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  1. Article ; Online: Searching for mortality predictors in trauma patients: a challenging task.

    Cevik, A A / Abu-Zidan, F M

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2017  Volume 44, Issue 4, Page(s) 561–565

    Abstract: Background: We aimed to study the value of new physiological variables compared with ISS and GCS as predictors for trauma mortality in a high-income developing country having a young population.: Methods: Data of 1008 consecutive trauma patients who ... ...

    Abstract Background: We aimed to study the value of new physiological variables compared with ISS and GCS as predictors for trauma mortality in a high-income developing country having a young population.
    Methods: Data of 1008 consecutive trauma patients who were included in Al-Ain City Road Traffic Collision Registry were analyzed. Demography of patients, systolic blood pressure, heart rate, shock index, shock index age (SIA), blood pressure age index (BPAI), Glasgow Coma Scale (GCS), injury severity score (ISS), and in-hospital mortality were analyzed. Univariate analysis was used to compare those who died with those who survived. Significant factors were then entered into a backward logistic regression model to define factors predicting mortality.
    Results: 80.3% of the patients were males. The median (range) age of patients was 26 (1-78) years. Significant factors that predicted mortality were GCS (p < 0.0001), SIA (p = 0.003), ISS (p = 0.007), and BPAI (p = 0.022).
    Conclusions: The physiological variables including GCS and shock index age were better predictors for trauma mortality comparted with ISS in our young population. A large global multi-centric study could possibly define an accurate global formula that uses both anatomical and physiological variables for predicting trauma mortality.
    MeSH term(s) Accidents, Traffic/mortality ; Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Female ; Glasgow Coma Scale ; Hospital Mortality ; Humans ; Infant ; Injury Severity Score ; Male ; Middle Aged ; Predictive Value of Tests ; Registries ; Risk Factors ; Survival Analysis ; United Arab Emirates/epidemiology ; Wounds and Injuries/mortality
    Language English
    Publishing date 2017-08-28
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-017-0830-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Trauma patients and whole-body computerized tomography imaging: Location of CT-Scan and factors affecting mortality.

    Kaya, F B / Cevik, A A / Ozkan, B / Koksal, A / Ozakin, E / Abu-Zidan, F M

    Nigerian journal of clinical practice

    2021  Volume 24, Issue 5, Page(s) 667–673

    Abstract: Objective: : We aimed to study the factors affecting the mortality of trauma patients who underwent whole-body computerized tomography (CT) on Emergency department (ED) time frames in a developing emergency care system. Materials and Methods: This is a ... ...

    Abstract Objective: : We aimed to study the factors affecting the mortality of trauma patients who underwent whole-body computerized tomography (CT) on Emergency department (ED) time frames in a developing emergency care system. Materials and Methods: This is a retrospective analysis of adult patients who received WBCT from August to November for two consecutive years (2014 and 2015). Non-parametric statistical methods were used to compare the patients who died and survived. The Backward logistic regression model was used to define factors significantly affecting mortality.
    Results: : During 2014, 200 patients out of 827 (24.1%) received WBCT. During 2015, 263 patients out of 951 (27.6%) received WBCT. Four hundred sixteen patients were entered into the analysis. The overall mortality was 3.4% (7% in 2014 and 1% in 2015, P = 0.002). Significant factors found in backward logistic regression model defining factors affecting mortality were ISS (p < 0.0001), Glasgow Coma Scale (GCS) (p = 0.001). CT location (outside the ED in 2014, inside the ED in 2015) showed a very strong trend for affecting mortality (p = 0.054). Patients who had WBCT in the ED had lower ISS (p < 0.0001). CT imaging in the ED decreased ED to CT time 15.5 minutes (p < 0.0001), but admission time was 75.5 minutes longer.
    Conclusions: ISS and GCS were the main factors predicting mortality in patients who received WBCT. Patients received more WBCT imaging and physicians showed a tendency to order WBCT for less severe patients when the CT located in the ED. CT location did not show a significant effect on mortality, but on some operational time frames.
    MeSH term(s) Adult ; Emergency Service, Hospital ; Glasgow Coma Scale ; Humans ; Retrospective Studies ; Tomography, X-Ray Computed ; Whole Body Imaging
    Language English
    Publishing date 2021-05-21
    Publishing country India
    Document type Journal Article
    ZDB-ID 1458330-6
    ISSN 1119-3077
    ISSN 1119-3077
    DOI 10.4103/njcp.njcp_317_20
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  3. Article ; Online: Care of terminally-ill patients: an opinion survey among critical care healthcare providers in the Middle East.

    ur Rahman, M / Abuhasna, S / Abu-Zidan, F M

    African health sciences

    2014  Volume 13, Issue 4, Page(s) 893–898

    Abstract: Background: Modern medicine has allowed physicians to support the dying terminally-ill patient with artificial means. However, a common dilemma faced by physicians in general, and intensivist in particular is when to limit or withdraw aggressive ... ...

    Abstract Background: Modern medicine has allowed physicians to support the dying terminally-ill patient with artificial means. However, a common dilemma faced by physicians in general, and intensivist in particular is when to limit or withdraw aggressive intervention.
    Objective: To study the effect of training background and seniority on Do-not to resuscitate (DNR) decisions in the Middle East.
    Methods: Anonymous questionnaire sent to members of the Pan Arab Society of Critical Care.
    Results: The response rate was 46.2%. Most of the responders were Muslim (86%) and consultants (70.9%). Majority of the responders were trained in western countries. Religion played a major role in 59.3% for making the DNR decision. DNR was considered equivalent to comfort care by 39.5%. In a futile case scenario, Do Not Escalate Therapy was preferred (54.7%). The likelihood of a patient, once labeled DNR, being clinically neglected was a concern among 46.5%. Admission of DNR patients to the ICU was acceptable for 47.7%. Almost one-half of the responders (46.5%) wanted physicians to have the ultimate authority in the DNR decision. Training background was a significant factor affecting the interpretation of the term no code DNR (P< 0.008).
    Conclusion: Training background and level of seniority in critical care provider does not impact opinion on most of end of life issues related to care of terminally-ill patients. However, DNR is considered equivalent to comfort care among majority of Middle Eastern trained physicians.
    MeSH term(s) Attitude of Health Personnel ; Critical Care ; Decision Making ; Female ; Health Care Surveys ; Health Personnel/psychology ; Humans ; Male ; Middle Aged ; Middle East ; Resuscitation Orders ; Surveys and Questionnaires ; Terminally Ill
    Language English
    Publishing date 2014-06-02
    Publishing country Uganda
    Document type Journal Article
    ZDB-ID 2240308-5
    ISSN 1729-0503 ; 1680-6905
    ISSN (online) 1729-0503
    ISSN 1680-6905
    DOI 10.4314/ahs.v13i4.5
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  4. Article: Tracheobronchial injuries following endotracheal intubation.

    Gibbaoui, H / Abu-Zidan, F M / Yaman, M

    Singapore medical journal

    2011  Volume 52, Issue 5, Page(s) e96–9

    Abstract: We report two rare cases of tracheobronchial injury (TBI) following endotracheal intubation. Both intubations were easy and performed by experienced anaesthetists. The injuries for both cases were possibly caused by the tip of an endotracheal tube. A 27- ... ...

    Abstract We report two rare cases of tracheobronchial injury (TBI) following endotracheal intubation. Both intubations were easy and performed by experienced anaesthetists. The injuries for both cases were possibly caused by the tip of an endotracheal tube. A 27-year-old woman regurgitated copiously during induction of general anaesthesia for a Caesarean section. She had a full-thickness TBI 2 cm above the carina, which was repaired through an open thoracotomy. A 68-year-old woman undergoing left mastectomy was intubated with a 7.5-mm endotracheal tube for general anaesthesia. 24 hours after extubation, the patient developed widespread subcutaneous emphysema. There was no associated respiratory distress, and the patient was treated conservatively. The fragile tracheal tissue associated with pregnancy and old age was possibly a contributing factor for injury. Both patients recovered well. Surgical and non-surgical methods can be safely used after careful consideration of the patient's clinical, radiological and endoscopic findings.
    MeSH term(s) Adult ; Aged ; Bronchoscopy/methods ; Emphysema/pathology ; Female ; Humans ; Intubation, Intratracheal/adverse effects ; Pregnancy ; Pregnancy Complications/surgery ; Radiography, Thoracic/methods ; Tomography, X-Ray Computed/methods ; Trachea/injuries ; Treatment Outcome
    Language English
    Publishing date 2011-05
    Publishing country Singapore
    Document type Case Reports ; Journal Article
    ZDB-ID 604319-7
    ISSN 0037-5675
    ISSN 0037-5675
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  5. Article ; Online: Gynaecological laparoscopy courses in the United Arab Emirates.

    Elbiss, H M / George, S / Sidky, I / Abu-Zidan, F M

    African health sciences

    2013  Volume 13, Issue 2, Page(s) 393–401

    Abstract: Background: Laparoscopic surgery is important for gynaecological practice and became the method of choice for many gynaecological procedures having advantages over open surgery.: Objectives: To report our modified teaching methods, and evaluation of ... ...

    Abstract Background: Laparoscopic surgery is important for gynaecological practice and became the method of choice for many gynaecological procedures having advantages over open surgery.
    Objectives: To report our modified teaching methods, and evaluation of the gynaecological laparoscopy courses in United Arab Emirates.
    Methods: Fifty five participants attended four 3-full day comprehensive hands-on gynaecological laparoscopic skills courses. Non-expensive dry/wet models have been developed for teaching. All participants were evaluated at the end of the course through MCQs and practical laparoscopic exercises. All participants filled out a questionnaire reflecting their opinion on various aspects of the course at its completion. Ethical approval has been received by Research and Ethics Committee of Al-Ain Medical District, Al-Ain, UAE.
    Results: Fourteen participants had no laparoscopic experience, 35 had experience at level I and six had experience at level II. There was a statistically significant difference of the MCQ mark between the three levels of experience (p = 0.05, Kruskal Wallis test) but not for the practical part, p = 0.9, Kruskal Wallis test). The courses were highly valued having an overall average rating of 3.8 out of 4.
    Conclusion: A multimodality non expensive course for teaching gynaecological laparoscopy was highly successful in United Arab Emirates. Models used may be useful for training gynaecological laparoscopy in developing countries. The long term effects of our courses on clinical practice have yet to be evaluated.
    MeSH term(s) Clinical Competence ; Curriculum ; Female ; Gynecologic Surgical Procedures/education ; Humans ; Laparoscopy/education ; Statistics, Nonparametric ; United Arab Emirates
    Language English
    Publishing date 2013-11-12
    Publishing country Uganda
    Document type Journal Article
    ZDB-ID 2240308-5
    ISSN 1729-0503 ; 1680-6905
    ISSN (online) 1729-0503
    ISSN 1680-6905
    DOI 10.4314/ahs.v13i2.28
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  6. Article ; Online: Clinical "case series": a concept analysis.

    Abu-Zidan, F M / Abbas, A K / Hefny, A F

    African health sciences

    2013  Volume 12, Issue 4, Page(s) 557–562

    Abstract: Objectives: To analyze the concept of "case series" in the medical literature compared with case reports.: Methods: A PubMed search for articles published during 2009 which had "case series" in their title was performed. A total number of 621 ... ...

    Abstract Objectives: To analyze the concept of "case series" in the medical literature compared with case reports.
    Methods: A PubMed search for articles published during 2009 which had "case series" in their title was performed. A total number of 621 articles were retrieved. 586 papers were included in the analysis and 35 were excluded (18 were commentary letters, 5 were not in English, and twelve could not be retrieved by our Library). The number of patients and category of these articles were analyzed.
    Results: The median (range) of the number of cases of articles having "case series" in their title was 7 (1-6432) cases. 186/ 586 articles had less than 5 cases (31.7%, 95% CI (28.3-35.1%)). The median (range) of the number of cases of articles having "case report" as their publication type was 4 (1-178) cases. Out of the 219 articles categorized as case reports 114 (52.1%, 95% CI (45.6-58.6%)) had less than five cases.
    Conclusions: The concept of "case series" is not well defined in the literature and does not reflect a specific research design. We suggest that a case series should have more than four patients while four paitents or less should be reported individually as case reports.
    MeSH term(s) Humans ; Male ; Publications ; Publishing ; Research Design
    Language English
    Publishing date 2013-02-28
    Publishing country Uganda
    Document type Journal Article
    ZDB-ID 2240308-5
    ISSN 1729-0503 ; 1680-6905
    ISSN (online) 1729-0503
    ISSN 1680-6905
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  7. Article: Postinjury torso ultrasound: FAST should be SLOH.

    Abu-Zidan, F M

    The Journal of trauma

    2001  Volume 50, Issue 1, Page(s) 170–171

    MeSH term(s) Abdominal Injuries/diagnostic imaging ; Humans ; Thoracic Injuries/diagnostic imaging ; Ultrasonography
    Language English
    Publishing date 2001-01
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 219302-4
    ISSN 1529-8809 ; 0022-5282 ; 1079-6061
    ISSN (online) 1529-8809
    ISSN 0022-5282 ; 1079-6061
    DOI 10.1097/00005373-200101000-00038
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  8. Article: Floating kidneys: fact or fiction?

    Abu-Zidan, F M

    The European journal of surgery = Acta chirurgica

    2001  Volume 167, Issue 3, Page(s) 222–223

    MeSH term(s) Humans ; Kidney/diagnostic imaging ; Kidney/physiology ; Kidney/surgery ; Kidney Diseases/diagnostic imaging ; Kidney Diseases/physiopathology ; Kidney Diseases/surgery ; Movement/physiology ; Ultrasonography
    Language English
    Publishing date 2001-03
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 1065288-7
    ISSN 1102-4151 ; 1102-416X ; 0001-5482 ; 1102-1101
    ISSN 1102-4151 ; 1102-416X ; 0001-5482 ; 1102-1101
    DOI 10.1080/110241501750099519
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  9. Article: Teaching on the run: teaching skills for surgical trainees.

    Abu-Zidan, F M

    ANZ journal of surgery

    2001  Volume 71, Issue 1, Page(s) 67–68

    MeSH term(s) Attitude of Health Personnel ; General Surgery/education ; Humans ; New South Wales ; Physicians/psychology ; Professional Competence ; Teaching/methods
    Language English
    Publishing date 2001-01
    Publishing country Australia
    Document type Comment ; Letter
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1046/j.1440-1622.2001.02015.x
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  10. Article: The role of ultrasonography in acute appendicitis.

    Abu-Zidan, F M

    World journal of surgery

    2000  Volume 24, Issue 4, Page(s) 496–497

    MeSH term(s) Acute Disease ; Appendicitis/diagnostic imaging ; General Surgery ; Humans ; Predictive Value of Tests ; Radiology ; Sensitivity and Specificity ; Ultrasonography
    Language English
    Publishing date 2000-04
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s002689910079
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