The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Mar 2014
Thrombelastography and rotational thromboelastometry early amplitudes in 182 trauma patients with clinical suspicion of severe injury.
Viscoelastic hemostatic assays may provide means for earlier detection of trauma-induced coagulopathy (TIC). ⋯ Prognostic and diagnostic study, level III.
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J Trauma Acute Care Surg · Mar 2014
Low StO2 measurements in surgical intensive care unit patients is associated with poor outcomes.
Near-infrared spectroscopy-derived tissue hemoglobin saturation (StO2) is a noninvasive measurement that reflects changes in microcirculatory tissue perfusion. Previous studies in trauma patients have shown a correlation between low StO2 levels and mortality, organ failure, and severity of injury. The goals of this study were to identify the incidence of low StO2 in the critically ill patient population of a surgical intensive care unit (SICU) and evaluate the relationship of low StO2 and clinical outcomes. ⋯ Prognostic study, level II.
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J Trauma Acute Care Surg · Mar 2014
Acute respiratory distress syndrome in wartime military burns: application of the Berlin criteria.
Acute respiratory distress syndrome (ARDS) prevalence and related outcomes in burned military casualties from Iraq and Afghanistan have not been described previously. The objective of this article was to report ARDS prevalence and its associated in-hospital mortality in military burn patients. ⋯ Epidemiologic/prognostic study, level III.
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J Trauma Acute Care Surg · Mar 2014
How are you really feeling? A prospective evaluation of cognitive function following trauma.
Mild traumatic brain injury is associated with persistent cognitive difficulties. However, these symptoms may not be specific to the head injury itself. We sought to evaluate the prevalence of these symptoms in patients following trauma. ⋯ Prognostic/epidemiologic study, level II.
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J Trauma Acute Care Surg · Mar 2014
The burden of infection in severely injured trauma patients and the relationship with admission shock severity.
Infection following severe injury is common and has a major impact on patient outcomes. The relationship between patient, injury, and physiologic characteristics with subsequent infections is not clearly defined. The objective of this study was to characterize the drivers and burden of all-cause infection in critical care trauma patients. ⋯ Prognostic/epidemiologic study, level II.