Surgery News - December 2008 - (Page 11) DECEMBER 2008 • SURGERY NEWS NEWS FROM THE COLLEGE Not all head injuries are major and obvious. Indeed, there are subgroups of TBI in which the only symptoms or sequelae may be loss of concentration, mood swings, or difficulty with short-term memory. Patients exhibiting these types of symptoms need to be identified and offered the appropriate resources so they are better able to deal with their subtle deficits. TBI is a major cause of morbidity and mortality, so given the spectrum and magnitude of TBI, please be careful in your daily activities and watch your head. The full NTDB Annual Report Version 7.1 is available on the ACS Web site as a PDF and a PowerPoint presentation at www.ntdb.org. To submit your trauma center’s data, contact Melanie L. Neal, Manager, NTDB, at mneal@ facs.org. ■ Statistical support for this article was provided by Chrystal Price, Data Analyst. DR. FANTUS is director, trauma services, and chief, section of surgical critical care, Advocate Illinois Masonic Medical Center, and clinical professor of surgery, University of Illinois College of Medicine, Chicago. He is Chair of the ad hoc Trauma Registry Advisory Committee of the Committee on Trauma. DR. STONE is in the department of neurological surgery and neurology, University of Illinois at Chicago, and the department of surgery, division of neurosurgery, Cook County Stroger and Advocate Illinois Masonic Hospitals. TBI Prevalence Suggests Need for Caution B Y R I C H A R D J. FA N T U S , M . D. , FA C S , A N D J A M E S L . S T O N E , M . D. , FA C S T raumatic brain injury (TBI) is a result of either a blunt force or penetrating injury to the head that disrupts the brain’s normal function. TBI can be mild, with only a brief mental status change or a brief change in consciousness occurring, or severe, with extended periods of unconsciousness or amnesia. According to the National Center for Injury Prevention and Control of the Centers for Disease Control and Prevention (CDC), more than 1.4 million people sustain a TBI each year in the U.S. Of those, 50,000 die and 235,000 are hospitalized, whereas 1.1 million are treated and released from an emergency department. In patients aged 0 to 14 years, TBI results in 2,685 deaths, 37,000 hospitalizations, and 435,000 emergency department visits annually. The CDC estimates that 5.3 million (2%) of the U.S. population has longterm or lifetime need for assistance with performing activities of daily living as a result of a TBI. The direct medical costs and indirect costs in lost productivity as a result of TBI were estimated at $60 billion in 2000 (www.cdc.gov/ncipc/tbi/TBI.htm). To examine the occurrence of head injuries in the National Trauma Data Bank® (NTDB) Dataset 7.1, records were searched using the International Classification of Diseases, Ninth Revision, Clinical Modification codes for brain injuries, along with the codes for skull injuries. Of the 1,926,245 incidents in the NTDB, 396,722 records contained one of these diagnosis codes. Blunt force trauma accounted for 97% of all records. Blunt force mechanisms in order of frequency were motor vehicle crashes (52%) followed by falls (28%), and struck by/against events (7%). There were 358,845 records that noted discharge disposition, including 252,134 discharged to home, 60,799 to acute care/rehabilitation, and 20,328 sent to nursing homes; 25,584 died. (See graph.) A total of 68.8% of patients were male. Their average age was 37.6 years, average length of stay was 6.12 days, and average injury severity score was 14.7. Of those also tested for alcohol, 41% tested positive, and of those tested for drugs, half tested positive. Hospital Discharge Status p 17% Acute care/rehab 6% 7% Nursing Home Death Home 70% Digital Collections Showcase Historic Records of the ACS he Digital Collections from the ACS archives can be accessed through the ACS public site at www.facs.org/ archives/ and through the ACS Web Portal’s History & Philosophy community at www. efacs.org/history. The archives can also be found by searching the words “history” or “archives” on the ACS homepage. Launched during the 2008 Clinical Congress, the site highlights four categories of historic records from the College’s archives: The Clinical Congress Daily News, 1911-1979, can be viewed by browsing archived issues; searching for specific topics (for example, “hernia,” “rickets,” “cesarean”); searching for individual surgeons’ presentations at Congress; and much more. The Board of Regents photos, 1920-2006, can be used to search for images of Fellows who served as Regents and to see the various Boards over the years. The 1927 volume of the Martin Memoirs. The memoirs are the set of binders prepared and preserved by Franklin Martin and his wife Isabelle from 1899 to 1935. The 1927 volume documents the College’s activities for that year and includes programs of the Clinical Congress and Sectional meetings, social events, and photos of prominent surgeons. Volume 4 of the 26-volume set of the Eleanor Grimm Notebooks is a very rich resource of College history. Ms. Grim served as Franklin Martin’s secretary from the College’s founding in 1913 until his death in 1935, after which she served as a chief administrative officer until her retirement in 1951. Visitors to the Digital Collections are asked to complete a one-minute Web survey at www.facs.org/archives/. For more information, contact srishworth@facs.org. ■ Update Your ACS Profile o help potential surgical patients and the public in general find a surgeon who is an ACS member, the College has expanded the information that is available through its Find a Surgeon public search engine. Members can update their online profile, adding information about their medical school, residency, fellowships, subspecialty training, and areas of special interest (procedures/diseases). If desired, members may include practice details and provide a link to a professional Web site. To update your profile, visit the College’s members-only Web portal at www.efacs.org. First-time visitors to the portal should use their membership ID number as the Member ID login and their last name as their password. Once logged on to this members-only site, click on T T “My Profile” on the left-hand side of the homepage under “Quick Links” to view and edit your profile. Each time their profile is accessed by the public, members will receive an automated e-mail from the College entitled “Working Hard for Our Members—A Referral from the ACS.” Potential surgical patients and the public can access the Find A Surgeon search engine via the College’s “Patients as Partners” Web site at www.facs.org/patienteducation/; via the “Patients” link on the homepage of the College’s public Web site at www.facs.org; or by typing in “Find A Surgeon” in the Google search engine. More information may be obtained by contacting twoodson-shelby@facs.org or calling 312-202-5263. ■ Free SRGS Trial Subscription Available W ould you like to examine Selected Readings in General Surgery (SRGS) but aren’t sure you’d like to subscribe? If so, you can take advantage of a free, 30-day “Online Access” trial subscription. Go to www.facs.org/srgs/ subscribe/order.html and click on the link labeled, “Order, renew, or sign up for a free 30-day online subscription.” The trial subscription offer is the third item listed on that page. Click on the “Details” button to the right, and then “Add to Cart.” There is no obligation to subscribe at the end of the 30-day period. Subscribers to the Online Access format will receive the current issue of SRGS up to 2 weeks earlier than print and CD subscribers do. Also included is access to the SRGS archives. The online literature overview can be printed out for surgeons on the go. SRGS recognizes the needs of surgeons to master a medical literature that grows in size and complexity on a daily basis. SRGS provides surgeons with useful, topic-oriented analyses of the medical literature featuring interpretation and commentary from an expert editorial board. A companion CME program fulfills the requirements of Part II of the American Board of Surgery’s Maintenance of Certification program. Learn more at www.facs.org/srgs today. ■ http://www.ntdb.org http://www.cdc.gov/ncipc/tbi/TBI.htm http://www.facs.org/archives http://www.facs.org/archives http://www.efacs.org/history http://www.facs.org/patienteducation/ http://www.efacs.org http://www.facs.org http://www.facs.org/srgs/ http://www.facs.org/archives/ http://www.facs.org/srgs
Table of Contents Feed for the Digital Edition of Surgery News - December 2008 Surgery News - December 2008 Contents The 20/20 Vision: Health Reform News From the College: Nominations Thoracic: Breathing Easier Postop Management: Renal Failure Surgery News - December 2008 Surgery News - December 2008 - Contents (Page 1) Surgery News - December 2008 - Contents (Page 2) Surgery News - December 2008 - Contents (Page 3) Surgery News - December 2008 - Contents (Page 4) Surgery News - December 2008 - Contents (Page 5) Surgery News - December 2008 - The 20/20 Vision: Health Reform (Page 6) Surgery News - December 2008 - The 20/20 Vision: Health Reform (Page 7) Surgery News - December 2008 - The 20/20 Vision: Health Reform (Page 8) Surgery News - December 2008 - The 20/20 Vision: Health Reform (Page 9) Surgery News - December 2008 - News From the College: Nominations (Page 10) Surgery News - December 2008 - News From the College: Nominations (Page 11) Surgery News - December 2008 - Thoracic: Breathing Easier (Page 12) Surgery News - December 2008 - Thoracic: Breathing Easier (Page 13) Surgery News - December 2008 - Thoracic: Breathing Easier (Page 14) Surgery News - December 2008 - Thoracic: Breathing Easier (Page 15) Surgery News - December 2008 - Postop Management: Renal Failure (Page 16) Surgery News - December 2008 - Postop Management: Renal Failure (Page 17) Surgery News - December 2008 - Postop Management: Renal Failure (Page 18) Surgery News - December 2008 - Postop Management: Renal Failure (Page 19) Surgery News - December 2008 - Postop Management: Renal Failure (Page 20)
For optimal viewing of this digital publication, please enable JavaScript and then refresh the page. If you would like to try to load the digital publication without using Flash Player detection, please click here.