Risk of symptomatic heterotopic ossification following plate osteosynthesis in multiple trauma patients: an analysis in a level-1 trauma centre

Abstract Background There are 20,000 major trauma cases in England annually yet the association with concomitant upper limb injuries is unknown. Injuries of the hand and wrist can cause serious functional impairment, decreased quality of life and confer a significant economic burden to healthcare systems. The aim of this study was to determine the incidence, injury pattern and association of hand/wrist injuries with other injuries and the ISS score in multiple trauma patients in the UK. Methods A single centre retrospective cohort study was performed at a level one trauma centre. Trauma Association & Research Network (TARN) eligible patients during a 5-year period were included. Results A total of 107 patients were included in this study. Seventy patients had an ISS<15 and 37: had an ISS>15. The majority were male (70.1%) and the mean age was 45 Years. Hand and wrist injuries were the second most common injury found in 26.2% of patients. There was a significant association between hand/wrist injuries and lower limb injuries (p = 0.04) and pelvic injuries (p = 0.02). The association between hand and wrist injuries with ISS score was found to be not significant (p = 0.82). Conclusion Hand and wrist injuries should be screened for in multiply injured patients with a pelvic or lower limb injury.

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Kinetic therapy in multiple trauma patients with severe blunt chest trauma: An analysis at a level-1 trauma center

Technology and Health Care ◽

10.3233/thc-140869 ◽

2014 ◽

Vol 23 (1) ◽

pp. 63-73 ◽

Cited By ~ 2

Author(s):

C. Zeckey ◽

K. Wendt ◽

P. Mommsen ◽

M. Winkelmann ◽

C. Frömke ◽

...

Keyword(s):

Multiple Trauma ◽

Trauma Center ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Trauma Patients ◽

Kinetic Therapy ◽

Level 1 ◽

Multiple Trauma Patients ◽

Level 1 Trauma Center

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Initial free cortisol dynamics following blunt multiple trauma and traumatic brain injury: A clinical study

Journal of International Medical Research ◽

10.1177/0300060518819603 ◽

2019 ◽

Vol 47 (3) ◽

pp. 1185-1194

Author(s):

T Kusmenkov ◽

M Braunstein ◽

HJ Schneider ◽

M Bidlingmaier ◽

WC Prall ◽

...

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Multiple Trauma ◽

Repeated Measures ◽

Traumatic Injury ◽

Trauma Centre ◽

Trauma Patients ◽

Total Cortisol ◽

Free Cortisol ◽

Multiple Trauma Patients

Objective To determine free and total cortisol serum concentrations in the first 24 h after trauma and to evaluate the influence of traumatic brain injury (TBI) on their dynamics. Methods This prospective cohort study enrolled patients who had experienced multiple trauma and were admitted to a level 1 trauma centre. The patients were divided in two groups based on the presence of TBI according to clinical and radiological findings. Blood was collected initially as well as at 12 h and 24 h after the traumatic injury. Total cortisol, corticosteroid binding globulin (CBG) and free cortisol levels were determined. Results The study analysed data from 49 patients (36 males and 13 females) with a mean ± SD age of 45.0 ± 16.0 years. Of these, 36 presented with TBI and 13 had multiple injuries without TBI. Patients with TBI showed significantly lower concentrations of total cortisol and free cortisol compared with patients without TBI. Repeated measures analysis revealed different concentration dynamics in patients with TBI, with no increase in cortisol after trauma. Conclusion Multiple trauma patients with TBI are at risk of acute impaired cortisol secretion and show an attenuated stress response as early as 12 h after injury.

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