Search Results
Results 351 - 400 of 1761
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Cureton Elizabeth L - - 2010
BACKGROUND: The relationship between lactate and head injury is controversial. We sought to determine the relationship between initial serum lactate, severity of head injury, and outcome. We hypothesized that lactate is elevated in head injured patients, and that initial serum lactate increases as the severity of head injury increases. Furthermore, ...
Morochovic R - - 2009
BACKGROUND AND PURPOSE: Neuronal protein S100B assays are available now with a perspective of being an early screening tool for serious intracranial injury. The aim of the study was to correlate early S100B measurements and initial CCT findings in the patients sustaining mild traumatic brain injury (MTBI). METHODS: The prospective ...
Acio─člu Engin - - 2009
PURPOSE: To identify misdiagnostic points of hemangiopericytomas (HPs) of the head and neck. PATIENTS AND METHODS: We reviewed our clinical records from 2000 to 2007 retrospectively and identified 5 patients with HP of the head and neck. The records of each patient with head and neck HP were evaluated for ...
Wutzler Sebastian - - 2009
BACKGROUND: Monocytes represent a key immunocompetent cell type, whose functional capacity is profoundly influenced by systemic trauma. Because data on monocyte function in a heterogeneous trauma population, including slightly injured patients, is limited, we evaluated whether the magnitude of monocyte dysfunction can be related with injury severity and is useful ...
Brunengraber Lisa N - - 2009
PURPOSE: Serum markers of inflammation and of glucose production are known to reflect the immediate metabolic response to injury. We hypothesized that monitoring of the early C-reactive protein (CRP) and blood glucose (BG) concentrations would correlate with clinical morbidity and outcome measures in pediatric trauma patients. METHODS: A five-year retrospective ...
MacLeod Jana B A - - 2009
Free air in the peritoneum is a portent of significant pathology in the patient with abdominal trauma. The finding of a pneumomediastinum (PM) on a thoracic computed tomography scan (CT) of a trauma patient is, however, not clinically well-defined. The objectives of this study were to evaluate the incidence, pattern, ...
Bluhm Robyn L - - 2009
The "default network" consists of a number of brain regions that exhibit correlated low-frequency activity at rest and that have been suggested to be involved in the processing of self-relevant stimuli. Activity in many of these areas has also been shown to be altered in individuals with posttraumatic stress disorder ...
Al-Refaie Reda E - - 2009
A retrospective study aimed to analyze our experience in 46 patients with blunt traumatic diaphragmatic rupture (BTDR) admitted to our tertiary hospital from 1995 to 2007. Charts, chest roentgenograms (CXR), and computed tomography (CT) scans were carefully reviewed. The mean age was 36.5+/-10.1 years, 36 (78.3%) were males. The etiology ...
Agarwal Mayank Mohan - - 2009
INTRODUCTION: Fracture of the penis is rare and needs a surgeon's attention for appropriate management. The exact role of diagnostic investigations has not been established. We studied the role of these investigations and the results of surgery. CASE SERIES: Seventeen patients with median age of 36 years (range, 27-72 years) ...
Krishna Uma - - 2009
CONTEXT: Attainment of hemodynamic parameters to within a normal range may leave patients in compensatory shock. In such patients, serial blood lactate evaluation can be useful in predicting shock. AIMS: To ascertain the role of serum lactate as a predictor of shock and its outcome in patients of trauma and ...
Yang Chi-Cheng CC Department of Psychology, National Taiwan University, - - 2009
To identify the early clinical features of patients with mild traumatic brain injury (mTBI) that are predictive of the presence of persistent post-concussion symptoms (PPCS). A prospective study was conducted at a level I trauma centre. One hundred and eighty mTBI patients participated in this study. The post-concussion symptoms (PCS) ...
Saggar Vineet - - 2009
Abnormalities of blood coagulation are frequently found in patients of head injury. Exposure to thromboplastin which is abundant in brain plays an important role in initiating coagulopathy. Eighty patients of moderate to severe head injury were screened for platelet count, prothombin time(PT), activated partial thromboplastin time(a-PPTK), fibrinogen degradation products levels(FDP), ...
Acuna Olga M - - 2009
PURPOSE:Open-globe injuries in children can present in a delayed fashion, potentially increasing the risk of endophthalmitis and delaying surgical intervention. This article presents the outcome of pediatric patients with delayed diagnosis of open-globe injuries for 24 hours or more. METHODS:The study was a retrospective observational case series of patients who ...
Schottler J - - 2009
To describe the prevalence and knowledge of autonomic dysreflexia (AD) from patient and caregiver perspectives, and its relationship to the American Spinal Injury Association (ASIA) Impairment Scale (AIS) classification, level of injury, severity of injury, injury etiology, gender and race. Participants were between 1 and 21 years old. Demographic information ...
Murakami Akira M - - 2009
The objective of this study was to determine the clinical and management implications of the finding of active extravasation in blunt or penetrating trauma patients evaluated with abdomino-pelvic computed tomography (CT) using 64MDCT technology. This HIPAA compliant, retrospective study was IRB-approved, and the need for consent was waived. All adult ...
Duane Therèse M - - 2009
The objective of this study was to determine if clinical examination accurately ruled out pelvic fractures in intoxicated patients sustaining blunt trauma A prospective comparison of intoxicated (blood alcohol level [BAL] greater than 0.08 g/dL) to nonintoxicated (BAL less than 0.08 g/dL) patients sustaining blunt trauma was performed between February ...
Billeter Adrian - - 2009
BACKGROUND: Elevated lactate and interleukin-6 (IL-6) levels were shown to correlate with mortality and multiple organ dysfunction in severely traumatized patients. The purpose of this study was to test whether an association exists between 24-hour lactate clearance, IL-6 and procalcitonin (PCT) levels, and the development of infectious complications in trauma ...
Balak Naci - - 2009
It is well known that changes in cerebral hemodynamics occur after traumatic brain injury (TBI). Osmo-regulation in the brain is important for maintaining a constant milieu in the central nervous system. Nevertheless, to our knowledge, early osmolarity changes after minor head injury have not been studied until now. In this ...
Curtis Kate - - 2009
Injury in Australia was responsible for 400 000 hospitalisations in 2002. This study aimed to examine the direct costs of trauma patients in a Level 1 trauma centre and determine the compensability of those patients. Data on all admitted patients (206) filling trauma criteria were collected prospectively over a 3-month ...
Peterson Shane E SE Department of Emergency Medicine, University of Pittsburgh School of Medicine, PA, - - 2009
We characterize the neurocognitive function of patients presenting to the emergency department (ED) with mild traumatic brain injury. This prospective study took place at an urban, academic ED and Level I trauma center. Case patients consisted of a convenience sample of ED patients aged 18 to 59 years, presenting to ...
Weaver Ashley A - - 2009
Pulmonary contusion is the most common thoracic soft tissue injury encountered in motor vehicle crashes and is seen in 10-17% of all trauma admissions. This study presents a biomechanical and radiological analysis with the goal of quantifying pulmonary contusion resulting from motor vehicle crashes in order to illustrate the relationships ...
Kaimbo Wa Kaimbo D - - 2009
PURPOSE: To determine frequency and associated conditions of subconjunctival haemorrhage METHODS: A descriptive and cross-sectional study of all consecutive patients with traumatic and spontaneous subconjunctival haemorrhage (SCH) examined between 1999 and 2004 in a general practice of ophthalmology. RESULTS: There were 58 (0.8%) patients with SCH (61 eyes) among 6843 ...
Peltola Erno K - - 2009
OBJECTIVE: The purpose of this study was to evaluate the incidence, cause, injury patterns, and MRI findings in knee dislocation in patients with normal and increased body mass index and to determine whether obesity interferes with knee MRI examinations. MATERIALS AND METHODS: A retrospective study of the period from 2000 ...
Hoffer Michael E - - 2009
Mild traumatic brain injury (mTBI) caused by blast-related and blunt head trauma is frequently encountered in clinical practice. Understanding the nuances between these two distinct types of injury leads to a more focused approach by clinicians to develop better treatment strategies for patients. In this study, we evaluated two separate ...
Jang Sung Ho - - 2009
Diffusion tensor imaging (DTI) can be useful in detecting corticospinal tract (CST) injury at the subcortical white matter level. In the current study, we attempted to investigate the incidence and distribution of CST injury in patients with diffuse axonal injury (DAI), using DTI. Fourteen patients who showed motor weakness without ...
Metzger Jeffery C - - 2009
Eleven papers on trauma published in Critical Care during 2008 addressed traumatic brain injury (TBI), burns, diagnostic concerns and immunosuppression. In regard to TBI, preliminary results indicate the utility of either magnetic resonance imaging (MRI) or ultrasound in measuring optic nerve sheath diameter to identify elevated intracranial pressure (ICP) as ...
Jeroukhimov Igor - - 2009
Patients with severe pelvic fractures represent about 3% of all skeletal fractures. Hemodynamic compromise in unstable pelvic fractures is associated with arterial hemorrhage in less than 20% of patients. Angiography is an important tool in the management of severe pelvic injury, but indications and timing for its performance remain controversial. ...
Schnüriger Beat - - 2009
This study investigated the role of a negative FAST in the diagnostic and therapeutic algorithm of multiply injured patients with liver or splenic lesions. A retrospective analysis of 226 multiply injured patients with liver or splenic lesions treated at Bern University Hospital, Switzerland. FAST failed to detect free fluid or ...
Di Filippo Alessandro - - 2009
Continuous monitoring of central venous oxygen saturation (ScvO2) has been proposed as a prognostic indicator in several pathological conditions, including cardiac diseases, sepsis, trauma. To our knowledge, no studies have evaluated ScvO2 in polytraumatized patients with brain injury so far. Thus, the aim of the present study was to assess ...
Lögters Tim T - - 2008
Kynurenine, the major degradation product of tryptophan has been shown to directly damage tissues but its possible contribution to posttraumatic morbidity is unknown. Herein, we studied the kinetics of kynurenine in patients after major trauma and whether this correlates with development of posttraumatic sepsis.Kynurenine and tryptophan of 60 multiple injured ...
Bakvis Patricia - - 2009
PURPOSE: Psychogenic nonepileptic seizures (PNES) have long been considered as paroxysmal dissociative symptoms characterized by an alteration of attentional functions caused by severe stress or trauma. Although interpersonal trauma is common in PNES, the proposed relation between trauma and attentional functions remains under explored. We examined the attentional processing of ...
Drasin T Eric - - 2008
OBJECTIVE: The purpose of our study was to determine the clinical significance of the isolated finding of free intraperitoneal fluid on 64-MDCT in male patients who have undergone blunt trauma. MATERIALS AND METHODS: A retrospective study was performed of 669 consecutive male patients, ranging in age from 15 to 85 ...
Rehman Lal - - 2008
OBJECTIVE: To assess the surgical outcome of acute extradural hematoma in terms of neurological recovery and survival. STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: Postgraduate Medical Institute, Neurosurgery Unit, Hayatabad Medical Complex, Peshawar, from January to October 2006. METHODOLOGY: All patients admitted and operated for acute traumatic extradural ...
Davis Kimberly A - - 2008
The purpose of this study was to determine whether trauma team oversight of patient management would positively affect efficiency of care as defined by improved patient throughput, with augmentation of both clinical and economic outcomes. All patients activating the trauma team at a level I trauma center during two time ...
Léduc Stephane - - 2008
Avascular necrosis of the talus is one the most challenging problems encountered in posttraumatic reconstruction of the hindfoot. Since the first description of the talus injury in 1608 by Fabricius of Hilden, our knowledge of the talar anatomy, injuries, sequelae, and management has increased significantly. Adequate knowledge of the etiology, ...
Bruns Brandon - - 2008
BACKGROUND: The American College of Surgeons Committee on Trauma suggests prehospital systolic blood pressure (PSBP) < 90 mm Hg as a criterion for triage of injured patients to trauma centers. However, Advanced Trauma Life Support recognizes this threshold as a late sign of shock. We undertook the current study to ...
Sahuquillo Juan - - 2009
OBJECTIVES: To evaluate the feasibility, safety and effectiveness of a new method of intravascular temperature management for inducing moderate hypothermia (MHT). DESIGN AND SETTINGS: Prospective, international-multicenter clinical trial conducted in four university hospitals. PATIENTS: In a 2-year period 24 patients with severe head injury and refractory high ICP were treated ...
Ahmed Nasim - - 2008
The purpose of this study was to identify the clinical characteristics of the patients in our institution who developed acute acalculous cholecystitis (AAC) after major trauma. Data of all trauma patients who developed AAC from January 2001 through June 2006 were analyzed. Five out of 1386 (0.3%) major trauma patients ...
Theman Kirstin - - 2008
Low voltage electrical injury is associated with minor or no cutaneous burns and its symptoms rarely appear on initial examination. The purpose of this study was to determine the ability to return to work among patients with low voltage electrical injury. A retrospective hospital chart review was conducted among patients ...
Kehinde Elijah O - - 2008
OBJECTIVE: To investigate the effects of antioxidant therapy on the levels of mediators of shock wave induced renal injury in patients with renal calculi treated with extracorporeal shock wave lithotripsy (ESWL). PATIENTS AND METHODS: One hundred and twenty patients with renal calculi were divided into three treatment groups: Group A ...
Cogbill Thomas H - - 2008
BACKGROUND: Airway establishment and hemorrhage control may be difficult to achieve in patients with massive oronasal bleeding from maxillofacial injuries. This study was formulated to develop effective algorithms for managing these challenging injuries. METHODS: Trauma registries from nine trauma centers were queried over a 7-year period for injuries with abbreviated ...
Leone Marc - - 2008
BACKGROUND: Currently, there are limited data available describing the long-term outcomes of chest trauma survivors. Here, the authors sought to describe chest trauma survivor outcomes 6 months and 1 yr after discharge from the intensive care unit, paying special attention to pulmonary outcomes. METHODS: A cohort of 105 multiple trauma ...
Jagannathan Jay - - 2008
OBJECT: The management strategies and outcomes in pediatric patients with elevated intracranial pressure (ICP) following severe traumatic brain injury (TBI) are examined in this study. METHODS: This study was a retrospective review of a prospectively acquired pediatric trauma database. More than 750 pediatric patients with brain injury were seen over ...
Moen Kent Gøran - - 2008
OBJECTIVE: This study compares injury severity and outcome of patients with severe head injury admitted directly to a neurosurgical department with those initially transferred to a local hospital. METHODS: A retrospective analysis of all patients with severe head injury admitted to the Department of Neurosurgery at St Olav University Hospital, ...
Lumpkins Kimberly M - - 2008
BACKGROUND: Glial fibrillary acidic protein (GFAP) is an intermediate filament protein found in the cytoskeleton of astroglia. Recent work has indicated that GFAP may serve as a serum marker of traumatic brain injury (TBI) that is released after central nervous system cell damage. METHODS: Serum from 51 critically injured trauma ...
Feliciano Caleb E - - 2008
BACKGROUND: Traumatic brain injury represents a significant cause of mortality and permanent disability in the adult population. Acute subdural hematoma is one of the conditions most strongly associated with severe brain injury. Knowledge on the natural history of the illness and the outcomes of patients conservatively managed may help the ...
Grandhi Ramesh - - 2008
We sought to determine the effect of anticoagulation therapy on outcomes in elderly patients with closed head injury. We retrospectively reviewed elderly closed head injury patients (> or = 65 years) comparing 52 patients on warfarin (AC) with 439 patients not on warfarin (NAC) with subsequent 1:3 propensity matching used ...
Holm Sara - - 2009
The present study aimed to (1) identify the difficulties most frequently reported by individuals with severe traumatic brain injury (TBI) at the time of discharge from a sub-acute rehabilitation brain injury unit as well as difficulties reported by their relatives, (2) compare patients' and relatives' reports of patient difficulties, and ...
van Kooten E Oscar - - 2008
This study reports on 9 patients with obstetrical brachial plexus injury who underwent a latissimus dorsi (LD) transfer to reconstruct external rotation of the upper extremity. Transfer of the LD to the rotator cuff is widely used for restoring shoulder abduction and external rotation in patients with obstetrical brachial plexus ...
Sanfilippo James A - - 2008
STUDY DESIGN: Case cohort. OBJECTIVE: To illuminate factors associated with all-terrain vehicle (ATV) injuries and injury morphology. SUMMARY OF BACKGROUND DATA: Traditionally thought of as safe, injuries associated with ATVs can be severe and life threatening. In 2005 alone, the US Consumer Product Safety Commission estimated 136,100 injuries and 767 ...
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