Prediction Model for Blunt Thoracic Aortic Injury Evaluation in the Emergency Department.

BackgroundThe diagnosis of blunt thoracic aortic injury (BTAI) is challenging. In this study, a prediction model with a simplified scoring system for BTAI was developed for the primary evaluation of trauma patients in the emergency department.MethodsThis retrospective cohort study included blunt chest trauma patients.

Comparative analysis of AI support levels in clinical interpretation of traumatic pelvic radiographs.

Plain pelvic radiographs (PXR) remain crucial for initial trauma assessment, yet interpretation challenges persist. While artificial intelligence (AI) shows promise, its practical impact across specialties remains unexplored. We conducted a retrospective image-based, multi-reader multi-case (MRMC) study using a standardized, prospectively planned evaluation protocol.

Surgical stabilization of rib fractures improves survival in functionally dependent trauma patients.

Background: Rib fractures are frequently encountered in trauma care and are particularly hazardous for functionally dependent patients, leading to increased morbidity and mortality rates. Surgical stabilization of rib fractures (SSRF) improves outcomes in selected populations; however, its role in functionally dependent individuals remains underexplored.

Methods: A retrospective cohort analysis was conducted using the American College of Surgeons-Trauma Quality Improvement Program dataset from 2020 to 2022.

Balancing the clock: Time thresholds for angioembolization and patient outcomes in pelvic trauma.

Introduction: In the management of patients with pelvic fractures associated with retroperitoneal hemorrhage, prompt angioembolization is typically required to achieve hemostasis. However, not all institutions are equipped to perform this procedure in a timely manner. This study assessed the impact of time to angioembolization on the outcomes of patients with pelvic fractures.

Long-term follow-up of infection, malignancy, thromboembolism, and all-cause mortality risks after splenic artery embolization for blunt splenic injury: comparison with splenectomy and conservative management.

Background: Non-operative management, including splenic artery embolization, is preferred for blunt splenic injuries, but its long-term risks need further investigation. Long-term splenic functions were assessed in patients with blunt splenic injuries, hypothesizing that splenic artery embolization would preserve function and reduce long-term risks.

Methods: This retrospective cohort study used Taiwan's National Health Insurance Research Database to analyse patients with blunt splenic injuries from 2004 to 2019.

Total care of trauma patients from triage to discharge at Chang Gung Memorial Hospital: introducing the development of an iconic acute care surgery system in Taiwan.

Background: The Acute Care Surgery (ACS) model has evolved to provide structured care across trauma, critical care, and emergency general surgery. This innovative model effectively addresses significant challenges within trauma care. Research indicates that trauma surgeons operating under this expanded scope deliver high-quality care while enjoying professional satisfaction.

Risk factors and economic impact of long-term nursing care after major trauma.

Introduction: The public could bear a heavy economic burden for trauma survivors needing long-term nursing care, especially in countries such as Taiwan that have universal health insurance coverage. The purpose of this study was to analyze the data from the National Health Insurance Research Database and to assess reimbursement to trauma patients with long-term sequelae who need nursing care.

Methods: This study included all patients who suffered major trauma (injury severity score ≥ 16) in Taiwan from 2003 to 2007.

A Mortality Prediction Model for Cirrhotic Patients With Blunt Abdominal Trauma: A Single-Center Retrospective Study.

Purpose: Owing to its impaired production of coagulation factors and immunosuppressed state, liver cirrhosis is recognized as a detrimental factor in patients with blunt abdominal trauma (BAT). The aim of this study was to evaluate cirrhosis-associated factors contributing to mortality in patients suffering from BAT with preexisting cirrhosis and develop a corresponding prediction model.

Methods: A retrospective observational study of patients with BAT from May 2008 to December 2022 in a level-I trauma center was conducted.

Artificial intelligence for abdominopelvic trauma imaging: trends, gaps, and future directions.

Abdominopelvic trauma is a major cause of morbidity and mortality, typically resulting from high-energy mechanisms such as motor vehicle collisions and penetrating injuries. Admission abdominopelvic trauma CT, performed either selectively or as part of a whole-body CT protocol, has become the workhorse screening and surgical planning modality due to improvements in speed and image quality. Radiography remains an essential element of the secondary trauma survey, and Focused Assessment with Sonography for Trauma (FAST) scanning has added value for quick assessment of non-compressible hemorrhage in hemodynamically unstable patients.

Empowering recovery: a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fracture.

Background: Multiple rib fractures commonly result from blunt chest trauma. These fractures can lead to prolonged impairment in pulmonary function and often require long-term rehabilitation. This pilot study aimed to evaluate the feasibility of a remote spirometry device for continuous monitoring of lung function in patients with multiple rib fractures.

Impact of early arterial-phase multidetector CT in blunt spleen injury: a clinical outcomes-oriented study.

Background: Blunt spleen injuries (BSI) present significant diagnostic and management challenges in trauma care. Current guidelines recommend arterial-phase contrast-enhanced multidetector computed tomography (CT) for a detailed assessment. However, the direct impact of add-on arterial phase CT on clinical outcomes remains unclear.

Deep learning for kidney trauma detection: CT image algorithm performance and external validation: experimental study.

Background: Detecting kidney trauma on CT scans can be challenging and is sometimes overlooked. While deep learning (DL) has shown promise in medical imaging, its application to kidney injuries remains underexplored. This study aims to develop and validate a DL algorithm for detecting kidney trauma, using institutional trauma data and the Radiological Society of North America (RSNA) dataset for external validation.

Feasibility and accuracy of continuous intraabdominal pressure monitoring with a capsular device in human pilot trial.

Background: Intrabdominal pressure (IAP) is an important parameter. Elevated IAP can reduce visceral perfusion, lead to intraabdominal hypertension, and result in life-threatening abdominal compartment syndrome. While ingestible capsular devices have been used for various abdominal diagnoses, their application in continuous IAP monitoring remains unproven.

Risk of acute kidney injury following repeated contrast exposure in trauma patients.

Purpose: This study investigates the risk of contrast-associated acute kidney injury (CA-AKI) in trauma patients, focusing on the impact of cumulative contrast medium doses.

Methods: A retrospective review was conducted at a level 1 trauma center (2019-2021). The study included patients who underwent intravascular contrast-enhanced examinations for torso trauma within 7 days post-injury.

Safety or speed? Assessing alternative vascular access for angiography after resuscitative endovascular balloon occlusion of the aorta (REBOA) in severe pelvic trauma patients.

Introduction: Pelvic fractures often result in life-threatening bleeding and hemodynamic instability. Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a promising strategy for patients with severe pelvic fractures, facilitating subsequent hemostatic interventions. Transcatheter arterial embolization (TAE) is a well-established procedure for managing pelvic fractures accompanied by hemorrhage.

Patch-based feature mapping with generative adversarial networks for auxiliary hip fracture detection.

Background: Hip fractures are a significant public health issue, particularly among the elderly population. Pelvic radiographs (PXRs) play a crucial role in diagnosing hip fractures and are commonly used for their evaluation. Previous research has demonstrated promising performance in classification models for hip fracture detection.

Fixation of rib fractures is beneficial for patients with chronic obstructive pulmonary disease, a trauma quality improvement program study.

Background: Internal fixation for multiple rib fractures is well established. Patients with underlying chronic obstructive pulmonary disease (COPD) have a higher rate of perioperative complications. It is unclear if these patients are suitable candidates for internal fixation and if surgical interventions are harmful to these patients.

Analysis of the current usage of resuscitative endovascular balloon occlusion of the aorta (REBOA) in pediatric trauma patients: a retrospective observational study from the American College of Surgeons-Trauma Quality Improvement Program databases.

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been an established life-saving procedure for adult trauma patients, but the evidence for its use in pediatric patients is still under question. The purpose of this study was to examine the outcome of REBOA in pediatric patients.

Methods: We retrospectively analyzed observational cohort data from the American College of Surgeons-Trauma Quality Improvement Program from 2017 to 2019.

Validation of continuous intraabdominal pressure measurement: feasibility and accuracy assessment using a capsular device in in-vivo studies.

Background: Monitoring Intraabdominal Pressure (IAP) is essential in critical care, as elevated IAP can lead to severe complications, including Abdominal Compartment Syndrome (ACS). Advances in technology, such as digital capsules, have opened new avenues for measuring IAP non-invasively. This study assesses the feasibility and effectiveness of using a capsular device for IAP measurement in an animal model.

Evaluating the clinical impact of resuscitative endovascular balloon occlusion of the aorta in patients with blunt trauma with hemorrhagic shock and coexisting traumatic brain injuries: a retrospective cohort study.

Background: The impact of resuscitative endovascular balloon occlusion of the aorta (REBOA) on traumatic brain injuries remains uncertain, with potential outcomes ranging from neuroprotection to exacerbation of the injury. The study aimed to evaluate consciousness recovery in patients with blunt trauma, shock, and traumatic brain injuries.

Material And Methods: Data were obtained from the American College of Surgeons Trauma Quality Improvement Program from 2017 to 2019.

Applications of deep learning in trauma radiology: A narrative review.

Diagnostic imaging is essential in modern trauma care for initial evaluation and identifying injuries requiring intervention. Deep learning (DL) has become mainstream in medical image analysis and has shown promising efficacy for classification, segmentation, and lesion detection. This narrative review provides the fundamental concepts for developing DL algorithms in trauma imaging and presents an overview of current progress in each modality.

Development and evaluation of a deep learning-based model for simultaneous detection and localization of rib and clavicle fractures in trauma patients' chest radiographs.

Purpose: To develop a rib and clavicle fracture detection model for chest radiographs in trauma patients using a deep learning (DL) algorithm.

Materials And Methods: We retrospectively collected 56 145 chest X-rays (CXRs) from trauma patients in a trauma center between August 2008 and December 2016. A rib/clavicle fracture detection DL algorithm was trained using this data set with 991 (1.

Timing of male urethral injury treatment in patients with polytrauma: A retrospective study.

Introduction: Male urethral injuries are uncommon, and the ideal timing of the definitive treatment remains controversial. This study aimed to compare the outcomes of early and delayed interventions (1 month or more after the injury) for male urethral injuries.

Patient And Methods: We conducted a retrospective review of the medical records of 67 male patients with urethral injuries treated at our institution between 2011 and 2020.