Search Results
Results 451 - 500 of 1761
< 5 6 7 8 9 10 11 12 13 14 15 >
Nayak Chandrika D - - 2008
CONTEXT: Acute oxidative stress following a traumatic head injury (HI) has been implicated in inducing severe secondary brain damage and influencing the clinical outcome of HI patients. AIMS: This study was performed to evaluate and compare the oxidative changes in patients with varying severity of HI in the early posttraumatic ...
Efron David T - - 2008
BACKGROUND: Recent evidence demonstrates improved survival for septic and bacteremic patients receiving 3-hydroxy-3-methyl-glutaryl-CoA reductase inhibitors (statins). Victims of severe traumatic injury share similar inflammatory cascades to those seen in septic patients. We hypothesized that elderly (aged >/=65 years) trauma patients might derive a similar outcome benefit from preinjury statin use. ...
Budd Henry R - - 2008
A continuous process of trauma centre evaluation is essential to ensure the development and progression of trauma care at regional, national and international levels. Evaluation may be by comparison between pooled datasets or by direct benchmarking between centres. This study attempts to benchmark mortality at two trauma centres standardising this ...
Kopelman Tammy R - - 2008
OBJECTIVE:: Hyperglycemia (blood glucose >/=110 mg/dL) in trauma patients without a known history of diabetes mellitus (DM) is often attributed to the metabolic stress response of injury. We studied whether this hyperglycemia may actually indicate the presence of occult DM (ODM) as demonstrated by elevated glycosylated hemoglobin A1C (gHbA1C). METHODS:: ...
Donovan Daniel J - - 2008
INTRODUCTION: Aeromedical evacuation of patients with posttraumatic and/or post-surgical pneumocephalus has often been regarded with great concern. The expansion of intracranial air with increasing altitude can theoretically result in tension pneumocephalus, with potentially fatal results. This concern is primarily based on extremely rare case reports and theoretical models rather than ...
Lopes José António - - 2008
INTRODUCTION: Whether discernible advantages in terms of sensitivity and specificity exist with Acute Kidney Injury Network (AKIN) criteria versus Risk, Injury, Failure, Loss of Kidney Function, End-stage Kidney Disease (RIFLE) criteria is currently unknown. We evaluated the incidence of acute kidney injury and compared the ability of the maximum RIFLE ...
Simmons Jon D - - 2008
Pericardial tamponade (PT) after penetrating thoracic injury can be lethal if not diagnosed and treated promptly. Most patients present with PT shortly after their injuries occur, but delayed presentation of PT (delayed pericardial tamponade [DPT]) has occurred as late as 73 days after initial injury. Initial evaluation of patients with ...
Cotton Bryan A - - 2008
BACKGROUND: Timely diagnosis and treatment of adrenal insufficiency (AI) dramatically reduces mortality in trauma patients. We sought to identify risk factors and populations with a high risk of developing AI. DESIGN: Retrospective registry study. SETTING: Academic level I trauma center. PATIENTS: All trauma patients in the intensive care unit who ...
Holt Joshua - - 2008
Inhaled heparin/N-acetylcystine (AHA) has been reported to decrease mortality in children with inhalation injury. The use of AHA therapy in adult burn patients with inhalation injury has not been evaluated. We hypothesized that patients who received AHA therapy in the management of inhalation injury would have better pulmonary mechanics and ...
Wicklund A H - - 2008
The psychological consequences of electrical injury (EI) are many. Depression, posttraumatic stress disorder, anxiety, and somatic preoccupation are often concomitant with this type of injury (Kelley, Pliskin, Meyer, & Lee, 1994). The present study utilized the MMPI-2 as a tool for characterizing profiles of psychological distress in EI. We examined ...
El Atat Rabii - - 2008
BACKGROUND: Herein, we present the largest series of penile fracture ever published. We evaluate the clinical presentation, the outcome of the treatment and the prognosis. METHODS: We retrospectively studied patients with penile fracture treated from 1975 to 2005. RESULTS: Three hundred patients were included in this study. The mean patient ...
Timofeev I I Academic Neurosurgery Unit, Department of Clinical Neurosciences, University of Cambridge, Addenbrooke's Hospital, P.O. Box 167, Hills Road, Cambridge CB2 0QQ, UK. - - 2008
The aim of this study was to evaluate the effect of ventriculostomy on intracranial pressure (ICP), and related parameters, including cerebrospinal compensation, cerebral oxygenation (PbtO2) and metabolism (microdialysis) in patients with traumatic brain injury (TBI). Twenty-four patients with parenchymal ICP sensors were prospectively included in the study. Ventriculostomy was performed ...
Scarborough Kristin K Trauma Research Department, Swedish Medical Center, 501 E Hampden Ave, Room 4-454, Englewood, CO 80113. - - 2008
To determine if a change in trauma designation from level II (L2) to level I (L1) in the same institution reduces mortality. A retrospective cohort study of all patients consecutively admitted to a community hospital trauma center. The upgrade to trauma L1 designation (January 1, 2003-March 31, 2007) (n = ...
Bartoletti Angelo - - 2008
AIMS: To evaluate the prevalence and the characteristics of secondary trauma among patients referred to the emergency department (ED) for a transient loss of consciousness (TLOC). METHODS AND RESULTS: Over a 24 months period, all the patients referred to our ED for a TLOC were evaluated according to the ESC ...
Sato Yukihito - - 2008
During the progression of heart failure (HF), phases of chronic compensation and acute decompensation alternate and the clinical status worsens during the acute phase. At the present time, few studies have focused their attention on the cycles of compensated and decompensated phases from the perspective of myocyte injury. We hypothesize ...
Kim Hyung-Joo - - 2007
OBJECTIVES: To estimate the prevalence of ED in electrical injury patients and correlate the results with the electric voltage and the pathway of electric current at the time of injury. METHODS: Mails and phone surveys had been undertaken to 416 electrical injury patients who had been admitted with electrical injury ...
Leksan Igor - - 2007
A sample of 38 patients aged under 14 treated at the Surgery Clinic of the University Hospital Osijek has been used in showing therapeutic guidelines supported by patients' functional status after the completed treatment. The patients suffered from supracondylar fractures caused by traffic accidents and classified into three types according ...
Sham E H - - 2007
This is a cross-sectional study design aimed to determine the prevalence of Chorda Tympani Nerve (CTN) injury and related symptoms following myringoplasty. Thirty patients were included in this study. The methods used were measuring taste thresholds using electrogustometer to map taste threshold on the anterior two-third of the tongue on ...
Negrine John P - - 2007
Rupture of the tibialis anterior tendon is an unusual injury. Most ruptures occur in elderly men with a history of minor trauma. The sudden occurrence of a "foot drop" is often the presenting symptom. The diagnosis is frequently delayed. The acute rupture is best treated by direct repair. Treatment of ...
Cintra Eliane de Araújo Ede - - 2007
BACKGROUND: Disorders of water and sodium balance are frequently seen in patients with severe brain injury (SBI), and may worsen their prognosis. PURPOSE: To evaluate vasopressin (AVP) serum levels and sodium and water balance disorders during the first week post-injury in patients with SBI. METHOD: Thirty-six adult patients with SBI ...
Viallon Alain - - 2007
INTRODUCTION: Acute pain still persists in patients under treatment after admission to emergency departments (ED). The objective of this study was to determine the efficacy of 1 g of paracetamol in patients presenting an osteoarticular injury. MATERIALS AND METHODS: This prospective study included all patients admitted to the ED with ...
Gunst Mark A - - 2007
BACKGROUND: Hypotension is a well-known predictor of mortality in pediatric trauma patients. However, it is unknown whether the mortality rate is higher in patients with traumatic brain injury (TBI) than in those without TBI. We hypothesized that systemic hypotension increases mortality in pediatric patients with TBI more than it does ...
Thorelius Lars - - 2007
BACKGROUND: There is no controversy about the use of CT for detection of internal injuries in patients with high-energy multitrauma. However, in most patients isolated blunt abdominal trauma is mild or moderate and the risk of injury to organs other than the liver, spleen or kidneys is minimal. CT scanning ...
Dragan MaƂgorzata - - 2007
Recent studies show a high prevalence of traumatic events in samples of patients with a substance use disorder. In the present study, the lifetime exposure to potentially traumatic events (PTEs) was estimated in a sample of 458 patients recruited at 17 randomly chosen alcohol-dependence treatment units in the public healthcare ...
Rambani Rohit - - 2007
Unilateral musculoskeletal below-knee injuries occur with great frequency. Patients who cannot bear weight on an injured limb usually mobilize themselves with standard crutches. When the patient also has an upper limb injury, however, mobilization might be impossible, and can result in a lengthy in-patient stay. A randomized control trial was ...
Cohen Mitchell Jay - - 2007
INTRODUCTION: Early coagulopathy after traumatic brain injury (TBI) is thought to be the result of injury-mediated local release of tissue factor, although the precise mechanisms that cause hypoperfusion and early systemic coagulopathy in TBI patients are unknown. We have previously reported that early systemic coagulopathy after trauma is present only ...
Brown Carlos V R - - 2008
BACKGROUND: The natural history of posttraumatic renal failure (PTRF) is not well-established. Overall prognosis and risk factors for need for dialysis in the setting of PTRF need more precise definition. STUDY DESIGN: We conducted a retrospective review of the trauma registry information from Los Angeles County-University of Southern California Medical ...
Shires, G. T.
Hypothermia occurs as the core temperature decreases below 35 degrees C. Many patients become hypothermic after severe injury due to environmental exposure during transportation, infusion of cold fluids, and decreased ability to maintain normal core body temperature (37 degrees C). Patients with severe trauma die because of hypothermia, metabolic acidosis, ...
Riess Kevin P - - 2007
BACKGROUND: Trauma to the brachial plexus may result in devastating neurologic dysfunction associated with musculoskeletal and vascular injuries. METHODS: Twenty-nine patients with unilateral brachial plexus injury caused by blunt trauma treated at a single institution were identified and divided into two subgroups: those with isolated brachial plexus injury (ISOL) (n ...
Sharma Om P - - 2007
Tracheostomy is associated with increased aspiration rates, and swallowing disorders have not been well-studied in trauma patients with tracheostomy. Swallowing evaluations were conducted in 224 patients (102 trauma and 122 nontrauma patients). Half of the patients in each group had tracheostomies. Bedside swallow studies were conducted in 40 patients, videofluoroscopy ...
Hoey Brian A - - 2007
BACKGROUND: The autopsy remains the gold standard for evaluating traumatic deaths. The number of autopsies performed has declined dramatically. This study examines whether postmortem computed tomography ("CATopsy") can be used to determine cause of death in trauma patients. METHODS: Patients who presented to the trauma service and subsequently died within ...
Mehrazin Reza - - 2007
OBJECTIVES: Adrenal gland injury is a potentially devastating event if unrecognized in the treatment course of a trauma patient. We reviewed our single-center experience and outcomes in patients with adrenal gland trauma. METHODS: We performed a retrospective review of all patients presenting with trauma to the Regional Medical Center at ...
Kerby Jeffrey D - - 2007
BACKGROUND: The Glasgow Coma Scale (GCS) score is widely accepted as the cornerstone in the assessment of neurologic function after trauma and is being used to select patients for enrollment in prehospital (Ph) intervention trials. This study was performed to assess the degree of agreement between Ph-GCS and emergency department ...
Unglaub Frank - - 2007
Very little is known about the degeneration or healing process in traumatic triangular fibrocartilage complex (TFCC) lesions. Forty-two patients with symptomatic central traumatic tears in the TFCC (Palmer 1 A) were included in this study. The cartilage was debrided arthroscopically and used for histologic examination. Histologic sections were stained with ...
Stulemeijer M - - 2008
BACKGROUND: Predicting outcome after mild traumatic brain injury (MTBI) is notoriously difficult. Although it is recognised that milder head injuries do not necessarily mean better outcomes, less is known about the factors that do enable early identification of patients who are likely to recover well. OBJECTIVE: To develop and internally ...
Mossberg Kurt A - - 2008
BACKGROUND AND PURPOSE: The primary goal of body-weight-supported treadmill training (BWSTT) has been to improve the temporal and spatial characteristics of unsupported overground walking; however, little attention has been given to cardiorespiratory adaptations. The purpose of this case report is to describe the effects of BWSTT on cardiorespiratory fitness in ...
Liao Cheng-Chih - - 2007
BACKGROUND: This study analyzed the outcomes for clinical application of transarterial embolization (TAE) to treat intractable posttraumatic oronasal hemorrhage in patients who suffered from craniofacial injuries. METHODS: The charts and radiologic and operative records of 34 patients from January 2002 to December 2007 were retrospectively reviewed. Inclusion criteria focused on ...
Kuo J-R - - 2007
The correlations between D-dimer and Glasgow Coma Scale (GCS), pupillary light reflex, distance of midline shift on brain computed tomography (CT), and Glasgow Outcome Score (GOS) in patients with trauma/non-trauma intracranial hemorrhage (ICH) are not consistent in studies. Ninety-eight traumatic and 59 non-traumatic ICH patients were studied. Pre-existing venous thrombosis, ...
Calfee Carolyn S - - 2007
Patients with trauma-associated acute lung injury have better outcomes than patients with other clinical risks for lung injury, but the mechanisms behind these improved outcomes are unclear. We sought to compare the clinical and biological features of patients with trauma-associated lung injury with those of patients with other risks for ...
Ottosson Carin - - 2007
BACKGROUND: Early identification of patients at risk for delayed recovery after an injury is important to effectively target rehabilitation. This study presents a new instrument, the Prediction of Prolonged Self-Perceived Recovery After Musculoskeletal Injuries questionnaire (PPS), for prediction of self-perceived nonrecovery after musculoskeletal injuries. METHODS: On the basis of a ...
McAllister David R - - 2007
Posterior cruciate ligament (PCL) injuries are less common than other knee injuries and may result in a spectrum of symptoms and disability. The predictive factors that may determine which patients with isolated PCL lesions will develop knee pain and degenerative arthritis have yet to be identified. As such, the optimal ...
Khan Inayatullah - - 2007
BACKGROUND: To evaluate the use of pedicle screw fixation in earthquake injured thoracolumbar spine. METHODS: Nineteen patients with posttraumatic instability of lower thoracic or upper lumbar spine were included in the study. White and Panjabi criteria was used to assess spinal instability. All patients underwent open reduction and internal fixation ...
Giannoudis Peter V - - 2007
BACKGROUND: We wished to determine the characteristics of patients with pelvic ring fractures (PGs) in England and Wales, make comparisons to major trauma patients without pelvic injury (NPGs), and determine factors predicting mortality, including the impact of presence of pelvic reconstruction facilities in the receiving hospitals on outcome. METHODS: Prospective ...
Yokota Hiroyuki - - 2007
We demonstrate that in head injuries the degree of cerebral endothelial activation or injury depends on the type of brain injury and the patients age, and that in severe head injuries measuring the serum levels of thrombomodulin (TM) and von Willebrand factor (vWF) is useful in evaluating cerebral endothelial injury ...
Yegiyants Sara - - 2007
A retrospective review was conducted to analyze the effect of methamphetamine use in trauma patients. Charts of all trauma patients admitted to Kern Medical Center from January 1, 2003, to January 5, 2006 (36 months) were analyzed for length of stay, intensive care unit (ICU) admission rate and number of ...
Tolonen Anu A Käpylä Rehabilitation Centre, Finnish Association of People with Mobility Disabilities, Helsinki, Finland. - - 2007
To investigate the occurrence and severity of traumatic brain injury in patients with traumatic spinal cord injury. Cross-sectional study with prospective neurological, neuropsychological and neuroradiological examinations and retrospective medical record review. Thirty-one consecutive, traumatic spinal cord injury patients on their first post-acute rehabilitation period in a national rehabilitation centre. The ...
Pieracci Fredric M - - 2007
BACKGROUND: Previous studies addressing the relationship between anticoagulation and risk of traumatic intracranial hemorrhage (ICH) have provided conflicting results, and have examined infrequently elderly patients after falls. We used a statewide hospital discharge database to test the hypothesis that long-term anticoagulation (LTA) increases the likelihood of traumatic ICH and subsequent ...
Yokota Hiroyuki - - 2007
Elevated serum levels of thrombomodulin (TM) and von Willebrand factor (vWf) are good indicators of injury and activation of cerebral endothelium in patients with severe simple head injury. The present study evaluated cerebral endothelial injury or activation as the serum levels of TM and vWf in elderly and younger patients ...
Pirouzian Amir - - 2007
Three cases of severe globe injuries due to scleral fragility in osteogenesis imperfecta patients between the ages of 4 and 15 years are reported. Patient 1 had complete loss of vision. Patients 2 and 3 suffered non-sight-threatening scleral perforation. All 3 patients had no previous knowledge of recommendation for eyewear ...
Mohindra Sandeep - - 2008
BACKGROUND: In spite of the decline in mortality among trauma patients, with advanced trauma care, the outcome for elderly patients remains poor. Both operative and nonoperative outcome for elderly patients after head trauma has resisted improvement. METHODS: Forty-five consecutive patients 70 years or older were included in the study. All ...
< 5 6 7 8 9 10 11 12 13 14 15 >