Bulletin of emergency and trauma最新文献

{"title":"Prevalence and Survival Rate of Trauma Patients who Underwent Resuscitative Thoracotomy in a Level One Trauma Center in Southern Iran.","authors":"Muhammad Ali Naqi, Mehrdad Karajizadeh, Mohammad Reza Yousefi, Leila Shayan, Shahram Paydar","doi":"10.30476/beat.2024.104600.1552","DOIUrl":"10.30476/beat.2024.104600.1552","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the prevalence and survival rate of trauma patients who underwent resuscitative thoracotomy (RT) in a level I trauma center in southern Iran.</p><p><strong>Methods: </strong>This cross-sectional descriptive study conducted at Rajaee Hospital (Shiraz, Iran) from March 2018 to October 2022, included trauma patients who underwent RT surgery. Demographic information, vital signs at arrival, mechanism of injury, type of trauma, admission and discharge dates, length of hospital stay, blood transfusions, associated injuries, and clinical and laboratory parameters were evaluated. Statistical analyses were conducted using SPSS software.</p><p><strong>Results: </strong>A total of 147 trauma patients underwent RT. The patients' mean age was 39±18.49 years. The majority of participants were men (82.40%). The most prevalent type of damage was blunt trauma, with a survival rate of 3%, followed by penetrating trauma, which had a 20% survival rate. The leading cause of trauma-related fatalities was road traffic accidents (78.9%). The majority of RT procedures (75.5%) took place in cardiopulmonary resuscitation (CPR) rooms. The survival group had lower systolic and diastolic blood pressure levels than the non-survival (83.0±34.96 vs. 97.83±33.10) and (40.75±20.91 vs. 62.48±25.36), respectively. Survivors exhibited a significantly higher Glasgow Coma Scale than non-survivors (8.40±6.14 vs. 4.75±3.84).</p><p><strong>Conclusion: </strong>The study revealed a low survival rate among trauma patients undergoing RT. Blunt chest trauma emerged as an independent predictor of poor outcomes. Future studies should further explore indications and outcomes of RT to better inform clinical practice.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 4","pages":"168-176"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853007","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":"Reviving the Critically Ill: Exploring Effective Fluid Resuscitation Approaches for Diverse Hypovolemic Shock Cases-A Systematic Review and Meta-Analysis.","authors":"Eman E Shaban, Mohamed Elgassim, Ahmed Shaban, Amira Shaban, Amina Ahmed, Amro Abdelraman, Moayad Elgassim, Stuart A Lloyd, Hany A Zaki","doi":"10.30476/beat.2024.102206.1505","DOIUrl":"10.30476/beat.2024.102206.1505","url":null,"abstract":"<p><strong>Objective: </strong>The present study was performed to investigate the efficacy of different resuscitation fluids in critically ill patients presenting any type of hypovolemic shock.</p><p><strong>Methods: </strong>We comprehensively searched PubMed, Web of Science, ScienceDirect, Cochrane Library, and Google Scholar for randomized trials published in English from January 1990 to August 2023. The risk of bias and methodological quality assessment was performed using Cochrane's risk of bias tool embedded within the Review Manager software (RevMan 5.4.1). Moreover, this software was used to perform all the statistical analyses in the present study. During these analyses, the random effects model and 95% confidence interval was employed. The overall effect sizes for continuous and dichotomous data were calculated using the Mean Difference (MD) and Risk ratio (RR), respectively.</p><p><strong>Results: </strong>Our initial database search resulted in 4768 articles, of which only 16 were reviewed and analyzed. A subgroup analysis of data from 4 of these studies showed that hydroxyethyl starches (HES), gelatins and albumins had no significant mortality benefit compared to crystalloids (RR: 0.94; 95% CI: 0.75-1.17; P=0.58, RR: 0.71; 95% 0.46-1.08; P=0.11 and RR: 1.05; 95% CI: 0.77-1.43; P=0.77, respectively). Similarly, a subgroup analysis of data from 9 studies showed that hypertonic saline plus dextran (HSD) had no significant mortality benefit over normal saline (RR: 0.84; 95% CI: 0.62-1.13; P=0.24) or Lactated ringer's solution (RR: 1.03; 95% CI: 0.75-1.42; P=0.87). In addition, we found that hypertonic saline had a similar effect on the overall mortality as isotonic crystalloids (RR: 0.92; 95% CI: 0.68-1.25; P=0.60). Also, our analysis shows that modified fluid gelatins had a similar mortality effect as HES ((RR: 1.02; 95% CI: 0.52-2.02; P=0.95).</p><p><strong>Conclusion: </strong>Colloids, whether individually or in hypertonic crystalloids (HSD), had no mortality benefit over crystalloids in adult patients with hypovolemic shock.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 4","pages":"149-161"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853008","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":"Challenges in Emergency Medical Services in Mega Cities: A Qualitative Study in Iran.","authors":"Abbas Naboureh, Mehrdad Farrokhi, Mohammad Saatchi, Shokoufeh Ahmadi, Babak Farzinnia","doi":"10.30476/beat.2024.104033.1543","DOIUrl":"10.30476/beat.2024.104033.1543","url":null,"abstract":"<p><strong>Objective: </strong>This qualitative study aimed to identify the key issues within Emergency Medical Services (EMS) in large urban regions.</p><p><strong>Methods: </strong>This study used qualitative content analysis as its research methodology. The study was conducted in 2023 and involved 21 Iranian EMS stakeholders, selected through purposive sampling with maximum diversity to ensure a broad range of expertise. Data were collected through semi-structured, in-depth interviews, which were conducted until data saturation was reached. The analysis followed the method proposed by Landman and Graneheim, which involved systematic coding and categorization to identify key themes and patterns related to EMS challenges.</p><p><strong>Results: </strong>The study included 17 men and 4 women. The data analysis identified eight subcategories, which were then divided into three main categories based on their similarities. These main categories addressed challenges in EMS delivery, emerging issues in EMS demand, and resource constraints.</p><p><strong>Conclusion: </strong>This study highlighted the challenges that Iran's EMS encountered in megacities due to rapid urbanization and an elderly population. Key issues included operational inefficiencies, increasing demand, and limited resources. Addressing these challenges is crucial for enhancing the effectiveness and sustainability of EMS. Further research is required to develop strategies for overcoming these obstacles and strengthening EMS in large urban regions.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 4","pages":"185-192"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852991","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":"Injured Cyclists' Experiences of Risk Factors: A Content Analysis.","authors":"Farshad Sedaghati Voshmeh Saraei, Leila Kouchakinejad-Eramsadati, Fateme Keihanian, Marieh Hosseinpour, Naema Khodadadi-Hassankiadeh","doi":"10.30476/beat.2024.103355.1524","DOIUrl":"10.30476/beat.2024.103355.1524","url":null,"abstract":"<p><strong>Objective: </strong>Cycling is a healthy and pleasurable activity, but it can also be hazardous. The risk factors for cycling injury are unknown, considering the cycling infrastructure and cyclists' behavior in northern Iran. This study aimed to explain the experiences of injured cyclists admitted to Poursina Educational and Medical Center, Rasht in 2021, as one of the risk factors associated with cycling.</p><p><strong>Methods: </strong>A content analysis was conducted on the experiences of cyclists over the age of 18 who had one or more injured limbs due to a crash or fall while riding a bicycle. The data were obtained from the registration system of the Guilan Road Trauma Research Center. Potentially eligible participants were contacted by telephone. Twenty people with various characteristics in terms of age, sex, and other features were included in the interview.</p><p><strong>Results: </strong>Cyclists' experiences with risk factors were divided into 13 categories; including lack of laws, lack of training, poor traffic culture, easy to lose balance, cycling infrastructure, inappropriate roads, darkness, bad weather conditions, unsafe behavior, non-standard bicycle, unsafe protection, intentional injury to female road users, and risk of collision with other road users.</p><p><strong>Conclusion: </strong>The extracted risk factors can be used as the ABC of cycling to novice cyclists. Thus, responsible efforts to regulate, educate, promote, and monitor cycling can encourage people to ride.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 4","pages":"193-201"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852993","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":"Preventing Proximal Radio-Ulnar Joint Screw Penetration during Coronoid Fracture Fixation: A 3D-Digital Modeling and Cadaver Study.","authors":"Hamid Namazi, Armin Akbarzadeh, Ayub Gharebeigi Tavabeh, Seyyed Arash Haghpanah, Alireza Doroudchi","doi":"10.30476/beat.2024.102710.1514","DOIUrl":"10.30476/beat.2024.102710.1514","url":null,"abstract":"<p><strong>Objective: </strong>Intra-articular screw penetration is a probable complication of coronoid fracture fixation. The present study aimed to determine the best radiography technique for visualizing the proximal radioulnar joint (PRUJ) space. Moreover, it aimed to determine the safe angle and length of the screw to avoid PRUJ penetration during coronoid fracture fixation.</p><p><strong>Methods: </strong>The Mimics software was used to construct a three-dimensional model of a healthy man's forearm from a computer tomography scan. It was analyzed using the Solidworks software to determine the X-ray angle that clearly showed the PRUJ space to detect penetration of screws from the coronoid process into the PRUJ and determine the maximum screw angle and length that could be used without intra-articular penetration. To verify these findings, a cadaveric study combined with radiographs was conducted.</p><p><strong>Results: </strong>To visualize PRUJ space, the optimal X-ray angle was 13º lateral to the perpendicular line when the forearm was positioned at full supination. If the coronoid process was segmented into zones 1 (closest to the radioulnar joint) to 4 (farthest from the joint), the screw could only be inserted at a right angle in zone 1. In zones 2, 3, and 4, inclination angles less than 15, 35, and 60 would prevent intra-articular penetration, respectively.</p><p><strong>Conclusions: </strong>The X-rays could visualize the PRUJ space with an anteroposterior radiograph at an angle of 13º ulnar deviation from the perpendicular plane. During coronoid process fracture fixation, shorter screws with less lateral inclination were safer when inserting screws in the zones of the coronoid process adjacent to the PRUJ.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 3","pages":"117-123"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399475","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":"Management of Laryngoscope-Induced Iatrogenic Dental Injury: A Case Series.","authors":"Mridula Goswami, Vashi Narula, Ramanandvignesh Pandiyan","doi":"10.30476/beat.2024.100293.1466","DOIUrl":"10.30476/beat.2024.100293.1466","url":null,"abstract":"<p><p>Dental injury is a common anesthesia-related adverse event, with a high incidence of damage to teeth and surrounding tissues during oro-endotracheal intubation. Poor oral hygiene, compromised periodontium, faulty or loose prosthesis, proclined maxillary incisors along with increased difficulty level of airway management, improper use of laryngoscope, and use of maxillary anterior teeth as a fulcrum for achieving accessibility to the airway are all risk factors for iatrogenic dental injury. This type of injury provides additional physical and psychological trauma to patients who have already undergone medical surgical procedures. The consequences of such mishaps might potentially result in medico-legal suits and financial claims. The present case series described three cases of managing iatrogenic dental lesions during oro-endotracheal intubation, after obtaining written informed consent, as well as methods for preventing such accidental injuries. This study emphasized the importance of collaboration between medical and dental professionals in preventing and successfully managing accidental dental injuries.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 4","pages":"202-206"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852994","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":"Characteristics and Outcome of ICU Unplanned Readmission in Trauma Patients During the Same Hospitalization.","authors":"Sajed Arabian, Ali Davoodi, Mehrdad Karajizadeh, Najmeh Naderi, Najmeh Bordbar, Golnar Sabetian","doi":"10.30476/BEAT.2024.102331.1508","DOIUrl":"10.30476/BEAT.2024.102331.1508","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the rate of readmission for trauma patients in ICUs, as well as the factors that predict this outcome.</p><p><strong>Methods: </strong>This retrospective cohort study was conducted at Emtiaz Hospital, a level I referral trauma center (Shiraz, Iran). It analyzed the ICU readmission rates among trauma patients over three years. The required data were extracted from the Iranian Intensive Care Registry (IICUR), which included patient demographics, injury severity, physiological parameters, and clinical outcomes. Statistical analysis was performed using SPSS version 25.0. Descriptive statistics and different statistical tests, such as T-tests, Mann-Whitney tests, Chi-square tests, and logistic binary regression test were utilized.</p><p><strong>Results: </strong>Among the 5273 patients discharged from the ICU during the study period, 195 (3.7%) were readmitted during the same hospitalization. Patients readmitted to the ICU had a significantly higher mean age (54.83±22.73 years) than those who were not readmitted (47.08 years, <i>p</i><0.001). Lower Glasgow Coma Scale (GCS) scores at admission and discharge were associated with ICU readmission, implying that neurological status and readmission risk were correlated with each other. Furthermore, respiratory challenges were identified as the leading cause of unexpected readmission, including respiratory failure, hypoxic respiratory failure, respiratory distress, and respiratory infections such as pneumonia. Injury patterns analysis revealed a higher frequency of poly-trauma and head and neck injuries among patients readmitted to the ICU.</p><p><strong>Conclusion: </strong>This study underscored the importance of ICU readmission among trauma patients, with a high readmission rate during the same hospitalization. By developing comprehensive guidelines and optimizing discharge processes, healthcare providers could potentially mitigate ICU readmissions and associated complications, ultimately enhancing patient outcomes and resource utilization in trauma ICU settings. This research provided valuable insights to inform evidence-based practices and improve the quality of care delivery for trauma patients in intensive care settings.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 2","pages":"81-87"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119036","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":"Moral Distress and Related Factors among Nurses Working in the Emergency Departments: A Cross-sectional Study.","authors":"Hedayat Jafari, Mahbobeh Yaghobian, Morteza Darabinia, Abolfazl Hosseinnataj, Pooyan Ghorbani Vajargah, Samad Karkhah, Maryam Anneh-Mohammadzadeh","doi":"10.30476/BEAT.2024.100815.1479","DOIUrl":"10.30476/BEAT.2024.100815.1479","url":null,"abstract":"<p><strong>Objective: </strong>The present study aimed to determine the prevalence and severity of moral distress (MD) and its associated factors among emergency department nurses.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 2023 on 172 nurses from the emergency departments of medical training centers affiliated with Mazandaran University of Medical Sciences. The census method was used to collect the data, which included demographic variables and Corley's MD questionnaire. The Data were analyzed using SPSS software (version 22), using an independent T-test, analysis of variance (ANOVA), and multiple regressions.</p><p><strong>Results: </strong>Out of 172 nurses, 60.5% were women, with an average age of 32.52±6.88 years. The results demonstrated an average MD score of 69.73±25.68. In terms of frequency and intensity, around 53.5% of the participants experienced MD at a low level (0-72), while the remaining 46.5% reported experiencing it at a medium level (14-73). A significant association was found between MD and age (<i>p</i>=0.037), workplace hospital (<i>p</i>=0.005), and history of mental disorders (<i>p</i>=0.005). Furthermore, linear regression analysis revealed a statistically significant association between MD, marital status, and occupational type (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>The results showed that nurses had low to moderate levels of MD. Several factors, including age, history of mental disorders, marital status, employment type, workplace hospital, and education, were associated with the overall MD score. To reduce MD and its negative effects on nurses, it is necessary to address these factors and develop an effective strategy for identifying and managing MD to improve nursing care quality.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 2","pages":"88-94"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119041","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 Systematic Review and Meta-analysis Unveiling the Pivotal Role of Extracorporeal Membrane Oxygenation (ECMO) in Drug Overdose Treatment Optimization.","authors":"Hany A Zaki, Yavuz Yigit, Mohamed Elgassim, Eman E Shaban, Amira Shaban, Stuart A Lloyd, Mazin Sharafeldien Elsayed Mohamed, Aftab Mohammad Azad","doi":"10.30476/beat.2024.102203.1503","DOIUrl":"10.30476/beat.2024.102203.1503","url":null,"abstract":"<p><strong>Objective: </strong>The present study aimed to evaluate the clinical benefits and drawbacks of administering ECMO/ECLS therapies to drug-intoxicated patients.</p><p><strong>Methods: </strong>From inception until April 30, 2024, an extensive search was performed on four main databases: PubMed, Web of Science, Cochrane Library, and EMBASE. There was no restriction on the search period. Only the studies that reported survival to hospital discharge rates, adverse events, and the utilization of ECMO/ECLS in the treatment of intoxicated patients were included. On the other hand, articles that did not report adverse events or hospital discharge rates as outcomes, as well as studies published in languages other than English, were excluded. The evaluated outcomes were the rate of survival to hospital discharge rate and the incidence of adverse events associated with ECMO therapy. The Newcastle Ottawa scale was employed to appraise each study to determine its methodological quality. The Comprehensive Meta-Analysis (CMA) software (version 3.0) for statistical analysis was used, with the random effects model (due to high heterogeneity among the studies) and a 95% confidence interval.</p><p><strong>Results: </strong>From a total search of 2216 search results, only 10 studies were included. The pooled analysis from 10 studies indicated that ECMO therapies among drug-overdosed/poisoned patients were associated with a significant survival to hospital discharge rate of 65.6% ([95% CI: 51.5%-77.4%], <i>p</i>=0.030). However, the outcomes were highly heterogeneous (I²=83.47%), which could be attributed to the use of several medicines by different studies. In contrast, ECMO therapies among drug-overdosed patients were associated with a significant incidence rate of adverse events of 23.1% ([95% CI: 12.3%-39.2%], <i>p</i>=0.002). However, the pooled analysis had a significant heterogeneity (I²=70.27%).</p><p><strong>Conclusion: </strong>Despite various health complications, extracorporeal membrane treatment enhanced survival to hospital discharge with good neurological outcomes. Hence, it was a viable, effective, and feasible alternative for managing drug-induced intoxication in patients.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 3","pages":"103-110"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399472","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":"The Etiology of Trauma in Geriatric Traumatic Patients Refer to an Academic Trauma Center: A Cross Sectional Study.","authors":"Hosein Zakeri, Elham Pishbin, Behrang Rezvani Kakhki, Hanieh Ghashghaee, Sayyed Majid Sadrzadeh, Masumeh Sadeghi, Elnaz Vafadar Moradi","doi":"10.30476/beat.2024.102627.1512","DOIUrl":"10.30476/beat.2024.102627.1512","url":null,"abstract":"<p><strong>Objective: </strong>Geriatric trauma refers to injuries sustained by elderly individuals, typically those aged 65 years and older. The management of geriatric trauma in the Emergency Department requires a comprehensive approach that takes into account the physiological changes associated with aging, as well as the increased vulnerability and complexity of injuries in this population.</p><p><strong>Methods: </strong>This is a cross-sectional study aimed at evaluating the etiology of trauma in geriatric patients referred to the ED of level-1 an academic center. All patients with complaints of trauma are evaluated and patients over 65 years enrolled in the study. Data were analyzed by SPSS 26.</p><p><strong>Results: </strong>319 patients were investigated, 49.8% male and 50.2% female. The most common underlying diseases are high blood pressure, diabetes type 2, and ischemic heart disease. The most common trauma cause was falling from the same level (48.9%), followed by a fall from a height (16.6%), accidents with cars (16%), and motorcycles (9.1%). The most common injury was extremities trauma (71.5%) following head trauma (13.2%) and chest trauma (6%). The severity of injury in extremities was higher in women, and chest trauma was more severe in men.</p><p><strong>Conclusion: </strong>The fall and subsequent car accident had the highest frequency as a cause of trauma in elderly patients admitted to our academic trauma center. Hypertension and diabetes have also been the most common underlying diseases. Head and neck injuries are life-threatening and critical in a larger number of patients than other injuries, and protecting them can be effective in reducing mortality and serious injuries in elderly trauma patients.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 3","pages":"124-129"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399477","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}