The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Sep 2012
Multicenter Study Comparative Study Clinical TrialDevelopment of posttraumatic empyema in patients with retained hemothorax: results of a prospective, observational AAST study.
The natural history of retained hemothorax (RH), in particular factors contributing to the subsequent development of empyema, is not well known. The intent of our study was to establish the modern incidence of empyema among patients with trauma and RH and identify the independent predictors for development of this complication. ⋯ Prognostic study, level III.
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J Trauma Acute Care Surg · Sep 2012
The effects of facial burns on health outcomes in children aged 5 to 18 years.
There are many potential long-term effects of facial burns in children and young adults. We evaluated the outcomes of children and young adults with and without facial burns with respect to physical, psychological, and social domains of health-related quality of life (HRQoL). In addition, we examined the role of sex and socioeconomic status on HRQoL in these patients. ⋯ Psychosocial concerns predominate in the recovery of children who sustain facial burns and are significantly greater than those observed in children in whom the face is not involved by burn injury.
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J Trauma Acute Care Surg · Sep 2012
Comparative StudyA prospective evaluation of the use of routine repeat cranial CT scans in patients with intracranial hemorrhage and GCS score of 13 to 15.
Scheduled repeat head computed tomography after mild traumatic brain injury has been shown to have limited use for predicting the need for an intervention. We hypothesized that repeat computed tomography in persons with intracranial hemorrhage and a Glasgow Coma Scale (GCS) score of 13 to 15, without clinical progression of neurologic symptoms, does not impact the need for neurosurgical intervention or discharge GCS scores. ⋯ Diagnostic study, level II.
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J Trauma Acute Care Surg · Sep 2012
Multicenter Study Comparative StudyPediatric penetrating trauma: the epidemic continues.
Pediatric penetrating injuries plague inner cities. Based on our clinical observations, we hypothesized that pediatric penetrating trauma (PPT) is increasing with the major increase occurring in communities with lower socioeconomic status. ⋯ Prognostic study, level II.
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J Trauma Acute Care Surg · Sep 2012
Comparative StudyDifferent recovery profiles of coagulation factors, thrombin generation, and coagulation function after hemorrhagic shock in pigs.
Hemorrhagic shock contributes to coagulopathy after trauma. We investigated daily changes of coagulation components and coagulation function for 5 days in hemorrhaged and resuscitated pigs. ⋯ Hemorrhage and resuscitation reduced coagulation components and compromised coagulation function, which showed different recovery profiles over the 5-day study period.