If there is an obvious decrease in hematocrit and/or hemoglobin concentration in a child with a femoral fracture, the possibility of additional injuries should be investigated. The Journal of trauma | Citations: 23,277 | Discontinued. We hypothesized: Deteriorating physiologic reserve correlates with reduced HRV and cardiac uncoupling. The different impact of trauma and relational stress on physiology, posture, and movement: Implications for treatment Pat Ogden In Press, Corrected Proof, Available online 28 July 2020 During a 7 year period, we have seen 111 patients with bladder rupture, 95 from blunt trauma and 16 due to penetrating injuries. Resuscitative operating room thoracotomy was performed in 34 patients with three (9%) survivors. The results show that CSF S-100b levels clearly are superior to serum S-100b levels for predicting outcome after severe head injury. Experiments on the medial collateral ligament of rats demonstrate that the mode of failure is a function of the strain rate. The aim of this journal is to contribute to saving lives of patients who underwent traumatic events through active communication and exchange of study information on trauma and provision of education and training on trauma. Preoperative diagnosis was made in 24 patients. Journal of Orthopaedic Trauma is devoted exclusively to the diagnosis and management of hard and soft tissue trauma, including injuries to bone, muscle, ligament, and tendons, as well as spinal cord injuries. Learn about publishing Open Access with us Journal metrics 2.139 (2019) Impact factor 1.969 (2019) Five year impact factor 46 days Submission to first decision 125 days Submission to … Other life-threatening injuries associated with facial fractures are not as well documented. Medical records of trauma patients undergoing exploratory celiotomy from April of 1992 to February of 1999 were reviewed. Ingo Marzi; Publishing model Hybrid. New content alerts RSS. The ISSN of Journal of Trauma and Acute Care Surgery is 21630755, 21630763. Hospital B collected its data by hand counting and verification by chart review. In this group, LAM greater than or equal to 20 IU/L had a sensitivity of 87%, specificity of 75%, and positive predictive value of 46% for significant intra-abdominal injury. The Journal Impact of an academic journal is a scientometric Metric that reflects the yearly average number of citations that recent articles published in a given journal received. Journal of Trauma and Acute Care Surgery - Publisher. The study population had 638 (80.9%) males and 150 (19.1%) females. Clinical Nutrition, Aminoglycoside combinations versus beta-lactams alone for penetrating abdominal trauma: a meta-analysis. Nonvehicular-related blunt injuries included falls (18.4%) and assaults (13.2%) and penetrating injuries consisted of gunshots (8.7%), stabbings (8.0%), and other penetrations (1.8%). Trauma and critical care registries were developed to collect casualty data that could then be analyzed for specific military purposes and compared with current civilian registries. Citation search. Journal of Orthopaedic Trauma. There were five mortalities, three due to cerebral trauma and two credited to hemorrhagic shock not identified until long after admission. This concept has not been carefully examined in trauma patients, and the relationship of early hyperglycemia to mortality from sepsis in this population is unclear. This report accounts for the surgical response by a regional trauma center (Hospital A, located 2.5 miles from the World Trade Center) and its affiliate hospital (Hospital B, located 5 city blocks from the World Trade Center) on September 11th when two commercial jets crashed into the Twin Towers at the World Trade Center mall. Impact Factor: 3.381; Subscribe to eTOC. Optimal hand function has a very positive impact on the quality of survival after burn injury. The new Journals System is proud to announce its new electronic manuscript submission and review system. Immediate aortography was obtained when suspicion for TAI was very high. Of car occupants injured, 39% were unrestrained. Of the rest, 13% underwent surgical procedures with an overall critical mortality rate of 37.5%. Trauma, Violence, & Abuse (TVA), peer-reviewed and published five times per year, is a review journal devoted to organizing, synthesizing, and expanding knowledge on all forms of trauma, abuse, and violence.Dedicated to professionals and advanced students, TVA is intended to compile knowledge that clearly affects practice, policy, and research. J Trauma 13(3): 200‑04, Acute arterial injuries in Vietnam: 1,000 cases, Development and organization for casualty management on a 1,000-bed hospital ship in the Persian Gulf, The Standard Gamma Nail: A Critical Analysis of 1,000 Cases, Acute Life-Threatening Injuries in Facial Fracture Patients: A Review of 1,025 Patients, Urban trauma: An analysis of 1,116 paediatric cases, The treatment of hemorrhagic shock with WR 149,024 (1,18 diamino 6,13 diaza 9,10 dithiaoctadecane tetrahydrochloride), Severe hepatic trauma: A multi-center experience with 1,335 liver injuries, An Analysis of 1,423 Facial Fractures in 788 Patients at an Urban Trauma Center, Reduced Heart Rate Variability: An Indicator of Cardiac Uncoupling and Diminished Physiologic Reserve in 1,425 Trauma Patients, Thoracic Aortic Injury: How Predictive Is Mechanism and Is Chest Computed Tomography a Reliable Screening Tool? All did well. The overall injury rate remained unchanged (195 per 10(5)), whereas the fatal injury rate decreased by 22% (45.9 per 10(5)) over the 11-year study period. Class IV injuries were most often managed by resectional debridement (36%). Prophylactic fasciotomy for all patients with iliac or femoral venoarterial injuries should be considered as strongly as with popliteal venoarterial injuries. There were 788 patients in the study group, averaging 1.8 fractures per patient for a total of 1,423 facial fractures. The Journal Impact Quartile of Journal of Trauma and Acute Care Surgery is Retrohepatic caval injury was uniformly fatal; infrarenal caval injury was not. In January of 1992, a Prehospital Trauma Life Support (PHTLS) program was also instituted. Journal description. This approach is associated with normal function in 97% of those with superficial injuries and 81% of those with deep dermal and full-thickness injuries requiring surgery. The burn increased the IL-6 levels at 30 minutes (p < 0.05) and the IL-1alpha levels at 15 and 60 minutes in the unburned skin. In normal animals, PSR was 0.22 nmoles x min(-1) x g(-1), in excellent agreement with previous results. Morbidity (length of stay and degree of disability), mortality, injury severity score, mechanism of injury, age, and sex among all adult trauma patients transported by ambulance to the major trauma hospital were assessed between July of 1990 to December of 1991 (pre-PHTLS, n = 332) and January of 1994 to June of 1995 (post-PHTLS, n = 350). Subscribe. Learn more and subscribe today. The amputation stumps were not closed primarily but secondarily after an average of 6.4 days. However, the burned PMNL leave the circulation more rapidly and localize in the burn area and in the liver to a greater extent. Hospital A maintained a concurrent log of patients received during the first 5 hours, the first day, and the first week after the disaster which was kept by the Surgical Triage Officer. Most patients' bills were submitted to government payers, such as Medicaid. There were only four (10%) survivors after caval shunt placement. Over a 10-year period, 659 patients with 1047 acutely burned hands were managed at the Sumner Redstone Burn Center of the Massachusetts General Hospital. Four deaths occurred in the blunt injury group. Statistical analysis was performed using univariate and multivariate logistic regression. Of these, 2,694 had mandibular fracture as the only diagnosis (principal diagnosis). Eight patients died before institution of therapy. These values had a sensitivity of 54%, specificity of 98%, and positive predictive value of 88% for significant abdominal injury. In a report published in the . Interlocking nailing can be highly recommended even for open fractures up to the second degree at any level from the second fifth to the fourth fifth of the tibia. Journal of Loss and Trauma. The in vivo chemotactic response of Indium-111 labelled polymorphonuclear leukocytes (PMNL) and their body compartment distribution have been studied in burned (30% TBSA full-thickness burn) and normal guinea pigs. In C57BL/6 mice, at 15, 30, and 60 minutes after a 20% full-thickness burn, skin was removed from various sites. Positron emission tomography with L-[methyl-11C]methionine provides a measure of regional protein synthesis rate (PSR) in skeletal muscle. [3] See also [ edit ] The mean union time was 6.8 weeks (range, 4-12 weeks). Our objectives were to review experience and identify predictors of outcome and to evaluate the role of angioembolization in decreasing mortality. Multiple logistic regression to control for the effect of age, ISS, GCS score, and BD found early glucose > or =200 mg/dL to be an independent predictor of both infection and mortality while no such relationship was found with > or = 110 mg/dL or > or =150 mg/dL. Journal of Trauma and Acute Care Surgery - Journal Factors. Journal of Trauma and Acute Care Surgery - ISSN. In contrast, neither skeletal nor vascular injuries resulted in long-term extremity disability. Death rates due to the liver injury in Class III, IV, and V patients were 7%, 30%, and 66%, respectively (p less than 0.01). Review Speed, Results stratified to AAST-OIS injury grade were as follows: grade IV, 32 of 51 (63%); grade V, 12 of 52 (23%); grade IV versus grade V (p < 0.001) odds ratio, 2.06; 95% confidence interval, 2.72 (1.40-3.04). The Journal Impact Quartile of Journal of Trauma and Acute Care Surgery is Q1 . The relationship of cardiac uncoupling and physiologic reserve was examined using multivariate logistic regression models for various levels of cardiac uncoupling (>0 through 28% reduced HRV in the first 24 hours). IL-6 and IL-1alpha might contribute to the alterations after a burn. A total of 39 patients with extraperitoneal bladder injuries were treated with only catheter drainage and all did well. European Journal of Trauma and Emergency Surgery Impact Factor, IF, number of article, … Fetal survival did not relate to gestational age per se. PEFR was measured before and immediately after ICNB. Avulsions occurred more often at low rates; ligament tearing occurred more often at high rates. Now published as the Journal of Trauma, Injury, Infection, and Critical Care (1079-6061). We have previously shown that cardiac uncoupling (reduced heart rate variability, HRV) in the first 24 hours after injury correlates with mortality and autonomic nervous system failure. During the 5-year period ending June 1987, 210 complex liver injuries were identified at laparotomy. Demographic data as well as indications for open-abdominal management and complications of open-abdominal management were collected. Twenty-one consecutive adult patients admitted with rib fractures associated with severe pain formed the basis of the study. After delayed primary closure 84% of the stumps healed without problems. A 1,000-bed hospital ship designed for trauma patients was deployed to the Middle East with the objectives of preparing for large numbers of casualties resulting from Operation Desert Storm from conventional, chemical, and biological weapons. Template, several advanced Journal Factors including Hemoglobin concentrations, hematocrit levels, emergency room records, and clinical findings were evaluated and additional injuries were considered. The highest rates were found among males (18.7), blacks (43.0), and adults aged 16 to 20 (26.5). orthopaedics and trauma impact factor December 29, 2020 by in News by in News The Journal of Trauma® Injury, Infection, and Critical Care provides a specific focus on traumatic injury, as well as a wide range of subjects within this general field. Improvements in mortality can be achieved with an appropriate operative approach. Post-PHTLS mortality and morbidity were significantly decreased, suggesting a positive impact of the PHTLS program on trauma patient outcome. Top; About this journal. J Trauma 2004;56:1058-1062, Re: Endotracheal intubation in the field does not improve outcome in trauma patients who present without an acutely lethal traumatic brain injury. All 32 patients were studied prospectively and followed up for a mean of 80 months (range, 12-132 months). Journal of Trauma and Acute Care Surgery - Journal Impact. Both blood and CSF samples were taken within 1 to 11 hours after admission, then 24, 48, and 72 hours after the injury. There was a significant difference between Sao2 before and after ICNB. Vehicular causes produced more HI (66.6%) than all other causes, despite the preponderance of nonvehicular-related HI in the overall series (50.3%). The overall MTOS mortality rate was 8.3%, but was three times higher in the HI group (14.5%) than in the NHI patients (5.1%). Overall, 59% had major soft-tissue injuries and 44% had bone or joint injuries, and nerve and vascular injuries were documented in 21% and 26%. There were 16 deaths in the series, representing 1.4% of all paediatric trauma admissions and 11% of the admissions who were seriously injured. This study identifies the incidence of facial fractures and establishes a management plan. The patients' data were collected prospectively for 2 years. However, its shortcomings include insensitivity in the early identification of isolated hollow viscus injuries. (ABSTRACT TRUNCATED AT 250 WORDS). Venoarterial injuries of iliac or femoral-level veins resulted in 37% incidence of compartment syndrome against 5% in isolated arterial injuries (p less than 0.01). Trauma patient outcome after the prehospital trauma life support program. Relationship of early hyperglycemia to mortality in trauma patients. Considering the inherent difficulties in identifying patients at risk for TAI and the effectiveness of chest CT as a screening tool for aortic injury, we recommend liberal use of chest CT in blunt chest trauma. The International Journal of Burns and Trauma (IJBT) (ISSN: 2160-2126), is an open access, online journal to facilitate rapid publication and circulation of novel discoveries in basic and clinical sciences of burns and traumas. Nine hundred eleven patients were received by two affiliated hospitals from the World Trade Center attack. Injury severity measured by AIS-85 had, as expected, a profound influence on mortality of both HI and NHI groups. Deteriorating measures of physiologic reserve reflected increased risk of death. Sao2 was measured before and immediately after ICNB. About the Journal. The September 11th, 2001, terrorist attack in New York City, involving two commercial airliners crashing into the World Trade Center, led to 911 patients received at two affiliated hospitals in lower Manhattan. 1. Publishers own the rights to the articles in their journals. Vehicular-related injuries (49.7%) were divided into those to vehicle occupants (36.4%), pedestrians (7.2%), and motorcyclists (6.0%). Journal of Trauma and Acute Care Surgery - Subscription (non-OA) Journal. Except for 14 misalignments and two late infections after new injuries, no other serious complications were detected. 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