Scand J Trauma Resus
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Scand J Trauma Resus · Nov 2016
Multicenter StudyHemodynamic, management, and outcomes of patients admitted to emergency department with heart failure.
Heart failure is one of the leading reasons for hospitalization in developed countries. Our goal was to describe the hemodynamic vital signs (heart rate and systolic blood pressure) of patients presenting to the emergency department (ED) with heart failure and to describe the frequency of adverse events for patients presenting with various heart rate and systolic blood pressure values. ⋯ We found a relatively high frequency of serious adverse events among patients who present to the ED with heart failure, particularly among the patients having low systolic blood pressure and high heart rate.
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Scand J Trauma Resus · Nov 2016
Comparative StudyWhich score should be used for posttraumatic multiple organ failure? - Comparison of the MODS, Denver- and SOFA- Scores.
Multiple organ dysfunction and multiple organ failure (MOF) is still a major complication and challenge in the treatment of severely injured patients. The incidence varies decisively in current studies, which complicates the comparability regarding risk factors, treatment recommendations and patients' outcome. Therefore, we analysed how the currently used scoring systems, the MODS, Denver- and SOFA Score, influence the definition and compared the scores' predictive ability. ⋯ All three scores have a comparable ability to predict the outcome in trauma patients including patients with severe traumatic brain injury (TBI). Either score could be favored depending weather a higher sensitivity or specificity is targeted. The SOFA score showed the most balanced relation of sensitivity and specificity. The incidence of posttraumatic MOF relies decisively on the score applied. Therefore harmonizing the competing scores and definitions is desirable.
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Scand J Trauma Resus · Nov 2016
Analysis of thromboelastography, PT, APTT and fibrinogen in intraosseous and venous samples-an experimental study.
Laboratory analysis of coagulation is often important in emergencies. If vascular access is challenging, intraosseous catheterization may be necessary for treatment. We studied the analysis of coagulation parameters in intraosseous aspirate during stable conditions and after major haemorrhage in a porcine model. ⋯ Although the sample is small, these data indicate that intraosseous samples are hypercoagulable, which may limit their usefulness for coagulation studies. Major haemodilution only moderately affected the studied parameters.
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Scand J Trauma Resus · Oct 2016
Randomized Controlled TrialMyocardial function at the early phase of traumatic brain injury: a prospective controlled study.
The concept of brain-heart interaction has been described in several brain injuries. Traumatic brain injury (TBI) may also lead to cardiac dysfunction but evidences are mainly based upon experimental and clinical retrospective studies. ⋯ STE revealed a correct adaptation of the left systolic function, while the diastolic function slightly impaired.
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Scand J Trauma Resus · Oct 2016
Physical function and pain after surgical or conservative management of multiple rib fractures - a follow-up study.
There is scarce knowledge of physical function and pain due to multiple rib fractures following trauma. The purpose of this follow-up was to assess respiratory and physical function, pain, range of movement and kinesiophobia in patients with multiple rib fractures who had undergone stabilizing surgery and compare with conservatively managed patients. ⋯ Patients undergoing surgery have a similar long-term recovery to those who are treated conservatively except for a better range of motion in the thorax and fewer limitations in physical function. Surgery seems to be beneficial for some patients, the question remains which patients.