Missed injuries in trauma patients: A literature review.

Patient Safety in Surgery
Roman Pfeifer, Hans-Christoph Pape

Abstract

Overlooked injuries and delayed diagnoses are still common problems in the treatment of polytrauma patients. Therefore, ongoing documentation describing the incidence rates of missed injuries, clinically significant missed injuries, contributing factors and outcome is necessary to improve the quality of trauma care. This review summarizes the available literature on missed injuries, focusing on overlooked muscoloskeletal injuries. Manuscripts dealing with missed injuries after trauma were reviewed. The following search modules were selected in PubMed: Missed injuries, Delayed diagnoses, Trauma, Musculoskeletal injuires. Three time periods were differentiated: (n = 2, 1980-1990), (n = 6, 1990-2000), and (n = 9, 2000-Present). We found a wide spread distribution of missed injuries and delayed diagnoses incidence rates (1.3% to 39%). Approximately 15 to 22.3% of patients with missed injuries had clinically significant missed injuries. Furthermore, we observed a decrease of missed pelvic and hip injuries within the last decade. The lack of standardized studies using comparable definitions for missed injuries and clinically significant missed injuries call for further investigations, which are necessary to produce more reliable data...Continue Reading

References

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Citations

May 13, 2010·Journal of Trauma Management & Outcomes·Karl-Georg KanzUNKNOWN Trauma Registry of the German Trauma Society
Dec 14, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Martin HutterDirk Stengel
Mar 5, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Dirk StengelSven Mutze
Feb 27, 2014·Patient Safety in Surgery·Annette B AhrbergJohannes Km Fakler
Feb 22, 2014·Emergency Radiology·Justin W KungMary G Hochman
Aug 19, 2011·World Journal of Surgery·Gerben B KeijzersLeo M G Geeraedts
Feb 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J P KeprosP Stevens
Jan 29, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Fredrik LinderHampus Eklöf
Nov 8, 2012·Injury·Yen-Ko LinYuan-Chia Cheng
Sep 30, 2009·The Journal of Surgical Research·Christopher P MichettiSamir M Fakhry
Dec 25, 2015·Injury·Steven FerreeFalco Hietbrink
Dec 3, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·K-J LeeJ Kwon
Aug 9, 2011·Injury·G F GiannakopoulosUNKNOWN REACT Study Group
Jul 15, 2015·The Journal of Surgical Research·Klemens HorstHans Christoph Pape
Jun 6, 2015·Radiologic Clinics of North America·Martin L GunnBruce E Lehnert
Jul 29, 2016·Injury·Valentin AntociJohn Y Kwon
Jun 18, 2015·The Journal of Surgical Research·Sandra M FarachNicole M Chandler
May 29, 2014·Acta ortopedica brasileira·Marcos Hideyo SakakiTulio Diniz Fernandes
Mar 31, 2018·World Journal of Emergency Surgery : WJES·Shintaro FurugoriNaoto Morimura
Jul 19, 2017·World Journal of Surgery·Roman PfeiferHans-Christoph Pape
Oct 12, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·K V BrownL Di Mascio
Aug 28, 2015·The Open Orthopaedics Journal·Enrique GueradoJuan Ramon Cano
Dec 18, 2013·Journal of Orthopaedic Trauma·Jonathan G EastmanRobert P Dunbar
Jan 8, 2019·Journal of Orthopaedic Trauma·Jonathan G EastmanMilton L Chip Routt
Feb 11, 2011·The Journal of Trauma·Christy M LawsonBlaine Enderson
Sep 6, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Gijs Jacob Jan van AertDagmar Isabella Vos
Oct 1, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Christian Tibor Josef MagyarThomas Gross
Aug 8, 2012·Annals of Plastic Surgery·Joshua M AdkinsonMarshall G Miles

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