scholarly journals Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Helge Eberbach ◽  
Rolf Lefering ◽  
Sven Hager ◽  
Klaus Schumm ◽  
Lisa Bode ◽  
...  
Keyword(s):  
Multiple Organ Failure ◽  
Organ Failure ◽  
Thoracic Trauma ◽  
Clavicle Fracture ◽  
Length Of Hospital Stay ◽  
Multiple Organ ◽  
Multiply Injured Patients ◽  
Lung Failure ◽  
Clavicle Fractures ◽  
Injured Patients

AbstractThoracic trauma has decisive influence on the outcome of multiply-injured patients and is often associated with clavicle fractures. The affected patients are prone to lung dysfunction and multiple organ failure. A multi-center, retrospective analysis of patient records documented in the TraumaRegister DGU was performed to assess the influence of surgical stabilization of clavicle fractures in patients with thoracic trauma. A total of 3,209 patients were included in the analysis. In 1362 patients (42%) the clavicle fracture was treated operatively after 7.1 ± 5.3 days. Surgically treated patients had a significant reduction in lung failure (p = 0.013, OR = 0.74), multiple organ failure (p = 0.001, OR = 0.64), intubation time (p = 0.004; −1.81 days) and length of hospital stay (p = 0.014; −1.51 days) compared to non-operative treatment. Moreover, surgical fixation of the clavicle within five days following hospital admission significantly reduced the rates of lung failure (p = 0.01, OR = 0.62), multiple organ failure (p = 0.01, OR = 0.59) and length of hospital stay (p = 0.01; −2.1 days). Based on our results, multiply-injured patients with thoracic trauma and concomitant clavicle fracture may benefit significantly from surgical stabilization of a clavicle fracture, especially when surgery is performed within the first five days after hospital admission.

scholarly journals Surgical Stabilization of Clavicle Fractures Reduces Organ Failure Rates in Multiply-injured Patients with Thoracic Trauma: An Analysis Based on the TraumaRegister DGU®.

2020 ◽  
Author(s):  
Helge Eberbach ◽  
Rolf Lefering ◽  
Sven Hager ◽  
Klaus Schumm ◽  
Lisa Bode ◽  
...  
Keyword(s):  
Multiple Organ Failure ◽  
Organ Failure ◽  
Thoracic Trauma ◽  
Clavicle Fracture ◽  
Length Of Hospital Stay ◽  
Multiple Organ ◽  
Multiply Injured Patients ◽  
Lung Failure ◽  
Clavicle Fractures ◽  
Injured Patients

Abstract Introduction: Thoracic trauma has decisive influence on the outcome of multiply-injured patients and is often associated with clavicle fractures. The affected patients are prone to lung dysfunction and multiple organ failure. The aim of this study is to investigate the influence of surgical stabilization of clavicle fractures in patients with thoracic trauma on specific outcome parameters.Methods: A multi-center, retrospective analysis of patient records documented in the TraumaRegister DGU® between 2009 and 2015 was performed. The inclusion criteria were multiply-injured patients with thoracic trauma and associated clavicle fracture, maximum AIS severity ≥ 3 and admission to the intensive care unit. The influence of operative vs. non-operative clavicular fracture treatment and timing of surgery on lung failure, multiple organ failure, sepsis, length of ICU stay, intubation time and length of hospital stay was assessed by regression analysis.Results: A total of 3,209 patients were included in the analysis. In 1,362 patients (42%) the clavicle fracture was treated operatively after 7.1 ± 5.3 days. Surgically treated patients had a significant reduction in lung failure (p = 0.013, OR = 0.74), multiple organ failure (p = 0.001, OR = 0.64), intubation time (p = 0.004; -1.81 days) and length of hospital stay (p = 0.014; -1.51 days) compared to non-operative treatment. Moreover, surgical fixation of the clavicle within five days following hospital admission significantly reduced the rates of lung failure (p = 0.01, OR = 0.62), multiple organ failure (p = 0.01, OR = 0.59) and length of hospital stay (p = 0.01; -2.1 days).Conclusions: Based on our results, multiply-injured patients with thoracic trauma and concomitant clavicle fracture seem to benefit significantly from surgical stabilization of a clavicle fracture, especially when surgery is performed within the first five days after hospital admission.

scholarly journals Surgical Stabilization of Clavicle Fractures Reduces Organ Failure Rates in Multiply-injured Patients with Thoracic Trauma: An Analysis Based on the TraumaRegister DGU®.

2020 ◽  
Author(s):  
Helge Eberbach ◽  
Rolf Lefering ◽  
Sven Hager ◽  
Klaus Schumm ◽  
Lisa Bode ◽  
...  
Keyword(s):  
Multiple Organ Failure ◽  
Organ Failure ◽  
Thoracic Trauma ◽  
Clavicle Fracture ◽  
Length Of Hospital Stay ◽  
Multiple Organ ◽  
Multiply Injured Patients ◽  
Lung Failure ◽  
Clavicle Fractures ◽  
Injured Patients

Abstract Introduction: Thoracic trauma has decisive influence on the outcome of multiply-injured patients and is often associated with clavicle fractures. The affected patients are prone to lung dysfunction and multiple organ failure. The aim of this study is to investigate the influence of surgical stabilization of clavicle fractures in patients with thoracic trauma on specific outcome parameters. Methods: A multi-center, retrospective analysis of patient records documented in the TraumaRegister DGU® between 2009 and 2015 was performed. The inclusion criteria were multiply-injured patients with thoracic trauma and associated clavicle fracture, maximum AIS severity ≥ 3 and admission to the intensive care unit. The influence of operative vs. non-operative clavicular fracture treatment and timing of surgery on lung failure, multiple organ failure, sepsis, length of ICU stay, intubation time and length of hospital stay was assessed by regression analysis. Results: A total of 3,209 patients were included in the analysis. In 1,362 patients (42%) the clavicle fracture was treated operatively after 7.1 ± 5.3 days. Surgically treated patients had a significant reduction in lung failure (p = 0.013, OR = 0.74), multiple organ failure (p = 0.001, OR = 0.64), intubation time (p = 0.004; -1.81 days) and length of hospital stay (p = 0.014; -1.51 days) compared to non-operative treatment. Moreover, surgical fixation of the clavicle within five days following hospital admission significantly reduced the rates of lung failure (p = 0.01, OR = 0.62), multiple organ failure (p = 0.01, OR = 0.59) and length of hospital stay (p = 0.01; -2.1 days). Conclusions: Based on our results, multiply-injured patients with thoracic trauma and concomitant clavicle fracture seem to benefit significantly from surgical stabilization of a clavicle fracture, especially when surgery is performed within the first five days after hospital admission.

Incidence of Septic Complications and Multiple Organ Failure in Severely Injured Patients Is Sex Specific

2000 ◽  
Vol 48 (5) ◽  
pp. 932-937 ◽  
Author(s):  
Andreas Oberholzer ◽  
Marius Keel ◽  
Ren?? Zellweger ◽  
Ursula Steckholzer ◽  
Otmar Trentz ◽  
...  
Keyword(s):  
Multiple Organ Failure ◽  
Organ Failure ◽  
Multiple Organ ◽  
Severely Injured ◽  
Severely Injured Patients ◽  
Septic Complications ◽  
Injured Patients

Neutrophils are primed for cytotoxicity and resist apoptosis in injured patients at risk for multiple organ failure

Surgery ◽  
1999 ◽  
Vol 126 (2) ◽  
pp. 198-202 ◽  
Author(s):  
Walter L. Biffl ◽  
Ernest E. Moore ◽  
Garret Zallen ◽  
Jeffrey L. Johnson ◽  
Julie Gabriel ◽  
...  
Keyword(s):  
At Risk ◽  
Multiple Organ Failure ◽  
Organ Failure ◽  
Multiple Organ ◽  
Patients At Risk ◽  
Injured Patients

Musculoskeletal Trauma in Critically Injured Patients: Factors Leading to Delayed Operative Fixation and Multiple Organ Failure

2020 ◽  
Vol 131 (6) ◽  
pp. 1781-1788 ◽  
Author(s):  
Justin E. Richards ◽  
Andrew J. Medvecz ◽  
Nathan N. O’Hara ◽  
Oscar D. Guillamondegui ◽  
Robert V. O’Toole ◽  
...  
Keyword(s):  
Multiple Organ Failure ◽  
Organ Failure ◽  
Multiple Organ ◽  
Operative Fixation ◽  
Musculoskeletal Trauma ◽  
Injured Patients

Clinical case of periostitis in pregnant women complicated by sepsis

2020 ◽  
pp. 61-63
Author(s):  
S. Sh. Kakvaeva ◽  
M. A. Magomedova ◽  
A. N. Dzhalilova
Keyword(s):  
Pregnant Woman ◽  
Multiple Organ Failure ◽  
Pregnant Women ◽  
Organ Failure ◽  
Clinical Case ◽  
Clinical Observation ◽  
Infectious Agent ◽  
Modern Medicine ◽  
Multiple Organ ◽  
Number Of Patients

One of the most serious problems of modern medicine is sepsis. The number of patients undergoing this complication is 20–30 million (WHO) annually and has no tendency to decrease. Sepsis is characterized by severe multiple organ failure due to a violation of the response of the macroorganism to an infectious agent. Moreover, it is dangerous with high mortality. Sepsis often develops in patients with immunodeficiency conditions, which primarily include pregnant women. The article presents a clinical observation of a case of periostitis in a pregnant woman complicated by a septic state.

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