European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Jun 2022
Healthcare utilization and satisfaction with treatment before and after direct discharge from the Emergency Department of simple stable musculoskeletal injuries in the Netherlands.
To evaluate healthcare utilization and satisfaction with treatment before and after implementing direct discharge (DD) from the Emergency Department (ED) of patients with simple, stable musculoskeletal injuries. ⋯ II.
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Eur J Trauma Emerg Surg · Jun 2022
Management of subtrochanteric femur fractures: is open reduction associated with poor outcomes?
The aim of this study was to identify factors associated with the need for open reduction in subtrochanteric femoral fractures and investigate the effect of cerclage wiring compared to open reduction alone, on the development of complications, especially infection and non-union. ⋯ III.
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Eur J Trauma Emerg Surg · Jun 2022
Delayed diagnosed trauma in severely injured patients despite guidelines-oriented emergency room treatment: there is still a risk.
Emergency trauma room treatment follows established algorithms such as ATLS®. Nevertheless, there are injuries that are not immediately recognized here. The aim of this study was to evaluate the residual risk for manifesting life-threatening injuries despite strict adherence to trauma room guidelines, which is different to missed injuries that describe recognizable injuries. ⋯ Level II: Development of diagnostic criteria on the basis of consecutive patients (with universally applied reference "gold" standard).
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Eur J Trauma Emerg Surg · Jun 2022
Incidence, risk factors and clinical course of pyogenic spondylodiscitis patients with pulmonary embolism.
In patients with pyogenic spondylodiscitis, surgery is considered the treatment of choice to conduct proper debridement, stabilise the spine and avoid extended bed rest, which in turn is a risk factor for complications such as deep vein thrombosis and pulmonary embolism. ⋯ Surgery for pyogenic spondylodiscitis was not associated with an elevated risk of pulmonary embolism in our analysis. However, we describe several risk factors for pulmonary embolism in this vulnerable cohort. Prospective studies are necessary to improve prevention and postoperative management in patients with pyogenic spondylodiscitis.
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Eur J Trauma Emerg Surg · Jun 2022
Risk factors of surgical mortality in patients with Clostridium difficile colitis. A novel scoring system.
The purpose of the study is to identify the risk factors of mortality and develop a risk scoring system in patients who underwent colectomy due to Clostridium difficile colitis (CD-C). ⋯ Level of evidence: IV.