The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Jan 2014
Morbid obesity predisposes trauma patients to worse outcomes: a National Trauma Data Bank analysis.
One third of US adults are obese. The impact of obesity on outcomes after blunt traumatic injury has been studied with discrepant results. The aim of our study was to evaluate outcomes in morbidly obese patients after blunt trauma. We hypothesized that morbidly obese patients have adverse outcomes as compared with nonobese patients after blunt traumatic injury. ⋯ Prognostic study, level III.
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J Trauma Acute Care Surg · Jan 2014
The epidemiology of horse-related injuries for different horse exposures, activities, and age groups in Queensland, Australia.
The dangers associated with horse riding, a popular activity throughout Australia, are well documented; yet, few studies have comprehensively described injuries caused by horses to nonriders. This study aimed to facilitate targeted injury prevention strategies and appropriate trauma management by describing all horse-related injuries, for both riders and nonriders, in Queensland, and identifying those at greatest risk. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Jan 2014
Multicenter StudyDetermining optimal threshold for glucose control in organ donors after neurologic determination of death: a United Network for Organ Sharing Region 5 Donor Management Goals Workgroup prospective analysis.
The appropriate level of glucose control in organ donors after neurologic determination of death (DNDD) remains uncertain. We hypothesized that a glucose target of 180 mg/dL would be appropriate for optimizing organ transplantation rates and outcomes. ⋯ Therapeutic study, level II.
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J Trauma Acute Care Surg · Jan 2014
Comparative StudyA comparison of the Injury Severity Score and the Trauma Mortality Prediction Model.
Performance benchmarking requires accurate measurement of injury severity. Despite its shortcomings, the Injury Severity Score (ISS) remains the industry standard 40 years after its creation. A new severity measure, the Trauma Mortality Prediction Model (TMPM), uses either the Abbreviated Injury Scale (AIS) or DRG International Classification of Diseases-9th Rev. (ICD-9) lexicons and may better quantify injury severity compared with ISS. We compared the performance of TMPM with ISS and other measures of injury severity in a single cohort of patients. ⋯ Disagnostic study, level I; prognostic study, level II.
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J Trauma Acute Care Surg · Jan 2014
Review Meta AnalysisAssociation between static and dynamic thenar near-infrared spectroscopy and mortality in patients with sepsis: a systematic review and meta-analysis.
Oxygen delivery and consumption disturbances are frequently seen with critically illness, potentially leading to pathologic changes in tissue oxygenation (StO2). Near-infrared spectroscopy (NIRS) is a potentially useful method to monitor StO2, but the role of NIRS in prognostication of septic patients is uncertain. The aim of this study was to systematically review the literature and evaluate static and dynamic NIRS in patients with sepsis. ⋯ Systematic review/meta-analysis, level III.