types of traumatic experiences and suicidal ideation. (bvsalud.org)
- In the college sample, managing the pain and enduring the pain mediated the relationship between childhood trauma, the different types of traumatic experiences and suicidal ideation, except for the case of sexual abuse. (bvsalud.org)
- [ 9 ] Traumatic brain injury (TBI) results in more deaths than does trauma to other specific body regions. (medscape.com)
Clinical2
- 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)
- We conducted a decision science study using a signal detection theory-informed approach to analyze physician responses to a web-based survey of 30 clinical vignettes of trauma cases. (biomedcentral.com)
Incidence1
- Leur incidence en Afrique sub-saharienne et plus particulièrement au Gabon est mal connue. (bvsalud.org)
Cranial trauma1
- Uraca adults have one of the highest rates of cranial trauma documented so far in the region (70% of adults received one or more head wound) - we suspect these trophy heads belonged to war enemies from foreign tribes. (experiment.com)
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)
Retrospective study1
- 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)
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)
Outcomes2
- Long-term outcomes of psychoactive drug use in trauma patients: A multicenter patient-reported outcomes study. (harvard.edu)
- Return to work outcomes after work-related hand trauma: the role of causal attributions. (mcw.edu)
Patients with blunt1
- 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)
Examination2
- We propose several new summary indices for the CTI that permit examination of different types of adversity and different developmental periods. (escholarship.org)
- Urinary indices, urinary sediment examination, and often imaging and other tests (including sometimes a kidney biopsy) are needed to determine the cause. (msdmanuals.com)
Instances1
- Finally, multivariate regression models show that, in many instances, the new indices contributed significant unique variance predicting disorder onsets over and above the previously used summary indices. (escholarship.org)
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)
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)
Blunt3
- During a 30-month (2006-2008), all patients admitted to the emergency room of Hospital das ClÃnicas da Faculdade de Medicina da Universidade de São Paulo with blunt cervical trauma and potential risk of cervical vessel injury, were subjected to cervical angiotomography to diagnose BCVI. (biomedcentral.com)
- During the study period 2467 blunt trauma patients were admitted. (biomedcentral.com)
- Therefore, the high index of suspicion is fundamental to the diagnosis of these lesions in blunt cervical trauma. (biomedcentral.com)
Diagnosis1
- 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)
Cervical2
- However, imaging exams to identify cervical vessel lesions are not performed routinely during initial trauma care. (biomedcentral.com)
- Incidental findings in the cervical spine at CT for trauma evaluation. (omeka.net)
Physicians1
- We recruited a national convenience sample of emergency medicine physicians who worked at hospitals without level I/II trauma center certification. (biomedcentral.com)
Exposure2
- Mental health professionals should be aware of the long-term consequences of exposure to childhood trauma and need to assess the ability to tolerate psychological pain so as to implement appropriate psychological interventions that help individuals cope with their pain. (bvsalud.org)
- 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)
Injury6
- Knee dislocation and vascular injury: 4 year experience at a UK Major Trauma Centre and vascular hub. (ox.ac.uk)
- We aim to evaluate our own 4-year experience of knee dislocation and vascular injury as a UK Major Trauma Centre and vascular hub. (ox.ac.uk)
- A primary injury results from the initial anatomic and physiologic insult, which is usually direct trauma to the head, regardless of cause. (medscape.com)
- Head injury significantly contributes to death 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)
Psychological1
- The aim of the present research was to evaluate the mediating effects of facets of the tolerance for psychological pain on the relationship between childhood trauma and suicidal ideation. (bvsalud.org)
Studies1
- Several laboratory tests and imaging studies are frequently required in the emergency room for the evaluation of trauma. (biomedcentral.com)
Occurs1
- It occurs when a sudden trauma damages the brain and disrupts normal brain function. (medscape.com)
Scores1
- They were matched to Group P regarding age, sex, and trauma-related scores. (bvsalud.org)
Importance1
- Limited useful information on trauma care in LMICs underscores the importance of TRs in these settings. (biomedcentral.com)
Journal1
- The Journal of trauma , 70 (5 Suppl), S34-S37. (lvhn.org)
Quality1
- Trauma registries (TRs) play an integral role in the assessment of trauma care quality. (biomedcentral.com)
Open2
- KITR is a locally developed, customized, electronic trauma registry based on open source software designed by local software developers in Karachi. (biomedcentral.com)
- We can say open by trauma(1). (bvsalud.org)