Journal of Trauma Nursing最新文献_第8页

Effect of Enhanced Recovery After Surgery on the Prognosis of Patients With Hip Fractures: A Systematic Review and Meta-Analysis. 术后恢复增强对髋部骨折患者预后的影响：系统综述和荟萃分析。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2023-09-01 DOI: 10.1097/JTN.0000000000000741

Ruiqi Zhu, Fengqiao Yang, Caiying Li, Hongxia Zhu, Lu Lin, Xin Zhao

{"title":"Effect of Enhanced Recovery After Surgery on the Prognosis of Patients With Hip Fractures: A Systematic Review and Meta-Analysis.","authors":"Ruiqi Zhu, Fengqiao Yang, Caiying Li, Hongxia Zhu, Lu Lin, Xin Zhao","doi":"10.1097/JTN.0000000000000741","DOIUrl":"10.1097/JTN.0000000000000741","url":null,"abstract":"Background: Hip fractures, predominantly occurring in the elderly, are a significant public health concern due to associated morbidity, disability, and mortality. Prolonged bed rest following the fracture often leads to complications, further threatening patient health. Enhanced recovery after surgery, a modern approach to postoperative care, is being explored for its potential to improve outcomes and quality of life in hip fracture patients.Objective: This study investigates the impact of enhanced recovery after surgery on hip fracture patients.Methods: In this systematic review, we addressed the PICO question: Does the enhanced recovery after surgery program reduce 1-year mortality, readmissions, and postoperative pain and improve Harris Hip Score compared with traditional care in elderly hip fracture patients? We searched key databases and gray literature and analyzed outcomes through a meta-analysis using RevMan, Stata, and the Newcastle-Ottawa Scale for quality assessment.Results: Nine studies involving 10,359 patients were included. Compared with the control group, the enhanced recovery after surgery group showed significant reduction in length of stay (mean difference [MD] = -2.00; 95% confidence interval [CI] [-2.87, -1.14]; p < .0001) and overall complication rate (risk ratio [RR] = 0.76; 95% CI [0.67, 0.85]; p < .0001), with a lower delirium rate (RR = 0.42; 95% CI [0.26, 0.68]; p = .004). No significant differences were observed in Harris Hip Score, pain score, 1-year mortality, readmission rate, or incidences of urinary tract infection, respiratory tract infection, and deep vein thrombosis.Conclusion: Enhanced recovery after surgery is associated with reduced length of stay, complication rate, and delirium rate in hip fracture patients.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10215910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Direct to Operating Room for Decompressive Craniotomy/Craniectomy in Patients With Traumatic Brain Injury. 直接到手术室进行创伤性脑损伤患者的减压颅骨切开术/颅骨切除术。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2023-09-01 DOI: 10.1097/JTN.0000000000000742

Jesse K Kelley, Katie E Jaje, Chase W Smitterberg, Charles R Reed, Steffen J Pounders, Laura A Krech, Ryan S Groseclose, Chelsea S Fisk, Alistair J Chapman, Amanda Y Yang

{"title":"Direct to Operating Room for Decompressive Craniotomy/Craniectomy in Patients With Traumatic Brain Injury.","authors":"Jesse K Kelley, Katie E Jaje, Chase W Smitterberg, Charles R Reed, Steffen J Pounders, Laura A Krech, Ryan S Groseclose, Chelsea S Fisk, Alistair J Chapman, Amanda Y Yang","doi":"10.1097/JTN.0000000000000742","DOIUrl":"10.1097/JTN.0000000000000742","url":null,"abstract":"Background: Emergent decompressive craniotomy/craniectomy can be a lifesaving surgical intervention for select patients with traumatic brain injury. Prompt management is critical as early decompression can impact traumatic brain injury outcomes.Objective: This study aims to describe the feasibility and clinical impact of a new pathway for transporting patients with severe traumatic brain injury directly to the operating room from the trauma bay for decompressive craniotomy/craniectomy.Methods: This is a retrospective cohort preintervention and postintervention study of severe traumatic brain injury patients undergoing decompressive craniectomy/craniotomy at a Midwestern U.S. Level I trauma center between 2016 and 2022. In the new pathway, the in-house trauma surgeon takes the patient directly to the operating room with the neurosurgery advanced practice provider to drape and prepare the patient for surgery while the neurosurgeon is en route to the hospital.Results: A total of 44 patients were studied, five (5/44, 11.4%) of which were in the preintervention group and 39 (39/44, 88.6%) in the postintervention group. The median arrival-to-operating room time was shorter in the postintervention cohort (1.4 hr) than in the preintervention cohort (1.5 hr). In examining night shifts only, the preintervention cohort had shorter arrival-to-operating room times (1.2 hr) than the postintervention cohort (1.5 hr).Conclusion: The study demonstrated that the new pathway is feasible and expedites patient transport to the operating room while awaiting the arrival of the on-call neurosurgeon.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10215911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Standardized Calcium Replacement in Massive Transfusion: A Quality Improvement Project. 大规模输血中的标准化钙替代：质量改进项目。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2023-09-01 DOI: 10.1097/JTN.0000000000000743

Marisa L Laing, Kimberly Burtch, Angie Storrer, Cameron McCoy

{"title":"Standardized Calcium Replacement in Massive Transfusion: A Quality Improvement Project.","authors":"Marisa L Laing, Kimberly Burtch, Angie Storrer, Cameron McCoy","doi":"10.1097/JTN.0000000000000743","DOIUrl":"10.1097/JTN.0000000000000743","url":null,"abstract":"Background: Hypocalcemia is common in trauma patients receiving massive transfusion protocol and often leads to worsening coagulopathies. Despite the identified problem and recommendations for replacement, few institutions have implemented a standardized calcium replacement protocol.Objective: This study aims to assess whether a revised massive transfusion protocol, including standardized calcium replacement, increases the incidence of calcium administration in trauma patients receiving massive transfusion protocol.Methods: This quality improvement project used a retrospective pre-/postdesign to study the revision of the current facility's massive transfusion protocol to include calcium replacement and ionized calcium monitoring at an urban Level I academic trauma center. Pre- and postintervention data were collected from January 2022 through October 2022 to determine the number of times massive transfusion protocol was ordered, ionized calcium monitoring, and calcium administration rates. Feedback regarding the protocol was collected throughout the monitoring period and was utilized in the final analysis.Results: A total of 40 patients received massive transfusion protocol, preintervention, 18 of 23 (78%) received calcium supplementation, postintervention, 15 of 16 (98%) were treated. The majority of protocol activations occurred in the trauma bay (79%) and postintervention; ionized calcium monitoring dropped by 14%.Conclusion: This study found that the addition of standardized calcium replacement improved administration rates of calcium in this patient population. Ongoing research will ensure the recommended changes improve the identified shortcomings and that patients maintain adequate ionized calcium levels with the current dosing parameters.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10215912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Trauma-Informed Care Training on Attitudes Among Emergency Department Personnel, Staff Advocates, and Nursing Students. 创伤知情护理培训对急诊科人员、工作人员辩护律师和护理专业学生态度的影响。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2023-09-01 DOI: 10.1097/JTN.0000000000000747

引用次数: 0

Pack, Presence, and Future. 包装、存在和未来。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2023-09-01 DOI: 10.1097/JTN.0000000000000745

Linda Kate Reinhart

引用次数: 0

Inpatient Rehabilitation Falls: Comparing Patients With Traumatic Brain Injury Versus Patients With Stroke. 住院患者康复跌倒:比较创伤性脑损伤患者与中风患者。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2023-07-01 DOI: 10.1097/JTN.0000000000000730

Alejandro García-Rudolph, Mark Andrew Wright, Emilien Amar Devilleneuve, Eulalia Castillo, Eloy Opisso, Josep María Tormos, Elena Hernandez

{"title":"Inpatient Rehabilitation Falls: Comparing Patients With Traumatic Brain Injury Versus Patients With Stroke.","authors":"Alejandro García-Rudolph, Mark Andrew Wright, Emilien Amar Devilleneuve, Eulalia Castillo, Eloy Opisso, Josep María Tormos, Elena Hernandez","doi":"10.1097/JTN.0000000000000730","DOIUrl":"https://doi.org/10.1097/JTN.0000000000000730","url":null,"abstract":"Background: Cognitively impaired neurological rehabilitation inpatients are at an increased risk for falls; yet, little is known regarding fall risk of different groups, such as stroke versus traumatic brain injury.Objectives: To determine if rehabilitation patients' fall characteristics differ for patients with stroke versus patients with traumatic brain injury.Methods: This retrospective observational cohort study evaluates inpatients with stroke or traumatic brain injury admitted to a rehabilitation center in Barcelona, Spain, between 2005 and 2021. We assessed independence in daily activities with the Functional Independence Measure. We compared fallen versus nonfallen patients' features and examined the association between time to first fall and risk using Cox proportional hazards models.Results: A total of 1,269 fall events were experienced by 898 different patients with traumatic brain injury ( n = 313; 34.9%) and stroke ( n = 585; 65.1%). A higher proportion of falls for patients with stroke occurred while performing rehabilitation activities (20.2%-9.8%), whereas falls were significantly higher for patients with traumatic brain injury during the night shift. Fall timing revealed completely different behaviors (stroke vs. traumatic brain injury), for example, an absolute peak at 6 a.m. due to young male traumatic patients. Nonfallen patients ( n = 1,363; 78.2%) were younger, with higher independence in daily activities scores, and having a larger time since injury to admission; all three were significant fall predictors.Conclusions: Patients with traumatic brain injury and stroke showed different fall behaviors. Knowledge of fall patterns and characteristics in the inpatient rehabilitation setting can help design management protocols to mitigate their risk.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10029419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Concomitant Mental Illnesses Diagnoses and Likelihood of Trauma Recidivism. 伴随性精神疾病的诊断和创伤再犯的可能性。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2023-07-01 DOI: 10.1097/JTN.0000000000000736

引用次数: 0

Effects of Case Management in Trauma Patients in Taiwan: A Randomized, Longitudinal Study. 台湾创伤病人个案管理的效果:一项随机、纵向研究。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2023-07-01 DOI: 10.1097/JTN.0000000000000731

Chang-Chiao Hung, Hsueh-Fen S Kao, Sarah Y Jimenez, Santo Imanuel Tonapa, Bih-O Lee

{"title":"Effects of Case Management in Trauma Patients in Taiwan: A Randomized, Longitudinal Study.","authors":"Chang-Chiao Hung, Hsueh-Fen S Kao, Sarah Y Jimenez, Santo Imanuel Tonapa, Bih-O Lee","doi":"10.1097/JTN.0000000000000731","DOIUrl":"https://doi.org/10.1097/JTN.0000000000000731","url":null,"abstract":"Background: Case management can improve trauma patient outcomes from the acute to rehabilitation phases. However, a lack of evidence on the effects of case management in trauma patients makes it difficult to translate research findings into clinical practice.Objective: To examine the effects of case management on illness perception, coping strategies, and quality of life in trauma patients followed up to 9 months post-hospital discharge.Methods: A four-wave longitudinal experimental design was used. Patients with traumatic injury hospitalized at a regional hospital in southern Taiwan from 2019 to 2020 were randomly assigned to a case management (experimental) or a usual care (control) group. The intervention was implemented during hospitalization with a phone call follow-up about 2 weeks post-discharge. Illness perception, coping strategies, and health-related quality-of-life perceptions were measured at baseline, 3 months, 6 months, and 9 months after discharge. Generalized estimating equations were used for analysis.Results: Findings showed a significant difference in illness perception at 3 and 6 months and coping strategies used at 6 and 9 months after discharge between the two groups. No significant difference in the quality of life over time between the two groups was found.Conclusion: Although case management appears to help patients with traumatic injuries decrease illness perception and better cope with their injury, it did not significantly improve their quality of life 9 months after discharge. It is recommended that health care professionals develop long-term case management strategies for high-risk trauma patients.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10029418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postintensive Care Syndrome: Feasibly Bridging Care at a Tertiary Trauma Center. 重症监护后综合征:三级创伤中心可行的过渡性护理。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2023-07-01 DOI: 10.1097/JTN.0000000000000737

引用次数: 0

Concomitant Mental Illnesses Diagnoses and Likelihood of Trauma Recidivism. 伴随性精神疾病的诊断和创伤再犯的可能性。

IF 1 4区医学

Journal of Trauma Nursing Pub Date : 2023-07-01 DOI: 10.1097/JTN.0000000000000729

Molly A Bauer, Ann M Mayo, Ruth A Bush

{"title":"Concomitant Mental Illnesses Diagnoses and Likelihood of Trauma Recidivism.","authors":"Molly A Bauer, Ann M Mayo, Ruth A Bush","doi":"10.1097/JTN.0000000000000729","DOIUrl":"https://doi.org/10.1097/JTN.0000000000000729","url":null,"abstract":"Background: Trauma is the leading cause of death among persons aged 1-44 years. Trauma recidivism occurs when an individual experiences more than one significant injury in a 5-year period. The relationship between a trauma recidivist's perception of recurrent injury has been unclear.Objective: To describe the association between select sociodemographic and clinical variables, threat orientation, and the perceived likelihood of recurrent injury of individuals recently experiencing a significant injury.Methods: A prospective cross-sectional study was conducted with Level II trauma inpatients ( n = 84) in Southern California from October 2021 to January 2022. Participants completed surveys prior to discharge. Clinical variables were extracted from the electronic health record.Results: The trauma recidivism rate was 31%. Mental illness and length of hospital stay were associated with trauma recidivism. In individuals with two or more mental illness diagnoses, the odds of trauma recidivism were approximately 6.5 times higher than in those with no mental illness (odds ratio = 6.48, 95% confidence interval: 1.7-24.6).Conclusion: Trauma is a preventable health care concern with timely recognition of risk factors and intervention. This study confirms mental illness as a predominant factor in injury and should be addressed in clinical practice. This study builds upon previous research and emphasizes the necessity of targeting injury prevention and education in the mentally ill. Trauma providers seeking to practice with an upstream mentality have a responsibility in screening patients for mental illness to help prevent further injury and death.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10020257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0