The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Mar 2016
Rhabdomyolysis among critically ill combat casualties: Associations with acute kidney injury and mortality.
Rhabdomyolysis has been associated with poor outcomes in patients with traumatic injury, especially in the setting of acute kidney injury (AKI). However, rhabdomyolysis has not been systematically examined in a large cohort of combat casualties injured in the wars in Iraq and Afghanistan. ⋯ Prognostic and epidemiologic study, level III.
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J Trauma Acute Care Surg · Mar 2016
ReviewManagement of pediatric blunt renal trauma: A systematic review.
Blunt trauma remains a significant cause of morbidity and mortality in the pediatric population. The use of conservative management for blunt renal trauma is widely accepted in adult trauma literature and is now increasingly accepted for use in the pediatric patient population. This study aimed to review current practices in pediatric blunt renal trauma management and to highlight current practices in conservative protocols, success rates of conservative management strategies, as well as short- and long-term outcomes of blunt renal trauma management. ⋯ Systematic review, level III.
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J Trauma Acute Care Surg · Mar 2016
Multicenter StudyTrauma center care is associated with reduced readmissions after injury.
Trauma center care has been associated with improved mortality. It is not known if access to trauma center care is also associated with reduced readmissions. We hypothesized that receiving treatment at a trauma center would be associated with improved care and therefore would be associated with reduced readmission rates. ⋯ Epidemiologic study, level III; therapeutic/care management study, level IV.
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J Trauma Acute Care Surg · Mar 2016
Body mass index strongly impacts the diagnosis and incidence of heparin-induced thrombocytopenia in the surgical intensive care unit.
The obese state has been linked to several immune-mediated conditions. Our objective was to examine the association of body mass index (BMI) with the diagnosis of heparin-induced thrombocytopenia (HIT). ⋯ Prognostic/epidemiologic study, level III.
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Because of its uncommon nature and a lack of comprehensive literature, abdominal wall hernias caused by blunt trauma continue to present a management dilemma. This study was performed to identify the incidence of associated injuries, the need for urgent operative intervention, and recurrence rates after hernia repair. ⋯ Epidemiologic study, level III; therapeutic study, level IV.