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1. Nonoperative treatment of multiple rib fractures, the results to beat: International multicenter prospective cohort study among 845 patients

Author

Peuker, Felix, Hoepelman, Ruben J., Beeres, Frank J.P., Balogh, Zsolt J., Beks, Reinier B., Sweet, Arthur A.R., IJpma, Frank F.A., Lansink, Koen W.W., van Wageningen, Bas, Tromp, Tjarda N., Minervini, Fabrizio, van Veelen, Nicole M., Hoogendoorn, Jochem M., de Jong, Mirjam B., van Baal, Mark C.P.M., Leenen, Luke P.H., Groenwold, Rolf H.H., and Houwert, R. Marijn

Published
2024
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3. In patients with combined clavicle and multiple rib fractures, does fracture fixation of the clavicle improve clinical outcomes? A multicenter prospective cohort study of 232 patients

Author

Hoepelman, Ruben J., van der Linde, Rens A., Beeres, Frank J.P., Beks, Reinier B., Sweet, Arthur A.R., Lansink, Koen W.W., van Wageningen, Bas, Tromp, Tjarda N., Minervini, Fabrizio, Link, Björn-Christian, van Veelen, Nicole M., Hoogendoorn, Jochem M., de Jong, Mirjam B., van Baal, Mark C.P., Leenen, Luke P.H., Groenwold, Rolf H.H., Houwert, Roderick M., and IJpma, Frank F.

Published
2023
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8. Clinical outcomes and end-of-life treatment in 596 patients with isolated traumatic brain injury:a retrospective comparison of two Dutch level-I trauma centers

Author

Niemeyer, Menco J.S., Jochems, Denise, Van Ditshuizen, Jan C., de Kanter, Janneke, Cremers, Lotte, van Hattem, Martijn, Den Hartog, Dennis, Houwert, Roderick Marijn, Leenen, Luke P.H., van Wessem, Karlijn J.P., Niemeyer, Menco J.S., Jochems, Denise, Van Ditshuizen, Jan C., de Kanter, Janneke, Cremers, Lotte, van Hattem, Martijn, Den Hartog, Dennis, Houwert, Roderick Marijn, Leenen, Luke P.H., and van Wessem, Karlijn J.P.

Abstract

Purpose: With an increasingly older population and rise in incidence of traumatic brain injury (TBI), end-of-life decisions have become frequent. This study investigated the rate of withdrawal of life sustaining treatment (WLST) and compared treatment outcomes in patients with isolated TBI in two Dutch level-I trauma centers. Methods: From 2011 to 2016, a retrospective cohort study of patients aged ≥ 18 years with isolated moderate-to-severe TBI (Abbreviated Injury Scale (AIS) head ≥ 3) was conducted at the University Medical Center Rotterdam (UMC-R) and the University Medical Center Utrecht (UMC-U). Demographics, radiologic injury characteristics, clinical outcomes, and functional outcomes at 3–6 months post-discharge were collected. Results: The study population included 596 patients (UMC-R: n = 326; UMC-U: n = 270). There were no statistical differences in age, gender, mechanism of injury, and radiologic parameters between both institutes. UMC-R patients had a higher AIShead (UMC-R: 5 [4–5] vs. UMC-U: 4 [4–5], p < 0.001). There was no difference in the prehospital Glasgow Coma Scale (GCS). However, UMC-R patients had lower GCSs in the Emergency Department and used more prehospital sedation. Total in-hospital mortality was 29% (n = 170), of which 71% (n = 123) occurred after WLST. Two percent (n = 10) remained in unresponsive wakefulness syndrome (UWS) state during follow-up. Discussion: This study demonstrated a high WLST rate among deceased patients with isolated TBI. Demographics and outcomes were similar for both centers even though AIShead was significantly higher in UMC-R patients. Possibly, prehospital sedation might have influenced AIS coding. Few patients persisted in UWS. Further research is needed on WLST patients in a broader spectrum of ethics, culture, and complex medical profiles, as it is a growing practice in modern critical care. Level of evidence: Level III, retrospective cohort study.

Published
2024

11. Nonoperative treatment of multiple rib fractures, the results to beat: International multicenter prospective cohort study among 845 patients

Author

Peuker, Felix, primary, Hoepelman, Ruben J., additional, Beeres, Frank J.P., additional, Balogh, Zsolt J., additional, Beks, Reinier B., additional, Sweet, Arthur A.R., additional, IJpma, Frank F.A., additional, Lansink, Koen W.W., additional, van Wageningen, Bas, additional, Tromp, Tjarda N., additional, Minervini, Fabrizio, additional, van Veelen, Nicole M., additional, Hoogendoorn, Jochem M., additional, de Jong, Mirjam B., additional, van Baal, Mark C.P.M., additional, Leenen, Luke P.H., additional, Groenwold, Rolf H.H., additional, and Houwert, R. Marijn, additional

Published
2023
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21. Fracture fixation in the operative management of hip fractures (FAITH): an international, multicentre, randomised controlled trial

Author

Nauth, Aaron, Creek, Aaron T., Zellar, Abby, Lawendy, Abdel-Rahman, Dowrick, Adam, Gupta, Ajay, Dadi, Akhil, van Kampen, Albert, Yee, Albert, de Vries, Alexander C., de Mol van Otterloo, Alexander, Garibaldi, Alisha, Liew, Allen, McIntyre, Allison W., Prasad, Amal Shankar, Romero, Amanda W., Rangan, Amar, Oatt, Amber, Sanghavi, Amir, Foley, Amy L., Karlsten, Anders, Dolenc, Andrea, Bucknill, Andrew, Chia, Andrew, Evans, Andrew, Gong, Andrew, Schmidt, Andrew H., Marcantonio, Andrew J., Jennings, Andrew, Ward, Angela, Khanna, Angshuman, Rai, Anil, Smits, Anke B., Horan, Annamarie D., Brekke, Anne Christine, Flynn, Annette, Duraikannan, Aravin, Stødle, Are, van Vugt, Arie B., Luther, Arlene, Zurcher, Arthur W., Jain, Arvind, Amundsen, Asgeir, Moaveni, Ash, Carr, Ashley, Sharma, Ateet, Hill, Austin D., Trommer, Axel, Rai, B. Sachidananda, Hileman, Barbara, Schreurs, Bart, Verhoeven, Bart, Barden, Benjamin B., Flatøy, Bernhard, Cleffken, Berry I., Bøe, Berthe, Perey, Bertrand, Hanusch, Birgit C., Weening, Brad, Fioole, Bram, Rijbroek, Bram, Crist, Brett D., Halliday, Brett, Peterson, Brett, Mullis, Brian, Richardson, C. Glen, Clark, Callum, Sagebien, Carlos A., van der Pol, Carmen C., Bowler, Carol, Humphrey, Catherine A., Coady, Catherine, Koppert, Cees L., Coles, Chad, Tannoury, Chadi, DePaolo, Charles J., Gayton, Chris, Herriott, Chris, Reeves, Christina, Tieszer, Christina, Dobb, Christine, Anderson, Christopher G., Sage, Claire, Cuento, Claudine, Jones, Clifford B., Bosman, Coks H.R., Linehan, Colleen, van der Hart, Cor P., Henderson, Corey, Lewis, Courtland G., Davis, Craig A., Donohue, Craig, Mauffrey, Cyril, Sundaresh, D.C., Farrell, Dana J., Whelan, Daniel B., Horwitz, Daniel, Stinner, Daniel, Viskontas, Darius, Roffey, Darren M., Alexander, David, Karges, David E., Hak, David, Johnston, David, Love, David, Wright, David M., Zamorano, David P., Goetz, David R., Sanders, David, Stephen, David, Yen, David, Bardana, Davide, Olakkengil, Davy J, Lawson, Deanna, Maddock, Deborah, Sietsema, Debra L., Pourmand, Deeba, Den Hartog, Dennis, Donegan, Derek, Heels-Ansdell, Diane, Nam, Diane, Inman, Dominic, Boyer, Dory, Li, Doug, Gibula, Douglas, Price, Dustin M., Watson, Dylan J., Hammerberg, E. Mark, Tan, Edward T.C.H., de Graaf, Eelco J.R., Vesterhus, Elise Berg, Roper, Elizabeth, Edwards, Elton, Schemitsch, Emil H., Hammacher, Eric R., Henderson, Eric R., Whatley, Erica, Torres, Erick T., Vermeulen, Erik G.J., Finn, Erin, Van Lieshout, Esther M.M., Wai, Eugene K., Bannister, Evan R., Kile, Evelyn, Theunissen, Evert B.M., Ritchie, Ewan D., Khan, Farah, Moola, Farhad, Howells, Fiona, de Nies, Frank, van der Heijden, Frank H.W.M., de Meulemeester, Frank R.A.J., Frihagen, Frede, Nilsen, Fredrik, Schmidt, G. Ben, Albers, G.H. Robert, Gudger, Garland K., Jr, Johnson, Garth, Gruen, Gary, Zohman, Gary, Sharma, Gaurav, Wood, Gavin, Tetteroo, Geert W.M., Hjorthaug, Geir, Jomaas, Geir, Donald, Geoff, Rieser, Geoffrey Ryan, Reardon, Gerald, Slobogean, Gerard P., Roukema, Gert R, Visser, Gijs A., Moatshe, Gilbert, Horner, Gillian, Rose, Glynis, Guyatt, Gordon, Chuter, Graham, Etherington, Greg, Rocca, Gregory J. Della, Ekås, Guri, Dobbin, Gwendolyn, Lemke, H. Michael, Curry, Hamish, Boxma, Han, Gissel, Hannah, Kreder, Hans, Kuiken, Hans, Brom, Hans L.F., Pape, Hans-Christoph, van der Vis, Harm M, Bedi, Harvinder, Vallier, Heather A., Brien, Heather, Silva, Heather, Newman, Heike, Viveiros, Helena, van der Hoeven, Henk, Ahn, Henry, Johal, Herman, Rijna, Herman, Stockmann, Heyn, Josaputra, Hong A., Carlisle, Hope, van der Brand, Igor, Dawson, Imro, Tarkin, Ivan, Wong, Ivan, Parr, J. Andrew, Trenholm, J. Andrew, Goslings, J. Carel, Amirault, J. David, Broderick, J. Scott, Snellen, Jaap P., Zijl, Jacco A.C., Ahn, Jaimo, Ficke, James, Irrgang, James, Powell, James, Ringler, James R., Shaer, James, Monica, James T., Biert, Jan, Bosma, Jan, Brattgjerd, Jan Egil, Frölke, Jan Paul M., Wille, Jan, Rajakumar, Janakiraman, Walker, Jane E., Baker, Janell K., Ertl, Janos P., de Vries, Jean Paul P.M., Gardeniers, Jean W.M., May, Jedediah, Yach, Jeff, Hidy, Jennifer T., Westberg, Jerald R., Hall, Jeremy A., van Mulken, Jeroen, McBeth, Jessica Cooper, Hoogendoorn, Jochem, Hoffman, Jodi M., Cherian, Joe Joseph, Tanksley, John A., Jr., Clarke-Jenssen, John, Adams, John D., Esterhai, John, Tilzey, John F., Murnaghan, John, Ketz, John P., Garfi, John S., Schwappach, John, Gorczyca, John T., Wyrick, John, Rydinge, Jonas, Foret, Jonathan L., Gross, Jonathan M., Keeve, Jonathan P., Meijer, Joost, Scheepers, Joris J.G., Baele, Joseph, O'Neil, Joseph, Cass, Joseph R., Hsu, Joseph R., Dumais, Jules, Lee, Julia, Switzer, Julie A., Agel, Julie, Richards, Justin E., Langan, Justin W., Turckan, Kahn, Pecorella, Kaili, Rai, Kamal, Aurang, Kamran, Shively, Karl, van Wessem, Karlijn, Moon, Karyn, Eke, Kate, Erwin, Katie, Milner, Katrine, Ponsen, Kees Jan, Mills, Kelli, Apostle, Kelly, Johnston, Kelly, Trask, Kelly, Strohecker, Kent, Stringfellow, Kenya, Kruse, Kevin K., III, Tetsworth, Kevin, Mitchell, Khalis, Browner, Kieran, Hemlock, Kim, Carcary, Kimberly, Jørgen Haug, Knut, Noble, Krista, Robbins, Kristin, Payton, Krystal, Jeray, Kyle J., Rubino, L. Joseph, Nastoff, Lauren A., Leffler, Lauren C., Stassen, Laurents P.S., O'Malley, Lawrence K., II, Specht, Lawrence M., Thabane, Lehana, Geeraedts, Leo M.G., Shell, Leslie E., Anderson, Linda K., Eickhoff, Linda S., Lyle, Lindsey, Pilling, Lindsey, Buckingham, Lisa, Cannada, Lisa K., Wild, Lisa M., Dulaney-Cripe, Liz, Poelhekke, Lodewijk M.S.J., Govaert, Lonneke, Ton, Lu, Kottam, Lucksy, Leenen, Luke P.H., Clipper, Lydia, Jackson, Lyle T., Hampton, Lynne, de Waal Malefijt, Maarten C., Simons, Maarten P., van der Elst, Maarten, Bronkhorst, Maarten W.G.A., Bhatia, Mahesh, Swiontkowski, Marc, Lobo, Margaret J., Swinton, Marilyn, Pirpiris, Marinis, Molund, Marius, Gichuru, Mark, Glazebrook, Mark, Harrison, Mark, Jenkins, Mark, MacLeod, Mark, de Vries, Mark R., Butler, Mark S., Nousiainen, Markku, van 't Riet, Martijne, Tynan, Martin C., Campo, Martin, Eversdijk, Martin G., Heetveld, Martin J., Richardson, Martin, Breslin, Mary, Fan, Mary, Edison, Matt, Napierala, Matthew, Knobe, Matthias, Russ, Matthias, Zomar, Mauri, de Brauw, Maurits, Esser, Max, Hurley, Meghan, Peters, Melissa E., Lorenzo, Melissa, Li, Mengnai, Archdeacon, Michael, Biddulph, Michael, Charlton, Michael, McDonald, Michael D., McKee, Michael D., Dunbar, Michael, Torchia, Michael E., Gross, Michael, Hewitt, Michael, Holt, Michael, Prayson, Michael J., Edwards, Michael J.R., Beckish, Michael L., Brennan, Michael L., Dohm, Michael P., Kain, Michael S.H., Vogt, Michelle, Yu, Michelle, Verhofstad, Michiel H.J., Segers, Michiel J.M., Siroen, Michiel P.C., Reed, Mike, Vicente, Milena R., Bruijninckx, Milko M.M., Trivedi, Mittal, Bhandari, Mohit, Moore, Molly M., Kunz, Monica, Smedsrud, Morten, Palla, Naveen, Jain, Neeraj, Out, Nico J.M., Simunovic, Nicole, Schep, Niels W.L., Müller, Oliver, Guicherit, Onno R., Van Waes, Oscar J.F., Wang, Otis, Doornebosch, Pascal G., Seuffert, Patricia, Hesketh, Patrick J., Weinrauch, Patrick, Duffy, Paul, Keller, Paul, Lafferty, Paul M., Pincus, Paul, Tornetta, Paul, III, Zalzal, Paul, McKay, Paula, Cole, Peter A., de Rooij, Peter D., Hull, Peter, Go, Peter M.N.Y.M., Patka, Peter, Siska, Peter, Weingarten, Peter, Kregor, Philip, Stahel, Philip, Stull, Philip, Wittich, Philippe, de Rijcke, Piet A.R., Oprel, Pim, Devereaux, PJ, Zhou, Qi, Lee Murphy, R., Jr., Alosky, Rachel, Clarkson, Rachel, Moon, Raely, Logishetty, Rajanikanth, Nanda, Rajesh, Sullivan, Raymond J., Snider, Rebecca G., Buckley, Richard E., Iorio, Richard, Farrugia, Richard J, Jenkinson, Richard, Laughlin, Richard, Groenendijk, Richard P.R., Gurich, Richard W., Jr, Worman, Ripley, Silvis, Rob, Haverlag, Robert, Teasdall, Robert J., Korley, Robert, McCormack, Robert, Probe, Robert, Cantu, Robert V., Huff, Roger B., Simmermacher, Rogier K.J., Peters, Rolf, Pfeifer, Roman, Liem, Ronald, Wessel, Ronald N., Verhagen, Ronald, Vuylsteke, Ronald, Leighton, Ross, McKercher, Ross, Poolman, Rudolf W., Miller, Russell, Bicknell, Ryan, Finnan, Ryan, Khan, Ryan M., Mehta, Samir, Vang, Sandy, Singh, Sanjay, Anand, Sanjeev, Anderson, Sarah A., Dawson, Sarah A., Marston, Scott B., Porter, Scott E., Watson, Scott T., Festen, Sebastiaan, Lieberman, Shane, Puloski, Shannon, Bielby, Shea A., Sprague, Sheila, Hess, Shelley, MacDonald, Shelley, Evans, Simone, Bzovsky, Sofia, Hasselund, Sondre, Lewis, Sophie, Ugland, Stein, Caminiti, Stephanie, Tanner, Stephanie L., Zielinski, Stephanie M., Shepard, Stephanie, Sems, Stephen A., Walter, Stephen D., Doig, Stephen, Finley, Stephen H., Kates, Stephen, Lindenbaum, Stephen, Kingwell, Stephen P., Csongvay, Steve, Papp, Steve, Buijk, Steven E., Rhemrev, Steven J., Hollenbeck, Steven M., van Gaalen, Steven M., Yang, Steven, Weinerman, Stuart, Subash, Lambert, Sue, Liew, Susan, Meylaerts, Sven A.G., Blokhuis, Taco J., de Vries Reilingh, Tammo S., Lona, Tarjei, Scott, Taryn, Swenson, Teresa K., Endres, Terrence J., Axelrod, Terry, van Egmond, Teun, Pace, Thomas B., Kibsgård, Thomas, Schaller, Thomas M., Ly, Thuan V., Miller, Timothy J., Weber, Timothy, Le, Toan, Oliver, Todd M., Karsten, Tom M., Borch, Tor, Hoseth, Tor Magne, Nicolaisen, Tor, Ianssen, Torben, Rutherford, Tori, Nanney, Tracy, Gervais, Trevor, Stone, Trevor, Schrickel, Tyson, Scrabeck, Tyson, Ganguly, Utsav, Naumetz, V., Frizzell, Valda, Wadey, Veronica, Jones, Vicki, Avram, Victoria, Mishra, Vimlesh, Yadav, Vineet, Arora, Vinod, Tyagi, Vivek, Borsella, Vivian, Willems, W. Jaap, Hoffman, W.H., Gofton, Wade T., Lackey, Wesley G., Ghent, Wesley, Obremskey, William, Oxner, William, Cross, William W., III, Murtha, Yvonne M., and Murdoch, Zoe

Published
2017
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25. Outcome of severely injured patients in a unique trauma system with 24/7 double trauma surgeon on-call service

Author

Zorgeenheid Traumatologie, Infection & Immunity, Other research (not in main researchprogram), DHS-Medisch, van Wessem, Karlijn J.P., Leenen, Luke P.H., Houwert, R. Marijn, Benders, Kim E.M., Simmermacher, Roger K.J., van Baal, Mark C.P.M., de Bruin, Ivar G.J.M., de Jong, Mirjam B., Nijs, Stefaan J.B., Hietbrink, Falco, Zorgeenheid Traumatologie, Infection & Immunity, Other research (not in main researchprogram), DHS-Medisch, van Wessem, Karlijn J.P., Leenen, Luke P.H., Houwert, R. Marijn, Benders, Kim E.M., Simmermacher, Roger K.J., van Baal, Mark C.P.M., de Bruin, Ivar G.J.M., de Jong, Mirjam B., Nijs, Stefaan J.B., and Hietbrink, Falco

Published
2023

26. Epidemiology and outcomes of traumatic chest injuries in children: a nationwide study in the Netherlands

Author

MCS-team, Researchgr. Systems Radiology, Zorgeenheid Traumatologie, Cancer, Infection & Immunity, Other research (not in main researchprogram), Sweet, Arthur A.R., de Bruin, Ivar G.J., Peek, Jesse, IJpma, Frank F.A., van Baal, Mark C.P.M., Leenen, Luke P.H., Houwert, Roderick M., MCS-team, Researchgr. Systems Radiology, Zorgeenheid Traumatologie, Cancer, Infection & Immunity, Other research (not in main researchprogram), Sweet, Arthur A.R., de Bruin, Ivar G.J., Peek, Jesse, IJpma, Frank F.A., van Baal, Mark C.P.M., Leenen, Luke P.H., and Houwert, Roderick M.

Published
2023

27. In patients with combined clavicle and multiple rib fractures, does fracture fixation of the clavicle improve clinical outcomes? A multicenter prospective cohort study of 232 patients

Author

Heelkunde Opleiding, Zorgeenheid Traumatologie, Researchgr. Systems Radiology, Cancer, Infection & Immunity, Epi Methoden Team 1, Other research (not in main researchprogram), Hoepelman, Ruben J., Van Der Linde, Rens A., Beeres, Frank J.P., Beks, Reinier B., Sweet, Arthur A.R., Lansink, Koen W.W., Van Wageningen, Bas, Tromp, Tjarda N., Minervini, Fabrizio, Link, Björn Christian, Van Veelen, Nicole M., Hoogendoorn, Jochem M., De Jong, Mirjam B., Van Baal, Mark C.P., Leenen, Luke P.H., Groenwold, Rolf H.H., Houwert, Roderick M., Ijpma, Frank F., Heelkunde Opleiding, Zorgeenheid Traumatologie, Researchgr. Systems Radiology, Cancer, Infection & Immunity, Epi Methoden Team 1, Other research (not in main researchprogram), Hoepelman, Ruben J., Van Der Linde, Rens A., Beeres, Frank J.P., Beks, Reinier B., Sweet, Arthur A.R., Lansink, Koen W.W., Van Wageningen, Bas, Tromp, Tjarda N., Minervini, Fabrizio, Link, Björn Christian, Van Veelen, Nicole M., Hoogendoorn, Jochem M., De Jong, Mirjam B., Van Baal, Mark C.P., Leenen, Luke P.H., Groenwold, Rolf H.H., Houwert, Roderick M., and Ijpma, Frank F.

Published
2023

29. The association of radiologic body composition parameters with clinical outcomes in level-1 trauma patients

Author

MCS-team, Researchgr. Systems Radiology, Zorgeenheid Traumatologie, Cancer, Other research (not in main researchprogram), Infection & Immunity, Circulatory Health, Regenerative Medicine and Stem Cells, MS Radiologie, Sweet, Arthur A.R., Kobes, Tim, Houwert, Roderick M., Groenwold, Rolf H.H., Moeskops, Pim, Leenen, Luke P.H., de Jong, Pim A., Veldhuis, Wouter B., van Baal, Mark C.P.M., MCS-team, Researchgr. Systems Radiology, Zorgeenheid Traumatologie, Cancer, Other research (not in main researchprogram), Infection & Immunity, Circulatory Health, Regenerative Medicine and Stem Cells, MS Radiologie, Sweet, Arthur A.R., Kobes, Tim, Houwert, Roderick M., Groenwold, Rolf H.H., Moeskops, Pim, Leenen, Luke P.H., de Jong, Pim A., Veldhuis, Wouter B., and van Baal, Mark C.P.M.

Published
2023

37. Hospital preparations for viral hemorrhagic fever patients and experience gained from admission of an Ebola patient

Author

Haverkort, J.J. Mark, Minderhoud, A.L.C. "Ben", Wind, Jelte D.D., Leenen, Luke P.H., Hoepelman, Andy I.M., and Ellerbroek, Pauline M.

Subjects
Hospitals -- Central service department, Epidemics -- Control, Ebola virus infections -- Care and treatment, Public health administration -- Methods, Company business management, Health
Abstract

The Ebola virus disease (EVD) epidemic during 20142015 led hospitals worldwide to prepare for the triage and admission of Ebola virus (EBOV)-infected patients (1). During the fall of 2014, the [...]

Published
2016
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39. Priority accuracy by dispatch centers and Emergency Medical Services professionals in trauma patients:a cohort study

Author

Waalwijk, Job F., Lokerman, Robin D., van der Sluijs, Rogier, Fiddelers, Audrey A.A., Leenen, Luke P.H., van Heijl, Mark, Poeze, Martijn, Waalwijk, Job F., Lokerman, Robin D., van der Sluijs, Rogier, Fiddelers, Audrey A.A., Leenen, Luke P.H., van Heijl, Mark, and Poeze, Martijn

Abstract

Purpose: Priority-setting by dispatch centers and Emergency Medical Services professionals has a major impact on pre-hospital triage and times of trauma patients. Patients requiring specialized care benefit from expedited transport to higher-level trauma centers, while transportation of these patients to lower-level trauma centers is associated with higher mortality rates. This study aims to evaluate the accuracy of priority-setting by dispatch centers and Emergency Medical Services professionals. Methods: This observational study included trauma patients transported from the scene of injury to a trauma center. Priority-setting was evaluated in terms of the proportion of patients requiring specialized trauma care assigned with the highest priority (i.e., sensitivity), undertriage, and overtriage. Patients in need of specialized care were defined by a composite resource-based endpoint. An Injury Severity Score ≥ 16 served as a secondary reference standard. Results: Between January 2015 and December 2017, records of 114,459 trauma patients were collected, of which 3327 (2.9%) patients were in need of specialized care according to the primary reference standard. Dispatch centers and Emergency Medical Services professionals assigned 83.8% and 74.5% of these patients with the highest priority, respectively. Undertriage rates ranged between 22.7 and 65.5% in the different prioritization subgroups. There were differences between dispatch and transport priorities in 17.7% of the patients. Conclusion: The majority of patients that required specialized care were assigned with the highest priority by the dispatch centers and Emergency Medical Services professionals. Highly accurate priority criteria could improve the quality of pre-hospital triage.

Published
2022

40. The Detrimental Impact of the COVID-19 Pandemic on Major Trauma Outcomes in the Netherlands:A Comprehensive Nationwide Study

Author

Driessen, Mitchell L.S., Sturms, Leontien M., Bloemers, Frank W., Duis, Henk Jan Ten, Edwards, Michael J.R., Den Hartog, Dennis, Kuipers, E. J., Leenhouts, Peter A., Poeze, Martijn, Schipper, Inger B., Spanjersberg, Richard W., Wendt, Klaus W., De Wit, Ralph J., Van Zutphen, Stefan W.A.M., De Jongh, Mariska A.C., Leenen, Luke P.H., Driessen, Mitchell L.S., Sturms, Leontien M., Bloemers, Frank W., Duis, Henk Jan Ten, Edwards, Michael J.R., Den Hartog, Dennis, Kuipers, E. J., Leenhouts, Peter A., Poeze, Martijn, Schipper, Inger B., Spanjersberg, Richard W., Wendt, Klaus W., De Wit, Ralph J., Van Zutphen, Stefan W.A.M., De Jongh, Mariska A.C., and Leenen, Luke P.H.

Abstract

Objective:To evaluate the impact of the COVID-19 pandemic on the outcome of major trauma patients in the Netherlands. Summary Background Data:Major trauma patients highly rely on immediate access to specialized services, including ICUs, shortages caused by the impact of the COVID-19 pandemic may influence their outcome. Methods:A multi-center observational cohort study, based on the Dutch National Trauma Registry was performed. Characteristics, resource usage, and outcome of major trauma patients (injury severity score ≥16) treated at all trauma-receiving hospitals during the first COVID-19 peak (March 23 through May 10) were compared with those treated from the same period in 2018 and 2019 (reference period).Results:During the peak period, 520 major trauma patients were admitted, versus 570 on average in the pre-COVID-19 years. Significantly fewer patients were admitted to ICU facilities during the peak than during the reference period (49.6% vs 55.8%; P=0.016). Patients with less severe traumatic brain injuries in particular were less often admitted to the ICU during the peak (40.5% vs 52.5%; P=0.005). Moreover, this subgroup showed an increased mortality compared to the reference period (13.5% vs 7.7%; P=0.044). These results were confirmed using multivariable logistic regression analyses. In addition, a significant increase in observed versus predicted mortality was recorded for patients who had a priori predicted mortality of 50% to 75% (P=0.012). Conclusions:The COVID-19 peak had an adverse effect on trauma care as major trauma patients were less often admitted to ICU and specifically those with minor through moderate brain injury had higher mortality rates.

Published
2022

41. Variation of in-hospital trauma team staffing: new resuscitation, new team

Author

Zorgeenheid Traumatologie, Infection & Immunity, van Maarseveen, Oscar E.C., Huijsmans, Roel L.N., Leenen, Luke P.H., Ham, Wietske H.W., Zorgeenheid Traumatologie, Infection & Immunity, van Maarseveen, Oscar E.C., Huijsmans, Roel L.N., Leenen, Luke P.H., and Ham, Wietske H.W.

Published
2022

42. Geriatric Falls: A Registry-Based Study in the Netherlands

Author

Verplegingswetenschap, Brain, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Afdeling Dermatologie/Allergologie, Biostatistiek Onderwijs, Zorgeenheid Traumatologie, Infection & Immunity, Verbeek, Frank H.O., Ham, Wietske H.W., Verbeek, André L.M., de Man-van Ginkel, Janneke M., van Os-Medendorp, Harmieke, Westers, Paul, Leenen, Luke P.H., Verplegingswetenschap, Brain, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Afdeling Dermatologie/Allergologie, Biostatistiek Onderwijs, Zorgeenheid Traumatologie, Infection & Immunity, Verbeek, Frank H.O., Ham, Wietske H.W., Verbeek, André L.M., de Man-van Ginkel, Janneke M., van Os-Medendorp, Harmieke, Westers, Paul, and Leenen, Luke P.H.

Published
2022

43. Shift of Neutrophils From Blood to Bone Marrow Upon Extensive Experimental Trauma Surgery

Author

CTI, Zorgeenheid Traumatologie, Experimentele Afdeling Longziekten, Infection & Immunity, Cancer, Teuben, Michel P.J., Heeres, Marjolein, Blokhuis, Taco, Spijkerman, Roy, Knot, Eric, Vrisekoop, Nienke, Pfeifer, Roman, Pape, Hans Christoph, Koenderman, Leo, Leenen, Luke P.H., CTI, Zorgeenheid Traumatologie, Experimentele Afdeling Longziekten, Infection & Immunity, Cancer, Teuben, Michel P.J., Heeres, Marjolein, Blokhuis, Taco, Spijkerman, Roy, Knot, Eric, Vrisekoop, Nienke, Pfeifer, Roman, Pape, Hans Christoph, Koenderman, Leo, and Leenen, Luke P.H.

Published
2022

44. The use of patient-reported outcome measures in the literature on traumatic foot fractures: A systematic review

Author

Zorgeenheid Traumatologie, Infection & Immunity, Other research (not in main researchprogram), Berk, Thirza A., Smeeing, Diederik P.J., van der Vliet, Quirine M.J., Leenen, Luke P.H., Hietbrink, Falco, van Baal, Mark C.P.M., Houwert, Roderick M., Heng, Marilyn, Zorgeenheid Traumatologie, Infection & Immunity, Other research (not in main researchprogram), Berk, Thirza A., Smeeing, Diederik P.J., van der Vliet, Quirine M.J., Leenen, Luke P.H., Hietbrink, Falco, van Baal, Mark C.P.M., Houwert, Roderick M., and Heng, Marilyn

Published
2022

45. The impact of regionalized trauma care on the distribution of severely injured patients in the Netherlands

Author

Zorgeenheid Traumatologie, Infection & Immunity, Dijkink, Suzan, van Zwet, Erik W., Krijnen, Pieta, Leenen, Luke P.H., Bloemers, Frank W., Edwards, Michael J.R., Hartog, Dennis Den, Leenhouts, Peter A., Poeze, Martijn, Spanjersberg, W. Richard, Wendt, Klaus W., De Wit, Ralph J., Van Zuthpen, Stefan W.A.M., Schipper, Inger B., Zorgeenheid Traumatologie, Infection & Immunity, Dijkink, Suzan, van Zwet, Erik W., Krijnen, Pieta, Leenen, Luke P.H., Bloemers, Frank W., Edwards, Michael J.R., Hartog, Dennis Den, Leenhouts, Peter A., Poeze, Martijn, Spanjersberg, W. Richard, Wendt, Klaus W., De Wit, Ralph J., Van Zuthpen, Stefan W.A.M., and Schipper, Inger B.

Published
2022

46. Epidemiology of combined clavicle and rib fractures: a systematic review

Author

Zorgeenheid Traumatologie, Cancer, Infection & Immunity, Other research (not in main researchprogram), Sweet, Arthur A.R., Beks, Reinier B., IJpma, Frank F.A., de Jong, Mirjam B., Beeres, Frank J.P., Leenen, Luke P.H., Houwert, Roderick M., van Baal, Mark C.P.M., Zorgeenheid Traumatologie, Cancer, Infection & Immunity, Other research (not in main researchprogram), Sweet, Arthur A.R., Beks, Reinier B., IJpma, Frank F.A., de Jong, Mirjam B., Beeres, Frank J.P., Leenen, Luke P.H., Houwert, Roderick M., and van Baal, Mark C.P.M.

Published
2022

47. Blunt popliteal artery injury following tibiofemoral trauma: vessel-first and bone-first strategy

Author

Infection & Immunity, Zorgeenheid Traumatologie, Zorgeenheid Vaatchirurgie Medisch, Brain, Circulatory Health, Regenerative Medicine and Stem Cells, Hundersmarck, Dennis, Hietbrink, Falco, Leenen, Luke P.H., De Borst, Gert J., Heng, Marilyn, Infection & Immunity, Zorgeenheid Traumatologie, Zorgeenheid Vaatchirurgie Medisch, Brain, Circulatory Health, Regenerative Medicine and Stem Cells, Hundersmarck, Dennis, Hietbrink, Falco, Leenen, Luke P.H., De Borst, Gert J., and Heng, Marilyn

Published
2022

49. Functional Outcomes and Quality of Life in Patients With Post-Traumatic Arthrosis Undergoing Open or Arthroscopic Talocrural Arthrodesis—A Retrospective Cohort With Prospective Follow-Up

Author

Zorgeenheid Traumatologie, MS Orthopaedie Algemeen, Other research (not in main researchprogram), Infection & Immunity, Berk, Thirza A., van Baal, Mark C.P.M., Sturkenboom, Joran M., van der Krans, Arie C., Houwert, Roderick M., Leenen, Luke P.H., Zorgeenheid Traumatologie, MS Orthopaedie Algemeen, Other research (not in main researchprogram), Infection & Immunity, Berk, Thirza A., van Baal, Mark C.P.M., Sturkenboom, Joran M., van der Krans, Arie C., Houwert, Roderick M., and Leenen, Luke P.H.

Published
2022

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