Trauma Surgery & Acute Care Open最新文献

{"title":"Poor oral health and the association with social vulnerability and adverse outcomes in trauma patients: symptom, driver or both?","authors":"Kathryn M Stadeli, Sarah M Kolnik","doi":"10.1136/tsaco-2025-001938","DOIUrl":"https://doi.org/10.1136/tsaco-2025-001938","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 3","pages":"e001938"},"PeriodicalIF":2.1,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reevaluating postoperative management of bladder repair: the case for early catheter removal and selective cystography.","authors":"Brendan Wallace, Andrew Cohen","doi":"10.1136/tsaco-2025-001802","DOIUrl":"https://doi.org/10.1136/tsaco-2025-001802","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 3","pages":"e001802"},"PeriodicalIF":2.1,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12248191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clues to survival in future LSCOs are to be found in the current war in Ukraine.","authors":"Andriy Batchinsky, Konstjantyn Gumeniuk, John B Holcomb","doi":"10.1136/tsaco-2025-001962","DOIUrl":"10.1136/tsaco-2025-001962","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 3","pages":"e001962"},"PeriodicalIF":2.1,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moving from prognostication to prevention of SSIs in LMICs.","authors":"Stephanie Martinez Ugarte, Mokunfayo O Fajemisin, Lillian S Kao","doi":"10.1136/tsaco-2025-001946","DOIUrl":"10.1136/tsaco-2025-001946","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 3","pages":"e001946"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12215129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatic portacaval shunt: a rare complication to be considered in patients with encephalopathy.","authors":"Louise Hebrard, Romain Cailloce, Isaure Breteau, Paer Abback, Eric Levesque","doi":"10.1136/tsaco-2024-001706","DOIUrl":"10.1136/tsaco-2024-001706","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 3","pages":"e001706"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12215127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of severe splenic trauma and its management on the occurrence of infections in intensive care unit.","authors":"Nicolas Polge, Camille Hego, Jules Grégory, Sophie Hamada, Anne Godier, Jean Charles Bijot, Axelle Dupont, Paer-Selim Abback, Caroline Jeantrelle, Emmanuel Weiss, Jean Denis Moyer","doi":"10.1136/tsaco-2024-001704","DOIUrl":"10.1136/tsaco-2024-001704","url":null,"abstract":"<p><strong>Purpose: </strong>Severe trauma can be responsible for a major systemic inflammatory response followed by post-traumatic immunosuppression. Immune imbalance promotes infections and increases mortality. This risk could be further increased in case of impaired splenic immune function due to splenic trauma. The objective of this study was to evaluate whether severe splenic trauma increased infectious complications in trauma patients during intensive care unit (ICU) stay.</p><p><strong>Methods: </strong>This was an observational, bicentric, retrospective, case-control study including patients admitted for severe trauma from January 2011 to December 2020 in two level 1 trauma centers. Patients with American Association for the Surgery of Trauma (AAST) ≥III splenic trauma (case) were matched (1:3) with patients without splenic trauma (controls) according to age, sex, Injury Severity Score, initial Glasgow Coma Score, and Simplified Acute Physiology Score II. Demographic, trauma management, and infection data were collected. The primary endpoint was the incidence density of any infectious disease during ICU stay.</p><p><strong>Results: </strong>Among 7,304 severe trauma patients, 130 patients with AAST ≥III splenic trauma were included. 10 patients could not be matched with controls. 17 patients (14.1%) underwent splenectomy, 56 patients (46.7%) had non-operative management with arterioembolization, and 47 (39.2%) had non-operative management without embolization. There was no difference between cases and controls regarding incidence density of infections (44.1 (34.6-55.5)/1,000 person days vs 43.6 (37.7-50.2)/1,000 person days, incidence rate ratio=1 95% CI (0.77 to 1.3) p=0.94), type of infection, involved microorganisms, or severity (septic shock 12% vs 9.2%, p=0.6; acute respiratory distress syndrome 14% vs 9.2%, p=0.2).</p><p><strong>Conclusion: </strong>In the present study, AAST ≥III splenic trauma in severe trauma patients was not associated with an increased risk of infection during ICU stay.Level of evidence III.</p>","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 3","pages":"e001704"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12215103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis of chronic disease during admission for emergency general surgery: a portal to healthcare.","authors":"Victoria Clair, Denise M Garofalo, Ariel Wolf, Charlotte Heron, Samuel K Mathai, Kaitlyn Dickinson, India V Bonner, Catherine Garrison Velopulos, Quintin W O Myers","doi":"10.1136/tsaco-2024-001645","DOIUrl":"10.1136/tsaco-2024-001645","url":null,"abstract":"<p><strong>Background: </strong>Although nearly half of the US population has a chronic disease, many remain undiagnosed, leading to significant morbidity and mortality. Sociodemographic factors affect access to preventative healthcare, increasing rates of undiagnosed chronic disease. We hypothesize that emergency general surgery (EGS) is an important access point into the healthcare system and sought to characterize factors impacting the new diagnosis of chronic disease during admission for EGS.</p><p><strong>Methods: </strong>This was a Level III retrospective cohort study conducted at a single, academic institution. Patients undergoing EGS intervention, including colectomies, cholecystectomy, hernia repair, and peptic ulcer surgeries, were identified during 2018-2019. Univariate descriptive statistics and bivariate analyses were conducted, with χ² tests for categorical variables and Mann-Whitney U tests for continuous variables. We finally conducted a multivariable logistic regression to identify important factors related to the diagnosis of a new chronic disease.</p><p><strong>Results: </strong>A total of 978 patients were included. Of these, 42.7% received a new diagnosis of chronic disease during their EGS admission. The most common diagnoses were gastroesophageal reflux disease (n=120), obesity (n=116), type 2 diabetes (n=60), and hypertension (n=48). No significant associations were found with sociodemographic factors or prior healthcare visits. Length of stay was significantly longer for those with new diagnoses (p<0.001).</p><p><strong>Conclusions: </strong>Hospital admissions for EGS present a critical opportunity to identify undiagnosed chronic conditions, particularly in patients with limited healthcare access. Length of stay was associated with an increased likelihood of diagnosis. These findings suggest that emergency surgical care can serve as a gateway to preventive care. This study provides Level III evidence of the role of emergency general surgery in chronic disease diagnosis.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 2","pages":"e001645"},"PeriodicalIF":2.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144544995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing complex pancreatic and hepatic trauma in Gaza under wartime conditions.","authors":"Hosam Shaikhkhalil, Abdulwahhab Abu Alamrain, Mohammad A M Mattar, Elinore Kaufman, Mohammed Aladini","doi":"10.1136/tsaco-2025-001777","DOIUrl":"10.1136/tsaco-2025-001777","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 2","pages":"e001777"},"PeriodicalIF":2.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144544996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bite injuries in a connected world: a call for global consensus on clinical and public health action.","authors":"Ruben Peralta, Ahmed Faidh Ramzee","doi":"10.1136/tsaco-2025-001921","DOIUrl":"10.1136/tsaco-2025-001921","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 2","pages":"e001921"},"PeriodicalIF":2.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Power of mentorship for recruitment and retainment of trauma staff.","authors":"Diane Wintz, Kathryn Schaffer, Jennifer Hites, Laura Zgliniec, Miriah Boettcher","doi":"10.1136/tsaco-2024-001655","DOIUrl":"10.1136/tsaco-2024-001655","url":null,"abstract":"<p><strong>Introduction: </strong>Healthcare teams throughout the nation noted workforce realignment during the COVID-19 pandemic, which impacted staff recruitment and retainment. The trauma team implemented a dedicated curriculum and multifaceted education in 2017 and amplified these efforts during the COVID-19 pandemic to ensure that nursing assistants assigned to trauma would continue to pursue their original career pathways.</p><p><strong>Methods: </strong>Mentorship recipients were HealthCare Partners (HCPs), employees at nursing-assistant level assigned to the trauma room during their shifts. HCPs with a minimum of 6 months of experience in the general emergency department (ED) were eligible for this position. Data regarding each HCP's tenure as well as post-HCP career was tracked from 2017 to 2023 and reviewed to understand retainment.</p><p><strong>Results: </strong>There were 194 HCPs who worked in the ED full time during the 7 years. 90 HCPs were dedicated to trauma and received the trauma nursing curriculum (46%). More than 80% of the HCPs year-over-year retained their employment in the trauma position. Almost all HCPs (88/90; 98%) either went on to major healthcare or prehospital careers or continued to work in this same capacity in trauma to date.</p><p><strong>Conclusions: </strong>Recruitment and retainment are realistic if the opportunity matches the needs or incites motivation in the employee. We have designed an effective mentorship plan that accomplishes both goals and could be replicated in any healthcare system.</p>","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 2","pages":"e001655"},"PeriodicalIF":2.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}