RESUMO
INTRODUCTION: Patients with Non-English Language Preferences (NELP) experience challenges navigating the US healthcare system which can lead to disparate outcomes. This study sought to investigate injury patterns and outcomes in hospitalized trauma patients with NELP. METHODS: A retrospective review was performed at a trauma center from January 2019-December 2020. An institutional database of all emergency department video consultations for interpreter services was cross-referenced with the trauma registry and comparisons were made between NELP and English-preferred (EP) speaking patients. RESULTS: During the study, 257 NELP patients were hospitalized after traumatic injury. Twenty-two percent had work related injuries compared to only 3.0% in the EP cohort (p < 0.001). When propensity score matched, there were no significant differences in ICU and hospital length of stay or mortality between NELP and EP patients. DISCUSSION: Trauma patients are linguistically diverse and understanding their injury patterns and outcomes is crucial for guiding culturally and linguistically appropriate injury prevention.
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Idioma , Centros de Traumatologia , Humanos , Serviço Hospitalar de Emergência , Estudos Retrospectivos , Mortalidade Hospitalar , Escala de Gravidade do Ferimento , Tempo de InternaçãoRESUMO
BACKGROUND: This study investigated the impact of COVID-19 infection on hospitalized trauma patients. METHODS: A retrospective review of hospitalized trauma patients at a level I trauma center was performed from March-December 2020. Data pertaining to patient demographics, presentation and hospital course was compared between COVID positive and negative trauma patients. RESULTS: There were 4,912 patients and 179 (3.64%) were COVID-19 positive. Demographics and clinical presentation did not differ significantly between those with and without concomitant COVID-19. However, COVID positive trauma patients had higher rates of acute kidney injury (p = 0.016), sepsis (p = 0.016), unplanned intubation (p = 0.002) and unplanned return to the ICU (p = 0.01). The COVID positive cohort also had longer hospital stays (p < 0.01) with no significant difference in mortality. CONCLUSIONS: In the setting of an ongoing pandemic, awareness of the complications COVID positive trauma patients are predisposed to is important for providers.
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COVID-19 , COVID-19/complicações , Humanos , Tempo de Internação , Pandemias , Estudos Retrospectivos , Centros de TraumatologiaRESUMO
First described by S.E. Duplay in 1833, acute gastric dilatation has since been well documented in the literature. Several theories of the pathogenesis of acute gastric dilatation have been postulated. In 1842, Karl Freiherr von Rokitansky described the superior mesenteric artery syndrome, followed by W. Brinton in 1859 with the atonic theory. C.R. Morris et al. introduced debilitation and anesthesia as predisposing factors. Although rare, gastric necrosis is the most severe consequence of acute gastric dilatation. Vascular insufficiency secondary to increased intragastric pressure is the critical factor. We report an unusual case of acute gastric dilatation with subsequent necrosis of uncertain etiology.
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Dilatação Gástrica/patologia , Doença Aguda , Idoso , Progressão da Doença , Evolução Fatal , Dilatação Gástrica/etiologia , Dilatação Gástrica/cirurgia , Dilatação Gástrica/terapia , Humanos , Masculino , Estômago/patologia , Vômito/etiologiaRESUMO
Log-phase cultures of Acanthamoeba castellanii, Neff strain, have been maintained at elevated hydrostatic pressures over periods of several days and the population has been recounted at the end of the experimental period. A pressure of 2,000 psi (136 atm) depressed growth of the population, but was quickly reversed on release. A pressure of 4,000 psi (272 atm) severly depressed population growth, and any increase was slight and short-lasting at 5,000 psi (340 atm). Growth of the population was resumed only after an interval of 1 or more days after release.