The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Nov 2015
Multicenter Study Comparative StudyRisk factors for the development of heterotopic ossification in seriously burned adults: A National Institute on Disability, Independent Living and Rehabilitation Research burn model system database analysis.
Heterotopic ossification (HO) is a debilitating complication of burn injury; however, incidence and risk factors are poorly understood. In this study, we use a multicenter database of adults with burn injuries to identify and analyze clinical factors that predict HO formation. ⋯ Prognostic study, level III.
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J Trauma Acute Care Surg · Nov 2015
Randomized Controlled Trial Comparative StudyAssociation of transfusion red blood cell storage age and blood oxygenation, long-term neurologic outcome, and mortality in traumatic brain injury.
The effect of red blood cell (RBC) storage on oxygenation in critically ill patients is still unknown. The objective of this study was to determine the association of RBC storage with oxygenation, long-term neurologic recovery, and death after traumatic brain injury. ⋯ Prognostic study, level III.
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J Trauma Acute Care Surg · Nov 2015
Comparative StudyThrombin generation and procoagulant microparticle profiles after acute trauma: A prospective cohort study.
The two sides of trauma-induced coagulopathy, the hypocoagulable and the hypercoagulable states, are poorly understood. To identify potential mechanisms for venous thromboembolism and bleeding after acute trauma, we estimated changes in circulating procoagulant microparticles (MPs) and thrombin activity during hospitalization for trauma. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Nov 2015
Which pediatric blunt trauma patients do not require pelvic imaging?
This study aimed to develop a tool in identifying traumatized children at low risk of pelvic fracture and to determine the sensitivity of this low-risk model for pelvic fractures. We hypothesized that the proportion of children without predictors with pelvic fracture is less than 1%. ⋯ Therapeutic study, level IV.
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J Trauma Acute Care Surg · Nov 2015
Comparative StudyInadequately marketing our brand: Medical student awareness of acute care surgery.
Despite focused national efforts to promote acute care surgery (ACS), little is known about medical student awareness of ACS as a career choice. The impending shortage of general surgeons emphasizes the need to increase interest in this comprehensive surgical specialty. The goal of this study was to determine whether students would be more likely to consider choosing ACS if they were aware of the specialty and its benefits. ⋯ This study highlights that awareness of ACS as a specialty is lacking. This may reflect inadequate marketing of our "brand" both locally and nationally. Focused efforts at familiarizing students with ACS and increased role modeling may increase interest in ACS.