The journal of trauma and acute care surgery
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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
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
External validation of the revised Baux score for the prediction of mortality in patients with acute burn injury.
Since the original Baux score was outdated and inhalation injury was recognized as an important contributor to mortality, Osler et al. developed a revised Baux score for the prediction of mortality of burn patients in an American population.The aim of this study was to validate the revised Baux score with data of patients admitted to the Rotterdam Burn Center (RBC) in the Netherlands. ⋯ Prognostic study, level III.
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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.
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J Trauma Acute Care Surg · Mar 2014
Self-expanding foam for prehospital treatment of severe intra-abdominal hemorrhage: dose finding study.
Noncompressible abdominal bleeding is a significant cause of preventable death on the battlefield and in the civilian trauma environment, with no effective therapies available at point of injury. We previously described the development of a percutaneously administered, self-expanding, poly(urea)urethane foam that improved survival in a lethal Grade V hepatic and portal vein injury model in swine. In this study, we hypothesized that survival with foam treatment is dose dependent. ⋯ The self-expanding foam significantly improves survival in a dose-dependent fashion in an otherwise lethal injury. Higher doses are associated with better survival but resulted in the need for bowel resection.