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Polytrauma Management under Special Circumstances: Pediatric Trauma, Trauma in Pregnancy...
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Polytrauma Management under Special Circumstances: Pediatric Trauma, Trauma in Pregnancy and Geriatric Trauma

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 20 September 2024 | Viewed by 857

Special Issue Editors

Dr. Kai Oliver Jensen

E-Mail Website
Guest Editor
Department of Traumatology, University Hospital Zürich, Zürich, Switzerland
Interests: multiple trauma; geriatric trauma; acute care & emergency surgery; polytrauma & orthopedic trauma; registries
Prof. Dr. Arnold J. Suda

E-Mail Website
Guest Editor
Department of Orthopaedics and Trauma Surgery, AUVA Trauma Center Salzburg, Salzburg, Austria
Interests: polytrauma; prosthesis

Special Issue Information

Dear Colleagues,

In recent decades, there have been improvements made in the field of traumatology and orthopaedics thanks to scientific research findings following major trauma. While the mean age of trauma patients is increasing, there is just a small amount of knowledge about different treatment algorithms for this population.

Within the broad spectrum of patients treated in traumatology, injured children and pregnant women suffering from polytrauma need interdisciplinary treatment strategies and require specific treatment.

Therefore, this Special Issue focuses on the trauma within these special groups of patients, aiming to provide a selection of current scientific and surgical recommendations for clinical practice. The researchers in this field are encouraged to submit an original article or review to this Special Issue.

Dr. Kai Oliver Jensen
Prof. Dr. Arnold J. Suda
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • polytrauma
  • geriatric
  • pregnancy
  • children
  • severely injured
  • orthogeriatric
  • paediatric
  • trauma
  • outcome

Published Papers (1 paper)

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Research

13 pages, 401 KiB  
Article
The Road to Sepsis in Geriatric Polytrauma Patients—Can We Forecast Sepsis in Trauma Patients?
by Cédric Niggli, Philipp Vetter, Jan Hambrecht, Hans-Christoph Pape and Ladislav Mica
J. Clin. Med. 2024, 13(6), 1570; https://doi.org/10.3390/jcm13061570 - 9 Mar 2024
Viewed by 580
Abstract
Background: Sepsis is a leading cause of mortality in polytrauma patients, especially beyond the first week, and its management is vital for reducing multiorgan failure and improving survival rates. This is particularly critical in geriatric polytrauma patients due to factors such as age-related [...] Read more.
Background: Sepsis is a leading cause of mortality in polytrauma patients, especially beyond the first week, and its management is vital for reducing multiorgan failure and improving survival rates. This is particularly critical in geriatric polytrauma patients due to factors such as age-related physiological alterations and weakened immune systems. This study aimed to investigate various clinical and laboratory parameters associated with sepsis in polytrauma patients aged < 65 years and ≥65 years, with the secondary objective of comparing sources of infection in these patient groups. Methods: A retrospective cohort study was conducted at the University Hospital Zurich from August 1996 to December 2012. Participants included trauma patients aged ≥16 years with an Injury Severity Score (ISS) ≥ 16 who were diagnosed with sepsis within 31 days of admission. Patients in the age groups < 65 and ≥65 years were compared in terms of sepsis development. The parameters examined included patient and clinical data as well as laboratory values. The statistical methods encompassed group comparisons with Welch’s t-test and logistic regression. Results: A total of 3059 polytrauma patients were included in the final study. The median age in the group < 65 years was 37 years, with a median ISS of 28. In the patient group ≥ 65 years, the median age was 75 years, with a median ISS of 27. Blunt trauma mechanism, ISS, leucocytosis at admission, and anaemia at admission were associated with sepsis in younger patients but not in geriatric patients, whereas sex, pH at admission, lactate at admission, and Quick values at admission were not significantly linked with sepsis in either age group. Pneumonia was the most common cause of sepsis in both age groups. Conclusions: Various parameters linked to sepsis in younger polytrauma patients do not necessarily correlate with sepsis in geriatric individuals with polytrauma. Hence, it becomes critical to recognize imminent danger, particularly in geriatric patients. In this context, the principle of “HIT HARD and HIT EARLY” is highly important as a proactive approach to effectively address sepsis in the geriatric trauma population, including the preclinical setting. Full article
(This article belongs to the Special Issue Polytrauma Management under Special Circumstances: Pediatric Trauma, Trauma in Pregnancy and Geriatric Trauma)
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