Bulletin of emergency and trauma最新文献

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Demographics, Radiological Findings, and Predictors of Prolonged Hospitalization in Civilian Gunshot Wound Patients. 平民枪伤患者的人口统计学、放射学检查结果和延长住院时间的预测因素。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.100565.1473
Seyed Hadi Aghili, Arshia Zardoui, Mehri Farhang Ranjbar, Alireza Baratloo
{"title":"Demographics, Radiological Findings, and Predictors of Prolonged Hospitalization in Civilian Gunshot Wound Patients.","authors":"Seyed Hadi Aghili, Arshia Zardoui, Mehri Farhang Ranjbar, Alireza Baratloo","doi":"10.30476/BEAT.2023.100565.1473","DOIUrl":"https://doi.org/10.30476/BEAT.2023.100565.1473","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to characterize the demographic, clinical, and radiological features of gunshot wound (GSW) patients as well as identify predictors of prolonged hospitalization.</p><p><strong>Methods: </strong>In this retrospective study, a consecutive sampling method was used, including all patients with GSWs in any anatomical region. Data collection included demographic and clinical information, radiological findings, treatment specifics, and outcome variables, such as hospitalization length of stay (LOS) as the primary outcome. To identify predictive factors associated with prolonged LOS, logistic regression analysis was used.</p><p><strong>Results: </strong>We studied 212 GSW cases, including 95.8% were men and 4.2% were women. The mean age of the studied group was 30.17±7.80 years. GSWs occurred in extremities (80.2%), abdomen (9.0%), thorax (4.7%), and head or neck (5.2%). Two patients (0.9%) had both abdominal and thoracic GSWs. The most prevalent radiological study was an X-ray (83.0%). Patients with head and neck GSWs had the longest emergency department stay, while patients with abdominal GSW patients had the shortest (<i>p</i>=0.068). The highest rates of blood product transfusion were observed in abdominal GSWs (63.2%), emergency surgery (63.2%), and ICU admission (42.1%). Head and neck GSWs had the longest hospitalization LOS (7.5 days). Longer LOS was significantly associated with abnormalities in radiological findings, receiving blood products, and ICU admission (<i>p</i>≤0.001). Significant predictors of prolonged LOS were major abnormalities in radiological findings [odds ratio (OR)=5.3; 95% confidence interval (CI):2.8-10.2], head and neck GSWs (OR=6.1; 95% CI:1.2-31.9), and blood product transfusion (OR=4.1; 95% CI: 1.0-16.3).</p><p><strong>Conclusion: </strong>This study provides insights into factors influencing prolonged hospitalization in GSW patients, highlighting the importance of radiological findings, head and neck injuries, and blood product transfusion.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 4","pages":"190-195"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10743318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032176","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}
引用次数: 0
The Association between Occupational Burnout and Spiritual Well-being in Emergency Nurses: A Cross-Sectional Study. 急诊护士职业倦怠与精神健康之间的关系:一项横断面研究
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.98919.1444
Hedayat Jafari, Rahmatollah Marzband, Mahsa Kamali, Mahmood Moosazadeh, Pooyan Ghorbani Vajargah, Samad Karkhah, Joseph Osuji, Behzad Davaribina
{"title":"The Association between Occupational Burnout and Spiritual Well-being in Emergency Nurses: A Cross-Sectional Study.","authors":"Hedayat Jafari, Rahmatollah Marzband, Mahsa Kamali, Mahmood Moosazadeh, Pooyan Ghorbani Vajargah, Samad Karkhah, Joseph Osuji, Behzad Davaribina","doi":"10.30476/BEAT.2023.98919.1444","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98919.1444","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated the occupational burnout (OB) and spiritual well-being (SWB) of emergency nurses as well as the associations between these variables.</p><p><strong>Method: </strong>This cross-sectional study was conducted in six hospitals and emergency medical centers affiliated with Ardebil University of Medical Sciences (Ardebil, Iran), in 2020. Data were collected via socio-demographic, Spiritual Well-Being Scale (SWBS), and Maslach Burnout Inventory (MBI) questionnaires.</p><p><strong>Results: </strong>This study included 239 emergency department nurses. The mean age of the participants was 34.4±6.4 years. The mean of existential well-being and religious well-being was 40.3±8.7 and 41.0±9.2, respectively. The results indicated that moderate (P=0.007) and severe (P<0.001) personal accomplishment was a positive and significant predictor of the SWB in emergency department nurses.</p><p><strong>Conclusion: </strong>Proper planning and provision of suitable educational programs in the dimension of the SWB of nurses prevent the creation and continuation of OB and increase the self-efficacy and job satisfaction of emergency medical staff, resulting in better patient care.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 4","pages":"184-189"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10743321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032180","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}
引用次数: 0
Surgical Decompression of Thoracic Ossification of the Posterior Longitudinal Ligament through Posterior Approach: A Case Report. 通过后方入路对胸椎后纵韧带骨化进行手术减压:病例报告。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.98867.1443
Majid Reza Farrokhi, Seyed Reza Mousavi, Mohammad Reza Tamjidi, Saeed Tayebi Khorami, Abbas Khosravi Farsani, Jaloliddin Mavlonov, Hamid Jangi Aghdam, Armin Akbarzadeh
{"title":"Surgical Decompression of Thoracic Ossification of the Posterior Longitudinal Ligament through Posterior Approach: A Case Report.","authors":"Majid Reza Farrokhi, Seyed Reza Mousavi, Mohammad Reza Tamjidi, Saeed Tayebi Khorami, Abbas Khosravi Farsani, Jaloliddin Mavlonov, Hamid Jangi Aghdam, Armin Akbarzadeh","doi":"10.30476/BEAT.2023.98867.1443","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98867.1443","url":null,"abstract":"<p><p>Thoracic ossification of the posterior longitudinal ligament (OPLL) is a rare condition that is mainly accompanied by cervical OPLL or ossification of thoracic ligamentum flavum. In case of causing neurological manifestations, it is preferred to treat the condition surgically. Several surgical procedures were introduced, including anterior, posterior, or combined approaches. Laminectomy with instrumented fusion is the most popular procedure utilized via the posterior approach. A 32-year-old obese woman, who suffered from back pain and weakness in both lower extremities for one month, was referred to our spine outpatient clinic. Imaging revealed lower thoracic OPLL (T7/T8 & T8/T9 & T9/T10). The posterior longitudinal ligament had a mixed ossification pattern (beaked and continuing cylindrical). To maintain thoracic spine stability and prevent future kyphosis, we performed laminectomy and long segment fixation (T7 to T12). The post-operative neurological examination revealed a considerable increase in muscle strength and significant pain relief.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 4","pages":"196-199"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10743322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139033161","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}
引用次数: 0
Comparing the Performance of Emergency Department Personnel and Patients' Preferences in Breaking Bad News. 急诊科人员在突发坏消息处理中的表现与患者偏好的比较。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.98439.1428
Mohammad Gholami, Sina Valiee, Naser Kamyari, Salam Vatandost
{"title":"Comparing the Performance of Emergency Department Personnel and Patients' Preferences in Breaking Bad News.","authors":"Mohammad Gholami,&nbsp;Sina Valiee,&nbsp;Naser Kamyari,&nbsp;Salam Vatandost","doi":"10.30476/BEAT.2023.98439.1428","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98439.1428","url":null,"abstract":"<p><strong>Objective: </strong>Breaking bad news (BBN) is a critical aspect of healthcare delivery that can have significant implications for patients' outcomes. Inadequate and inappropriate delivery of bad news can result in detrimental psychological and emotional effects. This study aimed to compare the performance of emergency department (ED) personnel and patients' preferences in BBN.</p><p><strong>Methods: </strong>This descriptive-analytical study was conducted in 2022, and 135 patients who were admitted to the ED were included using quota sampling. Data were collected using a demographic questionnaire, a researcher-made questionnaire, and a standard questionnaire on attitudes toward the methods of BBN in the ED. The data were analyzed using SPSS software (version 16), and a <i>p</i>-value<0.05 was considered statistically significant.</p><p><strong>Results: </strong>The results showed that the majority of patients (69.6%) received bad news from nurses. Based on the conditions mentioned in the standard questionnaire, the overall performance of personnel was 6.08±4.22 out of 19, while the overall attitude score (59.66±7.66 out of 76) revealed patients' high tendency to receive bad news. There was a statistically significant difference between the total score of personnel performances and the total score of patients' attitudes (<i>p</i>=0.001).</p><p><strong>Conclusion: </strong>The performance of ED personnel concerning patients' attitudes toward the method of BBN in the emergency department was not optimal. Therefore, it is recommended to implement appropriate training programs for medical professionals, especially physicians, and nurses, to enhance their communication skills and reduce the detrimental effects of inappropriate delivery of bad news in medical settings.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 3","pages":"146-153"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/79/bet-11-146.PMC10387337.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9974175","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}
引用次数: 0
Exploring the Causal Impact of Age and Nighttime Driving on Road Traffic Injuries among Elderly Drivers: A Bayesian LASSO Approach. 年龄和夜间驾驶对老年驾驶员道路交通伤害的因果影响:贝叶斯LASSO方法。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.98406.1427
Fatemeh Jahanjoo, Homayoun Sadeghi-Bazargani, Seyyed Teymoor Hosseini, Mina Golestani, Mahdi Rezaei, Kavous Shahsavarinia, Hamid Soori, Mohammad Asghari-Jafarabadia
{"title":"Exploring the Causal Impact of Age and Nighttime Driving on Road Traffic Injuries among Elderly Drivers: A Bayesian LASSO Approach.","authors":"Fatemeh Jahanjoo,&nbsp;Homayoun Sadeghi-Bazargani,&nbsp;Seyyed Teymoor Hosseini,&nbsp;Mina Golestani,&nbsp;Mahdi Rezaei,&nbsp;Kavous Shahsavarinia,&nbsp;Hamid Soori,&nbsp;Mohammad Asghari-Jafarabadia","doi":"10.30476/BEAT.2023.98406.1427","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98406.1427","url":null,"abstract":"<p><strong>Objective: </strong>To determine the causal relationship between aging and nighttime driving and the odds of injury among elderly drivers.</p><p><strong>Methods: </strong>In this cross-sectional study, 5460 car accidents were investigated from 2015 to 2016. The data were extracted from the Iranian Integrated Road Traffic Injury Registry System. Pedestrian accidents, motorcycle crashes, and fatalities were excluded from the study. To account for major confounders, Bayesian-LASSO, and treatment-effect cutting-edge approaches were used.</p><p><strong>Results: </strong>Overall, 801 injuries (14.67%) were evaluated. The results of the univariable analysis indicated that aging and nighttime had adverse effects on the odds of road traffic injuries (RTIs), even after adjusting for the effect of other variables, these effects remained statistically significant. According to a newly developed approach, the overall effects of aging and nighttime were significantly and directly correlated with the odds of being injured for older adults (both <i>p</i><0.001). Our findings indicated that drivers over 75 years old experienced 23% higher injury odds (OR=1.23, 95% CI:1.11 to 1.39; <i>p</i><0.001), while driving at night increased the odds by 1.78 times (OR=1.78, 95% CI:1.51 to 1.83; <i>p</i><0.001).</p><p><strong>Conclusion: </strong>Aging and nighttime driving are significant risk factors for RTIs among elderly drivers. This highlights the importance of implementing targeted interventions to enhance road safety for this vulnerable population. Furthermore, the use of advanced Bayesian-LASSO and treatment-effect statistical methods highlights the importance of utilizing sophisticated methodologies in epidemiological research to effectively capture and adjust for potential confounding factors.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 3","pages":"125-131"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/31/87/bet-11-125.PMC10387334.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9974180","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}
引用次数: 0
Gamification-based Virtual Reality and Post-burn Rehabilitation: How Promising Is That? 基于游戏化的虚拟现实和烧伤后康复:前景如何?
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.97911.1416
Maryam Zavarmousavi, Fatemeh Eslamdoust-Siahestalkhi, Alireza Feizkhah, Mohammadreza Mohammadreza, Seyed Armin Fazeli Masouleh, Mahshid Badrikoohi, Parissa Bagheri Toolaroud
{"title":"Gamification-based Virtual Reality and Post-burn Rehabilitation: How Promising Is That?","authors":"Maryam Zavarmousavi,&nbsp;Fatemeh Eslamdoust-Siahestalkhi,&nbsp;Alireza Feizkhah,&nbsp;Mohammadreza Mohammadreza,&nbsp;Seyed Armin Fazeli Masouleh,&nbsp;Mahshid Badrikoohi,&nbsp;Parissa Bagheri Toolaroud","doi":"10.30476/BEAT.2023.97911.1416","DOIUrl":"https://doi.org/10.30476/BEAT.2023.97911.1416","url":null,"abstract":"Is","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 2","pages":"106-107"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/be/bet-11-106.PMC10182723.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857361","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}
引用次数: 3
Evaluation of the Spiral Chest CT Scan Findings in Patients with Multiple Trauma. 多发创伤患者胸部螺旋CT表现的评价。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.97214.1402
Ramin Ebrahimian, Zoubin Souri, Alireza Feizkhah, Mohammadreza Mobayen, Habib Eslami Kenarsari, Mojdeh Esmailzadeh, Mohsen Ghorbani, Soroush Mirhedayati, Parissa Bagheri Toolaroud
{"title":"Evaluation of the Spiral Chest CT Scan Findings in Patients with Multiple Trauma.","authors":"Ramin Ebrahimian,&nbsp;Zoubin Souri,&nbsp;Alireza Feizkhah,&nbsp;Mohammadreza Mobayen,&nbsp;Habib Eslami Kenarsari,&nbsp;Mojdeh Esmailzadeh,&nbsp;Mohsen Ghorbani,&nbsp;Soroush Mirhedayati,&nbsp;Parissa Bagheri Toolaroud","doi":"10.30476/BEAT.2023.97214.1402","DOIUrl":"https://doi.org/10.30476/BEAT.2023.97214.1402","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the spiral chest computed tomography (CT) scan findings in patients with multiple trauma during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This retrospective study was performed on multiple trauma patients admitted to a tertiary hospital in the north of Iran in 2020. All patients with multiple trauma who had undergone a chest spiral CT were included in this study. Furthermore, the data analysis was performed through descriptive and analytical statistics using SPSS software.</p><p><strong>Results: </strong>A total of 600 patients were included over the study period. The mean age of patients was 48.2±20.3 years. Of the total, 496 (65.3%) patients had blunt chest injuries, and 104 (34.7%) had penetrating chest injuries. Falling was the most common mechanical cause of chest trauma in 270 patients (45%). Surgical interventions were performed in 110 (18.3%) patients. A total of 276 (46%) patients had chest injuries identified by CT scans. Many patients (15.6%) had ground-glass lung opacity in the CT scan reports. Lung consolidation, pneumothorax, lung contusion, hemothorax, and rib fractures were the most common.</p><p><strong>Conclusion: </strong>Due to the high frequency of typical findings in spiral CT scan examinations, obtaining a reliable history of trauma severity, injury mechanism, and a detailed physical examination is recommended before prescribing a CT scan for patients.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3c/99/bet-11-19.PMC9923035.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10756233","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}
引用次数: 0
Driving Hazard Perception Tests: A Systematic Review. 驾驶危险感知测试:系统回顾。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.95777.1370
Yasaman Habibzadeh Omran, Homayoun Sadeghi-Bazargani, Mohammad Hossein Yarmohammadian, Golrokh Atighechian
{"title":"Driving Hazard Perception Tests: A Systematic Review.","authors":"Yasaman Habibzadeh Omran,&nbsp;Homayoun Sadeghi-Bazargani,&nbsp;Mohammad Hossein Yarmohammadian,&nbsp;Golrokh Atighechian","doi":"10.30476/BEAT.2023.95777.1370","DOIUrl":"https://doi.org/10.30476/BEAT.2023.95777.1370","url":null,"abstract":"<p><strong>Objective: </strong>The present study was conducted to evaluate previous studies on hazard perception among road users.</p><p><strong>Methods: </strong>A comprehensive search was conducted using electronic databases and search engines including Science Direct, PubMed, Scopus, Embase, Web of Science, Iranmedex, SID, Irandoc, and Google Scholar from January 2000 to September 2021. The search was performed using a combination of medical subject heading terms and keywords. Endnote software version 20.0 (Clarivate, Philadelphia, PA, USA) was used to organize the included articles. Thematic content analysis was used to analyze the findings. The entire review process was conducted by two authors, and unresolved challenges were discussed with other researchers.</p><p><strong>Results: </strong>Findings of the study show that all of the tests could discriminate between inexperienced and experienced drivers. The use of dynamic hazard perception tests was more common than static tests, and in some cases, simulators were used. Moreover, the results indicated a weak correlation between the results of dynamic and static tests. Therefore, it could be claimed that both dynamic and static methods measured certain dimensions of hazard perception.</p><p><strong>Conclusion: </strong>Regarding the importance of hazard perception, the findings of this study can provide further progress in designing hazard perception tests. The hazard perception tests can be sensitive to cultural or legal differences. It should also be noted that in developing tools for measuring drivers' hazard perception, different dimensions of hazard perception must be considered, so that the level of drivers' hazard perception can be reported accurately.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 2","pages":"51-68"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/49/45/bet-11-51.PMC10182720.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9486370","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}
引用次数: 1
Blood Glucose Level as a Predictor of Abnormal Brain Computed Tomography Scan Findings in Patients with Mild Traumatic Brain Injury. 血糖水平作为轻度创伤性脑损伤患者异常脑计算机断层扫描结果的预测因子。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.97582.1408
Mehdi Torabi, Zahra-Sadat Amiri, Moghaddameh Mirzaee
{"title":"Blood Glucose Level as a Predictor of Abnormal Brain Computed Tomography Scan Findings in Patients with Mild Traumatic Brain Injury.","authors":"Mehdi Torabi,&nbsp;Zahra-Sadat Amiri,&nbsp;Moghaddameh Mirzaee","doi":"10.30476/BEAT.2023.97582.1408","DOIUrl":"https://doi.org/10.30476/BEAT.2023.97582.1408","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate blood glucose levels in patients with brain injury caused by mild traumatic brain injury (TBI) as a foundation for determining whether these patients need a brain CT scan or not.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on patients with mild TBI, who were referred to the emergency department from March 1, 2022, to September 1, 2022. After the confirmation of mild TBI by an emergency medicine specialist, blood samples were taken from the patients to measure blood glucose levels. Then a brain CT scan was performed, and blood glucose levels were compared between patients with and without CT indications of brain injury. A checklist was used to collect data, and the data were analyzed using SPSS software (version 23).</p><p><strong>Results: </strong>In the CT scans of the 157 patients included in the study, 30 patients (19.2%) had a brain injury in the CT scan. The mean blood glucose level was significantly higher in patients with brain injury, especially in the presence of vertigo and ataxia, than patients without brain injury in the CT scan (<i>p</i><0.0001). There was a significant positive correlation between age and blood glucose level (r=0.315, <i>p</i><0.0001).</p><p><strong>Conclusion: </strong>Patients with mild TBI who had signs of brain injury in the CT scan had significantly higher blood glucose levels than patients with normal CT scan findings. Although indications for performing a brain CT scan are usually based on clinical criteria, blood glucose levels can be helpful in determining the requirement for a brain CT scan in patients with mild TBI.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 2","pages":"83-89"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/db/bet-11-83.PMC10182721.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857363","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}
引用次数: 0
Total Knee Arthroplasty with Non-Stemmed Tibial Components among Obese Patients: Clinical and Radiologic Evaluation and Review of Literature. 肥胖患者全膝关节置换术中无胫部构件:临床和放射学评价及文献回顾。
Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI: 10.30476/BEAT.2023.98166.1420
Armin Akbarzadeh, Ehsan Fallah, Seyed Ali Hashemi, Mohammad Tahami, Babak Pourabbas Tahvildari, Saeed Solooki
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