Disease relevance of Trauma Centers

• PATIENTS: We reviewed the charts of 173 consecutive pediatric patients with moderate to severe head trauma (Glasgow Coma Scale score of < or = 11) that survived the first 24 hrs after being admitted to five Israeli trauma centers [1].
• This data appears to support the recommendation of the American College of Surgeons Committee on Trauma in their most recent bulletin, "Resources for the Optimal Care of the Injured Patient," that a history of cirrhosis in an injured patient should alert prehospital providers to contact medical control and consider transport to a trauma center [2].
• METHODS: We prospectively studied patients who presented to our urban Level I trauma center with a history of loss of consciousness after blunt trauma and a Glasgow Coma Scale score of 15 [3].
• Subjects for this study were 100 consecutive patients with traumatic, closed head injury (CHI) admitted to a regional Level I Trauma Center with a Glasgow Coma Scale score of less than 8, who had more than one hour of coma, and who required more than one week of hospitalization [4].
• From the period of 1 January 1993 to 31 December 2002, 3756 cases of facial fractures were treated at the Trauma Center, Faculty of Medicine, Siriraj Hospital. There were 14 life-threatening hemorrhage cases and 9 patients survived [5].

Psychiatry related information on Trauma Centers

• Patterns of alcohol and drug abuse in an urban trauma center: the increasing role of cocaine abuse [6].

High impact information on Trauma Centers

• SETTING--UCLA Emergency Medicine Center, a level I trauma center, Los Angeles, Calif. PARTICIPANTS--Hispanic and non-Hispanic white patients presenting to the emergency department with extremity trauma when research assistants were present [7].
• SETTING--The UCLA Emergency Medicine Center, a level I trauma center [8].
• MATERIALS AND METHODS: The population was selected from the National Trauma Data Bank, a voluntary data repository containing all trauma admissions to 268 participating trauma centers [9].
• METHOD: Children without preinjury ADHD 5-14 years old with TBI from consecutive admissions (n = 143) to five trauma centers were observed prospectively for 6 months (baseline and 6 months), with semistructured psychiatric interviews [10].
• SETTING: Thirty-four academic trauma centers in the United States PATIENTS: All patients admitted with a presenting Glasgow Coma Scale score < or = 8 [11].

Chemical compound and disease context of Trauma Centers

• METHODS: We retrospectively reviewed patients receiving heparin or coumadin who had head trauma and who subsequently underwent cranial CT at a level I trauma center within a 4-year period [12].
• To examine the relationship between serum glucose and the outcome of patients suffering from head injury, the authors retrospectively reviewed the clinical course of 169 patients admitted for treatment to Harborview Medical Center (a regional trauma center) [13].

Biological context of Trauma Centers

• In a 28-mo period 14 multiple-casualty terror events occurred in Jerusalem, challenging the Department of Anesthesiology and Critical Care Medicine of the city's sole Level 1 trauma center [14].
• Epidemic increases in cocaine and opiate use by trauma center patients: documentation with a large clinical toxicology database [15].
• DISCUSSION: Alcohol misuse has a number of implications for public health policy, such as the need to develop protocols for the management of alcohol-positive patients in trauma units and to target prevention programs at heavy drinking by young people [16].
• In the last five years, Peru has taken two key steps towards developing a mature emergency response system, with the establishment of the country's first emergency medicine residency training program and the construction of the first dedicated trauma center in Lima [17].

Anatomical context of Trauma Centers

• The study population included all patients admitted to the trauma intensive care unit at a Level 1 trauma center during a 12-month period who were monitored with a pulmonary artery catheter and serial measurements of lactate and base deficit, and who achieved a normal arterial lactate concentration (< 2.2 mmol/L) with resuscitation [18].

Associations of Trauma Centers with chemical compounds

• Split sample, simultaneous testing of the portable lactate analyzer was then performed on 66 whole blood specimens from a convenience sample of 47 trauma patients admitted to an urban Level 1 trauma center over 4 mos [19].
• Plasma cocaethylene concentrations in patients treated in the emergency room or trauma unit [20].
• TYPE OF PARTICIPANTS: All patients triaged to Orange County trauma centers between July 1980 and June 1989 [21].
• The highest percentage of positive ethanol test results was found at the urban trauma center, where 15% of total subjects and 22% of subjects aged 17 through 21 tested positive [22].
• CONCLUSION: Methamphetamine use results in trauma center resource utilization out of proportion to injury severity [23].

Gene context of Trauma Centers

• The setting consisted of Level I (TCI) and Level II (TCII) trauma centers, and acute care (AC) hospitals [24].
• The two wards, a 90-bed orthopaedic unit and a 60-bed trauma unit, had an incidence of MRSA that has remained below the hospital average (23% in 1989, 32% in 1992) [25].
• SETTING: Large level 1 trauma center [26].
• STUDY DESIGN: Consecutive series of 10 patients with penetrating injuries to the juxtahepatic inferior vena cava were treated at an urban, university-affiliated Level I trauma center [27].
• We reviewed the management and clinical course of 21 patients with extrahepatic injuries to the portal triad seen over the past 11 years at a Level I trauma center [28].

Analytical, diagnostic and therapeutic context of Trauma Centers

• To study the safety of TOB used as an immediate resuscitation component, a 30-month prospective study of all patients arriving at a single trauma unit was undertaken [29].
• METHODS: Prospective data were collected on 191 consecutive patients admitted to the trauma center with a field Glasgow Coma Scale score < or = 8 and a head Abbreviated Injury Scale score > or = 3 who were either intubated in the field or intubated immediately at admission to the hospital [30].
• METHODS: We conducted a case-control study of all trauma admissions to a rural Level I trauma center to examine a 3.5-year (1993-1996) comparison of trauma patients admitted directly with those transferred (RTTP) after being initially stabilized at an outlying hospital [31].
• METHODS: Glasgow Coma Scale, Revised Trauma Score, Injury Severity Score, and Trauma and Injury Severity Score, along with other demographic and premorbid values, were obtained for 378 consecutive patients hospitalized after TBI at a Level I trauma center between September 1997 and May 1998 [32].
• Compared with pediatric trauma centers, the relative risk (with associated 95% confidence interval) of splenectomy was 4.4 (3.0-6.3) for level 1 trauma centers with additional qualifications in pediatrics; 6.2 (4.4-8.7) for level 1 trauma centers, 6.3 (5.3-7.4) for level 2 trauma centers, and 5.0 (4.2-5.9) for nontrauma centers [33].

References