Publications by authors named "Max R van Diepen"
Article Synopsis
- Patients with pulmonary contusion (PC) face a higher risk of complications and respiratory issues, and CT scans, while sensitive, may not fully capture the extent of PC immediately after injury.
- This systematic review aimed to identify different classification systems for PC and examine their link to in-hospital outcomes across various studies, with a focus on CT-based assessments following blunt thoracic trauma.
- The findings revealed that the most effective classification method involves calculating the percentage of contused lung volume, with higher volumes (over 18-24%) correlating with worse patient outcomes.
Article Synopsis
- Surgical stabilization of rib fractures (SSRF) in patients on pre-injury antithrombotic therapy was analyzed to determine its impact on surgical outcomes and timing.
- A study of 218 patients revealed that while those on antithrombotics were older and had different injury severity scores, there were no significant delays in the timing of SSRF or differences in operative time between those on antithrombotics and those not.
- Although patients on antithrombotics had fewer ICU-free days, their overall surgical outcomes regarding complications and recovery times didn't show significant differences.
Background: Rib fracture nonunion is a probable cause of chronic pain following chest trauma, although its prevalence remains unknown. The aims of this study were to determine rib fracture nonunion prevalence following nonoperative management and to determine if presence of nonunion was associated with the number of rib fractures, or the rib fracture classification of anatomical location, type, and displacement.
Methods: This multicenter prospective cohort study included trauma patients with three or more fractured ribs but without a flail segment, who participated in the nonoperative management group of the FixCon trial between January 2019 and June 2022.