Journal of Acute Care Surgery

"Kyu Hyouck Kyoung"

Case Report

Trauma

Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury: Eun Ji Lee, Hojong Park, Kyu Hyouck Kyoung, Sang Jun Park; J Acute Care Surg 2021;11(3):141-144. Published online November 23, 2021; DOI: https://doi.org/10.17479/jacs.2021.11.3.141

Abstract
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A case of a 30-year-old man who was admitted following a penetrating neck injury is presented. A clinical examination and operative findings identified semi-comatose mentality, neck muscle laceration, and transection of the left common carotid and vertebral arteries and the internal jugular vein. During the operation, the carotid arteries were repaired by interposition grafting, and the internal jugular vein was ligated. The vertebral artery was managed by interventional embolization. Although the patient had some neurological deficit, he was discharged on postoperative Day 52. This surgical case prompted a discussion regarding neurological outcomes, and surgical and endovascular treatment following vascular neck injury.

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Original Article

Critical care, Trauma

Risk Factors for Pressure Ulcer in Severe Trauma Patients: Yooun Joong Jung, Yeon Hwa Chung, Su Jin Oh, Soon Haeng Lee, Young Hwan Kim, Tae Hyun Kim, Min Ae Keum, Kyu Hyouck Kyoung, Jung Jae Kim, Suk-Kyung Hong; J Acute Care Surg 2015;5(1):19-27. Published online April 30, 2015; DOI: https://doi.org/10.17479/jacs.2015.5.1.19

Abstract
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Purpose:

This study identifies risks for pressure ulcer in patients admitted to surgical intensive care units because of severe traumatic injuries with injury severity scores of 15 or higher.

Methods:

Data was collected from records of patients admitted from January 1, 2011, to December 31, 2013. The analysis addressed general characteristics, trauma-related characteristics, and treatment-related characteristics of pressure ulcers. Descriptive statistics include the raw numbers, percentages, and the standard deviations. Hypothesis tests including t-tests, chi-square tests, and multi-regression analyses were performed using SPSS ver.dow 12.0.

Results:

Two hundred and fifty-nine patients were admitted to surgical intensive care units with severe trauma injuries. Of those, 44 patients (17.0%) had a pressure ulcer. The mean pressure ulcer duration was 8.4 days. The most common pressure ulcer was the second phase ulcer at 51.9%. Risk factors were found to be age (p<0.001), shock (p<0.021), and the fixture device (p<0.020).

Conclusion:

Early nursing interventions are necessary to prevent a pressure ulcer in patients with severe trauma injuries admitted to surgical intensive care units.

Citations

Citations to this article as recorded by

Characteristics and Risk Factors for Pressure Ulcers in Severe Trauma Patients Admitted to the Trauma Intensive Care Unit
Seung-yeon Lim, Young-min Jeong, So-young Jeong
Journal of Acute Care Surgery.2023; 13(2): 47. CrossRef
Risk Factors Associated With Pressure Ulcers in Patients With Traumatic Brain Injury Admitted to the Intensive Care Unit
Jeong Eun Yoon, Ok-Hee Cho
Clinical Nursing Research.2022; 31(4): 648. CrossRef
Predictive Validity of Pressure Ulcer Risk Assessment Scales among Patients in a Trauma Intensive Care Unit
Ja Eun Choi, Sun-Kyung Hwang
Journal of Korean Critical Care Nursing.2019; 12(2): 26. CrossRef