Acute Medicine & Surgery最新文献

{"title":"Relationship between extravascular leakage and clinical outcome on computed tomography of isolated traumatic brain injury","authors":"Hiroshi Ito,&nbsp;Youhei Nakamura,&nbsp;Yuki Togami,&nbsp;Shinya Onishi,&nbsp;Shunichiro Nakao,&nbsp;Hiroshi Ogura,&nbsp;Jun Oda","doi":"10.1002/ams2.931","DOIUrl":"https://doi.org/10.1002/ams2.931","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigated whether contrast extravasation on computed tomography (CT) angiography in patients with traumatic brain injury (TBI) is associated with death or surgical procedures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients over 18 years old, directly brought in by ambulance with an isolated head injury and confirmed to have acute intracranial hemorrhage on a CT scan upon admission between 2010 and 2020, were included. The primary outcome was mortality, and the secondary outcome was neurosurgical procedures performed from admission to discharge from the intensive care unit. Multivariable logistic regression analyses were performed to evaluate the association between these outcomes and contrast extravasation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis included 188 patients with a median age of 65 years, 123 men (65.4%), 34 deaths (18.1%), and 91 surgeries (48.4%). Among the 66 patients with contrast extravasation, 22 (33.3%) died and 47 (71.2%) required surgery. Among the 122 patients with no contrast extravasation, 12 (9.8%) died, and 44 (36.1%) required surgery. The presence or absence of extravascular leakage was associated with death (odds ratio, 3.6 [95% CI: 1.2–12.2]) and surgery (odds ratio, 7.6 [95% CI: 2.5–22.7]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Contrast extravasation was associated with mortality and performance of surgery in patients with an isolated head injury.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.931","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139915679","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":"Post-intensive care syndrome: Recent advances and future directions","authors":"Shigeaki Inoue,&nbsp;Nobuto Nakanishi,&nbsp;Fumimasa Amaya,&nbsp;Yoshihisa Fujinami,&nbsp;Junji Hatakeyama,&nbsp;Toru Hifumi,&nbsp;Yuki Iida,&nbsp;Daisuke Kawakami,&nbsp;Yusuke Kawai,&nbsp;Yutaka Kondo,&nbsp;Keibun Liu,&nbsp;Kensuke Nakamura,&nbsp;Takeshi Nishida,&nbsp;Hidenori Sumita,&nbsp;Shunsuke Taito,&nbsp;Shunsuke Takaki,&nbsp;Norihiko Tsuboi,&nbsp;Takeshi Unoki,&nbsp;Yasuyo Yoshino,&nbsp;Osamu Nishida","doi":"10.1002/ams2.929","DOIUrl":"https://doi.org/10.1002/ams2.929","url":null,"abstract":"<p>Post-intensive care syndrome comprises physical, cognitive, and mental impairments in patients treated in an intensive care unit (ICU). It occurs either during the ICU stay or following ICU discharge and is related to the patients' long-term prognosis. The same concept also applies to pediatric patients, and it can greatly affect the mental status of family members. In the 10 years since post-intensive care syndrome was first proposed, research has greatly expanded. Here, we summarize the recent evidence on post-intensive care syndrome regarding its pathophysiology, epidemiology, assessment, risk factors, prevention, and treatments. We highlight new topics, future directions, and strategies to overcome post-intensive care syndrome among people treated in an ICU. Clinical and basic research are still needed to elucidate the mechanistic insights and to discover therapeutic targets and new interventions for post-intensive care syndrome.</p>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.929","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139915681","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":"Postmortem diagnosis of gestational psittacosis: A case report","authors":"Takashi Miyauchi,&nbsp;Yutaro Hirata,&nbsp;Shinya Fukuda","doi":"10.1002/ams2.932","DOIUrl":"https://doi.org/10.1002/ams2.932","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Gestational psittacosis is one of the causes of unanticipated maternal death but has been difficult to diagnose early in clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 28-year-old woman who was 7 months pregnant experienced flu-like symptoms, which deteriorated. She was brought to our hospital in shock, and the fetus was nonviable. The patient was diagnosed with pneumonia and septic shock and administered meropenem. Despite aggressive resuscitation, she died 7 h after symptom onset. After obtaining consent from the patient's family, the autopsy was done to identify the cause of death. Microscopically, there was intervillous neutrophil accumulation in the placenta. Genetic analysis detected the <i>Chlamydia psittaci</i> gene in several organs, including placenta.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Gestational psittacosis should be considered for a pregnant woman with flu-like symptoms. Moreover, unanticipated death of a pregnant woman might warrant a detailed autopsy to reveal the cause of death.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.932","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139750095","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":"A case of repeated Kounis syndrome after anaphylactic shock: A note for disease management","authors":"Satoshi Kawaguchi,&nbsp;Tatsuki Kuroshima,&nbsp;Ryo Namba,&nbsp;Hiroki Satou,&nbsp;Riku Kashiwagi,&nbsp;Ai Abe,&nbsp;Motoi Okada","doi":"10.1002/ams2.908","DOIUrl":"https://doi.org/10.1002/ams2.908","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Kounis syndrome (KS) is an underdiagnosed disease. The management of the disease remains elusive because of its infrequency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 78-year-old man with anaphylactic shock was admitted to our hospital 2 h after multiple bee stings. After recovering from an anaphylactic reaction, he presented with chest pain with ST elevation. We diagnosed him with KS. After a continuous intravenous infusion of vasodilators, his chest pain and ST elevation improved. However, chest pain with ST-segment elevation recurred the next day. Coronary angiography revealed severe stenosis in the middle left anterior descending coronary artery, and drug-eluting stents were implanted. The patient was discharged on foot after treatment for heart failure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>KS, in which anaphylaxis and acute coronary syndrome occur simultaneously, can recur repeatedly after an initial anaphylactic reaction; however, it could be delayed or it could present simultaneously with the anaphylactic reaction. Therefore, long-term observation is important.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.908","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139682919","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":"Treatment strategy for severe trauma patients requiring aortic occlusion for impending cardiopulmonary arrest in the hybrid emergency room","authors":"Shuhei Maruyama,&nbsp;Daiki Wada,&nbsp;Tomoyuki Yoshihara,&nbsp;Fukuki Saito,&nbsp;Kazuhisa Yoshiya,&nbsp;Yasushi Nakamori,&nbsp;Yasuyuki Kuwagata","doi":"10.1002/ams2.928","DOIUrl":"10.1002/ams2.928","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Computed tomography (CT) is useful in trauma care. Severely ill trauma patients may not tolerate whole-body CT even without patient transfer. This study examined clinical flow of severe trauma patients requiring aortic occlusion (AO) such as resuscitative thoracotomy or REBOA in the hybrid emergency room (ER) and investigated patient clinical courses prioritizing CT first versus resuscitation including AO first.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective, single-center observational study included consecutive trauma patients visiting our ER between May 2016 and February 2023. Patients were divided into the CT first group (whole-body CT preceded AO) and AO first group (AO preceded whole-body CT) and into two subgroups: AO after CT (AO/interventions for hemorrhage performed just after CT in the CT first group), and CT after AO (CT or damage control surgery performed after AO in the AO first group). We investigated 28-day survival rates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Survival probability by TRISS method was 49% (range: 3.3–94) in the CT first group (<i>n</i> = 6) and 20% (range: 0.7–45) in the AO first group (<i>n</i> = 7). Actual 28-day survival rates were 50% and 57%, respectively. Survival rates of the AO after CT subgroup (CT first group) were 75% (3/4) and 0% (0/2), respectively, and those of the CT after AO subgroup (AO first group) were 25% (1/4) and 100% (3/3), respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In severe trauma patients with low predicted probability of survival treated in the hybrid ER, survival rates might be better if resuscitation including AO is performed before CT and if damage control surgery is performed first before CT.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10825068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139641434","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":"Reviewer Summary for Acute Medicine & Surgery","authors":"","doi":"10.1002/ams2.927","DOIUrl":"https://doi.org/10.1002/ams2.927","url":null,"abstract":"&lt;p&gt;&lt;i&gt;Score Completion Date Range&lt;/i&gt;: Between Jan 1, 2023 and Dec 31, 2023.&lt;/p&gt;&lt;p&gt;The publication of invaluable papers in the Acute Medicine &amp; Surgery depends on the prompt, careful review of submitted manuscripts. We would like to thank the Editorial Board members, and the following experts for reviewing manuscripts from January 1, 2023, to December 31, 2023.&lt;/p&gt;&lt;p&gt;Abe, Ryuzo&lt;/p&gt;&lt;p&gt;Abe, Yoshinobu&lt;/p&gt;&lt;p&gt;Akahoshi, Tomohiko&lt;/p&gt;&lt;p&gt;Amagasa, Shunsuke&lt;/p&gt;&lt;p&gt;Anan, Hideaki&lt;/p&gt;&lt;p&gt;Aokage, Toshiyuki&lt;/p&gt;&lt;p&gt;Aoki, Makoto&lt;/p&gt;&lt;p&gt;Aoki, Yoshihiro&lt;/p&gt;&lt;p&gt;Araki, Takashi&lt;/p&gt;&lt;p&gt;Arimoto, Hideki&lt;/p&gt;&lt;p&gt;Atsumi, Takahiro&lt;/p&gt;&lt;p&gt;Azuma, Kazunari&lt;/p&gt;&lt;p&gt;Banerjee, Pushpal&lt;/p&gt;&lt;p&gt;Boran, Maruf&lt;/p&gt;&lt;p&gt;Doi, Kent&lt;/p&gt;&lt;p&gt;Doi, Tomoaki&lt;/p&gt;&lt;p&gt;Ebihara, Takayuki&lt;/p&gt;&lt;p&gt;Egi, Moritoki&lt;/p&gt;&lt;p&gt;Endo, Tomoyuki&lt;/p&gt;&lt;p&gt;Enomoto, Yuki&lt;/p&gt;&lt;p&gt;Fujii, Tomoko&lt;/p&gt;&lt;p&gt;Fujiogi, Michimasa&lt;/p&gt;&lt;p&gt;Fujisaki, Noritomo&lt;/p&gt;&lt;p&gt;Fujishima, Seitaro&lt;/p&gt;&lt;p&gt;Fujita, Motoki&lt;/p&gt;&lt;p&gt;Fujita, Satoshi&lt;/p&gt;&lt;p&gt;Fujizuka, Kenji&lt;/p&gt;&lt;p&gt;Fukuda, Tatsuma&lt;/p&gt;&lt;p&gt;Fukushima, Hidetada&lt;/p&gt;&lt;p&gt;Funabiki, Tomohiro&lt;/p&gt;&lt;p&gt;Funakoshi, Hiraku&lt;/p&gt;&lt;p&gt;Funazaki, Toshikazu&lt;/p&gt;&lt;p&gt;Furukawa, Makoto&lt;/p&gt;&lt;p&gt;Gando, Satoshi&lt;/p&gt;&lt;p&gt;Goto, Tadahiro&lt;/p&gt;&lt;p&gt;Goto, Yoshikazu&lt;/p&gt;&lt;p&gt;Grensemann, Jörn&lt;/p&gt;&lt;p&gt;Hagiwara, Yusuke&lt;/p&gt;&lt;p&gt;Hanada, Hiroyuki&lt;/p&gt;&lt;p&gt;Hanajima, Tasuku&lt;/p&gt;&lt;p&gt;Hanaki, Nao&lt;/p&gt;&lt;p&gt;Harada, Masahiro&lt;/p&gt;&lt;p&gt;Hatakeyama, Junji&lt;/p&gt;&lt;p&gt;Hattori, Noriyuki&lt;/p&gt;&lt;p&gt;Hayakawa, Koichi&lt;/p&gt;&lt;p&gt;Hayakawa, Mineji&lt;/p&gt;&lt;p&gt;Hayashi, Yasuyuki&lt;/p&gt;&lt;p&gt;Hayashida, Kazuyuki&lt;/p&gt;&lt;p&gt;Hibino, Seikei&lt;/p&gt;&lt;p&gt;Hifumi, Toru&lt;/p&gt;&lt;p&gt;Hirose, Tomoya&lt;/p&gt;&lt;p&gt;Homma, Hiroshi&lt;/p&gt;&lt;p&gt;Homma, Yosuke&lt;/p&gt;&lt;p&gt;Hongo, Takashi&lt;/p&gt;&lt;p&gt;Hosomi, Sanae&lt;/p&gt;&lt;p&gt;Hoyt, David B.&lt;/p&gt;&lt;p&gt;Iba, Toshiaki&lt;/p&gt;&lt;p&gt;Ichiba, Shingo&lt;/p&gt;&lt;p&gt;Ichiba, Toshihisa&lt;/p&gt;&lt;p&gt;Ikeda, Hiroto&lt;/p&gt;&lt;p&gt;Ikezoe, Takayuki&lt;/p&gt;&lt;p&gt;Imai, Yoshiro&lt;/p&gt;&lt;p&gt;Imamoto, Toshiro&lt;/p&gt;&lt;p&gt;Imamura, Hiroshi&lt;/p&gt;&lt;p&gt;Inaba, Mototaka&lt;/p&gt;&lt;p&gt;Inamasu, Joji&lt;/p&gt;&lt;p&gt;Inokuchi, Koichi&lt;/p&gt;&lt;p&gt;Inoue, Akihiko&lt;/p&gt;&lt;p&gt;Inoue, Shigeaki&lt;/p&gt;&lt;p&gt;Inoue, Yoshiaki&lt;/p&gt;&lt;p&gt;Ishida, Kenichiro&lt;/p&gt;&lt;p&gt;Ishihara, Satoshi&lt;/p&gt;&lt;p&gt;Ishikura, Hiroyasu&lt;/p&gt;&lt;p&gt;Isokawa, Shutaro&lt;/p&gt;&lt;p&gt;Iwase, Hiroaki&lt;/p&gt;&lt;p&gt;Iwashita, Yoshiaki&lt;/p&gt;&lt;p&gt;Izawa, Yoshimitsu&lt;/p&gt;&lt;p&gt;Jörres, Achim&lt;/p&gt;&lt;p&gt;Kaita, Yasuhiko&lt;/p&gt;&lt;p&gt;Kajino, Kentaro&lt;/p&gt;&lt;p&gt;Kanda, Jun&lt;/p&gt;&lt;p&gt;Kaneko, Tadashi&lt;/p&gt;&lt;p&gt;Kasaoka, Shunji&lt;/p&gt;&lt;p&gt;Kashiura, Masahiro&lt;/p&gt;&lt;p&gt;Kasugai, Daisuke&lt;/p&gt;&lt;p&gt;Katayama, Yusuke&lt;/p&gt;&lt;p&gt;Kawazoe, Yu&lt;/p&gt;&lt;p&gt;Kikutani, Kazuya&lt;/p&gt;&lt;p&gt;Kinoshita, Takahiro&lt;/p&gt;&lt;p&gt;Kiriu, Nobuaki&lt;/p&gt;&lt;p&gt;Kiyota, Kazuya&lt;/p&gt;&lt;p&gt;Koami, Hiroyuki&lt;/p&gt;&lt;p&gt;Kobata, Hitoshi&lt;/p&gt;&lt;p&gt;Kondo, Hiroshi&lt;/p&gt;&lt;p&gt;Kondo, Yutaka&lt;/p&gt;&lt;p&gt;Kudo, Daisuke&lt;/p&gt;&lt;p&gt;Kurihara, Tomohiro&lt;/p&gt;&lt;p&gt;Kuroda, Yasuhiro&lt;/p&gt;&lt;p&gt;Kurozumi, Taketo&lt;/p&gt;&lt;p&gt;Matsumura, Yosuke&lt;/p&gt;&lt;p&gt;Matsushima, Asako&lt;/p&gt;&lt;p&gt;Matsushima, Hisao&lt;/p&gt;&lt;p&gt;Matsuyama, Shigenari&lt;/p&gt;&lt;p&gt;Matsuyama, Tasuku&lt;/p&gt;&lt;p&gt;Mayumi, Toshihiko&lt;/p&gt;&lt;p&gt;Mitsunaga, Toshiya&lt;/p&gt;&lt;p&gt;Miyamichi, Ryosuke&lt;/p&gt;&lt;p&gt;Miyamoto, Kyohei&lt;/p&gt;&lt;p&gt;Mizushima, Yasuaki&lt;/p&gt;&lt;p&gt;Mohara, Jun&lt;/p&gt;&lt;p&gt;Morimura, Naoto&lt;/p&gt;&lt;p&gt;Morishita, Koji&lt;/p&gt;&lt;p&gt;Moriya, Takashi&lt;/p&gt;&lt;p&gt;Muronoi, Tomohiro&lt;/p&gt;&lt;p&gt;Muroya, Takashi&lt;/p&gt;&lt;p&gt;Nagashima, Futoshi&lt;/p&gt;&lt;p&gt;Naito, Hiromichi&lt;/p&gt;&lt;p&gt;Nakada, Taka-aki&lt;/","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.927","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139655194","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":"Long-term psychiatric disorders in families of severe COVID-19 patients","authors":"Kasumi Shirasaki,&nbsp;Toru Hifumi,&nbsp;Moe Sekiguchi,&nbsp;Shutaro Isokawa,&nbsp;Yusuke Nakao,&nbsp;Shinobu Tanaka,&nbsp;Shinsuke Hashiuchi,&nbsp;Ryosuke Imai,&nbsp;Norio Otani","doi":"10.1002/ams2.926","DOIUrl":"10.1002/ams2.926","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The present study aimed to describe in detail the changes to and assess the risk factors for poor long-term outcomes of psychiatric disorders in families of COVID-19 patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A single-center, retrospective study using questionnaires. Family members of patients admitted to the intensive care unit (ICU) with severe COVID-19 participated. Psychiatric disorders refer to the psychological distress such as anxiety, depression, and posttraumatic stress disorder (PTSD) experienced by the patient's family.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-six family members completed the survey and were analyzed. Anxiety, depression, and PTSD occurred in 24%, 33%, and 2% of family members, respectively, and psychiatric disorders occurred in 39%. On multivariable analysis, living in the same house with the patient was independently associated with a lower risk of psychiatric disorders in families of COVID-19 patients (OR, 0.180; 95% CI, 0.036–0.908; <i>p</i> = 0.038). Furthermore, four family members overcame psychiatric disorders, and six family members newly developed psychiatric disorders during the one-year follow-up period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Approximately 40% of family members had long-term psychiatric disorders, and some of them overcame the psychiatric disorders, and some newly developed psychiatric disorders over the one-year follow-up. Living in the same house with the patient was possibly significantly associated with the reduction of long-term symptoms of psychiatric disorders, but this result must be interpreted with care. Further large studies are needed to examine the factors associated with the long-term mental status of family members.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10813578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139568875","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":"A case of multiple organ injury resuscitated by collaboration of damage control surgery and interventional radiology in hybrid emergency room","authors":"Ryosuke Omoto,&nbsp;Yutaka Umemura,&nbsp;Masanari Kato,&nbsp;Yasutaka Nakahori,&nbsp;Satoshi Fujimi","doi":"10.1002/ams2.925","DOIUrl":"https://doi.org/10.1002/ams2.925","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hybrid emergency room systems, namely hybrid ER (HER), enable us to perform computed tomography (CT), surgery, and interventional radiology (IVR) without patient transfer. HER significantly shortened the time to CT after arrival and allowed us to achieve early intervention, resulting in reduced mortality from exsanguination in patients with severe blunt trauma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>We encountered a patient diagnosed with left common iliac artery occlusion and dissection caused by blunt traumatic compressive abdominal injury with transection of the small intestine, kidney, and adrenal and pelvic ring fractures. Although the patient experienced cardiopulmonary arrest (CPA) immediately after CT, we performed damage control surgery (DCS) and IVR after temporary aortic occlusion in the HER and resuscitated the patient.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The present case, in which rapid diagnosis and intervention were performed and the patient was successfully resuscitated, supports the efficacy of the HER system for managing severe blunt trauma.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.925","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139474056","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":"Dysbiosis of gut microbiota in patients with severe COVID-19","authors":"Kentaro Shimizu,&nbsp;Haruhiko Hirata,&nbsp;Natsuko Tokuhira,&nbsp;Daisuke Motooka,&nbsp;Shota Nakamura,&nbsp;Akiko Ueda,&nbsp;Jotaro Tachino,&nbsp;Moe Koide,&nbsp;Akinori Uchiyama,&nbsp;Hiroshi Ogura,&nbsp;Jun Oda","doi":"10.1002/ams2.923","DOIUrl":"https://doi.org/10.1002/ams2.923","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Altered gut microbiota has been proposed as one of the causes of exacerbation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2/COVID-19) from the perspective of the gut–lung axis. We aimed to evaluate gut microbiota in mechanically ventilated patients with COVID-19 prior to using antibiotics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We retrospectively selected for enrollment COVID-19 patients who required mechanical ventilation on admission but who had not used antibiotics before admission to observe the influence of SARS-Cov-2 on gut microbiota. Fecal samples were collected serially on admission and were evaluated by 16S rRNA gene deep sequencing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The phylum of Bacteroidetes decreased, and those of Firmicutes and Actinobacteria increased in COVID-19 patients compared with those in healthy controls (<i>p</i> &lt; 0.001). The main commensals of <i>Bacteroides</i>, <i>Faecalibacterium</i>, and <i>Blautia</i> at the genus level were significantly decreased in the COVID-19 patients, and opportunistic bacteria including <i>Corynebacterium</i>, <i>Anaerococcus</i>, <i>Finegoldia Peptoniphilus</i>, <i>Actinomyces</i>, and <i>Enterococcus</i> were increased (<i>p</i> &lt; 0.001). α-Diversity and β-diversity in COVID-19 patients significantly changed compared with those in the healthy controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The commensal gut microbiota were altered, and opportunistic bacteria increased in patients with severe COVID-19 who required mechanical ventilation on admission.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.923","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139419770","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":"A fatal septic shock caused by Capnocytophaga gingivalis potentially associated with COVID-19: A case report","authors":"Dai Miyazaki,&nbsp;Chika Kunishige,&nbsp;Shigeru Sano,&nbsp;Kahoru Urakawa,&nbsp;Kana Okamoto,&nbsp;Naomi Morishita,&nbsp;Kentaro Iwata","doi":"10.1002/ams2.922","DOIUrl":"https://doi.org/10.1002/ams2.922","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p><i>Capnocytophaga</i> spp. is associated with fulminant sepsis, particularly in those with immunosuppression. We here report a rare case of fatal fulminant septic shock caused by <i>C. gingivalis</i>, concurrent with COVID-19.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A Japanese woman developed septic shock, which led to her death. Polymerase chain reaction (PCR) testing of the respiratory specimen was positive for SARS-CoV-2, and a CT scan of the chests revealed bilateral ground glass opacities. The blood cultures identified <i>C. gingivalis</i>. The patient had rheumatoid arthritis and was taking prednisone orally. There were no splenic abnormalities shown on the CT scan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A rare case of fulminant septic shock caused by <i>C. gingivalis</i>, together with COVID-19 was identified. The precise pathogenesis of this combination, together with the best treatment option should be sought by further studies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.922","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139400183","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}