The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Mar 2013
Comparative StudyChanges in the epidemiology and prediction of multiple-organ failure after injury.
The epidemiology of multiple-organ failure (MOF) after injury has been changing, questioning the validity of previously described prediction models. This study aimed to describe the current epidemiology of MOF. The secondary aim was development of a prediction model that could be used for early identification of patients at risk of MOF. ⋯ Epidemiologic/prognostic study, level III.
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J Trauma Acute Care Surg · Mar 2013
Comparative StudyContemporary management of combat-related vertebral artery injuries.
Vertebral artery injuries (VAIs) following cervical trauma are uncommon. Advances in imaging technology and emerging endovascular therapies have allowed for the improved diagnosis and treatment of VAIs. We aimed to examine the contemporary management of combat-related penetrating VAIs during current US military operations. ⋯ Therapeutic study, level V.
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J Trauma Acute Care Surg · Mar 2013
Comparative StudyRelationship of creatine kinase elevation and acute kidney injury in pediatric trauma patients.
Rhabdomyolysis following trauma has been associated with renal impairment. Nevertheless, the literature is scant in risk assessment of acute kidney injury (AKI) and survival in children experiencing posttraumatic rhabdomyolysis. ⋯ Prognostic study, level III.
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J Trauma Acute Care Surg · Mar 2013
Comparative StudyResuscitative thoracotomy following wartime injury.
The evidence for resuscitative thoracotomy (RT) in trauma patients following wartime injury is limited; its indications and timings are less defined in battle injury. The aim of this study was to analyze survival as well as the causes and times of death in patients undergoing RT within the context of modern battlefield resuscitation. ⋯ Epidemiologic/prognostic study, level III.
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J Trauma Acute Care Surg · Mar 2013
Comparative StudyThe epidemiology of noncompressible torso hemorrhage in the wars in Iraq and Afghanistan.
Noncompressible torso hemorrhage (NCTH) is the leading cause of potentially survivable trauma in the battlefield and has recently been defined using anatomic and physiologic criteria. The objective of this study was to characterize the frequency and mortality in combat of NCTH using a contemporary definition. ⋯ Epidemiologic/prognostic study, level III.