Polytrauma by definition represents a complex clinical scenario characterized an evolving pattern of life-threatening injuries. In the last decades, different systems were created to classify polytrauma patients and evaluate probability survival, act as guide decision-making process in management individual patient. The overall patient must take many factors into account that influence timing s...

PURPOSE Host response to polytrauma occasionally has unpredictable outcomes. Immune response is a major factor influencing patient's outcome. This study evaluated the interaction of two main cytokines in immune response after major trauma, specifically interleukin-6 (IL-6) and interleukin-10 (IL-10). Plasma level of these cytokines is determined by mRNA expression of these cytokines genes which...

INTRODUCTION Survivors of polytrauma experience long-term and short-term burden that influences their lives. The patients' view of relevant short-term and long-term outcomes should be captured in instruments that measure quality of life and other patient-reported outcomes (PROs) after a polytrauma. The aim of this systematic review is to (1) collect instruments that assess PROs (quality of life...

by the year 2020, the incidence of trauma has been predicted to rise worldwide and the death rate is expected to increase from 5.1 million to 8.4 million. the most important cause of death and severe morbidity up to the age of 45 years is traumatic brain injury, with or without polytrauma. since the early 1970s, traffic-related deaths in germany have dropped continuously—with the exception of t...

Treatment of polytrauma patients requires a large number of well trained staff and expensive medical equipment. The high medical standard in polytrauma care resulted in a reduction of a 40% lethality in the 70's to 10 to 15% today. The changes in german health systems (GSG) cut down the financial resources and call for careful evaluation of costs in trauma centers. Our analysis of the costs of ...

Trauma is 1 of the principal public health problems in the United States, and injuries in children cause more death and disability than all other causes combined. Multiple injury occurs in approximately 10% of all pediatric trauma patients admitted to the hospital, and an aggressive team approach toward treatment of these severely injured patients has improved outcome. The care of injured child...