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
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
Multicenter Study Comparative StudyAngioembolization for pelvic hemorrhage control: results from the German pelvic injury register.
Hemorrhage from pelvic vessels is a potentially lethal complication of pelvic fractures. There is ongoing controversy on the ideal treatment strategy for patients with pelvic hemorrhage. The aim of the study was to analyze the role of angiography and subsequent embolization in patients with pelvic fractures and computed tomography scan-proven vascular injuries. ⋯ Therapeutic study, level IV.
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J Trauma Acute Care Surg · Sep 2012
Multicenter Study Comparative StudyIs low-molecular-weight heparin safe for venous thromboembolism prophylaxis in patients with traumatic brain injury? A Western Trauma Association multicenter study.
Venous thromboembolism (VTE) is a significant risk in trauma patients. Although low-molecular weight heparin (LMWH) is effective in VTE prophylaxis, its use for patients with traumatic intracranial hemorrhage remains controversial. The purpose of this study was to evaluate the safety of LMWH for VTE prophylaxis in blunt intracranial injury. ⋯ Therapeutic study, level IV.
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J Trauma Acute Care Surg · Sep 2012
Multicenter StudyImpact of hand burns on health-related quality of life in children younger than 5 years.
The purpose of this multicenter study was to evaluate the impact of hand burn injury in preschool children younger than 5 years on health-related quality of life, including both physical and psychosocial function, in the 5 years after burn injury. ⋯ Children with hand burns have significantly worse outcomes than do children with burns in other areas.