A5009033968- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Injury Epidemiology and Prevention
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac Arrest and Resuscitation
- Hip and Femur Fractures
- Abdominal Trauma and Injuries
- Autopsy Techniques and Outcomes
- Pelvic and Acetabular Injuries
- Child Abuse and Related Trauma
- Primary Care and Health Outcomes
- Disaster Response and Management
- Posttraumatic Stress Disorder Research
- Delphi Technique in Research
- Anesthesia and Sedative Agents
- Health and Wellbeing Research
- Healthcare Policy and Management
- Child Abuse and Trauma
- COVID-19 and healthcare impacts
- Spinal Fractures and Fixation Techniques
Erasmus MC
2020-2025
Erasmus University Rotterdam
2022-2024
Severe traumatic brain injury is a leading cause of mortality and morbidity, these patients are frequently intubated in the prehospital setting. Cerebral perfusion intracranial pressure influenced by arterial partial CO2 derangements might induce further damage. We investigated which lower upper limits end-tidal levels associated with increased severe injury. The BRAIN-PROTECT study an observational multicenter study. Patients injury, treated Dutch Helicopter Emergency Medical Services...
The development and expansion of intracranial hematoma are associated with adverse outcomes. Use tranexamic acid might limit formation, but its association outcomes severe traumatic brain injury (TBI) is unclear.To assess whether prehospital administration mortality functional in a group patients TBI.This multicenter cohort study an analysis prospectively collected observational data from the Brain Injury: Prehospital Registry Outcome, Treatments Epidemiology Cerebral Trauma (BRAIN-PROTECT)...
Abstract Background A threshold Injury Severity Score (ISS) ≥ 16 is common in classifying major trauma (MT), although the Abbreviated Scale (AIS) has been extensively revised over time. The aim of this study was to determine effects different AIS revisions (1998, 2008 and 2015) on clinical outcome measures. Methods retrospective observational cohort including all primary admitted patients performed (in 2013–2014 AIS98 used, 2015–2016 AIS08, AIS08 mapped AIS15). Different ISS thresholds for...
Injury coding with the Abbreviated Scale (AIS) is an important element for benchmarking, trauma registries and research. To compare severity of traumatic brain injury (TBI) derived from AIS or without use a standardised radiologic template. A retrospective two-centre cohort study including patients aged ≥ 18 years isolated TBI admitted to intensive care between 2011 2016 was conducted. re-coded conform by coders, CT-brain imaging reassessed neuro-radiologist following template which codes...
Abstract Purpose With an increasingly older population and rise in incidence of traumatic brain injury (TBI), end-of-life decisions have become frequent. This study investigated the rate withdrawal life sustaining treatment (WLST) compared outcomes patients with isolated TBI two Dutch level-I trauma centers. Methods From 2011 to 2016, a retrospective cohort aged ≥ 18 years moderate-to-severe (Abbreviated Injury Scale (AIS) head 3) was conducted at University Medical Center Rotterdam (UMC-R)...
Concentration of trauma care in network has resulted different populations across designated levels care. Describing psychological health status, by means the impact event scale (IES) and hospital anxiety depression (HADS), major patients one two years post-trauma networks. A multicentre retrospective cohort study was conducted. aged ≥ 18 an Injury Severity Score (ISS) > 15, surviving their injuries year after trauma. Psychological status self-reported with HADS IES. Subgroup analysis,...
Background Severe traumatic brain injury is a leading cause of morbidity and mortality among young people around the world. Prehospital care focuses on prevention treatment secondary commonly includes tracheal intubation after induction general anesthesia. The choice agent in this setting controversial. This study therefore investigated association between chosen medication etomidate versus S(+)-ketamine 30-day patients with severe who received prehospital airway management Netherlands....
Major trauma often results in long-term disabilities. The aim of this study was to assess health-related quality life, cognition, and return work 1 year after major from a network perspective.All patients 2016 (Injury Severity Score > 15, n = 536) were selected region Southwest Netherlands. Eligible (n 365) sent questionnaires with the EQ-5D-5L questions on level education, comorbidities, resumption paid trauma.A 50% 182) response rate obtained. EQ-US EQ-VAS scored median (IQR) 0.81...
Abstract Purpose The global population is ageing rapidly. As a result, an increasing number of older patients with traumatic spine injuries are seen in hospitals worldwide. However, it unknown how the incidence spinal injury has developed over past decade. Therefore, this study aimed to determine and characteristics aged under above 65 years. Methods During three time periods: 2009–2010, 2014–2015 2019–2020, all adult Netherlands were identified from Dutch National Trauma Registry....
OBJECTIVES Physician staffed Helicopter Emergency Medical Services (P-HEMS) care in the Netherlands has transitioned from predominantly trauma management to handling a variety of medical conditions. Relevant outcome parameters for Dutch P-HEMS research have not been previously defined. National consensus was sought identify relevant long term patient parameters, process and performance care.
The importance and impact of determining which trauma patients need to be transferred between hospitals, especially considering prehospital triage systems, is evident. objective this study was investigate the association mortality primary admission secondary transfer level I II centers, identify predictors a designated center.Data from Dutch Trauma Registry South West (DTR SW) obtained. Patients ≥ 18 years who were admitted or center included. with isolated burn injuries excluded....
Centralization of trauma centers leads to a higher hospital volume severely injured patients (Injury Severity Score (ISS) > 15), but the effect on outcome remains unclear. The aim this study was determine association between and in-hospital mortality in Dutch Level-1 centers. A retrospective observational cohort performed using registry. All adults (ISS 15) admitted center 2015 2018 were included. analyzed with random effects logistic regression models intercept for center, adjusted...
Introduction Health care patient records have been digitalized the past twenty years. Parallel, quality registries based on electronic (partly) automated. Missing registrations are not uncommon, and can be a source of selection bias.Objective To assess prevalence characteristics missed in Dutch regional trauma registry.Methods An automatically generated registry export was done between June 1 August 31, 2020. Second, lists emergency department admission were checked for tick box that falsely...
Health care patient records have been digitalised the past twenty years, and registries automated. Missing registrations are common, can result in selection bias.
Mortality due to trauma has reduced the past decades. Trauma network implementations have been an important contributor this achievement. Besides mortality, patient reported outcome parameters should be included in evaluation of care. While concentrating major care, hospitals are designated with a certain level care following specific criteria.Comparing health status patients after two years across different levels networks.Multicentre observational study comprising secondary longitudinal...
Between 0.1-3% of injured children who present at a hospital emergency department ultimately die as result their injuries. These events are typically reported unnatural causes death and may from either accidental or non-accidental trauma (NAT). Examples the latter include that is inflicted directly resulting neglect. Although consultation with forensic physician mandatory for all deceased children, prevalence fatal neglect among currently unclear.This retrospective study included (0-18...
Abstract Background The prevalence of inflicted femur fractures in young children varies (1.5–35.2%), but these data are based on small retrospective studies with high heterogeneity. Age and mobility the child seem to be indicators trauma. Objective This study describes other factors associated neglectful trauma that can used distinguish from accidental fractures. Materials methods included (0–6 years) who presented an isolated fracture at 1 11 level I centers Netherlands between January...
Introduction: Mortality due to trauma has reduced the past decades. Trauma network implementations have been an important contributor this achievement. Besides mortality, patient reported outcome parameters should be included in evaluation of care. While concentrating major care, hospitals are designated with a certain level care following specific criteria.Objective: Comparing health status patients after two years across different levels networks.Methods: Multicentre observational study...