Experience of diagnosis and treatment of traumatic bronchial rupture in children in a single clinical center

Abstract Background The treatment of hepatic injury can be complex. Medical clinical centers are often the first line hospitals for the diagnosis and treatment of hepatic trauma in China. The aim of the study is to summarize the experience in the diagnosis and treatment of hepatic trauma in one medical clinical center in China. Methods This retrospective study included patients with hepatic trauma admitted between January 2002 and December 2019 at the Xishan People’s Hospital of Wuxi. The outcomes were cure rate and death within 14 days post-discharge. Results Among the 318 patients with hepatic trauma, 146 patients underwent surgical treatment, and 172 received conservative treatment; three patients were transferred to other hospitals for further treatment; 283 patients were cured, and 35 died. Severe hepatic trauma occurred in 74 patients, with a mortality rate of 31.1% and accounting for 65.7% of total mortality. American Association for the Surgery of Trauma (AAST) grading ≥ III (OR = 3.51, 95%CI: 1.32–9.37, P = 0.012) and multiple organ injury (OR = 7.51, 95%CI: 2.51–22.46, P < 0.001) were independently associated with death. Among patients with AAST grading ≥ III, surgery was an independent protective factor for death (OR = 0.08, 95%CI: 0.01–0.45, P = 0.004). Among patients with ASST ≥ III and who underwent surgery, age (OR = 5.29, 95%CI: 1.37–20.33, P = 0.015) and peri-hepatic packing (PHP) (OR = 5.54, 95%CI: 1.43–21.487, P = 0.013) were independently associated with death. Conclusions AAST grading ≥ III and multiple organ injury were independently associated with death. Among patients with AAST grading ≥ III, surgery was an independent protective factor for death. Among patients with ASST ≥ III and who underwent surgery, age and PHP were independently associated with death.

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Pediatric Bronchial Rupture: Diagnosis and Treatment

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230801600618 ◽

2008 ◽

Vol 16 (6) ◽

pp. 508-509

Author(s):

Alper Toker ◽

Sedat Ziyade ◽

Osman Eroglu ◽

Serhan Tanju ◽

Sukru Dilege

Keyword(s):

Diagnosis And Treatment ◽

Bronchial Rupture

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Experience of diagnosis and treatment of 31 H-type tracheoesophageal fistula in a single clinical center

Pediatric Surgery International ◽

10.1007/s00383-018-4293-6 ◽

2018 ◽

Vol 34 (7) ◽

pp. 715-719 ◽

Cited By ~ 5

Author(s):

Jiangtao Dai ◽

Zhengxia Pan ◽

Quan Wang ◽

Yuhao Wu ◽

Junke Wang ◽

...

Keyword(s):

Tracheoesophageal Fistula ◽

Diagnosis And Treatment ◽

Clinical Center

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Disclosing a Diagnosis of Cancer: Where and How Does It Occur?

Journal of Clinical Oncology ◽

10.1200/jco.2009.24.6389 ◽

2010 ◽

Vol 28 (22) ◽

pp. 3630-3635 ◽

Cited By ~ 30

Author(s):

William D. Figg ◽

Erika K. Smith ◽

Douglas K. Price ◽

Bevin C. English ◽

Paul W. Thurman ◽

...

Keyword(s):

Patient Satisfaction ◽

Cancer Diagnosis ◽

National Cancer Institute ◽

Treatment Options ◽

National Institutes Of Health ◽

Diagnosis And Treatment ◽

Clinical Center ◽

Diagnosis Of Cancer ◽

The Impact ◽

Self Administered Questionnaire

Purpose While disclosing a cancer diagnosis to a patient is common practice, how it is disclosed and the impact it has on the patient are poorly understood. We examined how cancer diagnoses were first given to patients and the impact of different aspects of disclosure on patient satisfaction. Patients and Methods We provided a self-administered questionnaire to a total of 460 oncology patients of the National Cancer Institute (NCI) being treated at the National Institutes of Health (NIH) Clinical Center in Bethesda, MD. Results Of the 437 patients who completed the survey, 54% were told their diagnosis in-person in the physician's office, 18% by phone, and 28% in the hospital. Forty-four percent of patients reported discussions of 10 minutes or fewer, 53% reported discussions lasting longer than 10 minutes, and 5% could not remember. Treatment options were not discussed for 31% of those who could clearly remember. Higher mean satisfaction scores were associated with diagnoses revealed in person rather than over the phone (68.2 ± 1.6 v 47.2 ± 3.7), diagnoses revealed in a personal setting rather than an impersonal setting (68.9 ± 1.6 v 55.7 ± 2.8), discussions lasting longer than 10 minutes rather than fewer than 10 minutes (73.5 ± 1.9 v 54.1 ± 2.4), and inclusion of treatment options rather than exclusion (72.0 ± 1.9 v 50.7 ± 3.2; P < .001 for each aspect). Conclusion Physicians should disclose a cancer diagnosis in a personal setting, discussing the diagnosis and treatment options for a substantial period of time whenever possible.

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Accident-related Hepatic Trauma in a Medical Clinical Center in Eastern China: A Cross-sectional Study

10.21203/rs.3.rs-97665/v1 ◽

2020 ◽

Author(s):

Zipeng Xu ◽

Weidong Hu ◽

Xu Shen ◽

Yanyan Gu ◽

Zhengxing Dai ◽

...

Keyword(s):

Protective Factor ◽

Eastern China ◽

Multiple Organ ◽

Diagnosis And Treatment ◽

Organ Injury ◽

Hepatic Trauma ◽

Post Discharge ◽

Cross Sectional ◽

Clinical Center ◽

Multiple Organ Injury

Abstract Background: The treatment of hepatic injury can be complicated. Medical clinical hospitals are often the first line hospitals for the diagnosis and treatment of hepatic trauma in China. This paper aimed to summarize the experience in the diagnosis and treatment of hepatic trauma in one medical clinical center in China. Methods: This retrospective study included patients with hepatic trauma admitted between January 2002 and December 2019 at the Xishan People’s Hospital of Wuxi. The outcomes were cure rate and death within 14 days post-discharge. Results: Among the 318 patients with hepatic trauma, 146 patients underwent surgical treatment, and 172 received conservative treatment; three patients were transferred to other hospitals for further treatment; 283 patients were cured, and 35 died. Severe hepatic trauma occurred in 74 patients, with a mortality rate of 31.1%, or 7.2% of all patients. American Association for the Surgery of Trauma (AAST) grading >III (OR=3.51, 95%CI: 1.32-9.37, P=0.012) and multiple organ injury (OR=7.51, 95%CI: 2.51-22.46, P<0.001) were independently associated with death. Among patients with AAST grading >III, surgery was an independent protective factor for death (OR=0.08, 95%CI: 0.01-0.45, P=0.004). Among patients with ASST >III and who underwent surgery, age (OR=5.29, 95%CI: 1.37-20.33, P=0.015) and PHP (OR=5.54, 95%CI: 1.43-21.487, P=0.013) were independently associated with death.Conclusions: AAST grading >III and multiple organ injury were independently associated with death. Among patients with AAST grading >III, surgery was an independent protective factor for death. Among patients with ASST >III and who underwent surgery, age and PHP were independently associated with death.

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