J Trauma. The Journal Impact 2019-2020 of Journal of Trauma and Acute Care Surgery is 3.270, which is just updated in 2020. Our objectives were to review experience and identify predictors of outcome and to evaluate the role of angioembolization in decreasing mortality. Statistical analysis was performed using univariate and multivariate logistic regression. The MTOS was completed recently after data from 174,160 patients submitted from 165 trauma centers from 1982 through 1989 were collated and validated. Excluding walking wounded and DOAs, the critical mortality rate was 37.5% overall. Late postoperative complications correlate negatively with the patient's age (odds ratio, 0.9; p = 0.0001). Proper management may require a multidisciplinary and coordinated team approach. Most patients' bills were submitted to government payers, such as Medicaid. The leading cause of fatal injury was suicide, followed by homicide. J Trauma. Five patients (4.5%) developed intra-abdominal abscesses. The predictive value of the Trauma Score (T.S.) The assessment of mechanism was imperfect with a reliance on often incomplete and subjective data. Of these, 2,694 had mandibular fracture as the only diagnosis (principal diagnosis). Introducing the new Editor-in-Chief for the Journal of Child & Adolescent Trauma, Dominic McSherry! Submit an article. 42: 1018-1022, Complications of interlocking nailing for lower leg fractures: A 3-year follow up of 102 cases, Surgical experience with 103 truncal shotgun wounds, Operative Management and Outcomes in 103 AAST-OIS Grades IV and V Complex Hepatic Injuries: Trauma Surgeons Still Need to Operate, but Angioembolization Helps, Blunt Maternal Trauma: A Review of 103 Cases, Ocular complications associated with burns: Review of a five-year experience including 104 patients, The acutely burned hand: Management and outcome based on a ten-year experience with 1047 acute hand burns, R.D. The number of early postoperative complications annually decreased by a factor of 0.8 (p = 0.0042). Single transacrominal Knowles pin fixation offers a simple and safe method for treating patients with displaced Neer type 2 distal clavicle fractures. 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). There were 4 deaths (within minutes of arrival at the hospital) and 6 delayed deaths (day 1-14). Of car occupants injured, 39% were unrestrained. However, the validity of the method depends on incorporation of methionine into protein with minimal transamination, transmethylation, or both. The in vivo chemotactic response to FMLP 10(-5) M and to zymosan-activated serum of the burned PMNL was not significantly different from that of normal PMNL. Journal of Trauma and Acute Care Surgery - Journal Factors. Plans for receipt and decontamination of casualties, triage, and optimal utilization of the 1,000-bed facility were developed. A combination of three independent injury data sources generated a composite data set of serious and fatal injury. Over a 5 1/2 year period, blunt chest trauma patients at two Level I trauma centers were evaluated for potential TAI. At our institution, personal assault was found to be the primary cause of both midface fractures and mandibular fractures. The outcome was evaluated 6 to 9 months after hospital discharge using the Glasgow Outcome Scale. orthopaedics and trauma impact factor December 29, 2020 by in News by in News The scope of Journal of Trauma and Acute Care Surgery covers Two hundred sixteen vacuum packs were performed in 112 trauma patients. Of the rest, 13% underwent surgical procedures with an overall critical mortality rate of 37.5%. With the subgroup of 143 children (13% of the total) who suffered serious injuries, the cranial cavity (90%) was the most common site of injury, occurring most often in pedestrians (31% of the total injured). All deaths were related to motor vehicle accidents and associated with serious head injury. Except for 14 misalignments and two late infections after new injuries, no other serious complications were detected. Of the 216 vacuum packs placed, 2.8% were placed for increased intra-abdominal pressure, 5.3% for inability to achieve tension-free fascial closure, 20% for damage control, 55% for reexploration, and 16.7% for a combination of factors. more. Each year research scientists have noticed a rise in the number of congresses being held in this field. Journal of Trauma and Acute Care Surgery - Journal Impact. We advocate that all major veins of the lower extremities be repaired with the same care as arterial injuries. 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. 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 … No major complication was noted, and only one asymptomatic acromioclavicular arthrosis developed. PUBMED NLM ID: 101630970 Index Copernicus Value: 84.95. Emergency department thoracotomy was performed in 21 (25%). Early hyperglycemia as defined by glucose > or =200 mg/dL is associated with significantly higher infection and mortality rates in trauma patients independent of injury characteristics. Twenty-two patients (19.6%) died before abdominal closure was attempted. In normal rats, approximately 70% of the tissue radioactivity was precipitated with trichloroacetic acid. Measures of acidosis (admission lactate, time to lactate normalization, and lactate deterioration over the first 24 hours), coagulopathy, age, and injury severity contributed significantly to the risk of cardiac uncoupling (area under receiver operator curve, ROC=0.73). SJR (SCImago Journal Rank Indicator) and European Journal of Trauma and Emergency Surgery Impact Factor, IF, number of article, … Angioembolization as an adjunct procedure decreases mortality in AAST-OIS grades IV and V hepatic injuries. People also search for: . Mechanism of injury was penetrating in 80 (79%) and blunt in 23 (21%). The results of 111 acute below-knee amputations in war wounded were reviewed. A similar high correlation was found between Glasgow Coma Scale score and mortality for head injured patients. http://content.wkhealth.com/linkback/openurl?issn=0022-5282, The use of 0.5% silver nitrate in burns: Results in 220 patients, Effect of Intercostal Nerve Block with 0.5% Bupivacaine on Peak Expiratory Flow Rate and Arterial Oxygen Saturation in Rib Fractures, Olsen W: The serum amylase in blunt abdominal trauma. The changes in serum S-100b and CSF S-100b concentrations were investigated as indicators of brain damage for patients suffering from severe head injuries. Seven patients had LAM greater than or equal to 20 IU/L and LAP greater than or equal to 3 IU/L. Treatment of mandibular fractures represents a considerable cost to public-supported programs as well as to patients. J Trauma.56:1102-1105; discussion 1105-1106, Management of the Ruptured Bladder: Seven Years of Experience with 111 Cases, Below knee amputation in war surgery: a review of 111 amputations with delayed primary closure, Mandibular Fractures A Review of 185 Fractures in 111 Patients, In vivo Chemotaxis and Body Compartment Distribution of Indium-111 Labelled Polymorphonuclear Leukocytes in Burned Guinea Pigs, Injuries of the liver: a review of 111 cases, Vacuum pack technique of temporary abdominal closure: a 7-year experience with 112 patients, Experience with 112 Shotgun Wounds of the Extremities, Comparison of mortality, morbidity, and severity of 59,713 head injured patients with 114,447 patients with extracranial injuries, Experience with 115 Civilian Venous Injuries, Hooker KD, DiPiro JT, Wynn JJ. 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. It is a long-held belief that TAI is more likely when there is a "major mechanism of injury." Shock was observed in 38%, 46%, and 85% of Class III, IV, and V patients, respectively. Significant increases in Sao2 and PEFR occur after ICNB with 0.5% bupivacaine, which also provides sustained analgesia, leading to improvement in respiratory mechanics. AAST grade IV injuries occurred in 51 (47%) and grade V injuries occurred in 52 (53%). Emergency department thoracotomy was performed in 31 patients. Class III injuries were most frequently treated with hepatotomy and individual vessel ligation (41%) and deep liver suturing (25%). Early hyperglycemia was defined as elevated blood glucose on hospital days 1 or 2. Reamputation above the knee was necessary in only one case of wound sepsis. Compared with historical Journal Impact data, the Metric 2019 of Journal of Trauma and Acute Care Surgery dropped by 11.62% . 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