Bulletin of emergency and trauma最新文献

{"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}

{"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}

{"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}

{"title":"Total Knee Arthroplasty with Non-Stemmed Tibial Components among Obese Patients: Clinical and Radiologic Evaluation and Review of Literature.","authors":"Armin Akbarzadeh,&nbsp;Ehsan Fallah,&nbsp;Seyed Ali Hashemi,&nbsp;Mohammad Tahami,&nbsp;Babak Pourabbas Tahvildari,&nbsp;Saeed Solooki","doi":"10.30476/BEAT.2023.98166.1420","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98166.1420","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the radiologic and clinical outcomes of TKA with non-stemmed tibial components in relation to their body mass index (BMI).</p><p><strong>Methods: </strong>In this retrospective cohort study, the outcome of TKA with non-stemmed tibial components based on their BMI was evaluated (BMI<30 vs. BMI≥30). The patients' function was assessed using the International Knee Documentation Committee (IKDC) and Lysholm knee questionnaires. Radiologic evaluation for probable signs of loosening was performed using two quantitative scoring systems by Ewald and Bach <i>et al.</i> Moreover, we reviewed the current literature on the application of non-stemmed tibial components in obese patients.</p><p><strong>Results: </strong>Twenty-one patients (two men and 19 women) with BMI≥30 and a mean age of 65.1±9.5 years, and 22 patients (three men and 19 women) with BMI<30 and a mean age of 63.6±8.5 years were studied. The mean follow-up periods with BMI≥30 (47.0±19.8 months) and BMI<30 (49.2±18.7 months) were comparable (<i>p</i>=0.618). No patients in either group experienced clinical loosening. Besides, none of the patients had any kind of revision surgery. The patients in both BMI groups had comparable IKDC scores (both the total score and its sub-scores; <i>p</i>>0.05). Furthermore, the total Lysholm knee scores were similar in both groups (<i>p</i>=0.122). Using both scoring systems, the peri-prosthetic bone radiolucency near the tibial components was similar in both groups (<i>p</i>>0.999).</p><p><strong>Conclusion: </strong>The present study found no significant difference in the radiologic or clinical outcome of non-stemmed TKA in patients with BMIs under and over 30.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 2","pages":"69-74"},"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/3e/e5/bet-11-69.PMC10182724.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857364","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":"C-Reactive Protein and D-dimer as Prognostic Markers for Clinical Outcomes in Patients with Mild Traumatic Brain Injury: A Cross-Sectional Study.","authors":"Seyed Mohammad Hosseininejad,&nbsp;Farzad Bozorgi,&nbsp;Fatemeh Jahanian,&nbsp;Mehdi Mohammadian Amiri,&nbsp;Reza Ali Mohammadpour,&nbsp;Gholamhossein Hajiaghaei","doi":"10.30476/BEAT.2023.98573.1435","DOIUrl":"https://doi.org/10.30476/BEAT.2023.98573.1435","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the use of prognostic markers such as C-reactive protein (CRP) and D-dimer for clinical outcomes in patients with mild traumatic brain injury (TBI).</p><p><strong>Methods: </strong>This cross-sectional study was conducted on patients with mild head trauma who were admitted to the Emergency Department of Imam Khomeini Hospital (Sari, Iran). Data were collected from 2018 to 2019. Age, sex, the time of injury hospitalization, length of hospitalization, length of unconsciousness, blood pressure, heart rate, respiratory rate, and concomitant symptoms were all recorded using a pre-designed checklist. The patient's Glasgow Coma Scale (GCS), CRP, and D-dimer were also measured. Moreover, all patients underwent CT scan.</p><p><strong>Results: </strong>This study included 74 patients with TBI. The mean age of the participants was 36.92±3.54. The mean CRP and D-dimer values were 5.69±0.77 and 0.58±0.11 in these patients, respectively. At the cut-off point of 11.50 for CRP, the sensitivity and specificity to detect the pathological lesions in CT scan were 75% and 95.50%, respectively (<i>p</i><0.001). Additionally, with a D-dimer cut-off point of 0.90, the sensitivity and specificity for diagnosing pathological lesions in CT scan were 100% and 98.50%, respectively (<i>p</i><0.001).</p><p><strong>Conclusion: </strong>In general, the CRP and D-dimer levels of patients with mild TBI (GCS≥13) can be assessed to protect against CT-induced radiation exposure and subsequent disorders; if they do not exhibit clinical signs to increase the risk of adverse brain damage, such as reduced level of consciousness, drowsiness, and prolonged periods of unconsciousness.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 3","pages":"119-124"},"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/15/6d/bet-11-119.PMC10387341.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919994","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":"Driving Hazard Perception Components: A Systematic Review and Meta-Analysis.","authors":"Yasaman Habibzadeh,&nbsp;Mohammad Hossein Yarmohammadian,&nbsp;Homayoun Sadeghi-Bazargani","doi":"10.30476/BEAT.2023.95410.1356","DOIUrl":"https://doi.org/10.30476/BEAT.2023.95410.1356","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the rate of driving hazard perception (HP), explicate the content of HP and determine its components.</p><p><strong>Methods: </strong>The present study is a systematic review and a meta-analysis which is carried out to gather data, to search Science Direct, PubMed, Scopus, PROQUEST, web of knowledge databases, Google scholar search engine and also to search manually from January 2000 to September 2021 with using related keywords. EndNote X20 software was used to manage and screening studies. Stata16 was used for meta-analysis. Thematic content analysis was used to analyze the findings. The entire review process was conducted by two authors, and disputes were referred to a third person.</p><p><strong>Results: </strong>Out of the 1167 founded articles, 50 were finally included in the study. According to 10 imported papers for meta-analysis includes 2770 sample size, general HP of drivers is estimated 3.33 [4.04-2.62 with CI 95, I2=89.72]. Also, HP for experienced and beginner drivers is estimated 3.26 [2.23-4.26 with CI 95, I2=89.47] and 3.42 [2.41-4.43 with CI 95, I2=89.68], respectively. Also, in the data meta-synthesis, 28 definitions of HP and 6 main components are identified to evaluate HP using thematic content analysis.</p><p><strong>Conclusion: </strong>In this study, obtained results show that all people need constant and gradual training at all levels. A factor that can be effective to improve drivers' HP is to make drivers to take training courses and to pass standard tests at the time of obtaining driving license.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 1","pages":"1-12"},"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/ff/11/bet-11-1.PMC9923031.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10488908","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":"Evaluation of Various Fixation Methods in Acute Scapholunate Dissociation, A Finite Element Study.","authors":"Mohammad Amin Mahdiyar, Hamid Namazi, Hussein Malekjamshidi, Mohammad Taghi Karimi","doi":"10.30476/BEAT.2023.100425.1469","DOIUrl":"https://doi.org/10.30476/BEAT.2023.100425.1469","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the outcomes of fixing scapholunate with pins and screws in parallel, convergent, and divergent orientations.</p><p><strong>Materials and methods: </strong>In this computer simulation study, the CT scan images of a healthy subject were used to construct a 3D model of the wrist joint using MIMICS software. The imposed force to scaphoid and 3D model lunate bones, as well as the scapholunate angle and distance, were compared in different surgical techniques using parallel, divergent, and convergent pins and screws.</p><p><strong>Results: </strong>In the absence of external force, the imposed stress applied to the scaphoid and lunate bones in cases of parallel pins and screws were 7.5MPa, 5.08MPa (pins), 1.134MPa, and 1.151MPa (screws), and 10.90MPa, 10.90MPa (pins), 9.7MPa, and 34.1MPa (screws) for 50N flexion force. The imposed stress in this approach is significantly lower compared to other interventions. Better outcomes were seen regarding scapholunate angle and scapholunate distance in using parallel pins or screws as well.</p><p><strong>Conclusion: </strong>In conclusion, implementing parallel pins and screws for scapholunate fixation had better results in terms of achieving carpal stability in scapholunate dissociation. However, fixation with pins and screws showed a statistically significant difference. Furthermore, a wide range of motion exercises with no additional forces can be used in the rehabilitation of patients undergoing this surgery.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 4","pages":"173-177"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10743320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032177","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":"Study of Epidemiological Characteristics of Fatal Injuries Using Death Registry Data in Georgia.","authors":"Nino Chkhaberidze, Ketevan Axobadze, Maia Kereselidz, Nato Pitskhelauri, Maka Jorbenadze, Nino Chikhladze","doi":"10.30476/BEAT.2023.97931.1418","DOIUrl":"10.30476/BEAT.2023.97931.1418","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate epidemiological aspects of fatal injuries in Georgia.</p><p><strong>Methods: </strong>This was a retrospective, descriptive study that included all traumatic injury deaths in Georgia from January 1 to December 31, 2018. The National Center for Disease Control and Public Health of Georgia's Electronic Death Register database was utilized in this research.</p><p><strong>Results: </strong>Of the study fatal injuries, 74% (n=1489) were males. 74% (n=1480) of all fatal injuries were caused by unintentional injuries. Road traffic accidents (25%, n=511) and falls (16%, n=322) were the primary causes of mortality. During the research year, the number of Years of life lost (YLL) was associated with injuries and was increased to 58172 for both sexes (rate per 1000 population: 15.6). Most of the years were lost in the age group of 25-29 years (7515.37). Road traffic deaths accounted for 30% (17613.50) of YLL.</p><p><strong>Conclusion: </strong>Injuries are still a major public health problem in Georgia. In 2018, 2012 individuals died from injuries across the country. However, mortality and YLL rates of injury varied by age and cause of injury. To prevent injury-related mortality, it is crucial to conduct ongoing research on high-risk populations.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 2","pages":"75-82"},"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/16/ed/bet-11-75.PMC10182725.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10083246","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":"Comparison the Ability of Quantitative Trauma Severity Assessment Methods Based On GAP, RTS, and ISS Criteria in Determining the Prognosis of Accidental Patients.","authors":"Behrang Khafafi,&nbsp;Omid Garkaz,&nbsp;Saeed Golfiroozi,&nbsp;Sahar Paryab,&nbsp;Laia Ashouri,&nbsp;Sevda Daei,&nbsp;Hamidreza Mehryar,&nbsp;Mousa Ghelichi-Ghojogh","doi":"10.30476/BEAT.2022.94794.1346","DOIUrl":"https://doi.org/10.30476/BEAT.2022.94794.1346","url":null,"abstract":"<p><strong>Objective: </strong>To compare the ability of quantitative trauma severity assessment methods based on Glasgow coma scale, age, and arterial pressure (GAP), revised trauma score (RTS), and injury severity score (ISS) criteria in determining the prognosis of accidental patients.</p><p><strong>Methods: </strong>This cross-sectional study was performed on random patients referred to Imam Khomeini Hospital in Urmia from March 20, 2020 to September 21, 2020. The data were obtained by using a checklist includes items such as age, sex, respiration rate, oxygen saturation level, pulse rate, primary blood pressure, initial Glascow coma scale (GCS), patient outcome and injury to different parts of body. After collecting the data, it was entered into SPSS 18 and analyzed with the descriptive and analytical statistics include an independent t-test and receiver operating characteristic curve (ROC) curves.</p><p><strong>Results: </strong>Out of 1930 studied patients, 365 (18.9%) were women and 1565 (81.1%) were men. The mean age of patients was 37.05±17.11 years and women were significantly older than men. The mortality rate was 4.8% and was significantly more in men compared to women. The mean blood pressure, GCS and oxygen saturation level were lower in deceased patients. The mean GAP, ISS and RTS values were 23.13±2.69, 4.07±3.82, 7.72±0.52, respectively. The mean values of GAP and RTS were significantly low in deceased patients whereas the mean ISS value was significantly high in the deceased patients. The Area under the curve (AUS) for ISS was greater than the other two scoring systems.</p><p><strong>Conclusion: </strong>The findings of the current study showed that all three systems were adequately efficient to prognoses the final outcome in multi-trauma patients but the ISS measure was better than the other two criteria.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"122-127"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/03/bet-10-122.PMC9373053.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40627733","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 Role of Surgical and Endovascular Repair of Blunt Traumatic Aortic Injury in the Modern Era: A Single-Center Experience.","authors":"Hamed Ghoddusi Johari,&nbsp;Seyed Arman Moein,&nbsp;Ahmad Hosseinzadeh,&nbsp;Javad Kojuri,&nbsp;Amirhossein Roshanshad,&nbsp;Reza Shahriarirad","doi":"10.30476/BEAT.2022.94343.1335","DOIUrl":"https://doi.org/10.30476/BEAT.2022.94343.1335","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of chest x-ray (CXR) in blunt traumatic aortic injury (BTAI) as a primary imaging tool in trauma patients.</p><p><strong>Methods: </strong>We retrospectively reviewed our hospital records for blunt thoracic aortic injury patients who had a therapeutic intervention from January 2015 to February 2021. Patients' characteristics, initial chest x-rays, and computed tomography (CT) scan were extracted and re-evaluated.</p><p><strong>Results: </strong>Eighteen patients matched the criteria of our research. The mean age and the injury severity score (ISS) was 29.8±11.2 and 38.4±14.4, respectively. Seven patients (38.9%) underwent thoracic endovascular aortic repair (TEVAR), and 11 (61.1%) had open surgery. The TEVAR group had significantly lower mean intensive care unit stay days (6.6±3.9 vs. 10.8±6.9 in open aortic repair (OAR), <i>p</i><0.05). The percentile of patients requiring blood transfusion was significantly lower in the TEVAR group (57% vs. 100% in OAR, <i>p</i><0.05). Mediastinal widening (66.7%) was the most common finding during the evaluation of initial chest x-rays. Interestingly, 22.2% of the initial x-rays were not remarkable for BTAI.</p><p><strong>Conclusion: </strong>TEVAR is an advantageous choice in the management of BTAI. However, open aortic repair is the optimal decision in certain situations. It is suggested that the Interventional management of the BTAI must be performed by experienced vascular surgeons in a medical center capable of both OAR and TEVAR.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"103-109"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/5b/bet-10-103.PMC9373059.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40627735","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}