The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Sep 2020
Comparative StudyComparison of direct oral anticoagulant and vitamin K antagonists on outcomes among elderly and nonelderly trauma patients.
Direct oral anticoagulants (DOACs) are widely used among patients requiring anticoagulant therapy. These drugs are associated with a lower risk of bleeding than vitamin K antagonists (VKAs). However, the outcomes of elderly trauma patients receiving DOACs are not well known. ⋯ Prognostic/Epidemiological, level III.
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J Trauma Acute Care Surg · Sep 2020
Diaphragm pacing improves respiratory mechanics in acute cervical spinal cord injury.
Cervical spinal cord injury (CSCI) is devastating with ventilator-associated pneumonia being a main driver of morbidity and mortality. Laparoscopic diaphragm pacing implantation (DPS) has been used for earlier liberation from mechanical ventilation. We hypothesized that DPS would improve respiratory mechanics and facilitate liberation. ⋯ Therapeutic IV.
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J Trauma Acute Care Surg · Sep 2020
Radiologic predictors of in-hospital mortality after traumatic craniocervical dissociation.
Traumatic craniocervical dissociation (CCD) is the forcible dislocation of the skull from the vertebral column. Because most CCD patients die on scene, prognostication for those who arrive alive to hospital is challenging. The study objective was to determine if greater dissociation, based on radiologic measurements of CCD, is predictive of in-hospital mortality among patients surviving to the emergency department. ⋯ Prognostic and Epidemiological, Level III.