The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Mar 2015
Multicenter StudyIntracranial pressure monitoring and inpatient mortality in severe traumatic brain injury: A propensity score-matched analysis.
Although intracranial pressure (ICP) monitoring in severe traumatic brain injury (TBI) is recommended by the Brain Trauma Foundation, the benefits remain controversial. We sought to determine the impact of ICP monitor placement on inpatient mortality within a regional trauma system after correcting for selection bias through propensity score matching. ⋯ Therapeutic/care management study, level III.
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J Trauma Acute Care Surg · Mar 2015
Risk of pulmonary embolism with repair or ligation of major venous injury following penetrating trauma.
There are many benefits of repair over ligation of major venous injuries (MVIs) following penetrating trauma, but the risk of pulmonary embolism (PE) is not well defined. We hypothesized that rates of PE are comparable between repair and ligation of MVI. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Mar 2015
Changes in gene expression following trauma are related to the age of transfused packed red blood cells.
Transfusion of packed red blood cells (PRBCs) is associated with an increased incidence of nosocomial infections and an increased risk of death. The duration of storage before transfusion may influence these outcomes. Here, we explore the association between the age of transfused PRBCs and specific patterns of inflammatory gene expression in severely injured trauma patients. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Mar 2015
Can we ever stop worrying about venous thromboembolism after trauma?
Trauma patients are known to be at increased risk for venous thromboembolism (VTE); this risk may change over time following injury. Determining the period in which patients are at increased risk of developing VTE may have an impact on prophylaxis, cost, and quality of care. ⋯ Epidemiologic study, level IV.
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J Trauma Acute Care Surg · Mar 2015
Multicenter Study Observational StudyProspective derivation of a clinical decision rule for thoracolumbar spine evaluation after blunt trauma: An American Association for the Surgery of Trauma Multi-Institutional Trials Group Study.
Unlike the cervical spine (C-spine), where National Emergency X-Radiography Utilization Study (NEXUS) and the Canadian C-spine Rules can be used, evidence-based thoracolumbar spine (TL-spine) clearance guidelines do not exist. The aim of this study was to develop a clinical decision rule for evaluating the TL-spine after injury. ⋯ Diagnostic test, level III.