Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jul 2022
The use of routine laboratory testing in acute trauma care: A retrospective analysis.
In more than 60 countries worldwide, laboratory testing plays a challenging and expensive role in trauma resus-citation. In 1995, the literature already suggested that routine laboratory testing may not be useful for most trauma patients. Our study hypothesized that still the need for some laboratory tests perhaps should be reconsidered. Therefore, the aim of this study was to create more insight in the distribution between normal and abnormal parameters for routine laboratory testing in trauma patient management. ⋯ Trauma patients suffer mainly from abnormal values of D-dimer, pO2, glucose, creatinine, and alcohol. By contrast, MCV, INR, amylase, fibrinogen, and thrombocytes are regularly obtained as well, but only abnormal in a small amount of trauma patients. These findings suggest reconsiderations and more accuracy in the performance of laboratory testing, especially for trauma patients with stable vital signs.
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Ulus Travma Acil Cer · Jul 2022
Measuring the shape and dimensions of normal the bony structures in the craniovertebral junction from computed tomography images of the pediatric age group.
The aim of this study is to contribute to the literature by determining the morphometric reference values of the bony structures in the craniovertebral junction (CVJ) from computer tomography (CT) images of the pediatric age group. ⋯ In this study, the morphometric reference values of the bone structures at the CVJ were determined from the CT images of the pediatric age group.
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Ulus Travma Acil Cer · Jul 2022
Does COVID-19 increase the incidence of spontaneous rectus sheath hematoma?
The COVID-19 pandemic started to affect Turkey in March 2020. In this study, we retrospectively investigated spontaneous rectus sheath hematoma (S-RSH) in patients with COVID-19 presenting with acute abdominal pain during the ongoing pandemic. ⋯ In the literature, the incidence of S-RSH in patients presenting with acute abdominal pain is 1.8%. However, in our series, this rate was approximately 3 times higher. Our patients' normal INR and aPTT values suggest that coagulopathy was mostly secondary to endothelial damage. In addition, the significantly higher IL-6 values (p<0.002) indicate the development of vasculitis along with the acute inflammatory process. S-RSH can be more commonly explained the high severity of vasculitis and endothelial damage due to viral infection.
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Ulus Travma Acil Cer · Jul 2022
Comparison of effective factors in loss of reduction after locking plate-screw treatment in humerus proximal fractures.
In proximal humerus fractures, loss of reduction can occur following surgical fixation. The factors that affect loss of reduction in cases treated with locking plates as well as their relationship with the degree of loss of reduction were investigated in this study. ⋯ Many factors influence loss of reduction in proximal humerus fractures after surgical treatment with a locking plate. Supporting the medial region is particularly critical for maintaining reduction in the post-operative period. Furthermore, a relationship was revealed between the amount of medial displacement and the values of head-neck angle and head height.
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Ulus Travma Acil Cer · Jul 2022
Laboratory markers used in the prediction of perforation in acute appendicitis.
In this study, we aimed to evaluate the laboratory markers used in the diagnosis of acute appendicitis (AA) and present the parameters that can be used to predict acute perforated appendicitis. ⋯ We believe that the WBC, total bilirubin, CRP, and NLR values obtained within this study, which is tested in the rapid and easily accessible blood tests in routine examinations that can contribute to the prediction of perforation.