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Roger J Lewis 2 Articles
Frequency of Post-Concussion Syndrome in Korean Patients with Minor Head Injury
Ji Young Lee, Young Hoon Yoon, Roger J Lewis, Juliana Tolles
J Trauma Inj. 2017;30(2):41-46.   Published online June 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.2.41
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AbstractAbstract PDF
PURPOSE
To determine the incidence of post-concussion syndrome (PCS) in Korean patients after minor traumatic brain injury.
METHODS
We conducted an observational cohort study of a convenience sample of patients presenting to the emergency department of a major academic Korean hospital. Patients who visited the Emergency Department for head trauma were screened. A researcher questioned the subject regarding his or her symptoms. Subjects were contacted by phone approximately 2 weeks after their Emergency Department visit and questioned about subsequent symptoms and subsequent visits for medical care.
RESULTS
Only 8% of subjects reported any post-concussion symptoms. Only 0.4% had three or more symptoms which might have met criteria for PCS. The median peak onset of symptoms was 3 days after injury.
CONCLUSION
The incidence of PCS is Korean patients is much lower than that documented for patients in the United States or other western countries. On the other hand, this study results could give an idea that mild trauma could also cause the PCS. Further study is needed to replicate this finding and investigate possible explanations for this difference.
Summary
Changes of Clinical Practice in Gastrointestinal Perforation with the Increasing Use of Computed Tomography
Ji Min Park, Young Hoon Yoon, Timothy Horeczko, Amy Hideko Kaji, Roger J Lewis
J Trauma Inj. 2017;30(2):25-32.   Published online June 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.2.25
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  • 19 Download
  • 2 Citations
AbstractAbstract PDF
PURPOSE
The use of computed tomography (CT) to evaluate acute abdominal complaints has increased over the past two decades. We investigated how the clinical practice of patients with intestinal perforation has changed with the increasing use of abdominal CT in the emergency department (ED).
METHODS
We compared ED arrival to CT time, ED arrival to surgical consultation time, and ED arrival to operation time according to the method of diagnosis from 2003?2004 and 2013?2014.
RESULTS
In patients with gastrointestinal perforation, time from ED arrival to CT was shorter (111.4±66.2 min vs. 199.0±97.5 min, p=0.001) but time to surgical consultation was longer (135.1±78.8 vs. 77.9±123.7, p=0.006) in 2013?2014 than in 2003?2004. There was no statistically significant difference in time to operation for perforation confirmed either by plain film or CT between the two time periods. There was no statistically significant difference in length of hospital or ICU stay or mortality between the two groups.
CONCLUSION
With the increasing use of abdominal CT in ED, ED arrival to CT time has decreased and ED arrival to surgical consultation time has increased in gastrointestinal perforation. These changes of clinical performance do not delay ED arrival to operation time or adversely influence patient outcome.
Summary

Citations

Citations to this article as recorded by  
  • A case report of gastrointestinal perforation in patient after biliary stent insertion and the overview of gastrointestinal perforation
    Ga-Young Lee, Chan-Ran Park, Jung-hyo Cho, Chang-gue Son, Nam-hun Lee
    Journal of Korean Medicine.2022; 43(3): 195.     CrossRef
  • GASTROİNTESTİNAL PERFORASYON TANISINDA KULLANILAN GÖRÜNTÜLEME YÖNTEMLERİ VE GÖRÜNTÜLEME BULGULARI
    Mehtap ILGAR, Tuna ŞAHİN
    Cukurova Anestezi ve Cerrahi Bilimler Dergisi.2022; 5(2): 199.     CrossRef

J Trauma Inj : Journal of Trauma and Injury