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Article ; Online: Dual cervical ossicles.

Chowdhury, Sharfuddin

2022 Volume 41, Page(s) 96

MeSH term(s)	Cervical Vertebrae/diagnostic imaging ; Cervical Vertebrae/injuries ; Humans ; Neck ; Neck Injuries ; Spinal Injuries
Language	English
Publishing date	2022-02-03
Publishing country	Uganda
Document type	Journal Article
ZDB-ID	2514347-5
ISSN	1937-8688 ; 1937-8688
ISSN (online)	1937-8688
ISSN	1937-8688
DOI	10.11604/pamj.2022.41.96.33502
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Article ; Online: Beaver tail liver and congenital asplenia in a polytrauma patient.

Alrahmani, Ahmad / Chowdhury, Sharfuddin

The Pan African medical journal

2024 Volume 47, Page(s) 18

MeSH term(s)	Animals ; Humans ; Rodentia ; Abdomen ; Liver ; Cardiovascular Abnormalities
Language	English
Publishing date	2024-01-17
Publishing country	Uganda
Document type	Journal Article
ZDB-ID	2514347-5
ISSN	1937-8688 ; 1937-8688
ISSN (online)	1937-8688
ISSN	1937-8688
DOI	10.11604/pamj.2024.47.18.42531
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Article ; Online: Ligation of injured subclavian vessels saved a young life: a case report.

Chowdhury, Sharfuddin / Alferdaus, Abdallah

The Pan African medical journal

2022 Volume 42, Page(s) 117

Abstract: We describe a rare life-saving case of penetrating subclavian vessel injury that was managed successfully at King Saud Medical City, a major trauma center in Riyadh, Saudi Arabia. The patient was a healthy 21-year-old Saudi male who was presented ... ...

Abstract	We describe a rare life-saving case of penetrating subclavian vessel injury that was managed successfully at King Saud Medical City, a major trauma center in Riyadh, Saudi Arabia. The patient was a healthy 21-year-old Saudi male who was presented initially at Al-Aflaj Hospital, 300 km away from King Saud Medical City, following a stab with a knife to the left side of his lower neck. He was transferred to King Saud Medical City for definitive surgical management after having temporary bleeding control at Al-Aflaj Hospital. The patient was successfully managed with a median sternotomy, left supraclavicular extension, and clavicular division. Hemostasis was achieved by ligating the injured subclavian vessels in a situation of extremes to save a life. His postoperative course was uneventful. He was discharged on the eleventh postoperative day with an intact neurovascular condition of the left upper limb.
MeSH term(s)	Adult ; Clavicle ; Humans ; Ligation ; Male ; Sternotomy ; Subclavian Artery ; Trauma Centers ; Wounds, Penetrating ; Young Adult
Language	English
Publishing date	2022-06-14
Publishing country	Uganda
Document type	Case Reports
ZDB-ID	2514347-5
ISSN	1937-8688 ; 1937-8688
ISSN (online)	1937-8688
ISSN	1937-8688
DOI	10.11604/pamj.2022.42.117.32980
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Article ; Online: Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?

Chowdhury, Sharfuddin / Leenen, Luke P H

PloS one

2021 Volume 16, Issue 8, Page(s) e0256314

Abstract: Early incorporation of rehabilitation services for severe traumatic brain injury (TBI) patients is expected to improve outcomes and quality of life. This study aimed to compare the outcomes regarding the discharge destination and length of hospital stay ... ...

Abstract	Early incorporation of rehabilitation services for severe traumatic brain injury (TBI) patients is expected to improve outcomes and quality of life. This study aimed to compare the outcomes regarding the discharge destination and length of hospital stay of selected TBI patients before and after launching an acute intensive trauma rehabilitation (AITR) program at King Saud Medical City. It was a retrospective observational before-and-after study of TBI patients who were selected and received AITR between December 2018 and December 2019. Participants' demographics, mechanisms of injury, baseline characteristics, and outcomes were compared with TBI patients who were selected for rehabilitation care in the pre-AITR period between August 2017 and November 2018. A total of 108 and 111 patients were managed before and after the introduction of the AITR program, respectively. In the pre-AITR period, 63 (58.3%) patients were discharged home, compared to 87 (78.4%) patients after AITR (p = 0.001, chi-squared 10.2). The pre-AITR group's time to discharge from hospital was 52.4 (SD 30.4) days, which improved to 38.7 (SD 23.2) days in the AITR (p < 0.001; 95% CI 6.6-20.9) group. The early integration of AITR significantly reduced the percentage of patients referred to another rehabilitation or long-term facility. We also emphasize the importance of physical medicine and rehabilitation (PM&R) specialists as the coordinators of structured, comprehensive, and holistic rehabilitation programs delivered by the multi-professional team working in an interdisciplinary way. The leadership and coordination of the PM&R physicians are likely to be effective, especially for those with severe disabilities after brain injury.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Brain Injuries, Traumatic/mortality ; Brain Injuries, Traumatic/pathology ; Brain Injuries, Traumatic/rehabilitation ; Brain Injuries, Traumatic/therapy ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Patient Discharge/statistics & numerical data ; Quality of Life/psychology ; Rehabilitation Centers/organization & administration ; Retrospective Studies ; Saudi Arabia ; Survival Analysis ; Trauma Severity Indices
Language	English
Publishing date	2021-08-16
Publishing country	United States
Document type	Journal Article ; Observational Study
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0256314
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Article ; Online: Development of the Saudi Arabian trauma system.

Chowdhury, Sharfuddin / Mok, Dennis / Leenen, Luke

Journal of medicine and life

2022 Volume 15, Issue 1, Page(s) 34–42

Abstract: A dedicated network-based trauma system ensures optimal care to injured patients. Considering the significant burden of trauma, the Kingdom of Saudi Arabia is striving to develop a nationwide trauma system. This article describes the recent design, ... ...

Abstract	A dedicated network-based trauma system ensures optimal care to injured patients. Considering the significant burden of trauma, the Kingdom of Saudi Arabia is striving to develop a nationwide trauma system. This article describes the recent design, development, and implementation of the Saudi Arabian trauma system in line with Vision 2030. The basis of our strategy was the find, organize, clarify, understand, select-plan, do, check, and act (FOCUS-PDCA) model, developed by engaging key stakeholders, including patients. More than 300 healthcare professionals and patients from around the Riyadh region assessed the current system with three solutions and roadmap workshops. Subsequently, the national clinical advisory group (CAG) for trauma was formed to develop the Saudi Arabian trauma system, and CAG members analyzed and collated internationally recognized trauma systems and guidelines. The guidelines' applicability in the kingdom was discussed and reviewed, and an interactive document was developed to support socialization and implementation. The CAG team members agreed on the guiding principles for the trauma pathway, identified the challenges, and finalized the new system design. They also developed a trauma care standard document to support and guide the rollout of new trauma networks across the kingdom. The CAG members and other stakeholders are at the forefront of implementing the trauma system across the Riyadh region. Recent trauma system development in Saudi Arabia is the first step in improving national trauma care and may guide development in other locations, regionally and internationally, to improve outcomes.
MeSH term(s)	Accidents, Traffic ; Humans ; Saudi Arabia/epidemiology
Language	English
Publishing date	2022-01-13
Publishing country	Romania
Document type	Journal Article
ZDB-ID	2559353-5
ISSN	1844-3117 ; 1844-3117 ; 1844-3109
ISSN (online)	1844-3117
ISSN	1844-3117 ; 1844-3109
DOI	10.25122/jml-2021-0066
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Article: Outcomes of Trauma Patients Present to the Emergency Department with a Shock Index of ≥1.0.

Chowdhury, Sharfuddin / Parameaswari, P J / Leenen, Luke

Journal of emergencies, trauma, and shock

2022 Volume 15, Issue 1, Page(s) 17–22

Abstract: Introduction: The study aimed primarily to evaluate the association between the initial shock index (SI) ≥1.0 with blood transfusion requirement in the emergency department (ED) after acute trauma. The study's secondary aim was to look at the outcomes ... ...

Abstract	Introduction: The study aimed primarily to evaluate the association between the initial shock index (SI) ≥1.0 with blood transfusion requirement in the emergency department (ED) after acute trauma. The study's secondary aim was to look at the outcomes regarding patients' disposition from ED, intensive care unit (ICU) and hospital length of stay, and deaths. Methods: It was a retrospective, cross-sectional study and utilized secondary data from the Saudi Trauma Registry (STAR) between September 2017 and August 2020. We extracted the data related to patient demographics, mechanism of injuries, the intent of injuries, mode of arrival at the hospital, characteristics on presentation to ED, length of stay, and deaths from the database and compared between two groups of SI <1.0 and SI ≥1.0. A Results: Of 6667 patients in STAR, 908 (13.6%) had SI ≥1.0. With SI ≥1.0, there was a significantly higher incidence of blood transfusion in ED compared to SI <1.0 (8.9% vs. 2.4%, Conclusions: In our cohort, a SI ≥ 1.0 on the presentation at the ED carried significantly worse outcomes. This simple calculation based on initial vital signs may be used as a screening tool and therefore incorporated into initial assessment protocols to manage trauma patients.
Language	English
Publishing date	2022-04-04
Publishing country	India
Document type	Journal Article
ZDB-ID	2461111-6
ISSN	0974-519X ; 0974-2700
ISSN (online)	0974-519X
ISSN	0974-2700
DOI	10.4103/jets.jets_86_21
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Article: Trauma Resuscitation Training: An Evaluation of Nurses' Knowledge.

Chowdhury, Sharfuddin / Almarhabi, Maha / Varghese, Benish / Leenen, Luke

Journal of trauma nursing : the official journal of the Society of Trauma Nurses

2022 Volume 29, Issue 4, Page(s) 192–200

Abstract: Background: Trauma resuscitation in the emergency department involves coordinated, well-equipped, and trained health care providers to make essential, prudent, and expedient management decisions. During resuscitation, health care providers' knowledge ... ...

Abstract	Background: Trauma resuscitation in the emergency department involves coordinated, well-equipped, and trained health care providers to make essential, prudent, and expedient management decisions. During resuscitation, health care providers' knowledge and skills are critical in minimizing the potential risks of mortality and morbidity. Objective: This study aimed to evaluate the impact of training on nurses' knowledge and confidence regarding trauma resuscitation and whether there was any difference between participants with and without previous trauma training. Methods: This study used a pre- and posttraining test study design to evaluate the effects of an intensive 8-hr trauma resuscitation training program on nurses' knowledge from January 2018 to August 2021. The training program consisted of lectures and patient scenarios covering initial assessment, resuscitation, and management priorities for trauma patients in life-threatening situations, stressing the principles of the trauma team approach. Results: A total of 128 nurses participated in 16 courses conducted during the study period. This study found significant improvement in nurses' knowledge after the training (pre- and posttraining median [interquartile range, IQR] test scores 5 [4-6] vs. 9 [8-9], p < .001). There was no significant difference in pretraining test scores between the participants with previous trauma training and those without training (median [IQR] test scores 5 [4-6] vs. 4 [4-5], p = .751). Conclusions: Trauma resuscitation training affects nurses' knowledge improvement, emphasizing the need for training trauma care professionals to provide adequate care.
MeSH term(s)	Clinical Competence ; Emergency Service, Hospital ; Humans ; Nurses ; Resuscitation
Language	English
Publishing date	2022-07-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	1281159-2
ISSN	1078-7496
ISSN	1078-7496
DOI	10.1097/JTN.0000000000000661
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Article ; Online: Transformation of health care and the new model of care in Saudi Arabia: Kingdom's Vision 2030.

Chowdhury, Sharfuddin / Mok, Dennis / Leenen, Luke

Journal of medicine and life

2021 Volume 14, Issue 3, Page(s) 347–354

Abstract: The Kingdom of Saudi Arabia espoused "Vision 2030" as a strategy for economic development and national growth. The vision demonstrated the Kingdom's objectives to become a pioneer nation globally by achieving three main goals: a vibrant society, a ... ...

Abstract	The Kingdom of Saudi Arabia espoused "Vision 2030" as a strategy for economic development and national growth. The vision demonstrated the Kingdom's objectives to become a pioneer nation globally by achieving three main goals: a vibrant society, a thriving economy, and an ambitious nation. To fulfill this, the Kingdom launched a national transformation program (NTP) as outlined in "vision 2030" in June 2016. The health care transformation is one of the eight themes of the NTP's. The history of health care facilities in the Kingdom is almost a century. Although the Kingdom has made notable progress in improving its population's health over recent decades, it needs to modernize the health care system to reach the "vision 2030" goal. This article aims to describe the new Model of Care (MOC) according to the recent Saudi health care transformation under the Kingdom's vision 2030. The MOC concept started with understanding the current state and collecting learnings. It is based on the six systems of care (SOC)- keeping well, planned procedure, women & children, urgent problems, chronic conditions, and the last phase of life. The SOC is cut across different "service layers" to support people's stay well and efficiently get them healthy again when they need care. The new MOC describes a total of forty-two interventions, of which twenty-seven split across the six SOC and the rest fifteen cut-across the multiple SOC. Implementation of all MOC interventions will streamline the Saudi health care system to embrace the Kingdom's "vision 2030".
MeSH term(s)	Child ; Chronic Disease ; Delivery of Health Care ; Female ; Health Facilities ; Humans ; Saudi Arabia
Language	English
Publishing date	2021-08-08
Publishing country	Romania
Document type	Journal Article
ZDB-ID	2559353-5
ISSN	1844-3117 ; 1844-3109 ; 1844-122X
ISSN (online)	1844-3117 ; 1844-3109
ISSN	1844-122X
DOI	10.25122/jml-2021-0070
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Article ; Online: Incidence and Nature of Lower-Limb Deep Vein Thrombosis in Patients with Polytrauma on Thromboprophylaxis: A Prospective Cohort Study.

Chowdhury, Sharfuddin / Alrawaji, Fatmah / Leenen, Luke P H

Vascular health and risk management

2021 Volume 17, Page(s) 395–405

Abstract: Purpose: Deep vein thrombosis (DVT) is common among the severely injured and may lead to pulmonary embolism (PE), which can be life threatening. Thromboprophylaxis may reduce the incidence of venous thromboembolism (VTE); it does not guarantee complete ... ...

Abstract	Purpose: Deep vein thrombosis (DVT) is common among the severely injured and may lead to pulmonary embolism (PE), which can be life threatening. Thromboprophylaxis may reduce the incidence of venous thromboembolism (VTE); it does not guarantee complete protection. This study's primary aim was to determine the incidence and nature of lower-limb DVT in polytrauma patients taking prophylaxis. The secondary objective was to assess the incidence of DVT-related complications, including the development of PE and death. Patients and methods: This prospective observational study included patients age 18 years or older who presented with polytrauma directly from the scene and were admitted into the trauma unit between March 1, 2020 and August 31, 2020. All patients underwent lower-limb ultrasound during their hospital course to diagnose DVT. Results: A total of 169 patients underwent extremity Doppler ultrasound to detect DVT. Of these, 69 patients (40.8%) were considered at the highest-risk for VTE development. For VTE prophylaxis, 115 patients (68%) received pharmacologic agents, and 54 patients (32%) had intermittent pneumatic compression on admission. Three patients (1.8%) developed DVT despite prophylaxis. Four patients (2.4%) developed PE during the index presentation and were diagnosed between days 3 and 13 after injury. Early DVT was not detected in any patients with diagnosed PE. Overall, nine patients (5.33%) died, but no in-hospital deaths were related to DVT and/or PE. Conclusion: The incidence of DVT in polytrauma patients remains low in our small series, perhaps because of the mandatory VTE risk assessment for all hospitalized patients and the early initiation of prophylaxis. Using a trauma center registry to measure DVT and PE incidence regularly is recommended to improve trauma care quality.
MeSH term(s)	Adult ; Female ; Fibrinolytic Agents/therapeutic use ; Humans ; Incidence ; Lower Extremity/blood supply ; Male ; Middle Aged ; Multiple Trauma/diagnosis ; Multiple Trauma/drug therapy ; Multiple Trauma/epidemiology ; Multiple Trauma/mortality ; Prospective Studies ; Pulmonary Embolism/epidemiology ; Pulmonary Embolism/mortality ; Pulmonary Embolism/prevention & control ; Risk Factors ; Saudi Arabia/epidemiology ; Time Factors ; Treatment Outcome ; Venous Thrombosis/diagnosis ; Venous Thrombosis/epidemiology ; Venous Thrombosis/mortality ; Venous Thrombosis/prevention & control ; Young Adult
Chemical Substances	Fibrinolytic Agents
Language	English
Publishing date	2021-07-05
Publishing country	New Zealand
Document type	Journal Article ; Observational Study
ZDB-ID	2186568-1
ISSN	1178-2048 ; 1176-6344
ISSN (online)	1178-2048
ISSN	1176-6344
DOI	10.2147/VHRM.S314951
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Zs.A 6066: Show issues

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Article: Right main bronchus rupture due to blunt chest trauma.

Chowdhury, Sharfuddin / Griniatsos, John

Clinical case reports

2018 Volume 7, Issue 1, Page(s) 242–243

Abstract: Bronchial rupture following major blunt chest trauma should be suspected in every case of massive and persistent air leak through the intercostal drain tube. Chest radiogram offers indirect signs, while chest CT scan demonstrates specific signs highly ... ...

Abstract	Bronchial rupture following major blunt chest trauma should be suspected in every case of massive and persistent air leak through the intercostal drain tube. Chest radiogram offers indirect signs, while chest CT scan demonstrates specific signs highly suggestive for this extremely rare tracheobronchial injury. Bedside bronchoscopy confirms the diagnosis.
Language	English
Publishing date	2018-12-04
Publishing country	England
Document type	Journal Article
ZDB-ID	2740234-4
ISSN	2050-0904
ISSN	2050-0904
DOI	10.1002/ccr3.1953
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