Arie Van Vugt - Academia.edu (original) (raw)

Papers by Arie Van Vugt

$Research paper thumbnail of Biomechanical analysis of the percutaneous compression plate and sliding hip screw in intracapsular hip fractures: Experimental assessment using synthetic and cadaver bones$

Injury-international Journal of The Care of The Injured, Oct 1, 2006

Journal of Orthopaedic Trauma, Jun 1, 2016

Bohn Stafleu van Loghum eBooks, 2017

North American Spine Society Journal (nassj), Dec 1, 2021

BackgroundSacroiliac joint dysfunction (SJD) is a known cause of lower back pain. SJD might be du... more BackgroundSacroiliac joint dysfunction (SJD) is a known cause of lower back pain. SJD might be due to hypermobility in the Sacroiliac joint (SIJ) in patients with Ehlers Danlos Syndrome (EDS). Stabilization of the SIJ can be a highly successful treatment for lower back pain. No previous literature about EDS and SIJ fusion is available. The purpose of this study was to assess our mid-term results of SIJ fusion surgery in EDS patients suffering from SIJ dysfunction.MethodsA case series of patients who underwent SIJ fusion for SIJ dysfunction due to EDS between January 2012 and December 2018 were analyzed in retrospect. Patients underwent surgery and the SIJ was stabilized with triangular implants bridging the joint. Pain and functional outcomes were assessed in nine agree/disagree questions and a satisfaction performance scale. Clinical data has been extracted from the patient files and in addition, we reassessed the position of the implants on the CT scans.ResultsA total of 16 patients with EDS completed the questionnaire and were available for analysis. The mean satisfaction score is 78.1 out of 100 and seven patients reported a 100% satisfaction score.ConclusionSIJ fusion is a safe and useful procedure to reduce pain and function levels in EDS patients with lower back pain due to SIJ dysfunction.

European Journal of Emergency Medicine, Feb 1, 2006

The Journal of emergency medicine, Feb 1, 2006

European Journal of Emergency Medicine, Oct 1, 2004

The aim of this study was to assess the quality of care provided at emergency departments (ED) in... more The aim of this study was to assess the quality of care provided at emergency departments (ED) in the Netherlands by analysing medical liability insurance claims. A retrospective study performed by reviewing records at MediRisk, presently the largest insurer for medical liability in the Netherlands. The following data were abstracted from the files available for analysis: medical discipline involved, physician involved (resident or consultant), nature and gravity of the complaint, and final claim disposition. Between 1993 and 2001 a total of 326 claims involving the ED were filed at MediRisk. Of these, 256 claims (79%) were closed and were available for analysis. Medical liability claims were filed primarily for alleged errors in diagnosis and treatment. The majority of claims involved minor surgical conditions: fractures, luxations (joint dislocations), wounds and tendon injuries (210/256, 82%). Residents were involved in 76% of the claims; resident supervision by a consultant was documented in only 15% of the medical records. Permanent patient disability resulting from improper ED treatment was alleged in 22% of the claims. Four per cent of the claims involved the death of a patient. Physicians accepted liability in 16% of the claims filed. Indemnity payments during the 8-year study period totalled Euros 504,000. The number of medical liability claims is low compared with the number of patients treated in ED in the Netherlands. Claims primarily concerned alleged mistakes in diagnosis and the treatment of minor trauma. Residents were involved in the majority of the claims. More resident supervision is needed, as are specific training programmes for emergency physicians.

Annals of Emergency Medicine, 2005

posterpresentaties poster carrousel Trends Acute Zorg 7 juni 2012 Trauma, affective and pain char... more posterpresentaties poster carrousel Trends Acute Zorg 7 juni 2012 Trauma, affective and pain characteristics of patients with acute musculoskeletal trauma Towards intervening the transition to chronic pain Pierik JGJ, Gaakeer MI, IJzerman MJ ,Van Vugt AB, Vollenbroek-Hutten MMR, Doggen CJM 1 University Twente, Health Technology & Services Research, School of Management and Governance, Enschede, The Netherlands 2 University Medical Center Utrecht, Emergency Department, Utrecht, The Netherlands 3 Medisch Spectrum Twente, Emergency Department and Department of Surgery, Enschede, The Netherlands 4 University Twente, Biomedical Signals and Systems, Faculty of Electrical Engineering, Mathematics and Computer Science, Enschede, The Netherlands BACKGROUND: Acute pain following traumatic injury is one of the most frequent reasons why patients are seeking medical care. This pain is complex and multifactorial. A combination of cognitive, affective, and trauma factors may be involved in pain perception and the transition from acute to chronic pain. Only a few studies assessed these characteristics of patients with musculoskeletal trauma in the Emergency Department (ED) in the Netherlands. OBJECTIVE: The aim of our study is to describe characteristics of patients with acute musculoskeletal trauma to the extremities. METHODS: This study is part of an one year prospective follow-up study in about 2000 adult patients with injury (fracture, soft tissue) due to blunt trauma to the extremities of the musculoskeletal system who attend the ED of Medisch Spectrum Twente, the Netherlands. Characteristics of the patient, including psychosocial-, trauma and health related factors, perception of pain before and during ED visit, and pain management are collected from questionnaires and hospital registration. RESULTS: From September 19, 2011 till January 31, 2012, 214 patients (49% women; mean age=37.6; SD =14.7) filled out a questionnaire. Pain was in 77% of the patients the main reason to attend the ED after musculoskeletal trauma. The major causes were sport injuries (38%), domestic and workrelated accidents (34%) and traffic accidents (14%). Almost half of the patients attended the ED within 2 hours after onset of pain. Patients reported a high frequency of pain, both on admission (99%) and discharge (98%). Their mean pain score changed from 6.3 (SD =2.3) on admission to 5.6 (SD=2.4) at discharge. Moreover, 68% of the patients had moderate to severe pain at discharge. Of the patients, 62% used pain management before attending the ED; 44% cooled their injury, 29% used self-medication and 14% received medication. Several patients used a combination. Symptoms of anxiety (13%) and depression (7%) were present in patients before injury. The vital status and health perceptions of the patients before trauma were comparable with the general Dutch population. DISCUSSION: The present study provides insight in characteristics, pain and pain management of patients with acute musculoskeletal trauma. Multiple factors within this acute pain phase may be responsible for transition from acute to chronic pain after trauma. Those prognostic factors will give us the ability to target high-risk patients already in the acute care setting and provide them with appropriate treatment to avoid the development and subsequently the consequences of chronic musculoskeletal pain. Contact Jorien Pierik MSc E: j.g.j.pierik@utwente.nl T:053-4894389

European Journal of Trauma and Emergency Surgery, 2009

Introduction: Trauma team activation is a kind of triage the staff of an Emergency Department (ED... more Introduction: Trauma team activation is a kind of triage the staff of an Emergency Department (ED) exerts to determine whether a trauma team needs to be activated for severely injured patients and in what composition the team needs to be deployed. It is a difficult decision-making process which is often performed by ED nurses and influenced by several factors. Objective: Understand the trauma team activation decision-making process at a Dutch ED and obtain insight in the importance of several factors of influence according to ED nurses. Methods: Cross-sectional fractional factorial design. Patient factors (attributes) were identified by literature review and discussed with trauma experts. SPSS® Orthoplan was used to generate a fraction (n=25) of all possible alternative scenarios (n=2304), that consisted of combinations of the attribute levels. Scenarios were presented to 44 ED nurses at a level I trauma centre using a questionnaire with a total of 26 clinical vignettes. ED nurses were asked to rank the attributes according to their perceived importance. Results: 27 ED nurses (61%) completed the questionnaire. The number of team activations per respondent varied for the possible teams. After normalizing the level mean rank scores, the level Airway-Breathing unstable was the most important level for trauma team activation based on the relative rank sum weight (0.115), followed by Mechanism of injury Fall of height >5m (0.171) and Airway-Breathing Intubation (0.172). There was no difference in attribute mean rank scores between two groups of ED nurses, stratified for years of work experience. The ICC for the different levels occurring in the three duplicate vignettes varied. Discussion: We observed variation in decisions for trauma team activation and in consistency of the rank scores among the ED nurses under study. This implies that a decision support system could improve uniformity in the trauma team activation decision-making process.