The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · May 2015
Multicenter Study Observational StudyEarly acute kidney injury in military casualties.
While acute kidney injury (AKI) has been well studied in a variety of patient settings, there is a paucity of data in patients injured in the course of the recent wars in Iraq and Afghanistan. We sought to establish the rate of early AKI in this population and to define risk factors for its development. ⋯ Prognostic and epidemiologic study, level III.
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J Trauma Acute Care Surg · May 2015
Multicenter StudyAcute outcomes of isolated cerebral contusions in children with Glasgow Coma Scale scores of 14 to 15 after blunt head trauma.
Little data exist to guide the management of children with cerebral contusions after minor blunt head trauma. We therefore aimed to determine the risk of acute adverse outcomes in children with minor blunt head trauma who had cerebral contusions and no other traumatic brain injuries on computed tomography (i.e., isolated cerebral contusions). ⋯ Epidemiologic study, level IV.
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J Trauma Acute Care Surg · May 2015
Multicenter StudyImpact of specific postoperative complications on the outcomes of emergency general surgery patients.
The relative contribution of specific postoperative complications on mortality after emergency operations has not been previously described. Identifying specific contributors to postoperative mortality following acute care surgery will allow for significant improvement in the care of these patients. ⋯ Prognostic and epidemiologic study, level III.
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J Trauma Acute Care Surg · Apr 2015
Randomized Controlled Trial Multicenter StudyA controlled resuscitation strategy is feasible and safe in hypotensive trauma patients: results of a prospective randomized pilot trial.
Optimal resuscitation of hypotensive trauma patients has not been defined. This trial was performed to assess the feasibility and safety of controlled resuscitation (CR) versus standard resuscitation (SR) in hypotensive trauma patients. ⋯ Therapeutic study, level I.
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J Trauma Acute Care Surg · Apr 2015
Multicenter StudyEarly autologous fresh whole blood transfusion leads to less allogeneic transfusions and is safe.
The practice of transfusing ones' own shed whole blood has obvious benefits such as reducing the need for allogeneic transfusions and decreasing the need for other fluids that are typically used for resuscitation in trauma. It is not widely adopted in the trauma setting because of the concern of worsening coagulopathy and the inflammatory process. The aim of this study was to assess outcomes in trauma patients receiving whole blood autotransfusion (AT) from hemothorax. ⋯ Epidemiologic/prognostic study, level III.