European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Dec 2022
Club cell protein (CC)16 as potential lung injury marker in a porcine 72 h polytrauma model.
Polytrauma and respiratory tract damage after thoracic trauma cause about 25% of mortality among severely injured patients. Thoracic trauma can lead to the development of severe lung complications such as acute respiratory distress syndrome, and is, therefore, of great interest for monitoring in intensive care units (ICU). In recent years, club cell protein (CC)16 with its antioxidant properties has proven to be a potential outcome-related marker. In this study, we evaluated whether CC16 constitutes as a marker of lung damage in a porcine polytrauma model. ⋯ The data confirm for the first time in a larger animal polytrauma model that lung damage was indicated by systemic and/or local CC16 response. Thus, early plasma and late BAL CC16 levels might be suitable to be used as markers of lung injury in this polytrauma model.
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Eur J Trauma Emerg Surg · Dec 2022
ReviewOrthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe.
This study investigated the impact of the Covid-19 pandemic in Europe on consultations, surgeries, and traumas in the field of orthopaedic and trauma surgery. Strategies to resume the clinical activities were also discussed. ⋯ Level IV, systematic review.
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Eur J Trauma Emerg Surg · Dec 2022
ReviewThe conundrum of the definition of haemorrhagic shock: a pragmatic exploration based on a scoping review, experts' survey and a cohort analysis.
Traumatic hemorrhagic shock (THS) is a complex, dynamic process and, no consensual definition of THS is available. This study aims (1) to explore existing definitions of traumatic hemorrhagic shock (THS), (2) to identify essential components of these definitions and (3) to illustrate in a pragmatic way the consequences of applying five of these definitions to a trauma registry. ⋯ This study demonstrates a large heterogeneity in the definitions of THS suggesting a need for standardization. Five candidate definitions were identified in a three-step process to illustrate how each shapes study cohort composition and impacts outcome. The results inform research stakeholders in the choice of a consensual definition.
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Eur J Trauma Emerg Surg · Dec 2022
Meta AnalysisThe effect of cerclage wiring with intramedullary nail surgery in proximal femoral fracture: a systematic review and meta-analysis.
The aim of this study was to evaluate the utility of cerclage wiring with intramedullary nail surgery in the treatment of proximal femoral fractures. ⋯ Intramedullary nailing with cerclage wiring is considered a useful treatment method for proximal femoral fractures. It enables anatomic reduction and stable fixation, thereby reducing union time and facilitating rapid functional recovery.
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Eur J Trauma Emerg Surg · Dec 2022
Analysis of risk factors affecting traffic accident injury in United Arab Emirates (UAE).
The mortality and severe injuries due to traffic accidents in United Arab Emirates (UAE) are hastening the necessity for a study that can identify the consequential risk factors. This study was conducted by utilizing a 5740 traffic accidents police reports that occurred in Abu Dhabi, UAE between 2008 and 2013. A multinomial logit regression model was applied to determine the significant factors among the 14 potential risk factors that were used in this study. ⋯ In contrast, rear-end collisions and intersections had a lower probability of causing fatal injury. Then, the eight significant predictors were included in a neural network to compare the performance of both methods and to identify the normalized importance values for the significant independent variables. The neural network had proven to be more accurate in general than the traditional regression models such as the multinomial logit model.