Publications by authors named "Thomas Botrel"

Emergency surgeries are resource-intensive procedures with high variability in operating room occupation time (OT) and hospital length of stay (LOS), complicating scheduling and capacity planning. Manual estimates by surgeons are frequently inaccurate, especially in emergency settings. Machine learning models (MLMs) have shown good predictive performance in elective surgery, but their applicability to emergency contexts remains underexplored.

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Background: Ventilator-associated pneumonia (VAP) is the most common infection in severely injured patients requiring mechanical ventilation. Chest trauma has been identified as a significant risk factor for VAP. This study aimed to describe the risk factors for early VAP in patients with severe blunt thoracic trauma admitted to the intensive care unit (ICU) and receiving mechanical ventilation.

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Background: As the demand for high-quality healthcare grows, there is a pressing need for comprehensive methods to assess the quality of hospital care. Lack of standardization makes it difficult to compare urgent surgical outcomes across studies. Our group used a modified Delphi methodology to define the outcomes that should be reported or compared when evaluating urgent surgical care.

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Background: Traumatic spine injury (TSI) is a prevalent condition that often requires surgical intervention. Two serious infectious complications after surgery are surgical site infections (SSI) and lower respiratory tract infections (LRTI). Yet, studies on SSI and LRTI on trauma patients, particularly with a specific focus on microbiology are lacking.

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Article Synopsis
  • Anticoagulants are commonly used but can cause significant bleeding, leading to ICU admissions, with data showing a rise in such cases from 2007 to 2018, particularly for direct oral anticoagulants.
  • A study of 486 ICU patients revealed that most had multiple health issues, were primarily older males, and had a high incidence of severe organ failure and complications upon admission.
  • The ICU mortality rate was 27%, and factors like chronic hypertension and the need for vasopressors were linked to increased mortality, highlighting the need for better treatment guidelines and educational efforts.
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