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  1. Article ; Online: Surgical management of acute appendicitis during the European COVID-19 second wave: safe and effective.

    Forssten, Maximilian Peter / Kaplan, Lewis J / Tolonen, Matti / Martinez-Casas, Isidro / Cao, Yang / Walsh, Thomas N / Bass, Gary Alan / Mohseni, Shahin

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

    2023  Volume 49, Issue 1, Page(s) 57–67

    Abstract: Introduction: The COVID-19 (SARS-CoV-2) pandemic drove acute care surgeons to pivot from long established practice patterns. Early safety concerns regarding increased postoperative complication risk in those with active COVID infection promoted ... ...

    Abstract Introduction: The COVID-19 (SARS-CoV-2) pandemic drove acute care surgeons to pivot from long established practice patterns. Early safety concerns regarding increased postoperative complication risk in those with active COVID infection promoted antibiotic-driven non-operative therapy for select conditions ahead of an evidence-base. Our study assesses whether active or recent SARS-CoV-2 positivity increases hospital length of stay (LOS) or postoperative complications following appendectomy.
    Methods: Data were derived from the prospective multi-institutional observational SnapAppy cohort study. This preplanned data analysis assessed consecutive patients aged ≥ 15 years who underwent appendectomy for appendicitis (November 2020-May 2021). Patients were categorized based on SARS-CoV-2 seropositivity: no infection, active infection, and prior infection. Appendectomy method, LOS, and complications were abstracted. The association between SARS-CoV-2 seropositivity and complications was determined using Poisson regression, while the association with LOS was calculated using a quantile regression model.
    Results: Appendectomy for acute appendicitis was performed in 4047 patients during the second and third European COVID waves. The majority were SARS-CoV-2 uninfected (3861, 95.4%), while 70 (1.7%) were acutely SARS-CoV-2 positive, and 116 (2.8%) reported prior SARS-CoV-2 infection. After confounder adjustment, there was no statistically significant association between SARS-CoV-2 seropositivity and LOS, any complication, or severe complications.
    Conclusion: During sequential SARS-CoV-2 infection waves, neither active nor prior SARS-CoV-2 infection was associated with prolonged hospital LOS or postoperative complication. Despite early concerns regarding postoperative safety and outcome during active SARS-CoV-2 infection, no such association was noted for those with appendicitis who underwent operative management.
    MeSH term(s) Humans ; Acute Disease ; Appendectomy/methods ; Appendicitis/surgery ; Appendicitis/complications ; Cohort Studies ; COVID-19/epidemiology ; COVID-19/complications ; Length of Stay ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Prospective Studies ; SARS-CoV-2
    Language English
    Publishing date 2023-01-19
    Publishing country Germany
    Document type Journal Article ; Observational Study
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-022-02149-w
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  2. Article ; Online: Eight-year analysis of bullfighting injuries in Spain, Portugal and southern France.

    Reguera-Teba, Antonio / Martínez-Casas, Isidro / Torné-Poyatos, Pablo / Hernández-Cortés, Pedro

    Scientific reports

    2021  Volume 11, Issue 1, Page(s) 16006

    Abstract: Improving knowledge on the epidemiology and analysing the prognostic factors of severity for injuries caused by fighting bulls in Spain, Portugal and southern France. Observational retrospective study including 1239 patients with a reported history of ... ...

    Abstract Improving knowledge on the epidemiology and analysing the prognostic factors of severity for injuries caused by fighting bulls in Spain, Portugal and southern France. Observational retrospective study including 1239 patients with a reported history of bull horn injuries between January 2012 and November 2019 in Spain, Portugal or southern France. A multiple logistic regression test was used to analyse the prognostic factors of severity and mortality rate of these lesions. The mean accident rate was 9.13% and the mortality rate was 0.48%. The most frequent mechanism of trauma was goring, and the commonest locations of the lesions were thigh and groin. Vascular lesion was found in 20% of thigh/groin gorings. Prognostic factors of severity were vascular lesion, head trauma, fracture, goring injuries and age of the animal. The most reliable prognostic factors of mortality were vascular lesion and goring in the back. Lesions caused by fighting bulls are common in the bullfighting events held in Spain, Portugal and southern France. Although the mortality rate is low, there is a higher morbidity rate, which is conditioned by vascular lesion. All medical teams should include a surgeon experienced in vascular surgery and an anaesthesiologist.
    MeSH term(s) Accidents/statistics & numerical data ; Adolescent ; Adult ; Animals ; Athletic Injuries/epidemiology ; Cattle ; Craniocerebral Trauma/epidemiology ; Female ; Fractures, Bone/epidemiology ; France/epidemiology ; Humans ; Male ; Middle Aged ; Portugal/epidemiology ; Retrospective Studies ; Spain/epidemiology ; Time Factors ; Wounds, Penetrating/epidemiology ; Young Adult
    Language English
    Publishing date 2021-08-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-021-94524-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: European Society of Trauma and Emergency Surgery (ESTES) recommendations for trauma and emergency surgery preparation during times of COVID-19 infection.

    Coimbra, Raul / Edwards, Sara / Kurihara, Hayato / Bass, Gary Alan / Balogh, Zsolt J / Tilsed, Jonathan / Faccincani, Roberto / Carlucci, Michele / Martínez Casas, Isidro / Gaarder, Christine / Tabuenca, Arnold / Coimbra, Bruno C / Marzi, Ingo

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

    2020  Volume 46, Issue 3, Page(s) 505–510

    Abstract: A series of recommendations regarding hospital perioperative preparation for the COVID-19 pandemic were compiled to inform surgeons worldwide on how to provide emergency surgery and trauma care during enduring times.The recommendations are divided into ... ...

    Abstract A series of recommendations regarding hospital perioperative preparation for the COVID-19 pandemic were compiled to inform surgeons worldwide on how to provide emergency surgery and trauma care during enduring times.The recommendations are divided into eight domains: (1) General recommendation for surgical services; (2) Emergency Surgery for critically ill COVID-19 positive or suspected patients -Preoperative planning and case selection; (3) Operating Room setup; (4) patient transport to the OR; (5) Surgical staff preparation; (6) Anesthesia considerations; (7) Surgical approach; and (8) Case Completion.The European Society of Emergency Surgery board endorsed these recommendations.
    MeSH term(s) Betacoronavirus/isolation & purification ; COVID-19 ; Comorbidity ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Emergency Treatment/methods ; Humans ; Infection Control/methods ; Pandemics ; Perioperative Care/methods ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Surgical Procedures, Operative/methods ; Wounds and Injuries/epidemiology ; Wounds and Injuries/surgery
    Keywords covid19
    Language English
    Publishing date 2020-04-17
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-020-01364-7
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  4. Article ; Online: Are Spanish surgeons prepared to treat trauma patients? Multicentre descriptive observational study.

    Tallón-Aguilar, Luis / Durán-Muñoz-Cruzado, Virginia María / Martínez-Casas, Isidro / Aranda-Narváez, José Manuel / Pérez-Díaz, María Dolores / Montón-Condón, Soledad / Turégano-Fuentes, Fernando / Pareja-Ciuró, Felipe

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

    2020  Volume 48, Issue 2, Page(s) 901–906

    Abstract: Purpose: Specific training in the management of trauma patients is beneficial for surgeons. Training through specific courses in this area has a direct impact on the care of these patients. The aim of this work is to understand the participation and ... ...

    Abstract Purpose: Specific training in the management of trauma patients is beneficial for surgeons. Training through specific courses in this area has a direct impact on the care of these patients. The aim of this work is to understand the participation and specific training in the care of trauma patients by Spanish surgeons.
    Methods: A national survey was conducted and administered to all members of the Spanish Association of Surgeons. The survey assessed their degree of participation in emergency surgery, and therefore the probability of attending trauma patients, their assessment of the initial care of trauma patients in their centre, and their specific training in this field.
    Results: The survey was completed by 510 surgeons from 47 Spanish provinces, with Catalonia and Andalusia being the most represented regions. In total, 456 (89.41%) of those surveyed work in the emergency department on a routine basis. Only 171 (33.53%) refer to having a registry of trauma patients in their hospital. While 79.02% of surgeons reported that general surgeons are not involved in care of severe trauma from the outset, only 66.47% have completed the ATLS course, 40.78% the DSTC course and 18.82% the MUSEC course. Despite this, 85.69% believe that the ATLS course should be compulsory during residency and 43.33% believe that severe trauma care in their hospital is poor or very poor.
    Conclusion: Only 40% have received specific training in definitive surgical management of severe trauma. Despite this, a large percentage of surgeons work in the emergency department on a routine basis and potentially face the challenge of managing these patients.
    MeSH term(s) Emergency Service, Hospital ; Humans ; Surgeons ; Surveys and Questionnaires
    Language English
    Publishing date 2020-09-13
    Publishing country Germany
    Document type Journal Article ; Multicenter Study ; Observational Study
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-020-01492-0
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  5. Article ; Online: Surgeon-performed point-of-care ultrasound for acute cholecystitis: indications and limitations: a European Society for Trauma and Emergency Surgery (ESTES) consensus statement.

    Pereira, Jorge / Bass, Gary A / Mariani, Diego / Dumbrava, Bogdan D / Casamassima, Andrea / da Silva, António Rodrigues / Pinheiro, Luis / Martinez-Casas, Isidro / Zago, Mauro

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

    2019  Volume 46, Issue 1, Page(s) 173–183

    Abstract: Background: Acute cholecystitis (AC), frequently responsible for presentation to the emergency department, requires expedient diagnosis and definitive treatment by a general surgeon. Ultrasonography, usually performed by radiology technicians and ... ...

    Abstract Background: Acute cholecystitis (AC), frequently responsible for presentation to the emergency department, requires expedient diagnosis and definitive treatment by a general surgeon. Ultrasonography, usually performed by radiology technicians and reported by radiologists, is the first-line imaging study for the assessment of AC. Targeted point-of-care ultrasound (POCUS), particularly in the hands of the treating surgeon, may represent an evolution in surgical decision-making and may expedite care, reducing morbidity and cost.
    Methods: This consensus guideline was written under the auspices of the European Society of Trauma and Emergency Surgery (ESTES) by the POCUS working group. A systematic literature search identified relevant papers on the diagnosis and treatment of AC. Literature was critically-appraised according to the GRADE evidence-based guideline development method. Following a consensus conference at the European Congress of Trauma & Emergency Surgery (Valencia, Spain, May 2018), final recommendations were approved by the working group, using a modified e-Delphi process, and taking into account the level of evidence of the conclusion.
    Recommendations: We strongly recommend the use of ultrasound as the first-line imaging investigation for the diagnosis of AC; specifically, we recommend that POCUS may be adopted as the primary imaging adjunct to surgeon-performed assessment of the patient with suspected AC. In line with the Tokyo guidelines, we strongly recommend Murphy's sign, in conjunction with the presence of gallstones and/or wall thickening as diagnostic of AC in the correct clinical context. We conditionally recommend US as a preoperative predictor of difficulty of cholecystectomy. There is insufficient evidence to recommend contrast-enhanced ultrasound or Doppler ultrasonography in the diagnosis of AC. We conditionally recommend the use of ultrasound to guide percutaneous cholecystostomy placement by appropriately-trained practitioners.
    Conclusions: Surgeons have recently embraced POCUS to expedite diagnosis of AC and provide rapid decision-making and early treatment, streamlining the patient pathway and thereby reducing costs and morbidity.
    MeSH term(s) Cholecystitis, Acute/diagnostic imaging ; Cholecystitis, Acute/surgery ; Cholecystolithiasis/diagnostic imaging ; Cholecystostomy ; Clinical Decision-Making ; Gallbladder/diagnostic imaging ; Humans ; Point-of-Care Systems ; Surgeons ; Ultrasonography/methods
    Language English
    Publishing date 2019-08-21
    Publishing country Germany
    Document type Consensus Development Conference ; Journal Article ; Review
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-019-01197-z
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  6. Article ; Online: Correction to: Surgeon-performed point-of-care ultrasound for acute cholecystitis: indications and limitations: a European Society for Trauma and Emergency Surgery (ESTES) consensus statement.

    Pereira, Jorge / Bass, Gary A / Mariani, Diego / Dumbrava, Bogdan D / Casamassima, Andrea / da Silva, António Rodrigues / Pinheiro, Luis / Martinez-Casas, Isidro / Ponchietti, Luca / Zago, Mauro

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

    2019  Volume 46, Issue 1, Page(s) 185

    Abstract: Unfortunately, the author Luca Ponchietti was omitted in the original publication. Please find the correct author list here. ...

    Abstract Unfortunately, the author Luca Ponchietti was omitted in the original publication. Please find the correct author list here.
    Language English
    Publishing date 2019-11-06
    Publishing country Germany
    Document type Published Erratum
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-019-01250-x
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  7. Article: Thorax Trauma Severity Score: Is it reliable for Patient's Evaluation in a Secondary Level Hospital?

    Martínez Casas, Isidro / Amador Marchante, María Auxiliadora / Paduraru, Mihai / Fabregues Olea, Ana Isabel / Nolasco, Andreu / Medina, Juan Carlos

    Bulletin of emergency and trauma

    2016  Volume 4, Issue 3, Page(s) 150–155

    Abstract: Objective: To determine the predictive and diagnostic value of thorax trauma severity score (TTSS) in a population of thoracic trauma patients admitted to a secondary level trauma center.: Methods: A Retrospective analysis of patients admitted over a ...

    Abstract Objective: To determine the predictive and diagnostic value of thorax trauma severity score (TTSS) in a population of thoracic trauma patients admitted to a secondary level trauma center.
    Methods: A Retrospective analysis of patients admitted over a period of two years with IDC-9 codes related to thoracic trauma was undertaken. The association of TTSS with complications and mortality was evaluated. We also determined the predictive value of TTSS using receiver operating characteristic curve (ROC).
    Results: 238 patients with thoracic trauma, mostly middle-aged (62.2 ± 15 years), were included. The main mechanisms of injury were falls and traffic accidents. Thirty-three patients had important extra-thoracic injuries, but only 9 presented an ISS> 15. The average ISS was 3 ± 5; Morbidity was 2.5% and mortality was 2.1% as a result of thoracic injury and these patients had significantly higher TTSS values. Each score component was analyzed separately, showing significant association with complications and mortality. The area under the curve for TTSS was significant for predicting complications (0.848) and mortality (0.856) values. TTSS with a cut off value of 8 points had a sensitivity of 66% and specificity of 94% to predict complications and 80% sensitivity and 94% specificity for predicting mortality.
    Conclusions: The TTSS is an appropriate and feasible tool to predict the development of complications or mortality in a population of mostly mild thoracic trauma.
    Language English
    Publishing date 2016-05-30
    Publishing country Iran
    Document type Journal Article
    ZDB-ID 2722734-0
    ISSN 2322-3960 ; 2322-2522
    ISSN (online) 2322-3960
    ISSN 2322-2522
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  8. Article: European Society of Trauma and Emergency Surgery (ESTES) recommendations for trauma and emergency surgery preparation during times of COVID-19 infection

    Coimbra, Raul / Edwards, Sara / Kurihara, Hayato / Bass, Gary Alan / Balogh, Zsolt J / Tilsed, Jonathan / Faccincani, Roberto / Carlucci, Michele / Martínez Casas, Isidro / Gaarder, Christine / Tabuenca, Arnold / Coimbra, Bruno C / Marzi, Ingo

    Eur J Trauma Emerg Surg

    Abstract: A series of recommendations regarding hospital perioperative preparation for the COVID-19 pandemic were compiled to inform surgeons worldwide on how to provide emergency surgery and trauma care during enduring times.The recommendations are divided into ... ...

    Abstract A series of recommendations regarding hospital perioperative preparation for the COVID-19 pandemic were compiled to inform surgeons worldwide on how to provide emergency surgery and trauma care during enduring times.The recommendations are divided into eight domains: (1) General recommendation for surgical services; (2) Emergency Surgery for critically ill COVID-19 positive or suspected patients -Preoperative planning and case selection; (3) Operating Room setup; (4) patient transport to the OR; (5) Surgical staff preparation; (6) Anesthesia considerations; (7) Surgical approach; and (8) Case Completion.The European Society of Emergency Surgery board endorsed these recommendations.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #72258
    Database COVID19

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  9. Article ; Online: European Society of Trauma and Emergency Surgery (ESTES) recommendations for trauma and emergency surgery preparation during times of COVID-19 infection

    Coimbra, Raul / Edwards, Sara / Kurihara, Hayato / Bass, Gary Alan / Balogh, Zsolt J. / Tilsed, Jonathan / Faccincani, Roberto / Carlucci, Michele / Martínez Casas, Isidro / Gaarder, Christine / Tabuenca, Arnold / Coimbra, Bruno C. / Marzi, Ingo

    European Journal of Trauma and Emergency Surgery

    2020  Volume 46, Issue 3, Page(s) 505–510

    Keywords Surgery ; Critical Care and Intensive Care Medicine ; Emergency Medicine ; Orthopedics and Sports Medicine ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-020-01364-7
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  10. Article ; Online: Acute mesenteric ischemia caused by venous thrombosis in a patient with Leiden V factor mutation.

    Sánchez Corral, Julio / Martínez Casas, Isidro / Huertas Riquelme, Juana Luisa / David Alvarado, Juan / Camacho Lozano, Julio

    Cirugia espanola

    2015  Volume 93, Issue 10, Page(s) 672–674

    MeSH term(s) Factor V ; Humans ; Mesenteric Ischemia ; Mutation ; Risk Factors ; Venous Thrombosis
    Chemical Substances Factor V (9001-24-5)
    Language Spanish
    Publishing date 2015-12
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2014.07.004
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