Publications by authors named "Mushreq Al-Ani"

Background: Most trauma occurs among young male subjects in Qatar. We examined the predictive values of the delta shock index (DSI), defined as the change in the shock index (SI) value from the scene to the initial reading in the emergency unit (, subtracting the calculated SI at admission from SI at the scene), at a Level 1 trauma center.

Aim: To explore whether high DSI is associated with severe injuries, more interventions, and worse outcomes [, blood transfusion, exploratory laparotomy, ventilator-associated pneumonia, hospital length of stay (HLOS), and in-hospital mortality] in trauma patients.

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Article Synopsis
  • The study evaluated a clinical decision tool (CDT) for assessing thoracolumbar fractures in trauma patients, aiming to potentially replace traditional imaging methods to speed up the clearance of the TL spine.
  • Conducted on alert trauma patients with suspected injuries, the CDT tested for criteria like pain absence and movement capability to determine fracture presence.
  • Results showed the CDT had a high sensitivity (99.38%) for identifying the absence of fractures, but lower specificity (9.1%), indicating it was better at ruling out fractures than confirming them.
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This is an interim analysis of the Beta-blocker (Propranolol) use in traumatic brain injury (TBI) based on the high-sensitive troponin status (BBTBBT) study. The BBTBBT is an ongoing double-blind placebo-controlled randomized clinical trial with a target sample size of 771 patients with TBI. We sought, after attaining 50% of the sample size, to explore the impact of early administration of beta-blockers (BBs) on the adrenergic surge, pro-inflammatory cytokines, and the TBI biomarkers linked to the status of high-sensitivity troponin T (HsTnT).

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