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
Multicenter StudyPersistent inflammation, immunosuppression, and catabolism syndrome after severe blunt trauma.
We recently proffered that a new syndrome persistent inflammation, immunosuppression, and catabolism syndrome (PICS) has replaced late multiple-organ failure as a predominant phenotype of chronic critical illness. Our goal was to validate this by determining whether severely injured trauma patients with complicated outcomes have evidence of PICS at the genomic level. ⋯ Epidemiologic study, level III.
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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.