Penetrating femoral artery injuries: an urban trauma centre experience
Aim This study reviews a single centre experience with penetrating femoral artery injuries. Patients and methods The records of all patients with femoral artery injuries admitted to the Trauma Centre at Groote Schuur Hospital from January 2002 to December 2012 were reviewed. These were analysed for...
Gespeichert in:
| Veröffentlicht in: | European journal of trauma and emergency surgery (Munich : 2007) 2019-10, Vol.45 (5), p.909-917 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 917 |
|---|---|
| container_issue | 5 |
| container_start_page | 909 |
| container_title | European journal of trauma and emergency surgery (Munich : 2007) |
| container_volume | 45 |
| creator | Rayamajhi, Shreya Murugan, Nivashini Nicol, Andrew Edu, Sorin Klopper, Juan Naidoo, Nadraj Navsaria, Pradeep |
| description | Aim
This study reviews a single centre experience with penetrating femoral artery injuries.
Patients and methods
The records of all patients with femoral artery injuries admitted to the Trauma Centre at Groote Schuur Hospital from January 2002 to December 2012 were reviewed. These were analysed for demographics, injury mechanism, perioperative, and surgical management. Outcome was categorised by limb salvage.
Results
One-hundred and fifty-eight (158) patients with femoral artery injuries were identified. There were 144 (91%) men and 14 women with a mean age of 28 years. Ninety-five percent (
N
= 150) sustained penetrating injuries. The superficial femoral artery (87%) was most commonly injured. The most common type of arterial injury was a laceration (39%) and transection (37%). Eighty-one (51%) patients had a primary repair, 53 (33%) patients had a vein interposition graft, and 16 patients (10%) had a prosthetic graft. There were 78 (51%) concomitant venous injuries, 11 were repaired, and 1 vein patch repair was performed (15.4%). There were 4 (2.5%) primary amputations and 10 (6.5%) secondary amputations. There were no deaths. Statistically significant risk factors for secondary amputation derived by univariate analysis were: ischaemia (
p
|
| doi_str_mv | 10.1007/s00068-018-0951-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2022129119</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2021755539</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-bc5a85e85011e04734d7f4e9ef9768be365f604471d4d8807160b1c9887b53c63</originalsourceid><addsrcrecordid>eNp1kM9LwzAUx4Mobk7_AC9S8OKlmtc0v7zJcCoM9KDnkHavo2NNZ9KC--9N2ZwgeMhLIJ_3fY8PIZdAb4FSeRcopUKlFOLRHFJxRMagBEu1zuH48GZsRM5CWEWYCp6dklGmBWjOxJjM3tBh521Xu2VSYdN6u06s79Bvk9qtel9juE-sS3pfxBrJvrFJia7zmODXBiPgSjwnJ5VdB7zY3xPyMXt8nz6n89enl-nDPC2ZzLq0KLlVHBWnAEhzyfKFrHLUWGkpVIFM8ErQPJewyBdKUQmCFlBqpWTBWSnYhNzscje-_ewxdKapQ4nrtXXY9sFkNMsg0wA6otd_0FXbexe3GyiQnHM2ULCjSt-G4LEyG1831m8NUDNINjvJJko2g2QzLHG1T-6LBheHjh-rEch2QIhfbon-d_T_qd88OoWK</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2021755539</pqid></control><display><type>article</type><title>Penetrating femoral artery injuries: an urban trauma centre experience</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Rayamajhi, Shreya ; Murugan, Nivashini ; Nicol, Andrew ; Edu, Sorin ; Klopper, Juan ; Naidoo, Nadraj ; Navsaria, Pradeep</creator><creatorcontrib>Rayamajhi, Shreya ; Murugan, Nivashini ; Nicol, Andrew ; Edu, Sorin ; Klopper, Juan ; Naidoo, Nadraj ; Navsaria, Pradeep</creatorcontrib><description>Aim
This study reviews a single centre experience with penetrating femoral artery injuries.
Patients and methods
The records of all patients with femoral artery injuries admitted to the Trauma Centre at Groote Schuur Hospital from January 2002 to December 2012 were reviewed. These were analysed for demographics, injury mechanism, perioperative, and surgical management. Outcome was categorised by limb salvage.
Results
One-hundred and fifty-eight (158) patients with femoral artery injuries were identified. There were 144 (91%) men and 14 women with a mean age of 28 years. Ninety-five percent (
N
= 150) sustained penetrating injuries. The superficial femoral artery (87%) was most commonly injured. The most common type of arterial injury was a laceration (39%) and transection (37%). Eighty-one (51%) patients had a primary repair, 53 (33%) patients had a vein interposition graft, and 16 patients (10%) had a prosthetic graft. There were 78 (51%) concomitant venous injuries, 11 were repaired, and 1 vein patch repair was performed (15.4%). There were 4 (2.5%) primary amputations and 10 (6.5%) secondary amputations. There were no deaths. Statistically significant risk factors for secondary amputation derived by univariate analysis were: ischaemia (
p
< 0.0001), neurological deficit due to ischemia (
p
< 0.001), temporary vascular shunting (
p
< 0.001), and the absence of a palpable pulse post-repair (
p
< 0.01).
Conclusion
This study has a primary and secondary amputation rate of 2.5 and 6.5%, respectively. There was greater than 90% limb salvage rate. The outcome of threatened limbs due to femoral artery injury is good, provided that there is no delay to surgery.</description><identifier>ISSN: 1863-9933</identifier><identifier>EISSN: 1863-9941</identifier><identifier>DOI: 10.1007/s00068-018-0951-6</identifier><identifier>PMID: 29619536</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Amputation ; Amputation - statistics & numerical data ; Critical Care Medicine ; Demographics ; Emergency Medicine ; Epidemiology ; Female ; Femoral Artery - injuries ; Femoral Artery - surgery ; Health risk assessment ; Humans ; Injuries ; Intensive ; Legs ; Limb Salvage - statistics & numerical data ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Practice Guidelines as Topic ; Sports Medicine ; Statistical analysis ; Surgery ; Surgical Orthopedics ; Surgical outcomes ; Surgical techniques ; Trauma ; Trauma Centers ; Traumatic Surgery ; Urban Population ; Vascular Surgical Procedures ; Vascular System Injuries - physiopathology ; Vascular System Injuries - surgery ; Veins & arteries ; Wounds, Penetrating - physiopathology ; Wounds, Penetrating - surgery ; Young Adult</subject><ispartof>European journal of trauma and emergency surgery (Munich : 2007), 2019-10, Vol.45 (5), p.909-917</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>European Journal of Trauma and Emergency Surgery is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-bc5a85e85011e04734d7f4e9ef9768be365f604471d4d8807160b1c9887b53c63</citedby><cites>FETCH-LOGICAL-c372t-bc5a85e85011e04734d7f4e9ef9768be365f604471d4d8807160b1c9887b53c63</cites><orcidid>0000-0002-5152-3317</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00068-018-0951-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00068-018-0951-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29619536$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rayamajhi, Shreya</creatorcontrib><creatorcontrib>Murugan, Nivashini</creatorcontrib><creatorcontrib>Nicol, Andrew</creatorcontrib><creatorcontrib>Edu, Sorin</creatorcontrib><creatorcontrib>Klopper, Juan</creatorcontrib><creatorcontrib>Naidoo, Nadraj</creatorcontrib><creatorcontrib>Navsaria, Pradeep</creatorcontrib><title>Penetrating femoral artery injuries: an urban trauma centre experience</title><title>European journal of trauma and emergency surgery (Munich : 2007)</title><addtitle>Eur J Trauma Emerg Surg</addtitle><addtitle>Eur J Trauma Emerg Surg</addtitle><description>Aim
This study reviews a single centre experience with penetrating femoral artery injuries.
Patients and methods
The records of all patients with femoral artery injuries admitted to the Trauma Centre at Groote Schuur Hospital from January 2002 to December 2012 were reviewed. These were analysed for demographics, injury mechanism, perioperative, and surgical management. Outcome was categorised by limb salvage.
Results
One-hundred and fifty-eight (158) patients with femoral artery injuries were identified. There were 144 (91%) men and 14 women with a mean age of 28 years. Ninety-five percent (
N
= 150) sustained penetrating injuries. The superficial femoral artery (87%) was most commonly injured. The most common type of arterial injury was a laceration (39%) and transection (37%). Eighty-one (51%) patients had a primary repair, 53 (33%) patients had a vein interposition graft, and 16 patients (10%) had a prosthetic graft. There were 78 (51%) concomitant venous injuries, 11 were repaired, and 1 vein patch repair was performed (15.4%). There were 4 (2.5%) primary amputations and 10 (6.5%) secondary amputations. There were no deaths. Statistically significant risk factors for secondary amputation derived by univariate analysis were: ischaemia (
p
< 0.0001), neurological deficit due to ischemia (
p
< 0.001), temporary vascular shunting (
p
< 0.001), and the absence of a palpable pulse post-repair (
p
< 0.01).
Conclusion
This study has a primary and secondary amputation rate of 2.5 and 6.5%, respectively. There was greater than 90% limb salvage rate. The outcome of threatened limbs due to femoral artery injury is good, provided that there is no delay to surgery.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Amputation</subject><subject>Amputation - statistics & numerical data</subject><subject>Critical Care Medicine</subject><subject>Demographics</subject><subject>Emergency Medicine</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Femoral Artery - injuries</subject><subject>Femoral Artery - surgery</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Injuries</subject><subject>Intensive</subject><subject>Legs</subject><subject>Limb Salvage - statistics & numerical data</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Practice Guidelines as Topic</subject><subject>Sports Medicine</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><subject>Trauma</subject><subject>Trauma Centers</subject><subject>Traumatic Surgery</subject><subject>Urban Population</subject><subject>Vascular Surgical Procedures</subject><subject>Vascular System Injuries - physiopathology</subject><subject>Vascular System Injuries - surgery</subject><subject>Veins & arteries</subject><subject>Wounds, Penetrating - physiopathology</subject><subject>Wounds, Penetrating - surgery</subject><subject>Young Adult</subject><issn>1863-9933</issn><issn>1863-9941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kM9LwzAUx4Mobk7_AC9S8OKlmtc0v7zJcCoM9KDnkHavo2NNZ9KC--9N2ZwgeMhLIJ_3fY8PIZdAb4FSeRcopUKlFOLRHFJxRMagBEu1zuH48GZsRM5CWEWYCp6dklGmBWjOxJjM3tBh521Xu2VSYdN6u06s79Bvk9qtel9juE-sS3pfxBrJvrFJia7zmODXBiPgSjwnJ5VdB7zY3xPyMXt8nz6n89enl-nDPC2ZzLq0KLlVHBWnAEhzyfKFrHLUWGkpVIFM8ErQPJewyBdKUQmCFlBqpWTBWSnYhNzscje-_ewxdKapQ4nrtXXY9sFkNMsg0wA6otd_0FXbexe3GyiQnHM2ULCjSt-G4LEyG1831m8NUDNINjvJJko2g2QzLHG1T-6LBheHjh-rEch2QIhfbon-d_T_qd88OoWK</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Rayamajhi, Shreya</creator><creator>Murugan, Nivashini</creator><creator>Nicol, Andrew</creator><creator>Edu, Sorin</creator><creator>Klopper, Juan</creator><creator>Naidoo, Nadraj</creator><creator>Navsaria, Pradeep</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5152-3317</orcidid></search><sort><creationdate>20191001</creationdate><title>Penetrating femoral artery injuries: an urban trauma centre experience</title><author>Rayamajhi, Shreya ; Murugan, Nivashini ; Nicol, Andrew ; Edu, Sorin ; Klopper, Juan ; Naidoo, Nadraj ; Navsaria, Pradeep</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-bc5a85e85011e04734d7f4e9ef9768be365f604471d4d8807160b1c9887b53c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Amputation</topic><topic>Amputation - statistics & numerical data</topic><topic>Critical Care Medicine</topic><topic>Demographics</topic><topic>Emergency Medicine</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Femoral Artery - injuries</topic><topic>Femoral Artery - surgery</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Injuries</topic><topic>Intensive</topic><topic>Legs</topic><topic>Limb Salvage - statistics & numerical data</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Practice Guidelines as Topic</topic><topic>Sports Medicine</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Surgical outcomes</topic><topic>Surgical techniques</topic><topic>Trauma</topic><topic>Trauma Centers</topic><topic>Traumatic Surgery</topic><topic>Urban Population</topic><topic>Vascular Surgical Procedures</topic><topic>Vascular System Injuries - physiopathology</topic><topic>Vascular System Injuries - surgery</topic><topic>Veins & arteries</topic><topic>Wounds, Penetrating - physiopathology</topic><topic>Wounds, Penetrating - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rayamajhi, Shreya</creatorcontrib><creatorcontrib>Murugan, Nivashini</creatorcontrib><creatorcontrib>Nicol, Andrew</creatorcontrib><creatorcontrib>Edu, Sorin</creatorcontrib><creatorcontrib>Klopper, Juan</creatorcontrib><creatorcontrib>Naidoo, Nadraj</creatorcontrib><creatorcontrib>Navsaria, Pradeep</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rayamajhi, Shreya</au><au>Murugan, Nivashini</au><au>Nicol, Andrew</au><au>Edu, Sorin</au><au>Klopper, Juan</au><au>Naidoo, Nadraj</au><au>Navsaria, Pradeep</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Penetrating femoral artery injuries: an urban trauma centre experience</atitle><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle><stitle>Eur J Trauma Emerg Surg</stitle><addtitle>Eur J Trauma Emerg Surg</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>45</volume><issue>5</issue><spage>909</spage><epage>917</epage><pages>909-917</pages><issn>1863-9933</issn><eissn>1863-9941</eissn><abstract>Aim
This study reviews a single centre experience with penetrating femoral artery injuries.
Patients and methods
The records of all patients with femoral artery injuries admitted to the Trauma Centre at Groote Schuur Hospital from January 2002 to December 2012 were reviewed. These were analysed for demographics, injury mechanism, perioperative, and surgical management. Outcome was categorised by limb salvage.
Results
One-hundred and fifty-eight (158) patients with femoral artery injuries were identified. There were 144 (91%) men and 14 women with a mean age of 28 years. Ninety-five percent (
N
= 150) sustained penetrating injuries. The superficial femoral artery (87%) was most commonly injured. The most common type of arterial injury was a laceration (39%) and transection (37%). Eighty-one (51%) patients had a primary repair, 53 (33%) patients had a vein interposition graft, and 16 patients (10%) had a prosthetic graft. There were 78 (51%) concomitant venous injuries, 11 were repaired, and 1 vein patch repair was performed (15.4%). There were 4 (2.5%) primary amputations and 10 (6.5%) secondary amputations. There were no deaths. Statistically significant risk factors for secondary amputation derived by univariate analysis were: ischaemia (
p
< 0.0001), neurological deficit due to ischemia (
p
< 0.001), temporary vascular shunting (
p
< 0.001), and the absence of a palpable pulse post-repair (
p
< 0.01).
Conclusion
This study has a primary and secondary amputation rate of 2.5 and 6.5%, respectively. There was greater than 90% limb salvage rate. The outcome of threatened limbs due to femoral artery injury is good, provided that there is no delay to surgery.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29619536</pmid><doi>10.1007/s00068-018-0951-6</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5152-3317</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1863-9933 |
| ispartof | European journal of trauma and emergency surgery (Munich : 2007), 2019-10, Vol.45 (5), p.909-917 |
| issn | 1863-9933 1863-9941 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2022129119 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Aged Amputation Amputation - statistics & numerical data Critical Care Medicine Demographics Emergency Medicine Epidemiology Female Femoral Artery - injuries Femoral Artery - surgery Health risk assessment Humans Injuries Intensive Legs Limb Salvage - statistics & numerical data Male Medicine Medicine & Public Health Middle Aged Original Article Practice Guidelines as Topic Sports Medicine Statistical analysis Surgery Surgical Orthopedics Surgical outcomes Surgical techniques Trauma Trauma Centers Traumatic Surgery Urban Population Vascular Surgical Procedures Vascular System Injuries - physiopathology Vascular System Injuries - surgery Veins & arteries Wounds, Penetrating - physiopathology Wounds, Penetrating - surgery Young Adult |
| title | Penetrating femoral artery injuries: an urban trauma centre experience |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T21%3A08%3A36IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Penetrating%20femoral%20artery%20injuries:%20an%20urban%20trauma%20centre%20experience&rft.jtitle=European%20journal%20of%20trauma%20and%20emergency%20surgery%20(Munich%20:%202007)&rft.au=Rayamajhi,%20Shreya&rft.date=2019-10-01&rft.volume=45&rft.issue=5&rft.spage=909&rft.epage=917&rft.pages=909-917&rft.issn=1863-9933&rft.eissn=1863-9941&rft_id=info:doi/10.1007/s00068-018-0951-6&rft_dat=%3Cproquest_cross%3E2021755539%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2021755539&rft_id=info:pmid/29619536&rfr_iscdi=true |