Defining needs and goals of post-ICU care for trauma patients: preliminary study.

Background: The aim of this study was to assess the long-term physical and psychological disabilities and their economic impact in severe trauma survivors.

Methods: Adult patients with Injury Severity Score >15 and Abbreviated Injury Scale ≤3 admitted to the ICU of a Level 1 trauma centre in the Lazio Region and discharged alive from hospital underwent a structured interview 12-24 months after the event. Self-reported somatic symptoms, autonomy, anxiety and depression were evaluated using a Likert-type Scale, Barthel Index and Hospital Anxiety and Depression Score (HADS), respectively.

Incidence of pain after craniotomy in children.

Background: There is very few information regarding pain after craniotomy in children.

Objectives: This multicentre observational study assessed the incidence of pain after major craniotomy in children.

Methods: After IRB approval, 213 infants and children who were <10 years old and undergoing major craniotomy were consecutively enrolled in nine Italian hospitals.

Severe subdural hemorrhage due to minimal prenatal trauma.

The authors report a case of minimal prenatal trauma producing a large subdural hematoma in the fetus, which was diagnosed in utero by MR imaging. The occurrence of such a complication is extremely rare in the absence of significant maternal trauma. Prenatally diagnosed intracranial hemorrhages, particularly those that are subdural in origin, have a poor prognosis in most cases.