Plating of Humeral Shaft Fractures in Multiple Trauma Patients.
Humeral FracturesMultiple TraumaThe purpose of this study is to review our experience with the operative management of acute diaphyseal fractures of the humerus via an anterolateral approach with the use of small fragment fixation at a Level I, urban, trauma center. We will report our clinical and radiographic results, complication rate and final range of motion. A standardized outcome measurement (DASH) will be reported. Muscle recovery of the triceps and biceps will be evaluated by a standard protocol, accomplished with the assistance of a licensed physical therapist. We hypothesize that open reduction and internal fixation of humeral diaphyseal fractures via an antero-lateral approach with the use of small fragment fixation is a safe and efficacious way to treat multiple trauma patients with these injuries.
Age, Traumatic Brain Injury and Injury Severity as Independent Risk Factors for In-Hospital Mortality...
PolytraumaTraumatic Brain InjuryIn this study patients who were admitted to our hospital with critical injuries were enrolled retrospectively from January 2012 to December 2015. Patients with an ISS>16 points, an AIS >3 in one body region and at least 2 different body regions affected were included. Possible prognostic factors were evaluated.
Opportunities and Limitations of Swiss Polytrauma Registry Data for Scientific Purposes- Registry...
TraumaThe aim of the analysis is an evaluation of the current performance of the Swiss Trauma Registry (STR) with respect to providing a reliable basis for (scientific) investigations on the management of trauma patients in Switzerland. The current project tries to address this question by considering central aspects of completeness and by exemplifying the use of the registry for research questions. The aim is to identify potential shortcomings of the registry.
Red Blood Cell Distribution Width and Charlson Comorbidity Indeces in the Frail Polytraumatized...
PolytraumaRed Blood Cell Distribution Width1 moreIn this study patients who were admitted to our hospital with critical injuries were enrolled retrospectively from January 2012 to December 2015. Patients with an ISS>16 points, an AIS >3 in one body region and at least 2 different body regions affected were included. RDW values on admission as well as preexisting comorbidities were evaluated.
A Feasibility Study to Assess Pre Admission Status and Six Month Outcomes After Major Trauma
Multiple TraumaThis study aims to assess the feasibility of obtaining details about a patients previous level of function from the patient of friend/relative, after they have been admitted an intensive care unit (ICU). It will also assess the feasibility of re-assessing level of function at 6 months after the patient has been discharged from ICU.
Spinal Clearance Study: Expediting the Spinal Clearance Process in the Major Trauma Patient
Multiple TraumaTraumatic Brain Injury1 moreThe Alfred Hospital receives approximately 40% of the major trauma patients in Victoria, all of whom are at risk for spinal injuries. The potential for spinal injuries necessitates the undertaking of appropriate spinal investigations, and a delay in the completion of these investigations exposes the patient to the risk of a missed diagnosis of spinal instability and of complications of immobility; the potential spinal patient is required to wear a neck collar and be nursed lying flat whilst awaiting the completion and the appropriate documentation of spinal X-ray investigations. The purpose of this study is to identify the issues causing a delay in the process of the completion of the appropriate spinal investigations and the documentation of the results. The outcome of the proposed research will be the development of a clinical management protocol to expedite the process, with the aim of optimising patient care and reducing complications.
25-Year Experience With Polytraumatized Patients in a Level 1 Trauma Center
PolytraumaIn this study patients who were admitted to our hospital with critical injuries were enrolled retrospectively from January 1992 to December 2019. Patients with an ISS>16 points, an AIS >3 in one body region and at least 2 different body regions affected were included. Possible prognostic factors were evaluated.
Comparative Study for the Validity of Various Severity Scoring System
Head TraumaPolytrauma3 moreScoring systems for use in intensive care unit (ICU) patients have been introduced and developed over the last 30 years. They allow an assessment of the severity of disease and provide an estimate of in-hospital mortality
INVITE Study: Invasive Instrumentation in Trauma Patients in the Shock Room
Multiple TraumaThis study is an online survey asking for invasive instrumention in trauma patients of an emergency department
Thoracic Injuries in Pediatric Polytraumatized Patients: Epidemiology, Treatment and Outcome
Multiple TraumaThe present study predicts that concomitant chest injuries in polytraumatized pediatric patients are a potential source of substantial morbidity and mortality.