The journal of trauma and acute care surgery
-
J Trauma Acute Care Surg · Feb 2015
Multicenter StudyThe American Association for the Surgery of Trauma PROspective Observational Vascular Injury Treatment (PROOVIT) registry: multicenter data on modern vascular injury diagnosis, management, and outcomes.
There is a need for a prospective registry designed to capture trauma-specific, in-hospital, and long-term outcomes related to vascular injury. ⋯ Epidemiologic study, level V.
-
J Trauma Acute Care Surg · Jan 2015
Multicenter Study Comparative StudyOutcomes after emergency general surgery at teaching versus nonteaching hospitals.
Previous analyses demonstrate teaching hospitals to have worse outcomes raising concerns for quality of care. The purpose of this study was to compare outcomes between teaching and nonteaching hospitals for emergency surgical conditions in a national sample. ⋯ National estimates of outcomes for EGS conditions demonstrate comparable results between teaching and nonteaching hospitals. Concerns regarding quality of care and higher costs at teaching hospitals may be unfounded. Further research to test for differences by specific EGS conditions, operative management, and hospital costs are warranted.
-
J Trauma Acute Care Surg · Jan 2015
Multicenter StudyVariations in the implementation of acute care surgery: results from a national survey of university-affiliated hospitals.
To date, no studies have reported nationwide adoption of acute care surgery (ACS) or identified structural and/or process variations for the care of emergency general surgery (EGS) patients within such models. ⋯ The potential of the ACS on the national crisis in access to EGS care is not fully met. Variations in EGS processes of care among adopters of ACS suggest that standardized criteria for ACS implementation, much like trauma center verification criteria, may be beneficial.
-
J Trauma Acute Care Surg · Dec 2014
Multicenter StudyAdult respiratory distress syndrome risk factors for injured patients undergoing damage-control laparotomy: AAST multicenter post hoc analysis.
Severely injured patients undergoing damage-control laparotomy (DCL) have multiple risk factors for adult respiratory distress syndrome (ARDS), making it challenging to differentiate the contributions of individual causative factors. We aimed to determine the relative contributions of ARDS risk factors. ⋯ Prognostic study, level III; therapeutic study, level IV.
-
J Trauma Acute Care Surg · Dec 2014
Multicenter StudyBlunt abdominal aortic injury: a Western Trauma Association multicenter study.
Blunt abdominal aortic injury (BAAI) is a rare injury. The objective of the current study was to examine the presentation and management of BAAI at a multi-institutional level. ⋯ Epidemiologic study, level III; therapeutic study, level IV.