The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Oct 2012
Comparative StudyAcute kidney injury is associated with increased in-hospital mortality in mechanically ventilated children with trauma.
Acute kidney injury (AKI) is associated with significant morbidity and mortality in patients with critical illness; however, its impact on children with trauma is not fully unexplored. We hypothesized that AKI is associated with increased in-hospital mortality. ⋯ Prognostic and epidemiological study, level II.
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J Trauma Acute Care Surg · Oct 2012
Comparative StudySafety factors related to all-terrain vehicle injuries in children.
All-terrain vehicle (ATV)-related injuries are a significant source of pediatric trauma. We hypothesized that these injuries are caused by poor safety behavior. To test this hypothesis, we surveyed both injured and uninjured ATV riders. ⋯ Prognostic/epidemiologic study, level III.
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J Trauma Acute Care Surg · Oct 2012
Comparative StudyAnalysis of pediatric all-terrain vehicle trauma data in Middle Tennessee: implications for injury prevention.
Trauma registries capture data about injuries that can be used to objectively guide injury prevention initiatives. This article analyzes trauma registry data to describe the nature and distribution of all-terrain vehicle (ATV) injuries in Middle Tennessee. A community injury prevention effort, based on this analysis, is also presented. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Oct 2012
Comparative StudyPredicting the need for tracheostomy in patients with cervical spinal cord injury.
Approximately 75% of hospitalized patients with a cervical spinal cord injury (CSCI) will require intubation and mechanical ventilation (MV) because of compromised respiratory function. It is difficult to predict those CSCI patients who will require prolonged ventilation and therefore will most benefit from early tracheostomy. This study intended to show the benefits of tracheostomy, particularly early, and to identify predictors of prolonged MV after CSCI. ⋯ Prognostic study, level III.
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J Trauma Acute Care Surg · Oct 2012
Multicenter Study Comparative StudyPediatric obesity and traumatic lower-extremity long-bone fracture outcomes.
Pediatric obesity is associated with lower-extremity injuries and poor outcomes after blunt trauma. Our aim was to determine if obese pediatric patients with femur and tibia fractures have more severe injury patterns and worse outcomes compared with those of nonobese patients. ⋯ Epidemiologic study, level III.