Injury
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To investigate the prevalence and influencing factors of acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) in trauma patients, and to explore the predictive effect of ASD on PTSD. ⋯ Both trauma conditions and clinical features may affect the occurrence of ASD and PTSD in trauma patients. If ASD in trauma patients is identified early and targeted interventions, it may reduce the occurrence and development of PTSD.
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There is no standardised definition of what constitutes a junctional injury. Although well described in military literature, this is not the case in the civilian setting. This study aims to characterise the epidemiology of the civilian penetrating junctional injuries in our centre. ⋯ Junctional injuries are common and carry a high resource burden. Patients with injuries to the neck, axillae, groin, and buttocks were similar in demographics, resource requirement and cost, although groin injured patients had higher median ISS and cost. Diaphragmatic injuries share some characteristics of junctional injuries, but had significantly higher ISS, blood product use, number of operations, ward length of stay, and cost. The authors support a narrower definition of 'junctional' to exclude diaphragm, such as 'locations adjoining the extremities to the torso'.
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Work-related musculoskeletal (MSK) injuries pose significant challenges to workers' health, productivity, and healthcare systems. Increased working from home since the onset of the COVID-19 pandemic may have affected the incidence and prevalence of work-related MSK injuries. Despite workers' compensation systems providing valuable data, underreporting remains a concern, necessitating additional data sources such as hospital admissions to better understand the burden of MSK injuries. ⋯ The study observed a gradual decrease in the overall incidence rate of hospital admissions for cumulative work-related MSK injuries over the last decade. Despite expectations of disruptions, no significant deviations in MSK injury trends were observed following the onset of the COVID-19 pandemic in Victoria, Australia.