scholarly journals Characteristics and injury severity score of childhood injuries at Emergency Department of Suez Canal University Hospital

2017 ◽  
pp. 1
Author(s):  
Sobhy Sobhy ◽  
Hesham ElSayed ◽  
Lamiaa Fialaa ◽  
Monira Ismail ◽  
Hussein Awaad
Keyword(s):  
Emergency Department ◽  
Injury Severity Score ◽  
Severity Score ◽  
Injury Severity ◽  
Suez Canal ◽  
University Hospital ◽  
Childhood Injuries

scholarly journals Skor prediksi sindrom disfungsi multi-organ pada pasien multitrauma

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Leo Rendy ◽  
Heber B. Sapan ◽  
Laurens T. B. Kalesaran ◽  
Julius H. Lolombulan
Keyword(s):  
At Risk ◽  
Emergency Department ◽  
Injury Severity Score ◽  
Sequential Organ Failure Assessment ◽  
Organ Failure ◽  
Risk Score ◽  
Severity Score ◽  
Injury Severity ◽  
Failure Assessment ◽  
The Mean

Abstract: Multiple organ dysfunction syndrome (MODS) in patients with major trauma remains to be frequent and devastating complication during clinical course in emergency department and intensive care unit (ICU). The ability to easily and accurately identify patients at risk for MODS postinjury especially in multitrauma cases would be very valuable. This study aimed to construct an instrument for prediction of the development of MODS in adult multitrauma patients using clinical and laboratory data available in the first day at prahospital and emergency department (hospital) setting. This was a prospective study. Samples were adult multitrauma patients with Injury Severity Score (ISS) ≥16, aged 16-65 years old, admitted to 4 academic Level-I trauma center from September 2014 to September 2015. Sequential organ failure assessment (SOFA) score was used to determine MODS during hospitalization. A risk score created from the final regression model consisted of significant variables as MODS predictor. The results showed that there were 98 multitrauma patients as samples. The mean age was 35.2 years old; mostly male (85.71%); the mean of ISS was 23.6; mostly (76.53%) were caused by blunt injury mechanism. MODS was encountered in 43 patients (43.87%). The prediction risk score consists of Revised Trauma Score (RTS) (<7.25) and serum lactate level ≥2 mmol/L. This study also verified several independent risk factors for post multitrauma MODS, such as ISS >25, presence of SIRS, shock grade 2 or more, and white blood cell count >12,000/mm3. Conclusion: We derived a novel, simple, and applicable instrument to predict MODS in adult following multitrauma. The use of this scoring system may allow early identification of multitrauma patients who are at risk for MODS and result in more aggressive targeted resuscitation and better referral allocation based on regional trauma system.Keywords: MODS, multitrauma, emergency department, MODS prediction scoreAbstrak: Sindrom disfungsi multi-organ (MODS) merupakan komplikasi buruk yang sering terjadi sepanjang perjalanan klinis pasien trauma mayor di Unit Gawat Darurat (UGD) maupun di ruang perawatan intensif. Suatu nilai patokan yang dapat memprediksi MODS pascatrauma secara akurat sejak dini tentunya sangat berharga bagi tatalaksana pasien terutama pada kasus multitrauma. Penelitian ini bertujuan untuk membuat suatu instrumen yang dapat memrediksi perkembangan MODS pada pasien dewasa multitrauma dengan menggunakan data klinis dan laboratorium yang tersedia pada 24 jam pertama pasca trauma pada seting fase prahospital maupun di fase hospital sejak di UGD. Jenis penelitian ini prospektif, mengumpulkan pasien multitrauma dengan Injury Severity Score (ISS) ≥16, rentang usia 16-65 tahun, di 4 pusat trauma level-1 rumah sakit pendidikan selama 1 tahun (September 2014-2015). Dilakukan pencatatan data klinis dan laboratorium sesuai perkembangan pasien. Skor sequential organ failure assessment (SOFA) digunakan untuk menentukan adanya MODS selama perawatan. Skor prediksi dibuat dengan membangun model regresi logistik yang signifikan untuk memrediksi terjadinya MODS pasca multitrauma. Hasil penelitian mendapatkan 98 sampel multitrauma yang memenuhi kriteria inklusi dengan rerata usia 35,2 tahun, sebagian besar laki-laki (85,71%) dengan rerata ISS 23,6, dan disebabkan oleh trauma tumpul (76,53%). MODS terjadi pada 43 pasien (43,87%). Skor prediksi terdiri dari RTS dengan (cut off point 7,25) dan kadar laktat serum (cut off point 3,44 mmol/mL). Penelitian ini juga memverifikasi beberapa faktor risiko individual terjadinya MODS pasca multitrauma yaitu ISS>25, adanya SIRS, syok derajat 2 atau lebih, dan leukositosis >12.000. Simpulan: Kami melaporkan instrumen baru yang praktis untuk memrediksi MODS pada pasien multitrauma dewasa. Skor ini memungkinkan identifikasi dini pasien trauma yang berisiko akan mengalami MODS sehingga dapat menjadi tanda alarm dilakukannya resusitasi yang lebih agresif dan tepat serta alokasi rujukan pasien yang lebih efisien berdasarkan sistem trauma regional.Kata kunci: MODS, multitrauma, UGD, skor prediksi MODS

Sports Members' Participation in Assessment of Incidence Rate of Injuries in Five Sports from Records of Hospital-Based Clinical Treatment

1998 ◽  
Vol 86 (2) ◽  
pp. 675-686 ◽  
Author(s):  
Johannes Kingma ◽  
Henk Jan Ten Duis
Keyword(s):  
Injury Severity Score ◽  
Incidence Rate ◽  
Severity Score ◽  
Injury Severity ◽  
Sports Injuries ◽  
Upper Extremities ◽  
University Hospital ◽  
Emergency Unit ◽  
Different Types ◽  
Type Of Injury

This study is about the incidence rate of sports injuries in five different types of sports, gymnastics, soccer, volleyball, hockey, and basketball, for which 5,154 patients were admitted to the Emergency Unit of the Groningen University Hospital during the period 1990 through 1994. Incidence rate had been computed by membership participation. Basketball had the highest incidence rate (231 injured persons per 10,000 participants), followed by hockey (158 injured persons per 10,000 participants). The highest mean Injury Severity Score, 2.39, was found for gymnastics which had the lowest incidence rate (7 injured persons per 10,000 participants). Gymnastics had the highest percentage (12%) clinically treated patients, whereas basketball had the smallest percentage (2%) of clinically treated patients. The most frequent type of injury was distorsion, except for hockey, in which contusion had the highest percentage of occurrence. For all five types of sports, the majority (about 90%) of the injuries were observed at either the lower or at the upper extremities.

Terrorist Bombing Experiences During 1975-1979 in Jerusalem

1985 ◽  
Vol 1 (S1) ◽  
pp. 350-355
Author(s):  
Jakov Adler ◽  
E. Golan ◽  
J. Golan ◽  
M. Yitzhaki ◽  
N. Ben-Hur
Keyword(s):  
Emergency Department ◽  
Injury Severity Score ◽  
Severity Score ◽  
Injury Severity ◽  
Acoustic Trauma ◽  
Neck Injuries ◽  
The Public ◽  
Blast Effect ◽  
Extremity Injuries ◽  
Terrorist Bombing

AbstractDuring 4½ years, 24 terrorist explosions occurred in Jerusalem. of 511 casualties, 340 were evacuated to the Emergency Department of our hospital. of a total of 272 admissions graded by the Injury Severity Score (ISS), 87% were light injuries, 2.9% medium and 10% severe. The high proportion of light injuries may be explained by the evacuation of all casualties to the nearest hospital by the public. The distribution of injuries to body areas is discussed. Head and neck injuries comprised 19.3% and extremity injuries 39%. The most common primary blast effect was acoustic trauma encountered in 16.3%. Solutions to the most commonly encountered problems in the Emergency Department are discussed.

scholarly journals Considerations and Evaluations on Abdominal Trauma in Pediatric Age.

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Agron Dogjani ◽  
Kastriot Haxhirexha ◽  
Edvin Selmani ◽  
Hysni Bendo ◽  
Amarildo Blloshmi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Injury Severity Score ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Severity Score ◽  
Injury Severity ◽  
Pediatric Trauma ◽  
Pediatric Age ◽  
Predictive Tool ◽  
Trauma Score

Background: Trauma is the leading cause of morbidity and mortality in pediatric age. Abdominal trauma is the third most frequent cause of trauma injuries in children. The purpose of our study is to discuss BATp epidemiology and its relationship with polytrauma, , to recognize and describe the mechanisms of blunt abdominal trauma in pediatric age and to identify the signs and symptoms that associate it. Material and methods: In this retrospective study we reviewed all patients with blunt abdominal trauma in pediatric age who presented in Emergency Department at the University Hospital of Trauma in Tirana, Albania in the period between December 1-st 2017 and June 24-th 2018. The sample in the study was taken randomly. The Injury Severity Score, Revised Trauma Score were used as important points to evaluate gravity of injuries, and method of treatment. The data was introduced in absolute and percentage values and Kendal's tau b correlation coefficient and the regression analysis was used to analyze and to find out any association among the dependent versus independent variable. The type of study is case control with two components; descriptive and analytical. Results: In the time period that we studied, about 25200 patients were presented in Emergency department and 6.68% of these cases were hospitalized. Most frequent causes were motor vehicle accidents (35.4%) and abdominal trauma comprised 25.8% of cases, whereas in children it comprised 13.7% of total pediatric trauma. We have found correlation between the injury severity score and complications rate (r = 0.254, n = 49, p <0.001), and injury severity score with length of hospital stay (r = 0279, n = 49, p <0.001). Conclusions: Blunt Abdominal Trauma in pediatric age is a serious threat to the health of the children. Their treatment should be carried out not only in tertiary trauma centers but in every regional hospital. The trauma score is very valuable to determine the gravity of the injury, method of treatment and is a predictive tool in trauma outcomes.

Moped Crashes are Just as Dangerous as Motorcycle Crashes

2018 ◽  
Vol 84 (6) ◽  
pp. 826-830
Author(s):  
Jessica L. Weaver ◽  
Keith R. Miller ◽  
Matthew Benns ◽  
Brian G. Harbrecht
Keyword(s):  
Emergency Department ◽  
Injury Severity Score ◽  
Severity Score ◽  
Injury Severity ◽  
Vertebral Body Fractures ◽  
University Of Louisville ◽  
Serious Injury ◽  
Minor Injuries ◽  
The University ◽  
Motorcycle Crashes

Mopeds’ (MP) limited speed gives the impression that they are safer than motorcycles (MCs), but factors other than speed may contribute to crash outcome. Records of patients involved in MC or MP crashes evaluated at the University of Louisville Hospital emergency department between 2010 and 2014 were reviewed. Among patients who required hospital admission, the frequency of rib fractures, hemo- or pneumothorax, abdominal injury, extremity injury, and vertebral body fractures were greater in the MC group, whereas head and facial injuries were more common in the MP group. Positive toxicology screens were equivalent (MC 51.8% vs MP 56.8%, P = 0.25), and fewer MP riders wore helmets (33.8% vs 9.2%, P < 0.01). The injury severity score for MC was higher (15.2 vs 13.9, P = 0.039), but mortality was equivalent between groups (7.5 vs 7.6%, P = 0.98). Among patients discharged from the emergency department with minor injuries, frequency of all injury types were equivalent. Although MC patients had a statistically higher injury severity score, differences were clinically similar with equal mortality rate. Moped riders are just as likely to suffer death or serious injury after a crash compared with MC riders, and injury prevention efforts should be aimed at both groups.

scholarly journals Evaluation of prognostic predictors of mangled extremity severity scoring system on the outcome of traumatic extremities injuries at emergency department in Suez Canal University Hospitals

2016 ◽  
Vol 4 (1) ◽  
pp. 75 ◽  
Author(s):  
Ahmed A. Essa ◽  
Islam M. El-Shaboury ◽  
Yasmin E. El-Beltagy
Keyword(s):  
Emergency Department ◽  
Severity Score ◽  
Scoring System ◽  
Suez Canal ◽  
Lower Limbs ◽  
University Hospital ◽  
Severity Scoring ◽  
Mangled Extremity ◽  
Limb Injuries ◽  
Significant Difference

Background:Severe traumatic lower limbs injuries have been associated with high incidence of multiple systems involved (integument, nerve, bone, and vascular structures). That’s make difficulty and stress on surgeon’s decision making either to amputate or preserve the injured limbs. The Mangled Extremity Severity Score (MESS) was developed in Seattle (Johansen et al), based on both retrospective and prospective analysis of admission data of patients with severe limb injuries. The objective of this study was to evaluation of the prognostic predicting factors of outcome of traumatic extremities patients using Mangled Severity Scoring System at Emergency Department in Suez Canal University Hospital in order to help surgeon to make decision either to preserve or to amputate.Methods: This is a descriptive study (cross sectional), conducted on 60 patients with severe extremities injuries that met the criteria of the Mangled Extremity Severity Scoring attending to the Emergency Department (ED) at Suez Canal University Hospital.Results:This study showed that 83.33% of the patients had associated fractures, 8.33% of them had pneumothorax, 5% of them had abdominal collection and 3.33% of them had brain injuries. This study showed that 75% of the studied patients had MESS less than 7 while 25% of them had MESS > or = 7. The Mangled scoring system was a good predictor of amputation among the studied patients with sensitivity of 71.4%, specificity of 100% and 90% accuracy.Conclusions:Most of the patients had Mangled Extremity Severity Score less than 7. The MESS showed statistically significant difference between the amputated and the not amputated patients with 90% accuracy in prediction of amputation.

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