The journal of trauma and acute care surgery
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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
Multicenter StudyThe effect of epidural placement in patients after blunt thoracic trauma.
In studies of trauma patients with rib fractures, conclusions on the benefits derived from epidural analgesia are inconsistent. The purpose of this study was to further evaluate placement and efficacy of epidural analgesia nationwide. ⋯ Therapeutic study, level II.