Background: The advantages of early fracture fixation in patients with multiple injuries have been challenged recently, particularly head injury. External (EF) has used to stabilize pelvic fractures after It potentially offers similar benefits intramedullary nail (IMN) long-bone and may obviate some the risks. We report on use EF as a temporary group femoral shaft fractures. Methods: Retrospective review charts registry data admitted our Level 1 trauma center July 1995 June 1998. Forty-three...

Improvement in trauma management requires a better understanding of the effect patient's preinjury health status on outcome. Specific historical findings and laboratory criteria were used to define pre-existing disease (PED) states determine if they independent predictors fate victims. Of 7,798 adult patients admitted level I center from July 1986 through June 1990, 16.0% (1,246) had greater than or equal 1 PED. The PED+ PED- no significant difference Injury Severity Scores (ISSs) (15.7...

Improvement in trauma management requires a better understanding of the effect patient's preinjury health status on outcome. Specific historical findings and laboratory criteria were used to define pre-existing disease (PED) states determine if they independent predictors fate victims. Of 7,798 adult patients admitted level I center from July 1986 through June 1990, 16.0% (1,246) had ≥1 PED. The PED+ PED-patients no significant difference Injury Severity Scores (ISSs) (15.7 versus 15.6)...

The records of obese and nonobese victims blunt trauma were compared to determine if individuals are predisposed a specific injury pattern. Prospectively collected data on 6368 adults admitted level I center over 4-year period analyzed. Twelve percent (743 patients) met Body Mass Index (weight/height2) criteria for obesity (greater than or equal 30 kg/m2). group was older (p less 0.01) had lower ISSs 0.05) higher GCS scores 0.01). More patients injured in vehicular crashes (62.7% vs. 54.1%...

To determine and compare the mortality rates of patients with bilateral versus unilateral femoral fractures to contribution fracture to, identify risk factors for, such mortality.Retrospective analysis using trauma registry data on consecutive blunt (800 patients, group I) or (eighty-five II) fractures.Univariate was performed groups' ages, Injury Severity Scores, Glasgow Coma Scale values, mortality, presence adult respiratory distress syndrome (ARDS). Logistic regression variables...

Background Although reports have documented alcohol and other drug use by trauma patients, no studies of long-term trends been published. We assessed substance in a large cohort patients admitted to regional Level I adult center between July 1984 June 2000. Methods Positive toxicology results, collected via retrospective database review, were analyzed for directly the center. Data abstracted from clinical 53,338 patients. Results alcohol, cocaine, opiates relative sex, age (< 40/≥ 40 years),...

Objective The study aims were to identify demographic, clinical, and quality of life variables related embarrassment for people living with ostomies determine the experiences and/or feelings veterans who embarrassed by their ostomy. Design This was a cross-sectional, correlational study. Setting Subjects A convenience sample (n = 239) from 3 VA medical centers studied. primarily Caucasian (84%), male (92%), older (M 69). Instruments modified City Hope Quality Life-Ostomy questionnaire used....

Background Despite the current emphasis on injury prevention, little has been done to incorporate alcohol intervention programs into care of injured patient. The purpose this study was determine whether patients admitted a trauma center with positive toxicology findings (TOX+) have higher subsequent mortality than those without such (TOX−). Methods We followed cohort 27,399 discharged alive between 1983 and 1995 mortality. Death certificates were obtained identify cause death. Results TOX+...

Recent reports suggest that early fracture fixation worsens central nervous system (CNS) outcomes. We compared discharge Glasgow Coma Scale (GCS) scores, CNS complications, and mortality of severely injured adults with head injuries pelvic/lower extremity fractures treated versus delayed fixation.Using trauma registry data, records meeting preselected inclusion criteria from the years 1991 to 1995 were examined. identified 171 patients aged 14 65 (mean age, 32.7 years) who underwent (< or =...

Scalea, Thomas M. MD; Boswell, Sharon A. RN, CEN; Scott, Jane D. ScD, MSN; Mitchell, Kimberly MS; Kramer, Mary E. RN; Pollak, Andrew N. MD Author Information

We aimed to find out whether the Hastings bipolar prosthesis moved in a fashion after its use for displaced fractures of femoral neck. In 65 patients non-weight-bearing movement was assessed radiographically and compared with an earlier study Monk prosthesis. 70% patients, only between acetabulum prosthetic shell, behaving as if it were unipolar. This did not change time, but there slight improvement range movement, particularly flexion. The absence outer shell metal head is most probably...

Numerous methods for postoperative pain management after total knee arthroplasty (TKA) are reported. Multimodal approaches, including peripheral nerve blocks and systemic analgesia, have been shown to decrease patient pain, increase satisfaction with control, length of stay (LOS), improve outcomes.To compare outcomes (pain scores, LOS, nausea vomiting, movement) between 66 TKA patients a single orthopaedic surgeon in 2010 who received multimodal approach 45 historical (control) 2009 did not...

Colorectal cancer, the third leading cause of cancer-related death in United States, could largely be prevented if more people had polyps removed via colonoscopies. Embarrassment is one important barrier to colonoscopy, but little known about embarrassment this context, and there were no reliable valid measures construct. The purpose study was develop a instrument measure colonoscopy-related embarrassment. Transtheoretical Model Behavior Change Health Belief provided theoretical basis for...

Abstract Background/Aims The misuse of opioids by the public is a major health issue. Prescription and nonprescription opioids, such as heroin opium, are misused in epidemic proportions. When used incorrectly or illegally, they can lead to drug dependence, addiction, morbidity, mortality. This program collaboration with Jolt Foundation that provides resources prevent opioid overdose deaths. Design/Methods involves community education on dangers use training naloxone rescue procedures A...

s Of Papers To Be Presented At The Fifty-Ninth Annual Meeting American Association For Surgery Trauma; Marriott Copley Place Hotel, Boston, Massachusetts; September 16-18, 1999

Copeland, C.; Brumback, R. J.; Gens, D. R.; Mitchell, K. A.; Burgess, A. Author Information