1
40
2
-
Text
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URL Address
<a href="http://doi.org/10.1097/TA.0b013e3181dcd137" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/TA.0b013e3181dcd137</a>
Pages
1305–1309
Issue
6
Volume
68
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Hospital outcomes and disposition of trauma patients who are intubated because of combativeness.
Publisher
An entity responsible for making the resource available
Journal of Trauma
Date
A point or period of time associated with an event in the lifecycle of the resource
2010
2010-06
Subject
The topic of the resource
Adult; Female; Male; Ohio; Incidence; Intubation; Human; Chi Square Test; Case Control Studies; Retrospective Design; Violence; Physical; Restraint; Intratracheal; Treatment Outcomes; Nonparametric Statistics; Trauma Severity Indices; Length of Stay – Statistics and Numerical Data; Wounds and Injuries – Complications; Hypnotics and Sedatives – Therapeutic Use; Lorazepam – Therapeutic Use; Patient Discharge – Statistics and Numerical Data; Pneumonia – Epidemiology
Creator
An entity primarily responsible for making the resource
Muakkassa FF; Marley RA; Workman MC; Salvator AE
Description
An account of the resource
BACKGROUND:: The purpose of this study was to determine whether trauma patients who are intubated because of combativeness, and not because of medical necessity, have more complications resulting in longer lengths of stay. METHODS:: Data were retrospectively collected from 2001 through 2004 on trauma patients who were intubated because of combative behavior before hospital admission (group 1, N = 34). Cases were matched 1:2 by age, sex, injury severity score (ISS), and injury to controls each who were not intubated (group 2, N = 68). Additionally, there were 187 patients identified who were intubated because of medical necessity before hospital admission; these represented unmatched intubated controls and were divided based on ISS \textless15 (group 3, N = 58) and ISS \textgreater15 (group 4, N = 129). RESULTS:: There were no significant differences between groups 1, 2, and 3 with regard to age, sex, or ISS. There was no significant difference between the groups 1 and 2 in frequency of head injuries as demonstrated by positive computed tomography (50 vs. 37%, p = 0.28); however, there was a significant difference in frequency of neurologic deficit at discharge (33 vs. 6%, p = 0.006). There was a significant difference in the frequency of head injuries between groups 1 and 3 (50 vs. 22%, p = 0.006); however, there was no significant difference in neurologic deficit at discharge (33 vs. 22%, p = 0.24). There was a significant difference in hospital length of stay between groups 1 and 2 (7.4 +/- 5.9 vs. 4.3 +/- 4.5 days, p = 0.0009). The incidence of pneumonia was significantly greater in group 1 than in group 2 (29 vs. 0%, p \textless 0.0001). The amount of lorazepam in average mg per day was also significantly greater in group 1 versus group 2 (4.4 +/- 11.5 vs. 0.4 +/- 1.6, p \textless 0.0001). There was also a difference in the discharge status, with significantly fewer group 1 cases being discharged home compared with group 2 (56 vs. 91%, p \textless 0.0001). There was no significant difference between groups 1 and 3 with regard to length of stay, ventilator days, pneumonia, or discharge status. There was a significant difference between groups 1 and 3 in the amount of lorazepam per day (4.4 +/- 11.5 vs. 0.4 +/- 1.6, p = 0.002). CONCLUSION:: The results from this study indicate that trauma patients who are intubated because of combativeness, and not because of medical necessity, have longer lengths of stay, increased incidence of pneumonia, and poorer discharge status when compared with matched controls. The outcomes of this group are similar to that of patients who are intubated because of medical necessity.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/TA.0b013e3181dcd137" target="_blank" rel="noreferrer noopener">10.1097/TA.0b013e3181dcd137</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2010
Adult
Case Control Studies
Chi Square Test
Female
Human
Hypnotics and Sedatives – Therapeutic Use
Incidence
Intratracheal
Intubation
Journal of Trauma
Length of Stay – Statistics and Numerical Data
Lorazepam – Therapeutic Use
Male
Marley RA
Muakkassa FF
Nonparametric Statistics
Ohio
Patient Discharge – Statistics and Numerical Data
Physical
Pneumonia – Epidemiology
Restraint
Retrospective Design
Salvator AE
Trauma Severity Indices
Treatment Outcomes
Violence
Workman MC
Wounds and Injuries – Complications
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.2214/AJR.08.1420" target="_blank" rel="noreferrer noopener">http://doi.org/10.2214/AJR.08.1420</a>
Pages
725–729
Issue
3
Volume
192
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Incidental findings in the cervical spine at CT for trauma evaluation.
Publisher
An entity responsible for making the resource available
AJR. American journal of roentgenology
Date
A point or period of time associated with an event in the lifecycle of the resource
2009
2009-03
Subject
The topic of the resource
Adult; Female; Humans; Male; Middle Aged; Adolescent; Aged; Retrospective Studies; Registries; Incidental Findings; Injury Severity Score; Length of Stay/statistics & numerical data; Data Collection; Tomography; Human; Middle Age; Adolescence; Retrospective Design; Diagnosis; Cervical Vertebrae/*diagnostic imaging/*injuries; Spinal Injuries/*diagnostic imaging; 80 and over; X-Ray Computed/*methods; Nonparametric; Statistics; Nonparametric Statistics; Trauma Severity Indices; 80 and Over; Length of Stay – Statistics and Numerical Data; X-Ray Computed – Methods; Cervical Vertebrae – Injuries; Cervical Vertebrae – Radiography; Spinal Injuries – Radiography
Creator
An entity primarily responsible for making the resource
Barboza Richard; Fox Jason H; Shaffer Lynn E T; Opalek Judy M; Farooki Shella
Description
An account of the resource
OBJECTIVE: CT is the standard of care for assessment of traumatic injuries. Because of the detail depicted with this technique, findings incidental to the injury are easily detected. We sought to determine the frequency and types of incidental findings in the cervical spines of trauma patients undergoing CT. MATERIALS AND METHODS: The trauma registry was accessed to identify the cases of patients evaluated with cervical spine CT at a level 1 trauma center from January to July 2007. Trauma registry data, including age, sex, injury severity score, mechanism of injury, length of stay, and diagnosis were recorded, and all CT scans of the cervical spine were reviewed for incidental findings. Clinically significant incidental findings were classified according to bodily location, and the association between various patient characteristics and the likelihood of an incidental finding was assessed. RESULTS: We identified incidental CT findings in 230 of 1,256 patients (18.3%) who underwent CT of the cervical spine during an initial trauma evaluation. We stratified the incidental findings as trauma-related and not trauma-related. The likelihood of non-trauma-related incidental findings was associated with age (p \textless 0.0001). The likelihood of trauma-related incidental findings was associated with injury severity score (p \textless 0.0001). CONCLUSION: Incidental findings in the cervical spine were associated with age, injury severity score, and mechanism of injury. Awareness of the prevalence of incidental findings is important to assuring that both traumatic and nontraumatic pathologic findings are detected and appropriately managed.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2214/AJR.08.1420" target="_blank" rel="noreferrer noopener">10.2214/AJR.08.1420</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2009
80 and over
Adolescence
Adolescent
Adult
Aged
AJR. American journal of roentgenology
Barboza Richard
Cervical Vertebrae – Injuries
Cervical Vertebrae – Radiography
Cervical Vertebrae/*diagnostic imaging/*injuries
Data Collection
Diagnosis
Farooki Shella
Female
Fox Jason H
Human
Humans
Incidental Findings
Injury Severity Score
Length of Stay – Statistics and Numerical Data
Length of Stay/statistics & numerical data
Male
Middle Age
Middle Aged
Nonparametric
Nonparametric Statistics
Opalek Judy M
Registries
Retrospective Design
Retrospective Studies
Shaffer Lynn E T
Spinal Injuries – Radiography
Spinal Injuries/*diagnostic imaging
Statistics
Tomography
Trauma Severity Indices
X-Ray Computed – Methods
X-Ray Computed/*methods