The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Sep 2013
Multicenter StudyDelayed formation of splenic pseudoaneurysm following nonoperative management in blunt splenic injury: multi-institutional study in Osaka, Japan.
Delayed rupture is well-known as a severe complication after splenic injury treated with nonoperative management (NOM). The incidence and timing of splenic pseudoaneurysm (SPA) formation, which is a cause of delayed rupture following splenic injury, have not been thoroughly investigated, and the timing of follow-up computed tomography (CT) is controversial. The objective of this study was to clarify the incidence and timing of both the delayed formation and spontaneous resolution of SPA following splenic injuries treated with NOM in several trauma centers in Japan. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Sep 2013
Acute kidney injury is surprisingly common and a powerful predictor of mortality in surgical sepsis.
Acute kidney injury (AKI) is a common and often catastrophic complication in hospitalized patients; however, the impact of AKI in surgical sepsis remains unknown. We used Risk, Injury, Failure, Loss, End stage (RIFLE) consensus criteria to define the incidence of AKI in surgical sepsis and characterize the impact of AKI on patient morbidity and mortality. ⋯ Prognostic and epidemiologic study, level III.
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J Trauma Acute Care Surg · Sep 2013
The role of trauma team leaders in missed injuries: does specialty matter?
Previous studies have identified missed injuries as a common and potentially preventable occurrence in trauma care. Several patient- and injury-related variables have been identified, which predict for missed injuries; however, differences in rate and severity of missed injuries between surgeon and nonsurgeon trauma team leaders (TTLs) have not previously been reported. ⋯ Therapeutic study, level IV. Prognostic and epidemiologic study, level III.
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J Trauma Acute Care Surg · Sep 2013
Case ReportsA clinical series of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control and resuscitation.
A requirement for improved methods of hemorrhage control and resuscitation along with the translation of endovascular specialty skills has resulted in reappraisal of resuscitative endovascular balloon occlusion of the aorta (REBOA) for end-stage shock. The objective of this report was to describe implementation of REBOA in civilian trauma centers. ⋯ Therapeutic study, level V.