1,223 results match your criteria: "Harborview Injury Prevention & Research Center[Affiliation]"

Objective: The purpose of this study was to determine what activities and skills interprofessional health science preceptors (IHSPs) perform and value as a part of their pedagogical practice in order to support the development of a preceptor self-assessment tool and assist in preceptor training.

Methods: We administered an online survey to identify core preceptor activities across health sciences disciplines that interact with nursing. The initial survey items were developed based on the Interprofessional Education Collaborative (IPEC) core competencies as well as a search of literature on expected preceptor competencies and activities across individual health sciences professions.

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Background: Surgical diseases contribute substantially to death and disability in Cameroon. Strategic planning for surgical, obstetric and anaesthesia (SOA) care in low-income and middle-income countries (LMICs) requires consideration of the policy environment in addition to the issue severity. We aimed at the current landscape of SOA care in Cameroon, incorporating a framework for political prioritisation.

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Lung parenchymal and pleural findings on computed tomography after out-of-hospital cardiac arrest.

Resuscitation

December 2024

Department of Emergency Medicine, Harborview Medical Center, University of Washington, Seattle, WA, United States; Division of Pulmonary, Critical Care, and Sleep Medicine, Harborview Medical Center, University of Washington, Seattle, WA, United States. Electronic address:

Introduction: Lung injury and the acute respiratory distress syndrome (ARDS) are common after out-of-hospital cardiac arrest (OHCA), but the imaging characteristics of lung parenchymal and pleural abnormalities in these patients have not been well-characterized. We aimed to describe the incidence of lung parenchymal and pleural findings among patients who had return of spontaneous circulation (ROSC) and who underwent computed tomography (CT) of the chest after OHCA.

Methods: This was a retrospective cohort study conducted at two academic hospitals from 2014 to 2019.

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Burn injuries are a constant threat in war. Aspects of the modern battlefield increase the risk of burn injuries and pose challenges for early treatment. The initial resuscitation of a severely burn-injured patient often exceeds the resources available in front-line medical facilities.

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Background: Youth concussion is common but there is a paucity of information on symptoms students report to school personnel and a gap in understanding what accommodations schools can provide.

Objective: To examine symptoms and provision of temporary accommodations in schools for students reporting concussion symptoms.

Design: Secondary data analysis of a trial implementing an evidence-based student-centered return to learn (RTL) program.

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Article Synopsis
  • Burn injuries are a significant global health issue, particularly in low- and middle-income countries like Nepal, where access to standard IV fluid resuscitation is often poor, prompting the need to explore alternative methods such as enteral resuscitation using oral rehydration solution (ORS).
  • A study conducted through focus group discussions with 45 burn care providers revealed that stakeholder involvement in developing the enteral resuscitation protocol fostered acceptance and enthusiasm for its implementation, driven by a collective desire to enhance patient outcomes.
  • Despite the benefits observed, challenges such as difficulties in administering the correct volume, technical errors, and limited resources underscored the need for ongoing training and systemic support to ensure the effective use of enteral resuscitation
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Return to work (RTW) after burn injury is dependent on many variables, including type and location of burn injury, access to care, and pre-injury mental and physical health. Noting that prior studies were limited by small sample sizes, we aimed to use a large database to explore the associations between hand burn severity, functional hand outcomes, and RTW post-injury. Data from a multicenter longitudinal study were analyzed.

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The impact of insurance disparities on long-term burn outcomes: A Burn Model System investigation.

Burns

September 2024

Department of Physical Medicine and Rehabilitation, Spaulding Research Institute, Spaulding Rehabilitation Hospital, Boston, MA, United States; Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital, Boston, MA, United States. Electronic address:

Article Synopsis
  • - This study investigates how insurance status impacts long-term health outcomes, particularly physical and mental health, in burn patients using national data from 1997 to 2020.
  • - It found that most burn patients had private insurance, and those with Medicaid or Medicare reported significantly worse mental and physical health scores at various time points compared to those with private insurance.
  • - The conclusion highlights that having Medicaid or Medicare is linked to a lower quality of life in burn patients long after their injury, regardless of other factors like demographics or the severity of the burn.
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Introduction: Community-level disadvantage is associated with reduced quality of life after burn injury. We evaluated the association between community-level disadvantage and return to work after burn injury.

Methods: A multicenter burn injury database was queried from 1998-2021.

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Objective: To investigate the moderating effects of socio-demographic social determinants of health (SDH) in the relationship between types of childhood hospitalisation (ie, none, injury, non-injury, injury+non-injury) and academic performance.

Design, Setting And Patients: Children residing in Wales 2009-2016 (N=369 310). Secure Anonymised Information Linkage databank linked Tagged Electronic Cohort Cymru (five data sources) from the Wales Electronic Cohort for Children.

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Article Synopsis
  • - The study analyzed the OXYGEN trial, which compared high levels of oxygen (80% FiO2) vs. lower levels (30% FiO2) for preventing infections in patients with specific types of fractures and aimed to see if using an "as-treated" approach changed the results compared to the "intention-to-treat" method.
  • - Conducted at 29 trauma centers, 1,231 patients with tibial plateau, tibial pilon, or calcaneus fractures were randomly assigned to either oxygen treatment; adherence was evaluated using two specific criteria based on the percentage of surgery time at different oxygen levels.
  • - Results showed no significant differences in primary and deep infection rates, but the treatment group had fewer
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Objective: Falls are a significant concern in long-term care facilities (LTCFs) as fall-related injuries can result in functional impairment, disability and death. Older adults living in LTCFs are at greater risk for falls than those in the community. Using scoping review methodology, we aimed to synthesise evidence examining intervention effects of person-focused interventions for risk assessment and prevention in LTCFs in order to identify evidence-based practices in LTCFs.

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Objectives: Individuals with pelvic and acetabular fractures are at high risk of venous thromboembolism (VTE). The purpose of this study was to determine whether serum markers for thrombophilia and rapid thromboelastography (r-TEG) values correlate with increased VTE risk among patients with pelvic and acetabular fractures.

Design: Prospective observational study.

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The incidence of hypertension among children after renal trauma: A matched cohort analysis.

J Pediatr Urol

December 2024

Department of Urology, University of Washington School of Medicine, Seattle, WA, USA; Harborview Injury Prevention Research Center, Seattle, WA, USA. Electronic address:

Article Synopsis
  • The study aimed to compare the rates of new hypertension in children who experienced renal trauma to those who suffered isolated extremity fractures at a trauma center from 2010 to 2019.
  • The researchers found that hypertension prevalence was similar between both groups, with 9.7-11.3% of patients experiencing hypertension and 22.6-32.3% showing elevated blood pressure.
  • The conclusion suggests that while there is a risk of elevated blood pressure in pediatric trauma patients, renal trauma does not significantly increase the likelihood of developing hypertension, indicating that only a small number of these patients may need continued monitoring for this condition.
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Myocardial injury and cardiac dysfunction after traumatic brain injury (TBI) have been reported in observational studies, but there is no robust estimate of their incidences. We conducted a systematic review and meta-analysis to estimate the pooled incidence of myocardial injury and cardiac dysfunction among adult patients with TBI. A literature search was conducted using MEDLINE and EMBASE databases from inception to November 2022.

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Background: Incorporating post-discharge data into trauma registries would allow for better research on patient outcomes, including disparities in outcomes. This pilot study tested a follow-up data collection process to be incorporated into existing trauma care systems, prioritizing low-cost automated response modalities.

Methods: This investigation was part of a larger study that consisted of two protocols with two distinct cohorts of participants who experienced traumatic injury.

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Background: Road safety authorities in high-income countries use geospatial motor vehicle collision data for planning hazard reduction and intervention targeting. However, low-income and middle-income countries (LMICs) rarely conduct such geospatial analyses due to a lack of data. Since 1991, Ghana has maintained a database of all collisions and is uniquely positioned to lead data-informed road injury prevention and control initiatives.

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Daily rehabilitation after burn injury is vital for prevention of function-limiting contractures. However, adherence to prescribed therapy following acute burn hospitalization has historically been low and not well-studied. Studies involving virtual reality technology have demonstrated an association with improved functional outcomes in burn therapy.

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Article Synopsis
  • Injuries are a major cause of death in the U.S., and trauma systems ensure that injured patients receive proper care through trauma centers (TCs) with varying designations for resources but not specific surgical care.
  • A study analyzed Washington state's hospital data in 2016 to find patterns in surgical care differences between TCs and non-trauma centers (non-TCs) using unsupervised clustering methods.
  • Results showed that while surgical care features partially aligned with TC designations, factors like orthopedic procedures and patient demographics were significant in distinguishing hospitals, highlighting the need for optimized resource allocation in trauma systems.
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Background: Intraoperative events and clinical management of deceased organ donors after brain death are poorly characterized and may consequently vary between hospitals and organ procurement organization (OPO) regions. In a multicenter cohort, we sought to estimate the incidence of hypotension and anesthetic and nonanesthetic medication use during organ recovery procedures.

Methods: We used data from electronic anesthetic records generated during organ recovery procedures from brain-dead adults across a Multicenter Perioperative Outcomes Group (MPOG) cohort of 14 US hospitals and 4 OPO regions (2014-2020).

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Impact of socioeconomic status on open globe injuries during the COVID-19 pandemic.

Int Ophthalmol

August 2024

Department of Ophthalmology, University of Washington, 325 Ninth Ave, Box 359608, SeattleSeattle, WA, 98104-2499, USA.

Purpose: We explored the associations between socioeconomic status, as evaluated by the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry Social Vulnerability Index (SVI), and characteristics of open globe injury (OGI) in a Level I trauma center during the COVID-19 pandemic.

Methods: Retrospective review of electronic medical records of patients who underwent OGI evaluation and repair at Harborview Medical Center between March/2017 and March/2021. Demographic data and patient characteristics were recorded.

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Pelvic fracture (PF) is a rare emergency, which led to pelvic fracture urethral injury (PFUI) in 1.6% to 25% of cases. Urethral injury assessment requires a thorough analysis of the initial injury history and imaging that combine cystourethrography acutely, repeat urethral imaging as well as adjunctive use of MRI in the follow-up period.

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Article Synopsis
  • The study looks into complications that happen outside the brain in patients who have suffered traumatic brain injury (TBI), which can affect how well they recover.
  • Researchers examined data from a trial to find out what specific patient factors lead to these complications, especially in poorer countries.
  • The results showed that many patients faced serious problems like infections and breathing issues, and certain treatments like monitoring brain pressure were linked to these complications.
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Alzheimer's disease and Related Dementia (ADRD) is a growing concern for low- and middle-income countries. Yet, studies on the prevalence and risk factors for dementia in sub-Saharan Africa are limited. This study estimated the prevalence and identified the risk factors for ADRD in Ghana.

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