The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Jan 2021
Multicenter StudyDepression predicts long-term cognitive impairment in survivors of critical illness.
Intensive care unit (ICU) survivorship is associated with long-term cognitive impairment (LTCI). Our work has found post-ICU depression in up to 30% and posttraumatic stress disorder (PTSD) in up to 10% of ICU survivors. We hypothesized that post-ICU depression and PTSD are independently associated with LTCI in ICU survivors. ⋯ Prognostic/epidemiological, level III.
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J Trauma Acute Care Surg · Dec 2020
Multicenter Study Comparative Study Observational StudyDramatic decrease of surgical emergencies during COVID-19 outbreak.
During the coronavirus disease 2019 (COVID-19) outbreak, a general decrease in surgical activity was observed. There is perception that this phenomenon has involved also surgical emergency, but no extensive data have been presented to date. The aim of this study was to analyze the real number of admissions and procedures for emergency surgical disease during COVID-19 pandemic. ⋯ Epidemiological, level III.
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J Trauma Acute Care Surg · Dec 2020
Multicenter StudyTiming of invasive mechanic ventilation in critically ill patients with coronavirus disease 2019.
Invasive mechanical ventilation (IMV) is a lifesaving strategy for critically ill patients with coronavirus disease 2019 (COVID-19). We aim to report the case series of critical patients receiving IMV in Wuhan and to discuss the timing of IMV in these patients. ⋯ Therapeutic, level V.
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J Trauma Acute Care Surg · Dec 2020
Multicenter StudyCurrent challenges in military trauma readiness: Insufficient relevant surgical case volumes in military treatment facilities.
The management of battlefield trauma requires a specific skill set, which is optimized by regular trauma experience. As military casualties from the prolonged conflicts in the Middle East decrease, challenges exist to maintain battlefield trauma readiness. Military surgeons must therefore depend on the Military Health System. The purpose of the study was to evaluate the frequency of surgical cases relevant to deployed combat casualty care performed at military treatment facilities (MTFs). ⋯ Therapeutic/care management study, level V.
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J Trauma Acute Care Surg · Oct 2020
Multicenter StudyNationwide analysis of resuscitative thoracotomy in pediatric trauma: Time to differentiate from adult guidelines?
Emergency department thoracotomy (EDT) for pediatric patients is uncommon, and practice patterns have not been evaluated. We examined the indications and outcomes for EDT by trauma center designation using a nationwide database. ⋯ Therapeutic, level IV.