The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Aug 2014
Complications to evaluate adult trauma care: An expert consensus study.
Complications affect up to 37% of patients hospitalized for injury and increase mortality, morbidity, and costs. One of the keys to controlling complications for injury admissions is to monitor in-hospital complication rates. However, there is no consensus on which complications should be used to evaluate the quality of trauma care. The objective of this study was to develop a consensus-based list of complications that can be used to assess the acute phase of adult trauma care. ⋯ This study proposes a consensus-based list of 25 complications that can be used to evaluate the quality of acute adult trauma care. These complications can be used to develop an informative and actionable quality indicator to evaluate trauma care with the goal of decreasing rates of hospital complications and thus improving patient outcomes and resource use. DRG International Classification of Diseases codes are provided.
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J Trauma Acute Care Surg · Aug 2014
The public health burden of emergency general surgery in the United States: A 10-year analysis of the Nationwide Inpatient Sample--2001 to 2010.
Emergency general surgery (EGS) represents illnesses of very diverse pathology related only by their urgent nature. The growth of acute care surgery has emphasized this public health problem, yet the true "burden of disease" remains unknown. Building on efforts by the American Association for the Surgery of Trauma to standardize an EGS definition, we sought to describe the burden of disease for EGS in the United States. We hypothesize that EGS patients represent a large, diverse, and challenging cohort and that the burden is increasing. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Aug 2014
Randomized Controlled TrialNegative pleural suction in thoracic trauma patients: A randomized controlled trial.
The study aimed to establish the benefits of using chest tubes with negative pleural suction against trapped water in patients with penetrating or blunt chest trauma who underwent tube thoracostomy, in terms of the incidence of complications, such as persistent air leak, clotted hemothorax, empyema, and duration of stay. ⋯ Therapeutic study, level II.
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J Trauma Acute Care Surg · Aug 2014
Clinical Trial Observational StudyPeritoneal lactate as a potential biomarker for predicting the need for reintervention after abdominal surgery.
Early diagnosis of complications after abdominal surgery is crucial to improve outcomes. This study aimed to evaluate the use of the peritoneal-serum lactate ratio and of peritoneal lactate levels applied alone for predicting the need for reintervention after abdominal surgery. ⋯ Diagnostic study, level III. Prognostic study, level III.