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Special Issues
New Insights into Acute Care and Emergency Surgery
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New Insights into Acute Care and Emergency Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 17 September 2024 | Viewed by 1707

Special Issue Editors

Dr. Jacob Chen

E-Mail Website
Guest Editor
1. Hospital Management, Meir Medical Center, Kfar Saba, Israel
2. Trauma and Combat Medicine Branch, Israel Defense Forces, Medical Corps, Tel Hashomer, Ramat Gan, Israel
Interests: emergency medicine; trauma surgery; emergency surgery; acute care
Dr. Avi Benov

E-Mail Website
Guest Editor
1. The Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
2. The Trauma and Combat Medicine Branch, Surgeon General's Headquarters, Israel Defense Forces, Ramat Gan, Israel
Interests: emergency medicine; trauma surgery; emergency surgery; acute care

Special Issue Information

Dear Colleagues,

Acute care and emergency surgery are vital components of clinical medicine, addressing urgent and life-threatening conditions that require immediate attention. This Special Issue aims to explore new insights and advancements in the field.

Over the years, significant progress has been made in the understanding and management of acute care and emergency surgical cases. Innovative treatment protocols, advancements in anesthesia and surgical techniques, and the use of advanced imaging and diagnostic tools have significantly improved patient outcomes. The integration of cutting-edge technologies has transformed acute care and emergency surgery practices. Telemedicine, point-of-care testing, and mobile healthcare solutions have facilitated rapid communication and diagnosis, especially in remote and resource-limited settings. Additionally, advancements in minimally invasive procedures and robotic surgery have revolutionized the approach to emergency surgical interventions.

We invite original research articles and comprehensive reviews that contribute to the growing knowledge of acute care and emergency surgery. We encourage research works both in the pre-hospital and in the in-hospital scenario. Manuscripts should focus on clinical insights, innovative approaches, and the application of new technologies in this field.

Dr. Jacob Chen
Dr. Avi Benov
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • trauma surgery
  • emergency surgery
  • acute care
  • anesthesia
  • ICU

Published Papers (2 papers)

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Research

10 pages, 219 KiB  
Article
Acute Appendicitis in the Elderly: A Nationwide Retrospective Analysis
by Malkiely Gal, Paran Maya, Kobo Ofer, Khan Mansoor, Abbou Benyamine and Kessel Boris
J. Clin. Med. 2024, 13(7), 2139; https://doi.org/10.3390/jcm13072139 - 08 Apr 2024
Viewed by 527
Abstract
Background: Acute appendicitis (AA) in older individuals remains understudied. We aimed to assess AA characteristics in patients older than 60 years and evaluate the impact of comorbidities. Methods: This retrospective study analyzed data from the American National Inpatient Sample between 2016 and 2019 [...] Read more.
Background: Acute appendicitis (AA) in older individuals remains understudied. We aimed to assess AA characteristics in patients older than 60 years and evaluate the impact of comorbidities. Methods: This retrospective study analyzed data from the American National Inpatient Sample between 2016 and 2019 to compare AA characteristics in patients younger and older than 60 years. Results: Of the 538,400 patients included, 27.5% were older than 60 years. Younger patients had a higher appendectomy rate (p < 0.01), while the complicated appendicitis rate was higher in older patients. Superficial wound infection, systemic infection, and mortality rates were higher in older patients (p < 0.01). Risk factors for superficial wound infection in patients younger than 60 years included cerebrovascular disease, chronic kidney disease, hypertension, heart failure, and obesity, whereas only heart failure was a risk factor in older patients. Risk factors for systemic infection in young patients included hypertension, heart failure, obesity, and diabetes mellitus, while in older patients they included hypertension, heart failure, and obesity. Complicated appendicitis was not a risk factor for infections in either group. Conclusions: This study highlights a higher incidence of AA in older individuals than previously reported, with comorbidities posing differing risks for infections between age groups. Full article
(This article belongs to the Special Issue New Insights into Acute Care and Emergency Surgery)
11 pages, 517 KiB  
Article
Predictors of Short-Term Trauma Laparotomy Outcomes in an Integrated Military–Civilian Health System: A 23-Year Retrospective Cohort Study
by Sami Gendler, Shaul Gelikas, Tomer Talmy, Roy Nadler, Avishai M. Tsur, Irina Radomislensky, Moran Bodas, Elon Glassberg, Ofer Almog, Avi Benov and Jacob Chen
J. Clin. Med. 2024, 13(7), 1830; https://doi.org/10.3390/jcm13071830 - 22 Mar 2024
Viewed by 492
Abstract
Background: Trauma laparotomy (TL) remains a cornerstone of trauma care. We aimed to investigate prehospital measures associated with in-hospital mortality among casualties subsequently undergoing TLs in civilian hospitals. Methods: This retrospective cohort study cross-referenced the prehospital and hospitalization data of casualties [...] Read more.
Background: Trauma laparotomy (TL) remains a cornerstone of trauma care. We aimed to investigate prehospital measures associated with in-hospital mortality among casualties subsequently undergoing TLs in civilian hospitals. Methods: This retrospective cohort study cross-referenced the prehospital and hospitalization data of casualties treated by Israel Defense Forces-Medical Corps teams who later underwent TLs in civilian hospitals between 1997 and 2020. Results: Overall, we identified 217 casualties treated by IDF-MC teams that subsequently underwent a TL, with a mortality rate of 15.2% (33/217). The main mechanism of injury was documented as penetrating for 121/217 (55.8%). The median heart rate and blood pressure were within the normal limit for the entire cohort, with a low blood pressure predicting mortality (65 vs. 127, p < 0.001). In a multivariate analysis, prehospital endotracheal intubation (ETI), emergency department Glasgow coma scores of 3–8, and the need for a thoracotomy or bowel-related procedures were significantly associated with mortality (OR 6.8, p < 0.001, OR = 48.5, p < 0.001, and OR = 4.61, p = 0.002, respectively). Conclusions: Prehospital interventions introduced throughout the study period did not lead to an improvement in survival. Survival was negatively influenced by prehospital ETI, reinforcing previous observations of the potential deleterious effects of definitive airways on hemorrhaging trauma casualties. While a low blood pressure was a predictor of mortality, the median systolic blood pressure for even the sickest patients (ISS > 16) was within normal limits, highlighting the challenges in triage and risk stratification for trauma casualties. Full article
(This article belongs to the Special Issue New Insights into Acute Care and Emergency Surgery)
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