European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Oct 2014
The impact of body mass index and gender on the development of infectious complications in polytrauma patients.
The aim was to test the impact of body mass index (BMI) and gender on infectious complications after polytrauma. ⋯ Higher BMI seems to be protective against polytrauma-associated death but not polytrauma-associated infections, and female gender protects against both polytrauma-associated infections and death. Understanding gender-specific immunomodulation could improve the outcome of polytrauma patients.
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Eur J Trauma Emerg Surg · Oct 2014
Risk stratification, management and outcomes in emergency general surgical patients in the UK.
The Royal College of Surgeons of England (RCS) published guidance in 2011 setting standards for the management of emergency surgical patients with the aim of reducing surgical mortality. These suggested the presence of a consultant surgeon and anaesthetist, and transfer to a higher level of care postoperatively for all patients deemed high risk. ⋯ There is currently incomplete adherence to the national guidelines, but this does not seem to adversely impact postoperative mortality.
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Eur J Trauma Emerg Surg · Oct 2014
Titanium osteosynthesis hardware in maxillofacial trauma surgery: to remove or remain? A retrospective study.
A 5-year retrospective study evaluated the incidence and causes for removal of titanium miniplates. ⋯ The low incidence of complication related plate removal (7 %) in the mid and upper face in this study suggests that routine removal of asymptomatic titanium miniplates after maxillofacial trauma at these sites may not be beneficial. The high rate of mandibular site complications (19 %) in this study suggests that routine removal of titanium hardware from mandibular sites may be indicated.