Chih‐Yuan Fu
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View article: Diagnostic challenges in blunt pelvic fracture-related lower urinary tract injuries: a 13-year retrospective study
Diagnostic challenges in blunt pelvic fracture-related lower urinary tract injuries: a 13-year retrospective study Open
Introduction Pelvic fractures from high-energy trauma are associated with lower urinary tract injuries (LUTI) in 10–15% of cases, leading to significant morbidity if not promptly diagnosed. Bladder and urethral injuries can result in infec…
View article: Long-term return to work and income trajectories after major trauma: a 10-year nationwide retrospective cohort study in Taiwan
Long-term return to work and income trajectories after major trauma: a 10-year nationwide retrospective cohort study in Taiwan Open
Objectives The financial impact on trauma patients can be devastating. Although Taiwan has universal health insurance coverage, medical bill reimbursement cannot compensate for the damage to a person’s ability to work. The aim of this stud…
View article: Comparative analysis of AI support levels in clinical interpretation of traumatic pelvic radiographs
Comparative analysis of AI support levels in clinical interpretation of traumatic pelvic radiographs Open
Plain pelvic radiographs (PXR) remain crucial for initial trauma assessment, yet interpretation challenges persist. While artificial intelligence (AI) shows promise, its practical impact across specialties remains unexplored. We conducted …
View article: Outcomes of open cardiopulmonary resuscitation in pulseless blunt chest trauma: A nationwide cohort study
Outcomes of open cardiopulmonary resuscitation in pulseless blunt chest trauma: A nationwide cohort study Open
View article: Total care of trauma patients from triage to discharge at Chang Gung Memorial Hospital: introducing the development of an iconic acute care surgery system in Taiwan
Total care of trauma patients from triage to discharge at Chang Gung Memorial Hospital: introducing the development of an iconic acute care surgery system in Taiwan Open
The emergence of the ACS model aims to reverse the decline in the trauma field that began decades ago. This model not only helps retain skilled professionals but also maintains the expertise of trauma surgeons, ensuring that trauma patient…
View article: A Mortality Prediction Model for Cirrhotic Patients With Blunt Abdominal Trauma: A Single‐Center Retrospective Study
A Mortality Prediction Model for Cirrhotic Patients With Blunt Abdominal Trauma: A Single‐Center Retrospective Study Open
Purpose Owing to its impaired production of coagulation factors and immunosuppressed state, liver cirrhosis is recognized as a detrimental factor in patients with blunt abdominal trauma (BAT). The aim of this study was to evaluate cirrhosi…
View article: Long-term follow-up of infection, malignancy, thromboembolism, and all-cause mortality risks after splenic artery embolization for blunt splenic injury: comparison with splenectomy and conservative management
Long-term follow-up of infection, malignancy, thromboembolism, and all-cause mortality risks after splenic artery embolization for blunt splenic injury: comparison with splenectomy and conservative management Open
Background Non-operative management, including splenic artery embolization, is preferred for blunt splenic injuries, but its long-term risks need further investigation. Long-term splenic functions were assessed in patients with blunt splen…
View article: Impact of early arterial-phase multidetector CT in blunt spleen injury: a clinical outcomes-oriented study
Impact of early arterial-phase multidetector CT in blunt spleen injury: a clinical outcomes-oriented study Open
View article: Empowering recovery: a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fracture
Empowering recovery: a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fracture Open
Background Multiple rib fractures commonly result from blunt chest trauma. These fractures can lead to prolonged impairment in pulmonary function and often require long-term rehabilitation. This pilot study aimed to evaluate the feasibilit…
View article: Safety or speed? Assessing alternative vascular access for angiography after resuscitative endovascular balloon occlusion of the aorta (REBOA) in severe pelvic trauma patients
Safety or speed? Assessing alternative vascular access for angiography after resuscitative endovascular balloon occlusion of the aorta (REBOA) in severe pelvic trauma patients Open
Introduction Pelvic fractures often result in life-threatening bleeding and hemodynamic instability. Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a promising strategy for patients with severe pelvic frac…
View article: Challenges in the Diagnosis of Pelvic Fracture-Related Lower Urinary Tract Injury: A 13-Year Retrospective Analysis
Challenges in the Diagnosis of Pelvic Fracture-Related Lower Urinary Tract Injury: A 13-Year Retrospective Analysis Open
Introduction: Pelvic fractures from high-energy trauma are associated with lower urinary tract injuries (LUTI) in 10-15% of cases, leading to significant morbidity if not promptly diagnosed. Bladder and urethral injuries can result in infe…
View article: Optimizing modern surgical simulation through instructor feedback – insights from a retrospective observational study in a tertiary hospital
Optimizing modern surgical simulation through instructor feedback – insights from a retrospective observational study in a tertiary hospital Open
View article: Fixation of rib fractures is beneficial for patients with chronic obstructive pulmonary disease, a trauma quality improvement program study
Fixation of rib fractures is beneficial for patients with chronic obstructive pulmonary disease, a trauma quality improvement program study Open
View article: Analysis of the current usage of resuscitative endovascular balloon occlusion of the aorta (REBOA) in pediatric trauma patients: a retrospective observational study from the American College of Surgeons–Trauma Quality Improvement Program databases
Analysis of the current usage of resuscitative endovascular balloon occlusion of the aorta (REBOA) in pediatric trauma patients: a retrospective observational study from the American College of Surgeons–Trauma Quality Improvement Program databases Open
Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been an established life-saving procedure for adult trauma patients, but the evidence for its use in pediatric patients is still under question. The purpose o…
View article: Evaluating the clinical impact of resuscitative endovascular balloon occlusion of the aorta in patients with blunt trauma with hemorrhagic shock and coexisting traumatic brain injuries: a retrospective cohort study
Evaluating the clinical impact of resuscitative endovascular balloon occlusion of the aorta in patients with blunt trauma with hemorrhagic shock and coexisting traumatic brain injuries: a retrospective cohort study Open
Background: The impact of resuscitative endovascular balloon occlusion of the aorta (REBOA) on traumatic brain injuries remains uncertain, with potential outcomes ranging from neuroprotection to exacerbation of the injury. The study aimed …
View article: Risk of Acute Kidney Injury Following Repeated Contrast-enhanced Computed Tomography and Angiography in Trauma Patients
Risk of Acute Kidney Injury Following Repeated Contrast-enhanced Computed Tomography and Angiography in Trauma Patients Open
Purpose This study investigates the risk of contrast-associated acute kidney injury (CA-AKI) in trauma patients, focusing on the impact of cumulative contrast medium doses. Methods A retrospective review was conducted at a level 1 trauma c…
View article: Evaluating the association between time to skin grafting for truncal burn patients and complications: a comparative cohort study using the National Trauma Data Bank
Evaluating the association between time to skin grafting for truncal burn patients and complications: a comparative cohort study using the National Trauma Data Bank Open
Background: The split-thickness skin graft (STSG) procedure is frequently used in the reconstruction of burn-injured patients. This study assessed the impact of graft timing on associated skin complications in patients with torso burns usi…
View article: Development and evaluation of a deep learning-based model for simultaneous detection and localization of rib and clavicle fractures in trauma patients’ chest radiographs
Development and evaluation of a deep learning-based model for simultaneous detection and localization of rib and clavicle fractures in trauma patients’ chest radiographs Open
Purpose To develop a rib and clavicle fracture detection model for chest radiographs in trauma patients using a deep learning (DL) algorithm. Materials and methods We retrospectively collected 56 145 chest X-rays (CXRs) from trauma patient…
View article: Management of acute cholecystitis in patients older than the expected life expectancy: Is the Tokyo Guidelines 2018 still practical?
Management of acute cholecystitis in patients older than the expected life expectancy: Is the Tokyo Guidelines 2018 still practical? Open
Background As the global population ages, the incidence of acute cholecystitis is increasing. Tokyo Guidelines 2018 are established as the standard for managing this condition. However, the applicability in elderly patients, who often have…
View article: Deep Learning for Automated Detection and Localization of Traumatic Abdominal Solid Organ Injuries on CT Scans
Deep Learning for Automated Detection and Localization of Traumatic Abdominal Solid Organ Injuries on CT Scans Open
Computed tomography (CT) is the most commonly used diagnostic modality for blunt abdominal trauma (BAT), significantly influencing management approaches. Deep learning models (DLMs) have shown great promise in enhancing various aspects of …
View article: The role of test results in the emergency department in the evaluation of major torso injury patients
The role of test results in the emergency department in the evaluation of major torso injury patients Open
We studied the role of laboratory tests in the emergency department (ED) for the prediction of outcomes in major torso injury patients. We hypothesized that the laboratory test results in the ED could predict worse outcomes and be compleme…
View article: Outcomes of Open Cardiopulmonary Resuscitation in Blunt Chest Trauma with Cardiac Injuries: A Nationwide Cohort Study
Outcomes of Open Cardiopulmonary Resuscitation in Blunt Chest Trauma with Cardiac Injuries: A Nationwide Cohort Study Open
View article: Low-molecular-weight heparin is associated with lower venous thromboembolism events than factor Xa inhibitors in patients with severe blunt trauma: a cohort study from the Trauma Quality Improvement Program
Low-molecular-weight heparin is associated with lower venous thromboembolism events than factor Xa inhibitors in patients with severe blunt trauma: a cohort study from the Trauma Quality Improvement Program Open
Background: Venous thromboembolism (VTE), including deep venous thrombosis (DVT) and pulmonary embolism (PE), is a common complication of major trauma. Pharmacological VTE prophylactics are widely used, and low-molecular-weight heparin (LM…
View article: A natural armor of obese patients
A natural armor of obese patients Open
View article: Sarcopenia provides extra value outside the PULP score for predicting mortality in older patients with perforated peptic ulcers
Sarcopenia provides extra value outside the PULP score for predicting mortality in older patients with perforated peptic ulcers Open
View article: The Feasibility and Performance of Total Hip Replacement Prediction Deep Learning Algorithm with Real World Data
The Feasibility and Performance of Total Hip Replacement Prediction Deep Learning Algorithm with Real World Data Open
(1) Background: Hip degenerative disorder is a common geriatric disease is the main causes to lead to total hip replacement (THR). The surgical timing of THR is crucial for post-operative recovery. Deep learning (DL) algorithms can be used…
View article: Timely surgical fixation confers beneficial outcomes in patients’ concomitant flail chest with mild-to-moderate traumatic brain injury: a trauma quality improvement project analysis – a cohort study
Timely surgical fixation confers beneficial outcomes in patients’ concomitant flail chest with mild-to-moderate traumatic brain injury: a trauma quality improvement project analysis – a cohort study Open
Background: Traumatic flail chest results in respiratory distress and prolonged hospital stay. Timely surgical fixation of the flail chest reduces respiratory complications, decreases ventilator dependence, and shortens hospital stays. Con…
View article: The three-dimensional weakly supervised deep learning algorithm for traumatic splenic injury detection and sequential localization: an experimental study
The three-dimensional weakly supervised deep learning algorithm for traumatic splenic injury detection and sequential localization: an experimental study Open
Background: Splenic injury is the most common solid visceral injury in blunt abdominal trauma, and high-resolution abdominal computed tomography (CT) can adequately detect the injury. However, these lethal injuries sometimes have been over…
View article: Effect of zinc supplement on patients with trauma: A systematic review and meta‐analysis
Effect of zinc supplement on patients with trauma: A systematic review and meta‐analysis Open
Aims This study aimed to assess the effect of zinc supplementation, with or without other antioxidants and trace elements, on clinical outcomes in patients with trauma. Methods A systematic review was conducted for adult patients with acut…
View article: Retraction Note: The role of acute care surgeons in treating rib fractures—a retrospective cohort study from a single level I trauma center
Retraction Note: The role of acute care surgeons in treating rib fractures—a retrospective cohort study from a single level I trauma center Open