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Varying results have been reported concerning the effect of body mass index (BMI) on polytrauma outcome. Although most studies focus on obesity and its associated preexisting medical diseases as a predictor for increased mortality rates, there is evidence that polytrauma patients with underweight also face an inferior outcome.Records of 5766 trauma patients (minimum 18 years of age, Injury Severity...
Successful outcome from acetabular fracture fixation is multi-factorial. Long-term results are not frequently reported. Pooling such data from high output centres will help progress acetabular fixation. This paper presents the first ten-year data from the Irish tertiary referral centre.To audit the radiographic and clinical outcome of all patients who had acetabular fracture fixation in the unit a...
The aim of this study was to assess the evidence for the association between different biochemical markers at admission and mortality through a meta-analysis.PubMed-, Embase-, Cochran Library and the Web of Knowledge were searched for cohort studies.Eligible studies were observational studies with a study population larger than 150 subjects, a mean age above 60 years and a study duration below 730...
There has been little research into the consequence of suffering a hip fracture and associated orthopaedic injures. The aim of this research paper is to describe the patient characteristics, patterns of injury and to define the effect on outcomes of orthopaedic injuries occurring simultaneously with hip fractures.Hip fracture data was collected prospectively. Patients under 60 years of age were excluded...
The majority of periprosthetic fractures around the knee occur at the supracondylar region of the distal femur. Fixation of distal femoral fractures in osteoporotic bone with short segment remains a challenge, especially after total knee arthroplasty (TKA). Internal fixation of these fractures using locking plates has become popular. The purpose of this study was to evaluate a consecutive series of...
This study analysed the predictors of mortality in patients who are diagnosed with deep infection following hip fracture surgery.Data were prospectively collected for 3 years from all patients undergoing hip fracture surgery and who had developed a subsequent deep infection. Infection was defined as positive microbiology culture from deep tissue or fluid samples. Demographic data, treatment, complications...
In this study, we attempted to identify differences in the outcomes of patients with severe trauma who were directly transported to our hospital, and those who were stabilised initially at other hospitals in south-central Taiwan.We performed a prospective observational study to review the records of 231 patients with major trauma (Injury Severity Scores (ISS) >15) who visited our hospital's emergency...
No sufficiently validated disease-specific instrument is available to assess patient outcome after polytrauma. The aim of this investigation was to test the recently published Trauma Outcome Profile (TOP) in the longer-term outcome of multiply injured patients.Single centre validation study on the TOP in comparison with objective and subjective measures of patient, injury or treatment characteristics...
Pulmonary complications are common in multiple trauma patients with chest injury. Factors predisposing these critically ill patients to respiratory organ failure are not fully understood.Univariate and multivariate logistic regression analyses were used to assess the prognostic value of clinical and laboratory variables (2002–2008; n=30,616) from the Trauma Registry of the German Trauma Society (DGU)...
To review the outcome of patients with post-traumatic acute subdural haematoma (ASDH) before and after the establishment of a hospital trauma team at a designated trauma centre.A retrospective analysis was conducted on 82 consecutive patients who underwent surgery for post-traumatic ASDH. The ‘PRE’ and ‘POST’ groups included patients admitted before and after the establishment of a hospital trauma...
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