Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Dec 2011
Introduction of guidelines to facilitate enteral nutrition in a surgical intensive care unit is associated with earlier enteral feeding.
Patients treated postoperatively in surgical intensive care units often receive delayed enteral nutrition. We hypothesized that the introduction of guidelines promoting early enteral nutrition is associated with earlier enteral feeding. ⋯ Introduction of guidelines to facilitate enteral nutrition in a surgical intensive care unit was associated with earlier enteral feeding.
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Eur J Trauma Emerg S · Dec 2011
The use of cerclage wires as a suture passer in the repair of quadriceps tendon ruptures.
We describe a novel, simple and cost-effective method of passing sutures through the patella, without the need for expensive or specialised equipment.
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Eur J Trauma Emerg S · Dec 2011
Health-related quality of life of trauma patients after intensive care: a 2-year follow-up study.
This study aimed to assess the health-related quality of life (HRQOL) in trauma patients 2 years after discharge from an intensive care unit (ICU) in Zunyi, China, and to investigate the possible determinants of HRQOL. ⋯ The HRQOL of a group of Chinese trauma patients after ICU treatment improved from 1 to 2 years after discharge. Age, sex, length of ICU stay, ISS, and existence of head injury were associated with physical or mental HRQOL after discharge. Further studies with more measurements and larger sample sizes are still warranted.
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Eur J Trauma Emerg S · Dec 2011
Long-term follow-up of blowout fractures of the orbital floor reconstructed with a polyglactin 910/PDS implant.
Resorbable alloplastic materials are used in many surgical applications. This retrospective study evaluated the clinical outcome after reconstruction of traumatic orbital floor defects using a polyglactin 910/PDS implant (Ethisorb™). ⋯ Reconstructive surgery of the orbit is one of the most demanding challenges in maxillofacial surgery. For traumatic defects of the orbital floor, reconstruction using a polyglactin 910/PDS implant (Ethisorb(™)) seems to be a reliable method for the repair of small-to-moderate defects.
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Eur J Trauma Emerg S · Dec 2011
Polytrauma in the elderly: specific considerations and current concepts of management.
With an aging and more active older population, an increased incidence of elderly trauma patients, including severely injured geriatric patients, is anticipated. Poorer functional outcomes and increased mortality and morbidity rates in these patients compared to their younger counterparts may be inevitable due to the associated pre-existing medical conditions and the reduced physiological reserves and compensatory mechanisms secondary to aging. However, mortality and complication rates can be reduced, and outcomes can be improved, when prompt and aggressive treatment is provided. ⋯ In the herein study, the special needs of these patients and the current concepts on their management are summarised. Research in this field is ongoing in order to develop advanced management strategies to optimise outcomes. Overall, these patients should not be treated as "older adults", but as a special population with special considerations and the trauma care should be tailored to meet their specific needs.