scholarly journals Isolated vehicle rollover is not an independent predictor of trauma injury severity

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Sunayana Moriarty ◽  
Nathan Brown ◽  
Michael Waller ◽  
Kevin Chu
Keyword(s):  
Injury Severity ◽  
Independent Predictor ◽  
Vehicle Rollover ◽  
Trauma Injury

scholarly journals Plasma DNA as a Prognostic Marker in Trauma Patients

2000 ◽  
Vol 46 (3) ◽  
pp. 319-323 ◽  
Author(s):  
Y M Dennis Lo ◽  
Timothy H Rainer ◽  
Lisa Y S Chan ◽  
N Magnus Hjelm ◽  
Robert A Cocks
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Acute Lung Injury ◽  
Lung Injury ◽  
Confidence Interval ◽  
Injury Severity Score ◽  
Injury Severity ◽  
Distress Syndrome ◽  
Plasma Dna ◽  
Blood Samples ◽  
Trauma Injury

Abstract Background: Recently, much interest has developed in the potential use of plasma DNA as a diagnostic and monitoring tool. We hypothesized that plasma DNA is increased in patients with trauma and may be prognostic in such patients. Methods: We studied 84 patients who had sustained an acute blunt traumatic injury. We measured plasma DNA by a real-time quantitative PCR assay for the β-globin gene. Blood samples were collected at a median time of 60 min following injury. Blood samples were also obtained from 27 control subjects. Results: The median plasma DNA concentrations in the control, minor/moderate trauma (Injury Severity Score <16; n = 47), and major trauma (Injury Severity Score ≥16; n = 37) groups were 3154 kilogenome-equivalents/L, 13 818 kilogenome-equivalents/L, and 181 303 kilogenome-equivalents/L, respectively. Plasma DNA concentrations in patients with adverse outcomes, including acute lung injury, acute respiratory distress syndrome, and death, had 11.6- to 12-fold higher plasma DNA concentrations than those who did not develop these complications. At a cutoff of 232 719 kilogenome-equivalents/L, the sensitivities of plasma DNA analysis for the prediction of acute lung injury, acute respiratory distress syndrome, and death were 100% (95% confidence interval, 100–100%), 100% (95% confidence interval, 100–100%), and 78% (95% confidence interval, 40–97%), respectively. The respective specificities were 81% (95% confidence interval, 71–89%), 80% (95% confidence interval, 70–88%), and 82% (95% confidence interval, 71–90%). Conclusions: Plasma DNA is increased after trauma and may be a potentially valuable prognostic marker for these patients.

Major injury associated with all-terrain vehicle use in Nova Scotia: a 5-year review

CJEM ◽  
2002 ◽  
Vol 4 (04) ◽  
pp. 263-267 ◽  
Author(s):  
Aaron K. Sibley ◽  
John M. Tallon
Keyword(s):  
Nova Scotia ◽  
Injury Severity ◽  
Tertiary Care ◽  
Demographic Variables ◽  
Injury Rates ◽  
Average Hospital ◽  
Major Injury ◽  
Discharge Status ◽  
The Central Nervous System ◽  
Trauma Injury

ABSTRACT: Background: Riding all-terrain vehicles (ATVs) is a popular recreational activity, with approximately 1.5 million users in Canada. Despite legislation aimed at reducing injury rates, ATV-related incidents remain a major cause of trauma and death. This paper reviews the epidemiology of major injury associated with ATV use in Nova Scotia. Methods: The Nova Scotia Trauma Registry was used to identify all adults over age 15 who sustained major ATV-related trauma (Injury Severity Score [ISS] ≥12) within a 5-year period. Demographic variables, temporal statistics, alcohol use, helmet use, injury characteristics and injury outcome variables, including ISS, length of stay (LOS), Glasgow Coma Scale score and discharge status were evaluated. Results: Twenty-five patients met the inclusion criteria. Most (92%) were males, and 64% were between 16 and 34 years of age. Most injuries occurred between 1300 hrs and 1900 hrs, 52% occurred on the weekend, and 40% occurred in the spring. The average ISS was 22.1, and injuries to the central nervous system comprised 39% of all major injuries. Alcohol was involved in up to 56% of all incidents, and only 4 patients (16%) were known to be wearing a helmet at the time of injury. Average hospital LOS was 21.6 days. Interpretation: ATV-related incidents are a continuing source of major injury. This paper describes the epidemiology of ATV-related major trauma presenting to the sole tertiary care referral centre in one province. Information gained from this study should be used to influence ATV public education programs.

scholarly journals HEMOTÓRAX MASIVO POR TRAUMATISMO TORÁCICO EN PACIENTES TRATADOS QUIRÚRGICAMENTE

2020 ◽  
Vol 72 (5) ◽  
Author(s):  
Roberto González L. ◽  
Alejandra Riquelme U. ◽  
Claudio Toloza A. ◽  
Rodrigo Reyes M. ◽  
Enrique Seguel S. ◽  
...  
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Odds Ratio ◽  
Injury Severity ◽  
Revised Trauma Score ◽  
Trauma Injury ◽  
Trauma Score

Introducción: El hemotórax masivo (HM) se puede definir como el acúmulo súbito de >1.500 ml de sangre en la cavidad pleural o débito >200 ml/hr de sangre en 3-4 horas por pleurotomía; es considerada una complicación traumática grave. Objetivo: Describir las características clínicas, índices de gravedad de traumatismo (IGT), morbilidad y variables asociadas a mortalidad en pacientes con hemotórax masivo por traumatismo torácico operados (HMTT). Material y Método: Estudio analítico longitudinal. Período enero-1981 a diciembre-2018. Revisión prospectiva de base de datos, protocolos quirúrgicos y fichas clínicas. Descripción de características de HMTT. Se calcularon IGT: Injury Severity Score (ISS), Revised Trauma Score (RTS-T), Trauma Injury Severity Score (TRISS). Para mortalidad se realizó análisis univariado con cálculo de Odds Ratio. Resultados: Total 4.306 Traumas Torácico (TT), HMTT 119 (2,8%). Hombres 112 (94,1%), edad promedio 32±13,2 años, 91 (76,5%) pacientes presentaron TT aislado, 28 (23,5%) asociado a lesiones extratorácicas, de estos, 23 (19,3%) fueron politraumatismos. Fueron traumatismos penetrantes 102 (85,7%). El HMTT se atribuyó principalmente a: lesión de pared en 38 (31,9%) y lesión pulmonar en 29 (24,4%). De las cirugías torácicas: 87 (73,1%) fueron urgentes (£4hrs), 10 (8,4%) precoces (>4-24hrs) y 22 (18,5%) diferidas (>24hrs). Hospitalización postoperatoria promedio 7,9±6,4 días. Según IGT: ISS promedio 17,4±9,6, RTS-T promedio 10,2±2,7, TRISS promedio 12,7. Morbilidad 46 (38,7%) y mortalidad 15 (12,6%). Discusión: Los HMTT se atribuyeron principalmente a lesiones de pared y lesión pulmonar. En la mayoría se requirió cirugía torácica de urgencia.  La mortalidad observada es semejante a la esperada según IGT. Existen variables asociadas a mayor mortalidad.

scholarly journals Hyperglycemia as a positive predictor of mortality in major trauma

2020 ◽  
pp. 102490792091125
Author(s):  
Chia-Peng Chang ◽  
Cheng-Ting Hsiao ◽  
Cheng-Hsien Wang ◽  
Kai-Hua Chen ◽  
I-Chuan Chen ◽  
...  
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Major Trauma ◽  
Injury Severity ◽  
Tertiary Hospital ◽  
Trauma Patients ◽  
Reliable Predictor ◽  
Severity Scores ◽  
High Incidence ◽  
Trauma Injury

Background: Hyperglycemia in the acute phase after trauma is a stress response and a metabolic reflection in humans with injury, which could adversely affect outcome in trauma patients. In this study, we attempted to identify if hyperglycemia a reliable predictor for mortality in major trauma patients. Objectives: In order to identify if hyperglycemia a reliable predictor for mortality in major trauma, we designed and proformed a prospective observational study in a tertiary hospital. Method: We performed a prospective observational study to review the records of 601 patients with major trauma (injury severity scores >15) who visited our hospital’s emergency department from August 2012 to July 2015. Logistic regression was performed to assess the effect of hyperglycemia on mortality. Result: Major trauma patients in the hyperglycemia group had low systolic/diastolic blood pressure at triage, low initial Glasgow Coma Scale score, high incidence of hypotension episodes, coagulopathy, acidosis, and anemia. Hyperglycemia was significantly correlated with mortality in major trauma patients in this study (odds ratio: 1.97, 95% confidence interval: 1.04–3.74). Conclusion: In major trauma patients with injury severity scores >15, hyperglycemia has a positive correlation with mortality, which could be a predictor of mortality in clinical practice.

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