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Extracorporeal Membrane Oxygenation Use in Pediatric Trauma: A Report From the National Trauma Data Bank.
J Pediatr Surg
December 2024
Pediatric Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. Electronic address:
Introduction: Indications for extracorporeal membrane oxygenation (ECMO) in pediatric trauma continue to evolve. This study evaluates trends and practices in ECMO use for injured children and identifies factors associated with mortality using the National Trauma Data Bank (NTDB).
Methods: We conducted a retrospective review of children ≤18 years who underwent ECMO therapy following trauma, recorded in the NTDB from 2007 to 2018.
Predictors of sepsis in trauma patients: a National Trauma Data Bank analysis.
Front Med (Lausanne)
December 2024
Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Background: Trauma remains a global health issue being one of the leading causes of death worldwide. Sepsis and infections are common complications contributing to mortality, emphasizing the need to understand factors leading to such complications following trauma.
Aim: This study aimed to identify risk factors associated with post-trauma sepsis using data from the National Trauma Data Bank (NTDB).
Pelvic fractures and thoracolumbar spine injury: A critical overlook in high-impact vehicular trauma management.
Injury
December 2024
University of North Dakota School of Medicine and Health Sciences, Department of Surgery, 1919 N Elm Street, Fargo, ND 58102, USA; Sanford Medical Center Fargo, Department of Trauma and Acute Care Surgery, 5225 23rd Ave. S. Fargo, North Dakota 58104, USA.
Introduction: Pelvic fractures (PF) occur in up to 9 % of trauma cases, primarily from high-impact events, and are associated with increased morbidity and mortality due to frequent concomitant injuries. Thoracolumbar (TL) spinal fractures, particularly at the T10-L2 junction, are also common in high-energy trauma but are less frequently examined in association with PF. Missed TL fractures can lead to serious neurological deficits.
View Article and Find Full Text PDFAnalysis of outcomes of penetrating colonic injuries managed with or without fecal diversion.
Sci Rep
December 2024
Harlem Hospital Center, New York, NY, USA.
Traumatic colorectal injuries can be managed by either fecal diversion or primary repair / resection and anastomosis. We aimed to study differences in outcomes in adult patients managed with or without fecal diversion at time of initial operation. The National Trauma Databank (NTDB) was used to identify adult patients (ages 18-64 years) with penetrating colonic injuries for the years 2013-2015.
View Article and Find Full Text PDFDoes Trauma Center Volume Matter? An Analysis of Trauma Center Volume on Outcome Using the TQIP/NTDB Database.
J Clin Med
November 2024
Department of Surgery, Regions Hospital, 640 Jackson Street, Saint Paul, MN 55101, USA.
Increasing trauma center admission volume is said to decrease mortality. Evidence supporting this position is dependent upon patient groups and the time period studied, and gaps remain. We evaluated the effect of annual volume of critically injured patients on hospital mortality, comparing two time periods.
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