The capacity of servicemembers with amputation to return to duty after combat-related amputation and the associated disabilities remains largely unknown. The purpose of this study was to examine the disabling conditions and return to duty rates of servicemembers with amputation across all service branches following major limb amputations from September 2001 through July 2011. Pertinent medical ...

OBJECTIVE To assess the demands made on a regional trauma centre by a district trauma unit. DESIGN Two part study. (1) Prospective analysis of one month's workload. (2) Retrospective analysis of one year's workload by using a computer based records system. Comparison of two sets of results. SETTING Accident unit in Gwynedd Hospital, Bangor. PATIENTS (1) All patients who attended the accid...

OBJECTIVE To determine the incidence of injuries missed in the emergency room (ER) and the factors involved. DESIGN Retrospective. METHOD Of patients with an Hospital trauma index-injury severity score (HTI-ISS) > or = 14 who were treated in 1996 in the ER of the Academic Hospital Utrecht, the Netherlands, it was studied in the computerized database whether injuries had been missed. A misse...

OBJECTIVE To better match hospital resources to patients' needs of trauma care, a protocol for facilitating in-hospital triage decisions was implemented at a Swedish level I trauma centre. In the protocol, physiological parameters, anatomical injuries and mechanism of injury were documented, and used to activate full or limited trauma team response. The aim of this study was to evaluate the eff...

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 Length of hospitalization is a good indicator of resource utilization. Older patients are increasingly suffering trauma, and comorbid medical conditions are also increasing. Our objective was to determine the separate and combined effect of these 2 factors on length of hospital stay for trauma patients in a tertiary trauma centre. METHODS All 994 consecutive trauma patients survivi...

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...

OBJECTIVES This prospective cohort study aimed to investigate whether there are differences in health outcomes among persons with mild or moderate injuries who were hospitalised compared with those not hospitalised following a road traffic crash. SETTING Sydney Metropolitan, New South Wales, Australia. PARTICIPANTS Persons aged ≥18 years involved in a motor vehicle crash were surveyed at ba...

AIM This study aimed to determine factors linked to hypothermia (<35 degrees C) in Queensland trauma patients. The relationship of hypothermia with mortality, admission to intensive care and hospital length of stay was also explored. METHODS A retrospective analysis of data from the Queensland Trauma Registry was undertaken, and included all patients admitted to hospital for > or =24h during ...

OBJECTIVE To evaluate trends in hospitalization after injuries in the USA. DESIGN National Hospital Discharge Survey data from 1979 to 2000 were evaluated annually by age group, sex, injury severity score (ISS), length of stay, and discharge destination. SETTING AND SUBJECTS National probability sample of hospitalized patients. INTERVENTIONS None. MAIN OUTCOME MEASURES Incidence, durati...