The use of the reverse shock index to identify high-risk trauma patients in addition to the criteria for trauma team activation: a cross-sectional study based on a trauma registry system

ObjectivesTo provide an overview of the demographic characteristics of patients with positive blood alcohol concentration (BAC) and to investigate the performance of brain CT scans in these patients.DesignCross-sectional study.SettingTaiwan.Participants2192 patients who had undergone a test for blood alcohol of 13 233 patients registered in the Trauma Registry System between 1 January 2009 and 31 December 2012. A BAC level of 50 mg/dL was defined as the cut-off value. Detailed information was retrieved from the patients with positive BAC (n=793) and was compared with information from those with a negative BAC (n=1399).Main outcome measuresGlasgow Coma Scale (GCS) and Injury Severity Score (ISS) as well as the performance and findings of obtained brain CT scans.ResultsPatients with positive BAC had a higher rate of face injury, but a lower GCS score, a lower rate of head and neck injury, a lower ISS and New Injury Severity Score. Alcohol use was associated with a shorter length of hospital stay (8.6 vs 11.4 days, p=0.000) in patients with an ISS of <16. Of 496 patients with positive BAC who underwent brain CT, 164 (33.1%) showed positive findings on CT scan. In contrast, of 891 patients with negative BAC who underwent brain CT, 389 (43.7%) had positive findings on CT scan. The lower percentage of positive CT scan findings in patients with positive BAC was particularly evident in patients with an ISS <16 (18.0% vs 28.8%, p=0.001).ConclusionsPatients who consumed alcohol tended to have a low GCS score and injuries that were less severe. However, given the significantly low percentage of positive findings, brain CT might be overused in these patients with less severe injuries.

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Same Abbreviated Injury Scale Values May Be Associated with Different Risks to Mortality in Trauma Patients: A Cross-Sectional Retrospective Study Based on the Trauma Registry System in a Level I Trauma Center

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph14121552 ◽

2017 ◽

Vol 14 (12) ◽

pp. 1552 ◽

Cited By ~ 9

Author(s):

Cheng-Shyuan Rau ◽

Shao-Chun Wu ◽

Pao-Jen Kuo ◽

Yi-Chun Chen ◽

Peng-Chen Chien ◽

...

Keyword(s):

Retrospective Study ◽

Trauma Center ◽

Trauma Registry ◽

Trauma Patients ◽

Abbreviated Injury Scale ◽

Cross Sectional ◽

Registry System ◽

Level I ◽

Trauma Registry System

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Buckling up in Singapore: residency and other risk factors for seatbelt non-compliance – a cross-sectional study based on trauma registry data

BMC Public Health ◽

10.1186/s12889-016-3080-3 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 4

Author(s):

Ting Hway Wong ◽

◽

Gek Hsiang Lim ◽

Khuan Yew Chow ◽

Nyi Nyi Zaw ◽

...

Keyword(s):

Risk Factors ◽

Trauma Registry ◽

Cross Sectional Study ◽

Registry Data ◽

Sectional Study ◽

Cross Sectional

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Identification of Ocular Trauma Pattern with Risk and Prognostic Factors in the North Bund Area of Shanghai

Journal of Ophthalmology & Clinical Research ◽

10.33140/jocr.05.02.05 ◽

2021 ◽

Vol 5 (2) ◽

Keyword(s):

Prognostic Factors ◽

Ocular Trauma ◽

Visual Outcome ◽

Cross Sectional Study ◽

Trauma Patients ◽

Eye Injury ◽

Sectional Study ◽

Cross Sectional ◽

The North ◽

Treatment Objective

Background: Ocular trauma is a leading cause of blindness. Identification of ocular trauma pattern is necessary for better ocular trauma prevention and treatment. Objective: The aim of this study is to identify ocular trauma pattern in the North Bund area of Shanghai. Methods: A retrospective cross-sectional study was conducted with 206 ocular trauma patients at Shanghai General Hospital. Results: A gender related ocular trauma pattern was identified that consists of several risk and prognostic factors. Of 206 ocular trauma patients, 182 patients were males (88.35%) and only 24 patients were females (11.65%). Males had significantly higher percentage of penetrating/intraocular foreign body injuries compared to females, which is associated with age and occupation. A significantly higher average monthly percentage of ocular trauma is observed in summer, suggesting that season change alters the risk of eye injury. Although proper treatments of complications are beneficial for patients, the visual outcome is determined by the location and size of injuries. Conclusion: We identified a gender related ocular trauma pattern with several risk and prognostic factors in the North Bund area of Shanghai.

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Hyperglycemia in pediatric head trauma patients: a cross-sectional study

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2009000500004 ◽

2009 ◽

Vol 67 (3b) ◽

pp. 804-806 ◽

Cited By ~ 3

Author(s):

José Roberto Tude Melo ◽

Rodolfo Casimiro Reis ◽

Laudenor Pereira Lemos-Júnior ◽

Henrique Miguel Santos Coelho ◽

Carlos Eduardo Romeu de Almeida ◽

...

Keyword(s):

Computed Tomography ◽

Head Trauma ◽

Cross Sectional Study ◽

Cranial Computed Tomography ◽

Trauma Patients ◽

Severe Head Trauma ◽

Sectional Study ◽

Cross Sectional ◽

Glucose Levels ◽

Computed Tomography Scans

OBJECTIVE: To verify the prevalence of acute hyperglycemia in children with head trauma stratified by the Glasgow coma scale (GCS). METHOD: A prospective cross-sectional study carried out with information from medical records of pediatric patients presenting with head injury in the emergency room of a referral emergency hospital during a one year period. We considered the cut-off value of 150 mg/dL to define hyperglycemia. RESULTS: A total of 340 children were included and 60 (17.6%) had admission hyperglycemia. Hyperglycemia was present in 9% of mild head trauma cases; 30.4% of those with moderate head trauma and 49% of severe head trauma. We observed that among children with higher blood glucose levels, 85% had abnormal findings on cranial computed tomography scans. CONCLUSION: Hyperglycemia was more prevalent in patients with severe head trauma (GCS <8), regardless if they had or not multiple traumas and in children with abnormal findings on head computed tomography scans.

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Evaluation of Chest CT Scan as a Screening and Diagnostic Tool in Trauma Patients with Coronavirus Disease 2019 (COVID-19): A Cross-Sectional Study

Emergency Medicine International ◽

10.1155/2021/4188178 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Hossein Abdolrahimzadeh Fard ◽

Salahaddin Mahmudi-Azer ◽

Sepideh Sefidbakht ◽

Pooya Iranpour ◽

Shahram Bolandparvaz ◽

...

Keyword(s):

Ct Scan ◽

Negative Predictive Value ◽

Predictive Value ◽

Cross Sectional Study ◽

Chest Ct ◽

Trauma Patients ◽

Ct Scanner ◽

Sectional Study ◽

Cross Sectional ◽

Chest Ct Scan

Background. The lack of enough medical evidence about COVID-19 regarding optimal prevention, diagnosis, and treatment contributes negatively to the rapid increase in the number of cases globally. A chest computerized tomography (CT) scan has been introduced as the most sensitive diagnostic method. Therefore, this research aimed to examine and evaluate the chest CT scan as a screening measure of COVID-19 in trauma patients. Methods. This cross-sectional study was conducted in Rajaee Hospital in Shiraz from February to May 2020. All patients underwent unenhanced CT with a 16-slice CT scanner. The CT scans were evaluated in a blinded manner, and the main CT scan features were described and classified into four groups according to RSNA recommendation. Subsequently, the first two Radiological Society of North America (RSNA) categories with the highest probability of COVID-19 pneumonia (i.e., typical and indeterminate) were merged into the “positive CT scan group” and those with radiologic features with the least probability of COVID-19 pneumonia into “negative CT scan group.” Results. Chest CT scan had a sensitivity of 68%, specificity of 56%, positive predictive value of 34.8%, negative predictive value of 83.7%, and accuracy of 59.3% in detecting COVID-19 among trauma patients. Moreover, for the diagnosis of COVID-19 by CT scan in asymptomatic individuals, a sensitivity of 100%, specificity of 66.7%, and negative predictive value of 100% were obtained ( p value: 0.05). Conclusion. Findings of the study indicated that the CT scan’s sensitivity and specificity is less effective in diagnosing trauma patients with COVID-19 compared with nontraumatic people.

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