Ulus Travma Acil Cer
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Objective evaluation of the severity of injured patients is crucial for the adequate triage, decision-making, operative and intensive care management, prevention, outcome studies and system quality assessment. This study aimed to compare six, widely- used, trauma scores as predictors of mortality, and to identify the most powerful among them in limited-resources settings. ⋯ According to our study the most powerful mortality predictors are APACHE 2 and TRISS, even in limited-resources hospital settings, while statistically significant KTS, did not perform as expected. We propose the appliance of the KTS, as the tool for exploiting 'golden hour', ISS or NISS during admission stage and APACHE 2 or TRISS for use in the first 24 hours after admission to ICU.
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Ulus Travma Acil Cer · Oct 2022
Acute appendicitis over the age of 50: The evaluation of the impact of clinical variables on operative and post-operative outcomes.
Studies reported higher mortality and perforation rates, marked increase in delay from symptom onset to hospital admission, significant complication rates, as well as excessive malignancy outcomes on histopathological examinations in patients older than 50 years of age with acute appendicitis. Herein, it was aimed to reveal the clinical, laboratory, and imaging findings that might affect the operative and post-operative findings in a population of patients over the age of 50 who were diagnosed with and operated for acute appendicitis. ⋯ The management of acute appendicitis in late adulthood was suggested to be challenging both in terms of diagnosis and post-operative processes. Therefore, pre-operative clinical, laboratory, and imaging data obtained from these patients should be carefully and elaborately evaluated.
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Ulus Travma Acil Cer · Oct 2022
Surgical treatment of scapula body fractures extending glenoid fossa: Surgical technique and early results.
The aim of this study was to describe the surgical technique and evaluate functional outcomes following open reduction and internal fixation in patients with scapular fractures. ⋯ This study suggests that scapula fractures extending glenoid articular surface can be safely fixed through the Judet approach and had satisfactory results. In addition, two patients with traumatic suprascapular nerve injury were encountered during the surgery and repaired which may be hard to diagnose with modified or minimal incisional approaches.
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Ulus Travma Acil Cer · Oct 2022
The initial analysis of pediatric fractures according to the AO/OTA fracture classification and mechanisms of injuries.
The epidemiology of pediatric fractures has been changing timely, in a multifactorial fashion. The aim of this study was to put forward a recent 5-year epidemiological analysis of pediatric fractures, according to the current AO/OTA fracture classification, in the current decade of action for road safety. ⋯ To the best of our knowledge, this study represents the first analysis of pediatric fractures according to the AO/OTA classification, over a 5-year period. As a future prospect, further multicentric epidemiological studies are warranted to constitute a sustainable action plan for the prevention of major traumas.
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Ulus Travma Acil Cer · Oct 2022
Fatal land hunting-related injuries in the Eastern Black Sea region-Turkey.
Hunting requires the use of various weapons or tools as professionals according to the characteristics of the creature to be hunted. Deaths during hunting activities may occur as a result of different reasons (firearm wounds, falling from a height, wild animal attack, or natural, etc.). These events' forensic reports are prepared by the physician who performed the first intervention. Identification of wounds, taking measurement photographs of the wounds before treatment, specifying the shape/sizes of foreign bodies in radiological imaging will be beneficial for determining the type of firearm, the number of shots, and the shooting distance. ⋯ It is thought that similar deaths can be prevented to a certain extent thanks to the hunting and medical first aid training to be given by the local governments. Risk control mechanisms must work properly. Besides, it is necessary to ensure that forensic experts can access the results of the proceedings in such cases. It is thought that this will be more beneficial in terms of developing new behavior styles in similar events.