Bulletin of emergency and trauma最新文献_第9页

Effect of COVID-19 Pandemic on Incidence and Mortality Rate Due to Road Traffic Injury in Shiraz. 新冠肺炎疫情对设拉子地区道路交通伤害发生率和死亡率的影响

Bulletin of emergency and trauma Pub Date : 2022-07-01 DOI: 10.30476/BEAT.2022.95640.1365

Mahnaz Yadollahi, Mehrdad Karajizadeh, Najmeh Bordbar, Zahra Ghahramani, Leila Shayan

{"title":"Effect of COVID-19 Pandemic on Incidence and Mortality Rate Due to Road Traffic Injury in Shiraz.","authors":"Mahnaz Yadollahi, Mehrdad Karajizadeh, Najmeh Bordbar, Zahra Ghahramani, Leila Shayan","doi":"10.30476/BEAT.2022.95640.1365","DOIUrl":"https://doi.org/10.30476/BEAT.2022.95640.1365","url":null,"abstract":"Objective: To evaluate the effect of COVID-19 pandemic on the incidence and mortality rate of road traffic injuries in Shiraz, Iran.Methods: This cross-sectional study was performed on the data of patients who admitted by road traffic accidents 18 months before the outbreak of COVID-19 and 18 months after COVID-19 in the largest provider of trauma level 1 care services in southern Iran. SPSS 19 software was used to analyze the data.Results: A significant decrease of 12.8% was observed in the number of patients admitted by road traffic accidents during the COVID-19 pandemic period compared to the same period before the pandemic (p<0.0001). But the death toll from road traffic accidents has increased significantly during the COVID-19 pandemic period compared to the same period before the pandemic (p=0.01).Conclusion: Due to the COVID-19 restrictions, it seems that factors such as restrictions on suburban travel, closure of public and recreational spaces, reduction of intra-city traffic, people staying at home and a significant reduction in injuries caused by traffic accidents, is reasonable. On the other hand, these restrictions, quarantines, and COVID disease itself can lead to confusion, anxiety, fear of infection, and thus avoid or delay the search for health care and increase mortality. Therefore, planning and policy-making is essential in order to prepare the correct guidance for seeking treatment.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"110-115"},"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/1a/c0/bet-10-110.PMC9373060.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40627734","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: 2

Traumatic Cervical Vertical Translational Injury: A Case Report. 外伤性颈椎垂直平移损伤1例报告。

Bulletin of emergency and trauma Pub Date : 2022-07-01 DOI: 10.30476/BEAT.2021.89226.1226

Keyvan Eghbal, Maziar Oveisee, Javad Safaee, Saber Zafarshamspour, Arash Saffarrian, Abbas Rakhsha

{"title":"Traumatic Cervical Vertical Translational Injury: A Case Report.","authors":"Keyvan Eghbal, Maziar Oveisee, Javad Safaee, Saber Zafarshamspour, Arash Saffarrian, Abbas Rakhsha","doi":"10.30476/BEAT.2021.89226.1226","DOIUrl":"https://doi.org/10.30476/BEAT.2021.89226.1226","url":null,"abstract":"Traumatic cervical translational injury is a notably rare and highly unstable subtype of type C sub-axial cervical spine injury with high morbidity and mortality rates. Hereby, we report a 41-years-old man who was a case of multiple trauma due to car rollover. He was completely conscious, complaining of cervical pain, with a GCS score of 15/15. His neurological examination was unremarkable. The cervical CT scan revealed a vertical translation at the C6-C7 level (roughly 11 mm) and bilateral facet joint diastases which are highly unstable injuries. A two-stage combined anterior and posterior fixation operation was performed. First, an anterior cervical discectomy and fusion with autologous graft and plate fixation, and then a posterior approach with lateral mass screw fixation was performed. Disruption of the anterior longitudinal ligament, annulus fibrosis, facet capsules, and severe strain of ligamentum flavum was noted intraoperatively. He had no early and late complications within 2 years of follow-up.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"135-137"},"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/26/7c/bet-10-135.PMC9373057.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40627731","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

A Case Report: Surgical Removal of Missing Guide Wire, Is it the Best Intervention? 一例报告:手术切除丢失的导丝，是最好的干预吗?

Bulletin of emergency and trauma Pub Date : 2022-07-01 DOI: 10.30476/BEAT.2021.90494.1255

Rahimeh Eskandarian, Abolfazl Abdollahpour, Shahrzad Aghaamoo, Narges Amini, Hoda Zangian, Kamran Ghods

{"title":"A Case Report: Surgical Removal of Missing Guide Wire, Is it the Best Intervention?","authors":"Rahimeh Eskandarian, Abolfazl Abdollahpour, Shahrzad Aghaamoo, Narges Amini, Hoda Zangian, Kamran Ghods","doi":"10.30476/BEAT.2021.90494.1255","DOIUrl":"https://doi.org/10.30476/BEAT.2021.90494.1255","url":null,"abstract":"Nowadays, the use of central venous catheter insertion (CVC), has abundantly increased. It is a common technique in critically ill patients who are admitted to intensive care and emergency departments in order to hemodynamic monitoring and fluid and medication administration. In this report, we express a 28-year-old man who has multiple trauma with decreased level of consciousness during a car accident three months ago and needs intensive care and monitoring by central venous catheter placing. A missed guide wire remaining inside the venous system after peripherally inserted in femoral vein that was incidentally diagnosed by taking a chest X-ray after three months. Although, guide wires are often retrieved by snaring catheter under fluoroscopic guidance and an interventional cardiologist, we have successfully extracted the lost wire through vascular surgery. Eventually, this report is supposed to increase awareness of this rare and preventable complication and to provide a solution to prevent this complication. Finally, the purpose of this report is to emphasize that surgical extracting is the best intervention to remove the missed guide wire (after 3 months) and this option could be developed, introduced and standardized in appropriate and controlled conditions.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"138-140"},"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/ae/3b/bet-10-138.PMC9373055.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40627732","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

Transfer of the Long Head Biceps Tendon to Conjoined Tendon in Proximal Humerus Fractures with Cleavage or Comminution at the Bicipital Groove. 肱骨近端肱骨沟劈裂或粉碎骨折的长头肱二头肌腱转移至联合肌腱。

Bulletin of emergency and trauma Pub Date : 2022-07-01 DOI: 10.30476/BEAT.2022.91063.1268

Omid Reza Momenzadeh, Seyed Amirreza Mesbahi, Fatemeh Sadat Azimi, Mohsen Mardani-Kivi

{"title":"Transfer of the Long Head Biceps Tendon to Conjoined Tendon in Proximal Humerus Fractures with Cleavage or Comminution at the Bicipital Groove.","authors":"Omid Reza Momenzadeh, Seyed Amirreza Mesbahi, Fatemeh Sadat Azimi, Mohsen Mardani-Kivi","doi":"10.30476/BEAT.2022.91063.1268","DOIUrl":"https://doi.org/10.30476/BEAT.2022.91063.1268","url":null,"abstract":"Objective: To evaluate the clinical and radiographic findings of long head biceps tendon (LHBT) transfer in traumatic proximal humeral fractures with the biceps groove breakage or comminution.Methods: In this interventional study, subjects surveyed in terms of shoulder function, clinical signs of LHBT tendinitis, radiographic signs of transferred biceps as a possible depressor of the shoulder, and mechanical changes of the scapula. Data were analyzed in SPSS version 21.Results: Fifteen patients were included in the case group (tendon transfer to the conjoined tendon), and 10 patients were evaluated in the control group (non-transfer or non-manipulation of the exposed tendon in the fracture callus of biceps groove). The mean age of the study population was 46.56±14.31 years, and the majority of patients (14.56%) were men. The differences between two groups were not significant in terms of the American Society of Shoulder and Elbow Surgeons (ASES) score, University of California at Los Angeles (UCLA) score, and constant shoulder score (CSS) (p=0.535, p=0.419, and p=0.266, respectively). Also, there was no significant differences between the case and control groups regarding the biceps muscle involvement (Popeye sign: p=1.00; tenderness: p=0.477; pain: p=1.00; speed test: p=1.00; Yergason's test: p=1.00).Conclusion: LHBT transfer to the conjoined tendon in proximal humerus fractures with cleavage or comminution at the bicipital groove showed no advantages.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"116-121"},"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/09/94/bet-10-116.PMC9373056.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40629221","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

Elements of Teamwork in Resuscitation: An Integrative Review. 复苏中的团队合作要素:综合综述。

Bulletin of emergency and trauma Pub Date : 2022-07-01 DOI: 10.30476/BEAT.2021.91963.1291

Mohammad Hosseini, Abbas Heydari, Hamidreza Reihani, Hossein Kareshki

{"title":"Elements of Teamwork in Resuscitation: An Integrative Review.","authors":"Mohammad Hosseini, Abbas Heydari, Hamidreza Reihani, Hossein Kareshki","doi":"10.30476/BEAT.2021.91963.1291","DOIUrl":"https://doi.org/10.30476/BEAT.2021.91963.1291","url":null,"abstract":"Objective: To identify the elements of teamwork in resuscitation, an integrative review and synthesize current primary studies conducted.Methods: PubMed, Scopus, Web of Science, and Embase, as well as Google Scholar search engine were searched from November 2015 to March 2020 to review previously published peer-reviewed studies. Out of the 5495 articles, 16 were finally included in the study. Search strategy implemented with these keywords (in the title/abstract) were (team* AND CPR) or (team* AND resuscitation). Six descriptive criteria was performed by using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline to analyze the articles and a modified version of Cooper's five-stage method.Results: Sixteen studies were included in this research. Twenty elements related to teamwork in resuscitation were identified by using data synthesis, then classified into four categories includes team interaction elements, leadership skills, individual elements and environmental elements. Communication, leadership, situation awareness and scene organization had the highest frequency of reviewed articles 10, 5, 4, 4, respectively.Conclusion: The interactions between resuscitation team members and the skills of the leader and team members along with environmental elements had attracted the most attention of researchers by focusing on teamwork in resuscitation. Due to the limited number of articles related to this subject, more research is needed to reveal all the key elements of teamwork in resuscitation.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"95-102"},"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/60/7d/bet-10-95.PMC9373058.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40629222","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: 4

Anxiety and Stress Seem Temporary during the Pneumonia COVID-19 Pandemic: A Survey on the Mental Health Status of Healthcare Workers. 新型冠状病毒肺炎大流行期间的焦虑和压力似乎是暂时的:对医护人员心理健康状况的调查

Bulletin of emergency and trauma Pub Date : 2022-07-01 DOI: 10.30476/BEAT.2022.94720.1344

Hossein Abdolrahimzadeh Fard, Roham Borazjani, Amir Hossein Shams, Vala Rezaee, Shiva Aminnia, Maryam Salimi, Mahsa Ahadi, Shahram Paydar, Shahram Bolandparvaz, Nikta Rabiei, Sanaz Zare, Leila Shayan, Mina Sadeghi

{"title":"Anxiety and Stress Seem Temporary during the Pneumonia COVID-19 Pandemic: A Survey on the Mental Health Status of Healthcare Workers.","authors":"Hossein Abdolrahimzadeh Fard, Roham Borazjani, Amir Hossein Shams, Vala Rezaee, Shiva Aminnia, Maryam Salimi, Mahsa Ahadi, Shahram Paydar, Shahram Bolandparvaz, Nikta Rabiei, Sanaz Zare, Leila Shayan, Mina Sadeghi","doi":"10.30476/BEAT.2022.94720.1344","DOIUrl":"https://doi.org/10.30476/BEAT.2022.94720.1344","url":null,"abstract":"Objective: To evaluate the presence/severity of depression, anxiety, and stress among health care workers (HCWs) who work on the specially allocated COVID-19 ward (Group A) and HCWs on the other wards (Group B).Methods: This questionnaire-based study was conducted from January 25 to February 28, 2021. The mental status was assessed using the Persian version of the 42-item Depression, Anxiety, and Stress score (DASS-42). Gathered data was analyzed using SPSS version 25. The independent T-test and Chi-square tests were used to compare quantitative and qualitative variables.Results: Two-hundred and twenty two questionnaires were eligible for analysis. Group A consisted of 33 HCWs, and 189 (85.1%) individuals were working on the other wards. No statistically significant differences were seen regarding the Socio-demographic features except for the marital status (p=0.005). The depressions' mean score was comparable between group A and B (p=0.102). The mean scores of anxiety and stress were significantly lower in group A than group B (p=0.006), although the frequency of DASS-42 parameters did not differ between these two groups (p>0.05).Conclusion: Contrary to our assumptions, this study showed that the DASS-42 parameters were not higher in HCWs working on the COVID-19 wards. This might be justified by developing coping mechanisms, being on the honeymoon phase of the disaster, compassion satisfaction, promising vaccine news, and working on the less impacted hospital.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"128-134"},"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/a4/11/bet-10-128.PMC9373054.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40629220","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

Comparison the Emergency Severity Index and Manchester Triage System in Trauma Patients. 创伤患者急诊严重程度指数与曼彻斯特分诊系统的比较。

Bulletin of emergency and trauma Pub Date : 2022-04-01 DOI: 10.30476/BEAT.2022.92297.1302

Hossein Zakeri, Lahya Afshari Saleh, Shabnam Niroumand, Maryam Ziadi-Lotfabadi

{"title":"Comparison the Emergency Severity Index and Manchester Triage System in Trauma Patients.","authors":"Hossein Zakeri, Lahya Afshari Saleh, Shabnam Niroumand, Maryam Ziadi-Lotfabadi","doi":"10.30476/BEAT.2022.92297.1302","DOIUrl":"https://doi.org/10.30476/BEAT.2022.92297.1302","url":null,"abstract":"Objective: To compare the emergency severity index (ESI) and Manchester triage system (MTS) in trauma patients.Methods: This cross-sectional study was conducted by census method in Hasheminejad hospital during 2019. Patients referred to a trauma center triaged by five trained triage nurses based on ESI and MTS. Outcomes were considered as length of stay at the emergency department, admission to the other sectors and discharge or leave the hospital. Information from the triage form, nursing registry office and hospital registry system were extracted and analyzed by SPSS software.Results: Totally 447 and 468 patients triaged with the ESI and MTS were included, respectively. Seventy percent of patients triaged with ESI and 34% with MTS were placed in level 3 or the yellow group (equivalent group 3 triage). The hospitalization rate is approximately equal at each triage level in the both systems. The mortality rate in both groups was 0%. Mean length of stay was significantly lower in the MTS group compared to ESI in the emergency department (p<0.05).Conclusion: Using of ESI triage in the trauma center causes to arrive more patients to the emergency department instead of the fast track and leads to waste the time and energy of staff'. However, further studies are needed to prove this result.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 2","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9008340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49674561","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 Prevalence of Crash and Associated Factors Among Commercial Motorcyclist in Owo, Western Nigeria. 尼日利亚西部奥沃市商业摩托车手的撞车发生率及相关因素

Bulletin of emergency and trauma Pub Date : 2022-01-01 DOI: 10.30476/BEAT.2022.95144.1350

Anthony Ayotounde Olasinde, Kehinde Sunday Oluwadiya

{"title":"The Prevalence of Crash and Associated Factors Among Commercial Motorcyclist in Owo, Western Nigeria.","authors":"Anthony Ayotounde Olasinde, Kehinde Sunday Oluwadiya","doi":"10.30476/BEAT.2022.95144.1350","DOIUrl":"https://doi.org/10.30476/BEAT.2022.95144.1350","url":null,"abstract":"Objective: To determine the prevalence of crash and associated factors among commercial motorcyclists in Owo, Ondo State, Nigeria.Methods: This study is a descriptive cross-sectional study. Data was collected by using pre-tested structured questionnaires administered to commercial motorcyclists. Collected information was socio-demographic characteristics of the respondents, riding experience, formal training, possession of valid drivers' licence, motorcycle ownership status, mobile phone usage, history of crash in the previous one year, riding hours per day, helmet use, carrying more than one passenger, riding against traffic and daily income.Results: The study were enrolled 502 individuals with a mean age of 31.5±8.7. The ratio of men to women was 250:1. All respondents who admitted to engage in the study had at least one risky behaviour in the past (95.4% admitted to transporting one passenger more than the legal) and 56.6% admit to a prior history of traffic offences. The crashes' predictive factors include respondent age, cell phone use while riding, prior traffic offences, carrying more than one pillion rider, use of stimulants such as kolanut and bitter kola, alcohol drink riding, and admission of fault in the prior of crashes.Conclusion: Commercial motorcyclists in Owo, Ondo State Nigeria engaged in risky behaviours that raised their likelihood of being involved in crashes. The objectives of public enlightenment and driver education at these behaviours could help to reduce the occurrence of crashes among them.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 4","pages":"189-195"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/7c/bet-10-189.PMC9758705.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10438098","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

Is cardiac Troponin I Considered as A Predictor of In-hospital Mortality among COVID-19 Patients? A Retrospective Cohort Study. 心肌肌钙蛋白I是否被认为是COVID-19患者住院死亡率的预测因子?回顾性队列研究。

Bulletin of emergency and trauma Pub Date : 2022-01-01 DOI: 10.30476/BEAT.2022.92719.1310

Mohammad Haji Aghajani, Roxana Sadeghi, Reza Miri, Mohammad Parsa Mahjoob, Fatemeh Omidi, Fatemeh Nasiri-Afrapoli, Asma Pourhosseingoli, Niloufar Taherpour, Amirmohammad Toloui, Mohammad Sistanizad

{"title":"Is cardiac Troponin I Considered as A Predictor of In-hospital Mortality among COVID-19 Patients? A Retrospective Cohort Study.","authors":"Mohammad Haji Aghajani, Roxana Sadeghi, Reza Miri, Mohammad Parsa Mahjoob, Fatemeh Omidi, Fatemeh Nasiri-Afrapoli, Asma Pourhosseingoli, Niloufar Taherpour, Amirmohammad Toloui, Mohammad Sistanizad","doi":"10.30476/BEAT.2022.92719.1310","DOIUrl":"https://doi.org/10.30476/BEAT.2022.92719.1310","url":null,"abstract":"Objective: To describe the levels of troponin I in COVID-19 patients and its role in the prediction of their in-hospital mortality as a cardiac biomarker.Methods: The current retrospective cohort study was performed on the clinical records of 649 COVID-19-related hospitalized cases with at leat one positive polymerase chain reaction (PCR) test in Tehran, Iran from February 2020 to early June 2020. The on admission troponin I level divided into two groups of ≤0.03ng/mL (normal) and >0.03ng/mL (abnormal). The adjusted COX-regression model was used to determine the relationship between the studied variables and patient's in-hospital mortality.Results: In this study, the median age of subjects was 65 years (54.8% men) and 29.53% of them had abnormal troponin I levels. Besides, the in-hospital mortality rate among patients with abnormal troponin I levels was found to be 51.56%; whereas, patients with normal levels exhibited 18.82% mortality. Also, the multivariable analysis indicated that the risk of death among hospitalized COVID-19 patients displaying abnormal troponin I levels was 67% higher than those with normal troponin I levels (Hazard ratio=1.67, 95% confidence interval=1.08-2.56, p=0.019).Conclusion: It seems that troponin I is one of the important factors related to in-hospital mortality of COVID-19 patients. Next, due to the high prevalence of cardiac complications in these patients, it is highly suggested to monitor and control cardiac biomarkers along with other clinical factors upon the patient's arrival at the hospital.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 1","pages":"9-15"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8818101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39612703","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: 4

Effect of a Boswellia and Ginger Mixture on the Memory Dysfunction of the Mild Traumatic Brain Injury Patients: A Randomized, Double-Blind Controlled Trial. 乳香姜合剂对轻度颅脑损伤患者记忆功能障碍的影响:一项随机双盲对照试验。

Bulletin of emergency and trauma Pub Date : 2022-01-01 DOI: 10.30476/BEAT.2022.97106.1400

Omid Yousefi, Shahab Ghazi-Mirsaiid, Pouria Azami, Ghazal Karimi, Arash Mani, Amin Niakan, Hosseinali Khalili

{"title":"Effect of a Boswellia and Ginger Mixture on the Memory Dysfunction of the Mild Traumatic Brain Injury Patients: A Randomized, Double-Blind Controlled Trial.","authors":"Omid Yousefi, Shahab Ghazi-Mirsaiid, Pouria Azami, Ghazal Karimi, Arash Mani, Amin Niakan, Hosseinali Khalili","doi":"10.30476/BEAT.2022.97106.1400","DOIUrl":"https://doi.org/10.30476/BEAT.2022.97106.1400","url":null,"abstract":"Objective: To study a Boswellia and ginger mixture on the memory dysfunction of the mild traumatic brain injury (mTBI) patients.Methods: Patients with mTBI were asked about memory impairment following the injury. One hundred mTBI patients were visited and assessed using an auditory-visual learning test (AVLT) questionnaire. By using random permuted blocks, patients were given the Memoral (a mixture of 360 mg of Boswellia and 36 mg of ginger) or placebo and were asked to consume it for a month. Patients were assessed one and three months afterward using the second and third steps of AVLT, respectively.Results: One hundred patients were included in the study and divided into control and intervention groups. The mean age of the patients was 36.83±14.71, and there were no significant differences between the two groups (p=0.41). There were no statistically significant differences in the baseline scores of different AVLT parameters between the two groups. All patients had improvements in different parameters after three months. But some factors include the scores' change in total learning, retroactive interference score, forgetting rate, and net positive score were significantly higher in treatment groups at one-month and three-month follow-ups compared to the placebo group. In contrast, word span and hit parameters had the same pattern of improvement in both groups.Conclusion: The herbal medication can have a satisfactory effect on eliminating post-mTBI memory dysfunction while having no considerable adverse effects. The effect of these components can also be sustained after a two-month timeframe. These results may assist patients to have less mental involvement.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 4","pages":"157-164"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/59/a8/bet-10-157.PMC9758704.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10785788","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