The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Nov 2015
Comparative StudyEmergent operation for isolated severe traumatic brain injury: Does time matter?
It remains unclear whether the timing of neurosurgical intervention impacts the outcome of patients with isolated severe traumatic brain injury (TBI). We hypothesized that a shorter time between emergency department (ED) admission to neurosurgical intervention would be associated with a significantly higher rate of patient survival. ⋯ Prognostic study, level IV.
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J Trauma Acute Care Surg · Nov 2015
Access to specialist care: Optimizing the geographic configuration of trauma systems.
The optimal geographic configuration of health care systems is key to maximizing accessibility while promoting the efficient use of resources. This article reports the use of a novel approach to inform the optimal configuration of a national trauma system. ⋯ Care management study, level IV.
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J Trauma Acute Care Surg · Nov 2015
Outcomes of pediatric patients with persistent midline cervical spine tenderness and negative imaging result after trauma.
There is little evidence to guide management of pediatric patients with persistent cervical spine tenderness after trauma but with negative initial imaging study findings. Our objective was to determine the prevalence of clinically significant cervical spine injury among pediatric blunt trauma patients discharged from the emergency department with negative imaging study findings but persistent midline cervical spine tenderness. ⋯ Therapeutic study, level IV.
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J Trauma Acute Care Surg · Nov 2015
Risks go beyond the violence: Association between intimate partner violence, mental illness, and substance abuse among females admitted to a rural Level I trauma center.
Intimate partner violence (IPV) is a significant cause of intentional injury among women but remains underrecognized, and its relationship to other risk factors for all-cause injury remains poorly defined. This study aimed to assess IPV and its association with alcohol abuse, illicit substance use, selected mental illnesses, and other risk factors for injury. ⋯ Prognostic study, level II; therapeutic study, level III.