Omar Bouamra
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View article: Comparative analysis of the demographics, vital signs, injury patterns, care pathways, interventions and outcomes of English and Welsh major trauma patients injured by high versus low energy transfer mechanisms in 2019
Comparative analysis of the demographics, vital signs, injury patterns, care pathways, interventions and outcomes of English and Welsh major trauma patients injured by high versus low energy transfer mechanisms in 2019 Open
Background Recent trends in high-income countries indicate a shift in the causes of major trauma, with low-energy transfer mechanisms, particularly falls from less than two meters, becoming increasingly prevalent. This study aimed to compa…
View article: Trends in ocular injuries among major trauma patients in England and Wales from 2004 to 2021
Trends in ocular injuries among major trauma patients in England and Wales from 2004 to 2021 Open
Background Ocular trauma is a major cause of vision loss and injuries are often missed in multiply injured patients. Major trauma demographics in the UK have changed but no contemporary studies report ocular injuries in this cohort. We aim…
View article: Have the UK Pediatric Trauma Protocols resulted in a reduction in chest computed tomography imaging for children presenting with major blunt trauma?
Have the UK Pediatric Trauma Protocols resulted in a reduction in chest computed tomography imaging for children presenting with major blunt trauma? Open
The increased use of CXR with CTAP after publication of the guidelines, was not sustained with a decreasing trend observed from ∼2017, raising concern for the ionizing radiation burden in this population.
View article: Major trauma presentations and patient outcomes in English hospitals during the COVID-19 pandemic: An observational cohort study
Major trauma presentations and patient outcomes in English hospitals during the COVID-19 pandemic: An observational cohort study Open
Background Single-centre studies suggest that successive Coronavirus Disease 2019 (COVID-19)-related “lockdown” restrictions in England may have led to significant changes in the characteristics of major trauma patients. There is also evid…
View article: Do Patients with Diabetes Mellitus and Polytrauma Continue to Have Worse Outcomes?
Do Patients with Diabetes Mellitus and Polytrauma Continue to Have Worse Outcomes? Open
The management of patients with multiple injuries remains challenging. Patients presenting with comorbidities, such as diabetes mellitus, may have additional unpredictable outcomes with increased mortality. Therefore, we aim to investigate…
View article: Comparison of injury patterns and interventions between adolescent, adult and paediatric trauma cases: a cross-sectional review of TARN data
Comparison of injury patterns and interventions between adolescent, adult and paediatric trauma cases: a cross-sectional review of TARN data Open
Objectives The aim is to compare adolescent (10–24.99 years) trauma patterns and interventions to adult (≥25) and paediatric cases (<10) and to identify any transition points. Design and setting Data were collected from the Trauma and Audi…
View article: Severe trauma with associated pelvic fractures: The impact of regional trauma networks on clinical outcome
Severe trauma with associated pelvic fractures: The impact of regional trauma networks on clinical outcome Open
Lately, the care of severely injured patients in the United Kingdom has undergone a significant transformation. The establishment of regional trauma networks (RTN) with designated Major Trauma Centers (MTCs) and satellite hospitals called …
View article: Comparison of trauma care structures, processes and outcomes between the English National Health Service and Quebec, Canada
Comparison of trauma care structures, processes and outcomes between the English National Health Service and Quebec, Canada Open
We observed significant differences in the structure of trauma care, delays in access and risk-adjusted outcomes between Quebec and the NHS. Future research should assess associations between structures, processes and outcomes to identify …
View article: 1427 The effect of the COVID-19 pandemic on major trauma presentations and patient outcomes in English hospitals
1427 The effect of the COVID-19 pandemic on major trauma presentations and patient outcomes in English hospitals Open
Aims, Objectives and Background There is evidence that COVID-19 ‘lockdowns’ may have contributed to increased non-accidental injury, domestic violence and self-harm related to deteriorating mental health. Internationally, there is also evi…
View article: 1358 The association between major trauma centre care and outcomes of adult patients injured by low falls in England and Wales
1358 The association between major trauma centre care and outcomes of adult patients injured by low falls in England and Wales Open
Aims, Objectives and Background Disability and death due to low falls is increasing worldwide and disproportionately affects older adults. Current trauma systems were not designed to suit the needs of these patients. This study assessed th…
View article: 1750 Prediction of 6 month Trauma PROMS using in-hospital data
1750 Prediction of 6 month Trauma PROMS using in-hospital data Open
Aims, Objectives and Background Trauma audit has used lived/died as an outcome for 30 years, but Patient Reported Outcome Measures (PROMS) have also been collected by the Trauma Audit and Research Network (TARN) for the past 5 years across…
View article: 387 Trauma through the years; a comparison of injury patterns and interventions between adolescent, adult, and paediatric trauma cases
387 Trauma through the years; a comparison of injury patterns and interventions between adolescent, adult, and paediatric trauma cases Open
Aims Adolescent trauma patients transition through services and dependent on age, may be managed in either paediatric, adult or mixed trauma departments. Clinicians are posed with a dilemma whether to follow adult or paediatric trauma guid…
View article: A national study of 23 major trauma centres to investigate the effect of frailty on clinical outcomes in older people admitted with serious injury in England (FiTR 1): a multicentre observational study
A national study of 23 major trauma centres to investigate the effect of frailty on clinical outcomes in older people admitted with serious injury in England (FiTR 1): a multicentre observational study Open
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View article: A national study of 23 major trauma centres to investigate the effect of a geriatrician assessment on clinical outcomes in older people admitted with serious injury in England (FiTR 2): a multicentre observational cohort study
A national study of 23 major trauma centres to investigate the effect of a geriatrician assessment on clinical outcomes in older people admitted with serious injury in England (FiTR 2): a multicentre observational cohort study Open
Background: Older people are at the greatest risk of poor outcomes after serious injury. Evidence is limited for the benefit of assessment by a geriatrician in trauma care. We aimed to determine the effect of geriatrician assessment on cli…
View article: The changing major trauma disease burden from low falls in the first two decades of the 21st Century – a longitudinal analysis from the largest European Trauma Registry
The changing major trauma disease burden from low falls in the first two decades of the 21st Century – a longitudinal analysis from the largest European Trauma Registry Open
Objective The 21st century has seen an unexpected rise in numbers of patients with severe injuries caused by low energy transfer mechanisms such as low falls. Our objective was to determine whether this increasing “low energy transfer majo…
View article: A study protocol for a retrospective cohort study and interrupted time series analysis to assess the effect of the COVID-19 pandemic on major trauma presentations and patient outcomes in English hospitals
A study protocol for a retrospective cohort study and interrupted time series analysis to assess the effect of the COVID-19 pandemic on major trauma presentations and patient outcomes in English hospitals Open
A protocol for a retrospective cohort study and interrupted time series analysis to investigate the effect of successive COVID related “lockdown” restrictions on major trauma presentations and patient outcomes in English hospitals. The stu…
View article: Sex-disaggregated analysis of the injury patterns, outcome data and trapped status of major trauma patients injured in motor vehicle collisions: a prespecified analysis of the UK trauma registry (TARN)
Sex-disaggregated analysis of the injury patterns, outcome data and trapped status of major trauma patients injured in motor vehicle collisions: a prespecified analysis of the UK trauma registry (TARN) Open
Objectives To identify the differences between women and men in the probability of entrapment, frequency of injury and outcomes following a motor vehicle collision. Publishing sex-disaggregated data, understanding differential patterns and…
View article: The association between major trauma centre care and outcomes of adult patients injured by low falls in England and Wales
The association between major trauma centre care and outcomes of adult patients injured by low falls in England and Wales Open
Background Disability and death due to low falls is increasing worldwide and disproportionately affects older adults. Current trauma systems were not designed to suit the needs of these patients. This study assessed the effectiveness of ma…
View article: Do entrapment, injuries, outcomes and potential for self-extrication vary with age? A pre-specified analysis of the UK trauma registry (TARN)
Do entrapment, injuries, outcomes and potential for self-extrication vary with age? A pre-specified analysis of the UK trauma registry (TARN) Open
Background Motor vehicle collisions (MVCs), particularly those associated with entrapment, are a common cause of major trauma. Current extrication methods are focused on spinal movement minimisation and mitigation, but for many patients se…
View article: 822 Mortality in adolescent trauma: a comparison of children’s, mixed and adult major trauma centres
822 Mortality in adolescent trauma: a comparison of children’s, mixed and adult major trauma centres Open
Aims/Objectives/Background We aimed to compare adolescent mortality rates between different types of major trauma centre (MTC or level 1; adult, children’s and mixed). Methods/Design Data were obtained from TARN (Trauma Audit Research Netw…
View article: 808 Changing nature of major trauma from 2000 to 2019 in England and Wales: observational registry study
808 Changing nature of major trauma from 2000 to 2019 in England and Wales: observational registry study Open
Aims/Objectives/Background Low energy transfer mechanisms – predominately falls from a standing height – have been identified as the most prevalent cause of major trauma in higher-income countries. This study examines the epidemiological t…
View article: A retrospective observational study to investigate the effect of frailty on outcomes of older adults admitted with major trauma
A retrospective observational study to investigate the effect of frailty on outcomes of older adults admitted with major trauma Open
A protocol for a retrospective observational study to investigate the effect of frailty on outcomes of older adults admitted with major trauma. Patient data will be examined held within the Trauma and Audit Research Network (TARN) database…
View article: Do Entrapment, Injuries, Outcomes and Potential for Self-extrication Vary with Age? A Pre-specified Analysis of the UK Trauma Registry (TARN)
Do Entrapment, Injuries, Outcomes and Potential for Self-extrication Vary with Age? A Pre-specified Analysis of the UK Trauma Registry (TARN) Open
Background:Motor vehicle collisions (MVCs), particularly those associated with entrapment, are a common cause of major trauma. Current extrication methods are focused on spinal movement minimisation and mitigation, but for many patients’ s…
View article: 1468 Tranexamic acid in paediatric major trauma: a TARN data analysis 2008–2020
1468 Tranexamic acid in paediatric major trauma: a TARN data analysis 2008–2020 Open
Background Tranexamic Acid (TXA) is an anti-fibrinolytic agent that promotes haemostasis and counteracts coagulopathy in trauma. A wealth of research supports TXA use in adults, yet no large trials have been performed in paediatric populat…
View article: Imputation strategies for missing baseline neurological assessment covariates after traumatic brain injury: A CENTER-TBI study
Imputation strategies for missing baseline neurological assessment covariates after traumatic brain injury: A CENTER-TBI study Open
Statistical models for outcome prediction are central to traumatic brain injury research and critical to baseline risk adjustment. Glasgow coma score (GCS) and pupil reactivity are crucial covariates in all such models but may be measured …
View article: Imputation strategies for missing baseline neurological assessment covariates after traumatic brain injury: A CENTER-TBI study
Imputation strategies for missing baseline neurological assessment covariates after traumatic brain injury: A CENTER-TBI study Open
Statistical models for outcome prediction are central to traumatic brain injury research and critical to baseline risk adjustment. Glasgow coma score (GCS) and pupil reactivity are crucial co-variates in all such models but may be measured…
View article: Mortality in adolescent trauma: a comparison of children’s, mixed and adult major trauma centres
Mortality in adolescent trauma: a comparison of children’s, mixed and adult major trauma centres Open
Objective We aimed to compare adolescent mortality rates between different types of major trauma centre (MTC or level 1; adult, children’s and mixed). Methods Data were obtained from TARN (Trauma Audit Research Network) from English sites …