European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Aug 2016
Multicenter Study Comparative StudySevere Trauma in Estonia: 256 consecutive cases analysed and the impact on outcomes comparing two regions.
The purpose of this study was to investigate epidemiology of severe injuries in Estonia while comparing outcomes at regional trauma facilities. ⋯ The annual incidence of injuries with ISS > 15 was 256 cases with overall mortality at 20.7 % in Estonia. We observed comparable adjusted outcomes at the major regional trauma facilities. This study contains benchmarking data on severely injured patients in Estonia providing potential for future trauma care evaluation and regional outcome comparisons.
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Eur J Trauma Emerg Surg · Aug 2016
Randomized Controlled TrialThe role of pharmacological steroid therapy in preservation of renal function in severely injured patients requiring massive transfusion.
Glucocorticoids (GC) attenuate the post-insult inflammatory response and have been observed to confer end-organ protection following a variety of ischemic insults. We aim to assess this benefit on renal perfusion and function in injured patients requiring massive transfusion. ⋯ In the absence of larger studies, this study demonstrates that GC likely have no role in preserving renal function in severely injured patients.
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Eur J Trauma Emerg Surg · Aug 2016
Simple scoring system for prediction of mortality in Fournier's gangrene.
To create new scoring system for prediction of hospital mortality for patients with Fournier's gangrene(FG). ⋯ Our scoring system shows adequate discriminatory function for prediction of mortality in patients with FG. Further larger scale studies can improve the performance of our score.
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Eur J Trauma Emerg Surg · Aug 2016
ReviewIs Achenbach's syndrome a surgical emergency? A systematic review.
The aim of this study is to establish the nature (urgent vs. non-urgent), demographics, presentation and management of Achenbach's syndrome and to formulate an algorithmic approach for their diagnosis and management. ⋯ AS is self-limiting and a non-urgent surgical condition. It can be differentiated from other pathologies by clinical spectrum, patient demographics and in doubtful circumstances (acute limb ischemia) by Doppler sonography. An algorithmic approach can avoid hospital admissions, partially unnecessary investigation and assist in patient assurance.
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Eur J Trauma Emerg Surg · Aug 2016
Reverse sural flap with an adipofascial extension for reconstruction of soft tissue defects with dead spaces in the heel and ankle.
The reconstruction of soft tissue defects with dead spaces in the heel and ankle is challenging. This article describes our experience in the reconstruction of such defects using the reverse sural flap with an adipofascial extension. ⋯ The extended adipofascial tissue of the reverse sural flap improves closure of the dead spaces in soft tissue defects of the heel and ankle and thus provides beneficial conditions for the treatment of infection and reconstruction of both the function and contour of the soft tissue defects with dead spaces in the heel and ankle.