scholarly journals Role of Plastic Surgeons in the Trauma Center: National Level I Trauma Center Startup Experience in South Korea 

2020 ◽  
Author(s):  
Il Jae Lee ◽  
Bo Hwan Cha ◽  
Hyung Min Hahn
Keyword(s):  
Soft Tissue ◽  
Surgical Procedures ◽  
Trauma Care ◽  
Trauma Center ◽  
Regional Level ◽  
Trauma Centers ◽  
Acute Trauma ◽  
Level I ◽  
Anatomical Area

Abstract Background: Although it is well-recognized that other surgical specialties perform various procedures related to trauma care, there is a lack of analyses focusing on the role of plastic surgical management in trauma centers in Korea. This retrospective study was designed to investigate the scope of plastic surgery services in acute trauma care, using clinical data obtained from a single, regional, level I, trauma center.Methods: This study included patients who presented to a single, regional, level I, trauma center in March 2016. Of them, patients with acute trauma to the facial soft tissue and skeleton, soft tissue of the upper and lower limbs, trunk and perineum, and other areas requiring plastic surgical procedures were included in the analysis. Data on patients’ demographics and detailed surgical procedures were acquired from electric medical records.Results: A total of 1,544 patients underwent surgery, and 2,217 procedures were recorded during the 2-year study period. In 2016, 1,062 procedures on 690 patients, and, in 2017, 1,155 procedures on 787 patients were registered. The head and neck region was the most commonly observed anatomical area that was operated on. The facial bone requiring the largest degree of surgical intervention was the mandible, followed by the zygomatic bone, nasal bones, orbital floor, and maxilla. Microsurgical procedures, such as flap surgery and microsurgery, were performed in 121 cases. Conclusion: Plastic surgeons work alongside experts from various specialties to restore the appearance and function of a specific anatomical area. Thus, plastic surgeons are an essential part of trauma centers.Trial registration: Not applicable.

scholarly journals Impact of the first COVID-19 shutdown on patient volumes and surgical procedures of a Level I trauma center

2021 ◽  
Author(s):  
Carolin A. Kreis ◽  
Birte Ortmann ◽  
Moritz Freistuehler ◽  
René Hartensuer ◽  
Hugo Van Aken ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Trauma Center ◽  
Control Period ◽  
Open Fractures ◽  
Injury Patterns ◽  
Emergency Patient ◽  
Emergency Operations ◽  
Incidence Proportion ◽  
Level I ◽  
The Impact

Abstract Purpose In Dec 2019, COVID-19 was first recognized and led to a worldwide pandemic. The German government implemented a shutdown in Mar 2020, affecting outpatient and hospital care. The aim of the present article was to evaluate the impact of the COVID-19 shutdown on patient volumes and surgical procedures of a Level I trauma center in Germany. Methods All emergency patients were recorded retrospectively during the shutdown and compared to a calendar-matched control period (CTRL). Total emergency patient contacts including trauma mechanisms, injury patterns and operation numbers were recorded including absolute numbers, incidence proportions and risk ratios. Results During the shutdown period, we observed a decrease of emergency patient cases (417) compared to CTRL (575), a decrease of elective cases (42 vs. 13) and of the total number of operations (397 vs. 325). Incidence proportions of emergency operations increased from 8.2 to 12.2% (shutdown) and elective surgical cases decreased (11.1 vs. 4.3%). As we observed a decrease for most trauma mechanisms and injury patterns, we found an increasing incidence proportion for severe open fractures. Household-related injuries were reported with an increasing incidence proportion from 26.8 to 47.5% (shutdown). We found an increasing tendency of trauma and injuries related to psychological disorders. Conclusion This analysis shows a decrease of total patient numbers in an emergency department of a Level I trauma center and a decrease of the total number of operations during the shutdown period. Concurrently, we observed an increase of severe open fractures and emergency operations. Furthermore, trauma mechanism changed with less traffic, work and sports-related accidents.

scholarly journals How Did the Number and Type of Injuries in Patients Presenting to a Regional Level I Trauma Center Change During the COVID-19 Pandemic with a Stay-at-home Order?

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
William F. Sherman ◽  
Hani S. Khadra ◽  
Nisha N. Kale ◽  
Victor J. Wu ◽  
Paul B. Gladden ◽  
...  
Keyword(s):  
Trauma Center ◽  
Regional Level ◽  
Level I ◽  
At Home

Assessment of Mortality in Older Trauma Patients Sustaining Injuries from Falls or Motor Vehicle Collisions Treated in Regional Level I Trauma Centers

2009 ◽  
Vol 249 (3) ◽  
pp. 488-495 ◽  
Author(s):  
John S. Sampalis ◽  
Robin Nathanson ◽  
Julie Vaillancourt ◽  
Andreas Nikolis ◽  
Moishe Liberman ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Regional Level ◽  
Trauma Patients ◽  
Trauma Centers ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
Level I

Role of Laparoscopy in Patients With Abdominal Trauma at Level-I Trauma Center

2018 ◽  
Vol 28 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Purushottam Parajuli ◽  
Subodh Kumar ◽  
Amit Gupta ◽  
Virinder Kumar Bansal ◽  
Sushma Sagar ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Trauma Center ◽  
Level I

Analysis of Hospital Ability to Provide Trauma Services: A Comparison between Teaching and Community Hospitals

1991 ◽  
Vol 6 (4) ◽  
pp. 455-458 ◽  
Author(s):  
Keith W. Neely ◽  
Robert L. Norton ◽  
Ed Bartkus ◽  
John A. Schiver
Keyword(s):  
Trauma Care ◽  
Trauma Center ◽  
Trauma System ◽  
Teaching Hospitals ◽  
Trauma Centers ◽  
Ct Scanner ◽  
Community Hospitals ◽  
Availability Analysis ◽  
Level Ii ◽  
American College Of Surgeons

AbstractHypothesis:Teaching hospitals (TH) can maintain the American College of Surgeons Committee on Trauma (ACSCOT) criteria for Level II trauma care more consistently than can community hospitals (CH).Methods:A retrospective analysis of 2,091 trauma system patients was done to determine if TH in an urban area are better able to meet the criteria for Level II trauma care than are CH. During the study period, a voluntary trauma plan existed among five hospitals; two TH and three CH. A hospital could accept patients that met trauma system entry criteria as long as, at that moment, it could provide the resources specified by ACSCOT. Hospitals were required to report their current resources accurately. A centralized communications center maintained a computerized, inter-hospital link which continuously monitored the availability of all participating hospitals. Trauma system protocols required paramedics to transport system patients to the closest available trauma hospital that had all the required resources available. Nine of the required ACSCOT Level II trauma center criteria were monitored for each institution emergency department (ED); trauma surgeon (TS); operating room (OR); angiogaphy (ANG); anesthesiologist (ANE); intensive care unit (ICU); on-call surgeon (OCS); neurosurgeon (NS); and CT scanner (CT) available at the time of each trauma system entry.Results:With the exception of OR, TH generally maintained the required staff and services more successfully than did CH. Further, less day to night variation in the available resources occurred at the TH. Specifically, ANE, ICU, TS, NS and CT were available more often both day and night, at TH than CH. However, OR was less available at TH than CH during both day and night (p<.01).Conclusions:In this community, TH provided a greater availability of trauma services than did CH. This study supports the designation of TH as trauma centers. A similar availability analysis can be performed in other communities to help guide trauma center designation.

Unequal Burden of Injury at Level I Trauma Centers: The Case for Efficiency in Resource Allocation for Optimal Trauma Care

2014 ◽  
Vol 219 (3) ◽  
pp. S104-S105
Author(s):  
Zain G. Hashmi ◽  
Syed Nabeel Zafar ◽  
Adil A. Shah ◽  
Eric B. Schneider ◽  
William R. Leeper ◽  
...  
Keyword(s):  
Resource Allocation ◽  
Trauma Care ◽  
Trauma Centers ◽  
Level I

Impact of adding Level II and III trauma centers on volume and disease severity at a nearby Level I trauma center

2014 ◽  
Vol 77 (5) ◽  
pp. 764-768 ◽  
Author(s):  
Brendan G. Carr ◽  
Juliet Geiger ◽  
Nathan McWilliams ◽  
Patrick M. Reilly ◽  
Douglas J. Wiebe
Keyword(s):  
Disease Severity ◽  
Trauma Center ◽  
Trauma Centers ◽  
Level Ii ◽  
Level I

A retrospective review of the role of transesophageal echocardiography in aortic and cardiac trauma in a level I pediatric trauma center

1997 ◽  
Vol 10 (9) ◽  
pp. 946-955 ◽  
Author(s):  
Gail D. Pearson ◽  
Shaton S. Karr ◽  
Gregory D. Trachiotis ◽  
Frank M. Midgley ◽  
Martin R. Eichelberger ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Retrospective Review ◽  
Trauma Center ◽  
Pediatric Trauma ◽  
Cardiac Trauma ◽  
Level I ◽  
Pediatric Trauma Center

scholarly journals Current practice and the role of the CT in the management of penetrating liver injuries at a Level I trauma center

2011 ◽  
Vol 4 (1) ◽  
pp. 53 ◽  
Author(s):  
Peep Talving ◽  
Raffaella Barbarino ◽  
Galinos Barmparas ◽  
Kenji Inaba ◽  
Demetrios Demetriades ◽  
...  
Keyword(s):  
Trauma Center ◽  
Current Practice ◽  
Liver Injuries ◽  
Level I

The G60 Trauma Center: A Future Consideration?

2017 ◽  
Vol 83 (6) ◽  
pp. 547-553 ◽  
Author(s):  
Marko Bukur ◽  
Joshua Simon ◽  
Joseph Catino ◽  
Margaret Crawford ◽  
Ivan Puente ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Trauma Center ◽  
Injury Severity ◽  
Head Injuries ◽  
Major Complication ◽  
The Elderly ◽  
Trauma Patients ◽  
Trauma Centers ◽  
Failure To Rescue ◽  
Level I

With a considerably increasing elderly population, we sought to determine whether the volume of elderly trauma patients treated impacted outcomes at two different Level I trauma centers. This is a retrospective review of all elderly patients (>60 years) at two state-verified Level I trauma centers over the past five years. The elderly trauma center (ETC) saw a greater proportion (52%) of elderly patients than the reference trauma center (30%, TC). Demographic and clinical characteristics were abstracted and stratified into ETC and TC groups for comparison. Primary outcomes were overall postinjury complication and mortality rates, as well as death after major complication (failure to rescue). ETC patients were older (78.6 vs 70.5), more likely to be admitted with severe head injuries (head abbreviated injury score ≥ 3, 50.0% vs 32%), had a greater overall injury burden (injury severity score > 16 41.4% vs 21.1%), and required intensive care unit admission (81.3% vs 64%) than the TC group. Need for operative intervention, mechanism of injury, and comorbidities were similar between the two groups. Overall complications were higher in trauma patients admitted to the TC (21.9% vs 14.3%), as well as failure to rescue (4.0% vs 1.8%). Adjusting for confounding factors, ETC had significantly lower chance of developing a postinjury complication (adjusted odds ratios [AOR] = 0.4, 95% confidence interval [CI] = [0.3, 0.5]), failure to rescue (AOR = 0.3, 95% CI = [0.1, 0.5]), and overall mortality (AOR = 0.3, 95% CI = [0.2, 0.4]). Improved outcomes were demonstrated in the Level I center treating a higher proportion of elderly patients. Exact etiology of these benefits should be determined for quality improvement in care of the injured geriatric patient.

Sign in / Sign up

Export Citation Format

Share Document