OBJECTIVE To determine whether being admitted with major trauma to an emergency department outside rather than within working hours results in an adverse outcome. METHODS The data were collected from hospitals in England and Wales participating in the Trauma Audit and Research Network (TARN). Data from the TARN database were used. Admission time and discharge status were cross matched, and th...

This study aims to examine resource utilization and outcomes of trauma patients with extremely high blood alcohol concentrations. We hypothesized that higher blood alcohol concentration (BAC) predicts greater resource utilization and poorer outcomes. A retrospective analysis was performed on trauma patients admitted to an urban Level I trauma center over a 5-year period. Admission BAC categorie...

background and purpose: decision-making process in thoracolumbar and lumbar burst fracture (tlbf) patients with thoracolumbar injury severity and classification score (tlics) > 4 is remained controversial. on the other hand, the question is whether that the oswestry disability index (odi) can be use to assess to clinical outcomes in these patients . we aimed to study the correlation between the...

INTRODUCTION The Injury Severity Score (ISS) and the New Injury Severity Score (NISS) are widely used for anatomic severity assessments after trauma. We present here the Tangent Injury Severity Score (TISS), which transforms the Abbreviated Injury Scale (AIS) as a predictor of mortality. MATERIAL AND METHODS The TISS is defined as the sum of the tangent function of AIS/6 to the power 3.04 mul...

OBJECTIVE To compare fasciotomy rates and Injury Severity Scores (ISSs) before and after tourniquets were fielded for combat casualties in March 2005. METHODS A military trauma registry was used to identify 4332 casualties with limb injury between 2003 and 2006. Descriptive statistics and regression analysis were used to compare changes in ISSs, limb Abbreviated Injury Scale (AIS) scores, and...

OBJECTIVES: We aimed to investigate the use of sedation in patients with severe traumatic brain injury (TBI), focusing on choice sedative agent, dose, duration, and their association clinical outcomes. DESIGN: Multinational, multicentre, retrospective observational study. SETTINGS: 14 trauma centres Europe, Australia United Kingdom. PARTICIPANTS: A total 262 adult TBI intracranial pressure moni...

Aims: The aim of this study was to investigate the associ-ation between catastrophizing, postoperative pain, and in-jury severity following war-related injuries among soldiers injured during first year war in Ukraine. Methods: This cross-sectional included 135 patients with treated at Center Thermal Trauma Reconstructive Surgery Vinnytsia re-gional University hospital Ukraine August 2022 Novemb...

OBJECTIVE The modified early warning score (MEWS) is a 'track and trigger' score using routine physiological vital signs. The objective is to determine if the pretransfer MEWS can be used for predicting outcomes in trauma patients requiring interfacility transfer to higher levels of care. DESIGN, SETTING AND PARTICIPANTS Retrospective study of consecutively transferred trauma patients into a ...