Publications by authors named "Pieter Boele van Hensbroek"
Background: Inhaled anaesthetic agents like sevoflurane contribute for approximately 5% to healthcare's carbon footprint. Previous studies suggested that the use of these agents should be minimized. Although multiple trauma surgeries can be performed under regional anaesthesia, most are performed under general anaesthesia.
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- The study investigates the impact of virtual reality (VR) on reducing anxiety in children undergoing plaster treatment for fractures, as traditional methods often cause anxiety.
- Conducted with 255 participants aged 5 to 17, children using VR goggles experienced significantly lower anxiety levels post-procedure compared to those receiving standard care.
- While the VR intervention showed a notable reduction in anxiety, other factors like pain and satisfaction levels did not differ significantly between the two groups.
Article Synopsis
- Traumatic elbow injuries are common among children and often lead to emergency department visits; a validated decision rule may help reduce unnecessary X-rays and radiation exposure in pediatric patients.
- This study is a multicentre prospective cohort design involving 400 children aged 2 to 17, where clinical parameters will be identified by experts and used to predict elbow fractures through patient history and physical exams.
- The research will follow ethical guidelines, not requiring formal approval, and focus on developing the paediatric elbow trauma (PET) rules to determine how many X-rays can be avoided while analyzing potential cost savings.
Article Synopsis
- * It is a randomized controlled trial involving 270 children aged 5 to 17, with one group using VR for distraction during the procedure while the control group receives standard care.
- * The study will measure anxiety levels using the Child Fear Scale, along with secondary outcomes related to pain and satisfaction, to determine the effectiveness of VR in improving the healthcare experience for these patients.
Effect of the COVID-19 pandemic during the first lockdown in the Netherlands on the number of trauma-related admissions, trauma severity and treatment: the results of a retrospective cohort study in a level 2 trauma centre.
BMJ Open
February 2021
Objectives: To determine the impact of the first lockdown in the Netherlands' measures during the COVID-19 pandemic on the number and type of trauma-related injuries presenting to the emergency department (ED).
Design: A single-centre retrospective cohort study.
Setting: A level 2 trauma centre in Breda, The Netherlands.
Purpose: Existing literature on trauma tertiary survey (TTS) focusses on multitrauma patients. This study examines the yield of the TTS in trauma patients with minor (AIS 1) or moderate (AIS 2) injury for which immediate hospitalization is not strictly indicated.
Method: A single center retrospective cohort study was performed in a level II trauma center.
Background: With a large number of forcibly displaced people seeking safety, the EU is facing a challenge in maintaining solidarity. Europe has seen millions of asylum seekers crossing European borders, the largest number of asylum seekers since the second world war. Endemic diseases and often failing health systems in their countries of origin, and arduous conditions during transit, raise questions around how to meet the health needs of this vulnerable population on arrival in terms of screening, vaccination, and access to timely and appropriate statutory health services.
View Article and Find Full Text PDFChild malnutrition is an important cause of under-5 mortality and morbidity around the globe. Despite the partial success of (inter)national efforts to reduce child mortality, under-5 mortality rates continue to be high. The multidimensional approaches of the Sustainable Development Goals may suggest new directions for rethinking strategies for reducing child mortality and malnutrition.
View Article and Find Full Text PDFObjective: To investigate whether a mental disorder increases the occurrence of complications in patients after 'a fall from a height'.
Design: Retrospective descriptive study.
Methods: Data on all patients admitted following a 'fall from a height' in the period 2004-2012 was retrieved from the trauma registry of the Academic Medical Center (AMC) in Amsterdam, the Netherlands.
Background: Little is known about the prevalence of modifiable risk factors of falling in elderly persons with a fall-history who do not visit the Accident and Emergency (A&E) Department after one or more falls. The objective of this study was to determine the prevalence of modifiable risk factors in a population that visited the A&E Department after a fall (A&E group) and in a community-dwelling population of elderly individuals with a fall history who did not visit the A&E Department after a fall (non-A&E group).
Methods: Two cohorts were included in this study.
Background: This study was designed to systematically review the literature to assess which temporary abdominal closure (TAC) technique is associated with the highest delayed primary fascial closure (FC) rate. In some cases of abdominal trauma or infection, edema or packing precludes fascial closure after laparotomy. This "open abdomen" must then be temporarily closed.
View Article and Find Full Text PDFObjective: To validate the CAREFALL Triage Instrument (CTI), a self-administered questionnaire concerning modifiable risk factors for recurrent falls in elderly patients who experienced fall.
Methods: This study in patients 65 years or older who experienced fall was performed at the accident and emergency department of a tertiary university hospital in the Netherlands. The construct validity was determined in 200 patients and 100 matched controls.