Archives of Trauma Research最新文献_第3页

Fatal cut-throat injury of the neck by kite string 风筝线割断颈部致人死亡

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Archives of Trauma Research Pub Date : 2022-07-01 DOI: 10.4103/atr.atr_10_22

S. Swain

引用次数: 0

Complex Pinna Lacerations and their Management 复杂耳廓撕裂伤及其治疗

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Archives of Trauma Research Pub Date : 2022-07-01 DOI: 10.4103/atr.atr_38_22

K. Gupta, Rachit Sood, Priyanshi Awasthi, Amita Kumar

{"title":"Complex Pinna Lacerations and their Management","authors":"K. Gupta, Rachit Sood, Priyanshi Awasthi, Amita Kumar","doi":"10.4103/atr.atr_38_22","DOIUrl":"https://doi.org/10.4103/atr.atr_38_22","url":null,"abstract":"Context: External ear trauma is common and may range from simple abrasion to complete amputations. The auricle is an exposed part of the head which can be easily damaged by road traffic accidents. Early treatment in such patients may prevent cosmetic disfigurement and multiple sittings for secondary repair. Aims: The aim was to study the presentation and management of patients with cartilage-involving untidy complex lacerations of the pinna. This article mainly focuses on the management of such traumatic ear wounds. Settings and Design: A retrospective study was done in a tertiary care hospital from January 2019 to January 2020. Subjects and Methods: All patients with cartilage-involving complex lacerations of the pinna were included in the study. Results: All patients had a successful recovery. The pinna wounds have a higher success rate even after primary repair despite the wound often being contaminated. Conclusions: Primary repair of the pinna is a straightforward and reliable treatment method as it can survive even with a narrow pedicle (superiorly or inferiorly based) due to its rich dual vascular network. Cosmesis being the realm of plastic surgeons, the majority of such cases can be managed with primary wound closure by otolaryngologists and physicians without causing much inconvenience, delay, and higher cost to the patient.","PeriodicalId":45486,"journal":{"name":"Archives of Trauma Research","volume":"11 1","pages":"129 - 132"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48220976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Measuring the Psychometric Properties of Adolescent Pedestrian Behavior Questionnaire 青少年行人行为问卷的心理测量特性

IF 0.4

Archives of Trauma Research Pub Date : 2022-07-01 DOI: 10.4103/atr.atr_12_22

F. Rezapur-Shahkolai, Shahnaz Maleki, M. Barati, Leili Tapak, M. Shokouhi

{"title":"Measuring the Psychometric Properties of Adolescent Pedestrian Behavior Questionnaire","authors":"F. Rezapur-Shahkolai, Shahnaz Maleki, M. Barati, Leili Tapak, M. Shokouhi","doi":"10.4103/atr.atr_12_22","DOIUrl":"https://doi.org/10.4103/atr.atr_12_22","url":null,"abstract":"Background: Road traffic injuries are among the main causes of mortality in adolescents. The aim of this study was to determine the psychometric properties of an adjusted adolescent pedestrian behavior questionnaire (APBQ). Materials and Methods: Using the 29-item self-report pedestrian behavior questionnaire designed by Sadeghi-Bazargani et al. for all age groups as the framework, some of the items were removed depending on the type of behaviors among adolescents and some new questions were added. Eventually, the primary questionnaire was developed with 26 items, including 19 questions from Sadeghi-Bazargani et al.'s questionnaire and seven new questions. The tool was adjusted for adolescents and the psychometric properties were determined among a randomly selected group of 300 Junior high school students in Rasht City, Iran. After determining face validity, content validity and construct validity of the tool by experts, the reliability of the tool was examined based on explorative factor analysis (EFA) with Promax rotation and confirmatory factor analysis in AMOS. Eventually, a self-report questionnaire with 14 items was developed to assess the self-report behavior of adolescent pedestrians. Results: The mean age of the participants was 13.59 (±0.92) years. The Kasier-Meyer-Olkin value was 0.828, which confirmed the EFA. The analysis by the maximum likelihood method with Promax rotation identified four factors with eigenvalues >1 and factor loading ≥0.5. Therefore, pedestrian behaviors were categorized into four groups (unsafe road crossing behavior, distraction, positive behavior, and playing on the road). Conclusion: The APBQ can be a proper tool for self-reporting adolescent pedestrians' behaviors. It can also be used for studies on safe behaviors in adolescent pedestrians.","PeriodicalId":45486,"journal":{"name":"Archives of Trauma Research","volume":"11 1","pages":"105 - 112"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41736932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of tranexamic acid on brain contusion and intraparenchymal hemorrhage in patients with head injury 氨甲环酸对颅脑损伤患者脑挫伤和脑实质内出血的影响

IF 0.4

Archives of Trauma Research Pub Date : 2022-07-01 DOI: 10.4103/atr.atr_43_22

Esmaeil Fakharian, Masoumeh Abedzadeh-kalahroudi, F. Atoof, Voorya Nooranipour, J. Azadbakht

{"title":"The impact of tranexamic acid on brain contusion and intraparenchymal hemorrhage in patients with head injury","authors":"Esmaeil Fakharian, Masoumeh Abedzadeh-kalahroudi, F. Atoof, Voorya Nooranipour, J. Azadbakht","doi":"10.4103/atr.atr_43_22","DOIUrl":"https://doi.org/10.4103/atr.atr_43_22","url":null,"abstract":"Background and Objectives: Traumatic brain injuries (TBIs) are among leading causes of debility and death at a global scale. The current study aimed at investigating the possible advantage of administrating tranexamic acid (TXA) in patients with post-TBI brain contusion and intraparenchymal hemorrhage (IPH). Materials and Methods: This double-blind randomized clinical trial was conducted on patients who had brain contusion/IPH according to their on-admission brain computed tomography (CT) scan, referring to Shahid Beheshti Hospital, Kashan University of Medical Sciences, during 2018-2021. The patients were randomly allocated to either the intervention group (receiving TXA through an antecubital vein access) or the control group (receiving Normal Saline via a similar route). TBI severity, ICH volume, and compressive effects of hemorrhagic mass on admission, 24 h, and 72 h after treatment were assessed. Then 3-month outcome estimated by Glasgow Outcome Scale (GOS). Results: There was no significant difference between patients' age, gender, TBI etiology (traffic collision or fall from height), and skull fracture between the study groups. Compressive effects of hemorrhagic mass, new bleeding and brain edema during 24 and 72 hours after intervention were not significantly different between the TXA and placebo groups. The alterations in ICH volume from preintervention to 24/72 h postintervention were similar between the intervention and placebo subgroups (P > 0.05). Majority of participants (82.5%) showed a good 3-month neurological outcome according to GOS, but that was not significantly different between the study groups. One case of death occurred in each subgroup, and both of them died after hospital discharge. Conclusion: TXA neither has a preventive effect against in-hospital post-TBI hemorrhage enlargement nor on neurological outcomes three months after hospital discharge.","PeriodicalId":45486,"journal":{"name":"Archives of Trauma Research","volume":"11 1","pages":"133 - 139"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44117006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nickel allergy requiring plate removal after implantation of stainless steel and titanium plates after polytrauma 多发性创伤后植入不锈钢和钛板后需要去除镍过敏

IF 0.4

Archives of Trauma Research Pub Date : 2022-07-01 DOI: 10.4103/atr.atr_44_22

Gregory J. Kirchner, N. Pilla, Andrew Kim, H. Boateng

引用次数: 0

General surgery admissions, operations, and patient outcomes during the COVID-19 pandemic 新冠肺炎大流行期间的普通外科入院、手术和患者结果

IF 0.4

Archives of Trauma Research Pub Date : 2022-07-01 DOI: 10.4103/atr.atr_42_22

Esmail Abdorrahim-Kashi, M. Azadchehr, M. Aminipour, H. Talari, Leila Ghafoor, Masoumeh Abedzadeh-kalahroudi, N. Moussavi

{"title":"General surgery admissions, operations, and patient outcomes during the COVID-19 pandemic","authors":"Esmail Abdorrahim-Kashi, M. Azadchehr, M. Aminipour, H. Talari, Leila Ghafoor, Masoumeh Abedzadeh-kalahroudi, N. Moussavi","doi":"10.4103/atr.atr_42_22","DOIUrl":"https://doi.org/10.4103/atr.atr_42_22","url":null,"abstract":"Background and Objectives: During the COVID-19 pandemic, hospitals were overwhelmed and non-COVID admissions were restricted due to national guidelines and decreased references. The aim of this study was to evaluate the collateral effect of the pandemic on general surgery admissions, operations, and patient outcomes. Patients and Methods: After the ethics committee approval for this retrospective descriptive study, all general surgery patients from February 23 to May 21, 2020, were compared with a similar timeframe in 2019. Time from symptom onset to admission, final diagnosis, and type of surgery was documented. Morbidity and mortality rate, intensive care unit (ICU) admission time, and total admission time were compared. Results: During the first COVID-19 surge, a 64% decrease in admissions was observed. The mean time from symptom onset to admission showed a significant delay of 1.2 days. Fewer patients were admitted to the ICU, but ICU admission time was longer. Total admission time and postoperative surgical and nonsurgical complications showed no significant difference. The rate of complicated appendicitis increased from 2.8% to 12.3% of total surgeries. A decrease in total trauma admissions was observed, but trauma operations remained unchanged, and penetrating trauma admissions had doubled. Conclusion: Although morbidity and mortality were not increased during the pandemic, increased time to admission, under triage of trauma patients, shortage of ICU beds, and a higher rate of complicated appendicitis portray the collateral effects of the pandemic on general surgery patient care. The increased number of penetrating injuries demands psychological support during home confinement. Efforts should be made to maintain maximal surgical care during pandemics.","PeriodicalId":45486,"journal":{"name":"Archives of Trauma Research","volume":"11 1","pages":"118 - 122"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47115070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigation into changes in blood transfusion indicators and returning blood products along with the cause of returning and cost calculation 输血指标变化及血液制品退货原因调查及费用计算

IF 0.4

Archives of Trauma Research Pub Date : 2022-07-01 DOI: 10.4103/atr.atr_26_22

F. Madani, Javad Gharib Bidgoli, Seyed Hassan Matini, H. Akbari

{"title":"Investigation into changes in blood transfusion indicators and returning blood products along with the cause of returning and cost calculation","authors":"F. Madani, Javad Gharib Bidgoli, Seyed Hassan Matini, H. Akbari","doi":"10.4103/atr.atr_26_22","DOIUrl":"https://doi.org/10.4103/atr.atr_26_22","url":null,"abstract":"Background and Objectives: Blood is a valuable source, and the wastage of blood products could impose severe impacts on healthcare. This study investigates the changes in blood transfusion indices and blood product transfusion from 2018 to 2019 in public hospitals affiliated to Kashan University of Medical Sciences. Materials and Methods: This descriptive cross-sectional study was carried out using a researcher-made checklist across five public hospitals in Kashan, Iran. The amount of cross-match/transfusion, transfusion index (TI), and T% (transfusion probability) indices were calculated and analyzed. Results: In 2018, we ordered a total of 19741 blood product units, among which 18,723 units (94.8%) were transfused. In addition, we ordered a total of 15,323 units of blood products in 2019, and 14,223 units (92.8%) were transfused. The CT ratio was 1.04 in 2018 and 1.06 in 2019, with a 2% increase. The transfused probability (T %) percentage in the studied public hospitals in 2018 was 38.04%, whereas the rate was 36.7% in 2019, with a 3.5% decline. In 2018, the TI in the studied hospitals was 0.96 and decreased to 0.85 (11%) in 2019. Moreover, the TI was higher than 0.5 in hospitals, except for Shahid Rajaei Hospital. Based on the results, the cost of blood products was 74459499405 Rials ($ 690526) in 2018 and 79073079143 Rials ($ 612115) in 2019, with a 6% increase. Conclusions: Blood order and transfusion enjoyed good conditions in public hospitals affiliated to Kashan University of Medical Sciences, though the blood order pattern was unfavorable in Shahid Rajaei Hospital.","PeriodicalId":45486,"journal":{"name":"Archives of Trauma Research","volume":"11 1","pages":"150 - 157"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42214410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Functional Results following Acromioclavicular Joint Reconstruction Using Gracilis Tendon Augmented with Fibertape: A Prospective Study 纤维带增强股薄肌腱重建肩锁关节后的功能结果：一项前瞻性研究

IF 0.4

Archives of Trauma Research Pub Date : 2022-07-01 DOI: 10.4103/atr.atr_24_22

C. Kumar, SrinivasB S. Kambhampati, P. Rahul, N. Chirag

{"title":"Functional Results following Acromioclavicular Joint Reconstruction Using Gracilis Tendon Augmented with Fibertape: A Prospective Study","authors":"C. Kumar, SrinivasB S. Kambhampati, P. Rahul, N. Chirag","doi":"10.4103/atr.atr_24_22","DOIUrl":"https://doi.org/10.4103/atr.atr_24_22","url":null,"abstract":"Background and Objectives: Acromioclavicular joint (ACJ) injuries are one of the common shoulder problems. Various autografts are being used in the reconstruction of higher grades of ACJ disruptions. The present study evaluates functional and radiological results of acute ACJ disruptions treated using gracilis tendon autograft and FiberTape. Materials and Methods: Our study included 16 cases of acute ACJ disruptions. After a thorough clinicoradiological evaluation, the patient received ACJ reconstruction using a gracilis autograft and FiberTape by mini-open technique. The patient was followed up postoperatively at 3 weeks, 6 weeks, 3, and 6 months. At each follow-up, functional results were studied using Disability of the Arm, Shoulder, and Hand (DASH) scores. Results: The mean (standard deviation) preoperative coracoclavicular distance (CCD) was 18.32 (1.84) and postoperative CCD was 10.41 (2.74) mm. Mean DASH scores during follow-up were 71, 59, 31, and 1 at 3 weeks, 6 weeks, 3 months, and 6 months, respectively. A significant difference was found in the pre- and postoperative CCD and DASH t scores (P < 0.001). Conclusion: The present study shows good functional and radiological results following mini-open ACJ reconstruction using gracilis autograft and FibreTape without postoperative complications and donor site morbidity.","PeriodicalId":45486,"journal":{"name":"Archives of Trauma Research","volume":"11 1","pages":"123 - 128"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44200022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Citicoline for traumatic brain injuries: A systematic review and implications for future research 胞磷胆碱治疗创伤性脑损伤:系统综述及对未来研究的启示

IF 0.4

Archives of Trauma Research Pub Date : 2022-07-01 DOI: 10.4103/atr.atr_51_22

Moein Khormali, F. Mohammadi, Maede Amouzade, Vali Baigi, Mahdi Sharif-Alhosein

{"title":"Citicoline for traumatic brain injuries: A systematic review and implications for future research","authors":"Moein Khormali, F. Mohammadi, Maede Amouzade, Vali Baigi, Mahdi Sharif-Alhosein","doi":"10.4103/atr.atr_51_22","DOIUrl":"https://doi.org/10.4103/atr.atr_51_22","url":null,"abstract":"Background and Objectives: Traumatic brain injury (TBI) is a catastrophic condition that exerts a high burden on individuals, families, and societies. The objective of this study was to systematically review the human studies on the efficacy and safety of citicoline for the management of TBIs. Materials and Methods: Relevant articles were identified by searching PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials on July 1, 2022. Results: Eighteen studies met the predefined eligibility criteria, including 12 randomized controlled trials (RCTs). Citicoline was administered via injectional (n = 11, 61.1%), enteral (n = 5, 27.8%), both injectional and enteral (n = 1, 5.5%), and unknown (n = 1, 5.5%) routes. Numerically, studies reporting the favorable impact of citicoline on patient outcome outnumbered (n = 13, 72.2%). However, the largest RCT could not demonstrate positive results. Only two studies reported complications, and the observed difference between citicoline and placebo groups was not statistically significant in either of them. Conclusion: Despite promising results in animal studies, human studies have shown inconsistent results regarding the role of citicoline in TBI management. Homogeneity of patients, subgroups of patients who might benefit more, the efficacy of citicoline as a part of combination therapies, and factors that could potentially influence the pharmacokinetics and brain uptake of citicoline should be considered when designing future studies.","PeriodicalId":45486,"journal":{"name":"Archives of Trauma Research","volume":"11 1","pages":"140 - 149"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41873826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acceptance and commitment: An intervention for improving family function and emotional problems in informal caregivers of people with severe traumatic brain injury: A randomized clinical trial 接受和承诺：一项改善严重创伤性脑损伤患者非正式照顾者家庭功能和情绪问题的干预措施：一项随机临床试验

IF 0.4

Archives of Trauma Research Pub Date : 2022-04-01 DOI: 10.4103/atr.atr_4_22

Mahtab Hadavand, Z. Zanjani, A. Omidi, F. Atoof, Esmaeil Fakharian

{"title":"Acceptance and commitment: An intervention for improving family function and emotional problems in informal caregivers of people with severe traumatic brain injury: A randomized clinical trial","authors":"Mahtab Hadavand, Z. Zanjani, A. Omidi, F. Atoof, Esmaeil Fakharian","doi":"10.4103/atr.atr_4_22","DOIUrl":"https://doi.org/10.4103/atr.atr_4_22","url":null,"abstract":"Background and Objectives: Traumatic brain injury (TBI) is one of the main causes of disability. Since individuals with TBI experience many problems in their daily life, they must be highly supported. Regarding the nature of their problems, their caregivers suffer from many psychological problems. The current study aimed to investigate the effect of group acceptance and commitment therapy (ACT) on the family function, experiential avoidance, and anxiety of the TBI patients' caregivers. Methods: The current study was a randomized clinical trial with waiting list and intervention groups. Forty caregivers of TBI patients who referred to Kashan's Shahid Beheshti Hospital, Iran, since 2017 until 2019 were randomly assigned to the experimental (n = 20) and the waiting list control (n = 20) groups. Both the groups completed a demographic information questionnaire, the Family Assessment Device, the Experiential Avoidance in Caregiving Questionnaire, and the anxiety subscale of the Depression, Anxiety, and Stress Scale in pretest, posttest, 3-month follow-up, and 6-month follow-up. Results: The results of repeated measures analysis of variance showed that ACT program can significantly decrease the anxiety, experiential avoidance, and most of the dimensions of the family functions (P < 0.005). Conclusion: ACT could be utilized to improve the family functions and reduce the experiential avoidance and the anxiety of the TBI patients' caregivers. This trial is registered with the Registry of Clinical Trials: “IRCT20190704044100N1.”","PeriodicalId":45486,"journal":{"name":"Archives of Trauma Research","volume":"11 1","pages":"90 - 96"},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44193486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2