OBJECTIVES To determine whether the Vulnerable Elders Survey (VES)-13, a survey based on functional status that has been validated in uninjured older populations, will predict complications and mortality in injured older adults. DESIGN Prospective observational pilot study. SETTING Level 1 trauma center. PARTICIPANTS Sixty-three older adults (≥65) with a traumatic injury who survived and ...

BACKGROUND Trauma is still the leading cause of death in many regions of the world. Severity scores have been developed to assist in management of trauma victims. Immune response to trauma has been known to positively correspond to the severity of trauma. Part of this response involves release of cytokines into blood circulation which promote the acute inflammatory response commonly seen after ...

BACKGROUND von Willebrand factor (vWF) is only released from endothelial cells and platelets and is an in vivo and in vitro marker of endothelial injury in septic patients with acute lung injury (ALI). Interleukin-8 (IL-8), as a proinflammatory mediator causing recruitment of inflammatory cells, induces an increase in oxidant stress mediators and makes it as a key parameter for localized inflam...

results the average age of patients was 34.1 ± 14.6 year. in total 86.4% of the participants were male, 78.6% lived in urban areas, 87.1% were iranian, and 58.6% were employed. a total of 62.1% of trauma patient injuries were traffic related injuries and most of them (75%) were motor cycle accidents. a total of 79.3% of patients had injuries in the extremities with other injuries as follows: he...

OBJECTIVE There is much evidence that driving under the influence of alcohol and/or drugs of abuse is related to an increased accident risk. A remaining question is whether the use of psychoactive substances is also related to clinically more severe accidents. The aim of this study is to explore the relationship between the use of psychoactive substances and the injury severity in a group of cr...

BACKGROUND Contradictory findings are reported in the literature concerning prognostic factors for failure of nonoperative management (NOM) in the treatment of adults with blunt splenic injury. The objective of this systematic review was to identify prognostic factors for failure of NOM, with or without angiography and embolization. METHODS MEDLINE, Embase, and the Cochrane Library databases ...

The objective of this report is to analyze the resource utilization and injury patterns of complex dismounted blast injuries. A retrospective review of U.S. service members injured in combat between 2007 and 2010 was conducted. Data analyzed included age, injury mechanism, amputated limbs, number and type of associated injuries, blood products utilized, intensive care unit length of stay (ILOS)...

Purpose: Recently, a sharp increase in the use of delivery services has led to an motorcycle accidents. This study aimed identify characteristics commercial injured patients and factors related severity during past 10 years.Methods: Patients (15–64 years old) who visited emergency department with accidents injury registered Korean Emergency Department-based Injury In-depth Surveillance (2011–20...

BACKGROUND A previous report of 5,782 trauma patients demonstrated higher mortality among those transported by emergency medical services (EMS) than among their non-EMS-transported counterparts. HYPOTHESIS Trauma patients who are transported by EMS and those who are not differ in the injury-to-hospital arrival time interval. DESIGN Prospective cohort-matched observation study. SETTING Lev...

OBJECTIVES To describe the seriously injured older adult; characterize and compare the differences in injury characteristics and outcomes in three subgroups of seriously injured older adults: aged 65 to 74, 75 to 84, and 85 and older; and identify risk factors for death, complications, and discharge placement at hospital discharge. DESIGN A retrospective secondary analysis of a statewide trau...