This is a European cohort study on predictors of spinal injury in adult (≥16 years) major trauma patients, using prospectively collected data the Trauma Audit and Research Network from 1988 to 2009. Predictors for fractures/dislocations or cord were determined univariate multivariate logistic regression analysis. 250,584 patients analysed. 24,000 (9.6%) sustained alone 4,489 (1.8%) with without fractures/dislocations. Spinal had median age 44.5 years (IQR = 28.8-64.0) Injury Severity Score 9...

BACKGROUND: Patients with cervical spine injuries are a high-risk group, the highest reported early mortality rate in spinal trauma. METHODS: This cohort study investigated predictors for injury adult (≥ 16 years) major trauma patients using prospectively collected data of Trauma Audit and Research Network from 1988 to 2009. Univariate multivariate logistic regression analyses were used determine fractures/dislocations or cord injury. RESULTS: A total 250,584 analyzed. Median age was 47.2...

In Switzerland there are about 150,000 equestrians. Horse related injuries, including head and spinal frequently treated at our level I trauma centre. To analyse injury patterns, protective factors, risk factors to horse riding, define groups of safer riders those greater We present a retrospective case-control survey conducted tertiary centre in Bern, Switzerland. Injured equestrians from July 2000 - June 2006 were retrospectively classified by pattern neurological symptoms. July-December...

The rate of movement the maxillary canines into healed or recent extraction alveolus first premolar was measured in 22 patients aged 10-27 years. On one side dental arch, extracted. After a median time 86 days, contralateral extracted and distalization both started using Gjessing canine retraction springs. experiment ended when two had been sufficiently distalized. Recordings positions at beginning study, start end were made from casts standardized intraoral radiographs. on moved faster than...

Helicopter emergency medical services (HEMSs) have become a standard element of modern prehospital medicine. This study determines the percentage injured HEMS patients whose injuries were correctly recognized by physicians.A retrospective level III evidence prognostic using data from largest Swiss HEMS, REGA (Rettungsflugwacht/Guarde Aérienne), on adult with trauma transported to Level I center (January 2006-December 2007). National Advisory Committee Aeronautics (NACA) scores and Injury...

Objective To analyse risk factors leading to injuries during snowboarding. Design A case–control multicentre survey of injured and non-injured snowboarders. Setting One tertiary two secondary trauma centres in Bern, Switzerland. Methods All snowboard admitted our affiliated from 1 November 2007 15 April 2008 were analysed on the basis a completed questionnaire incorporating variables. The same was applied controls at valley stations after snowboarding day period. multiple logistic regression...

Objective Switzerland has mountains and valleys complicating the access to a hospital critical care in case of emergencies. Treatment success for acute myocardial infarction (AMI) or stroke depends on timely treatment. We examined relationship between distance different types mortality from AMI Swiss National Cohort (SNC) Study. Design setting The SNC is longitudinal study census 2000 population Switzerland. For 4.5 million residents not living nursing home older than 30 years year 2000, we...

The association between helmet use during alpine skiing and incidence severity of head injuries was analyzed. All patients admitted to a level 1 trauma center for traumatic brain (TBIs) sustained from accidents the seasons 2000-2001 2010-2011 were eligible. Primary outcome TBI measured by Glasgow Coma Scale (GCS), computed tomography (CT) results, necessity neurosurgical intervention. Of 1362 injured skiing, 245 (18%) included. fatal in 3%. Head injury 76% minor (Glasgow Scale, 13-15), 6%...

Recently, two simple clinical scores were published to predict survival in trauma patients. Both may successfully guide major triage, but neither has been independently validated a hospital setting.This is cohort study with 30-day mortality as the primary outcome validate new scores-Mechanism, Glasgow Coma Scale (GCS), Age, and Pressure (MGAP) score GCS, Age (GAP) score-using data from UK Trauma Audit Research Network. First, an assessment of discrimination, using area under receiver...

To analyse risk factors in alpine skiing.A controlled multicentre survey of injured and non-injured skiers.One tertiary two secondary trauma centres Bern, Switzerland.All skiers admitted from November 2007 to April 2008 were analysed using a completed questionnaire incorporating 15 parameters. The same was distributed controls. Multiple logistic regression performed. Patterns combined calculated by inference trees. A total 782 patients 496 controls interviewed.Parameters that significant for...

Objectives More than 20 people die each year in snow avalanches Switzerland. Previous studies have primarily described these victims, but were not population based. We investigated sociodemographic factors for avalanche mortality between 1995 and 2014 the entire Swiss resident population. Design methods Within National Cohort we ascertained deaths by anonymous data linkage with accident database at WSL Institute of Snow Avalanche Research SLF. calculated incidence rates, dividing number from...

Increasing life expectancy has led to higher incidence of fragility fractures the pelvis. These demographic changes may have a direct impact on fracture patterns. The goal this study was (1) evaluate demographical trends in patients with pelvic ring injuries at tertiary Swiss trauma center and (2) analyze influence patterns.We performed retrospective cross-sectional including 958 (mean ± SD age, 57 21 years; 48% women) injury between 2007 2017. Fractures were classified according Tile, Young...

The effect of the use a lip bumper with anterior vestibular shields on maxilla was studied in twenty-two 9-14 year-old children space deficiency maxillary dental arch. used for 1 year. treatment evaluated from casts and profile cephalograms made before after treatment. Both width arch at premolars length increased significantly by about 2 mm. antero-posterior position first molars small. In one subject molar distalized 2.8 average was, however, reduction movement within face 0.5 mm, i.e....

Background: 3D-navigation for percutaneous sacroiliac (SI) screw fixation is becoming increasingly common and several studies report great advantages of this technology. However, there still limited clinical evidence on the efficacy regarding radiation exposure patient personnel.Methods: This a retrospective, single-center cohort study. All patients who underwent an injury posterior pelvic ring from 2014 to 2021 were screened. Inclusion criteria were: conclusive dosage reports, signed...

Diagnostic and therapeutic approaches to trauma patients are, depending on experience, equipment different doctrines, subject wide variations. The ability compare centres using a standardised register helps reveal unresolved systemic issues simplifies the quality management in an Emergency Department (ED).This study describes selection, implementation initial evaluation process of international level 1 ED university hospital. Furthermore, first preliminary results literature review benefits...