The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Jun 2014
Multicenter StudyImproving organ donation rates by modifying the family approach process.
The purpose of this study was to identify steps during family approach for organ donation that may be modified to improve consent rates of potential organ donors. ⋯ Epidemiologic study, level IV. Therapeutic study, level IV.
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J Trauma Acute Care Surg · Jun 2014
Randomized Controlled Trial Multicenter StudyCritical illness-related corticosteroid insufficiency after multiple traumas: a multicenter, prospective cohort study.
Given that the observed prevalence and time course of critical illness-related corticosteroid insufficiency (CIRCI) remain inconsistent in trauma patients, the present study was designed to investigate the prevalence, time course, and effect of CIRCI on the outcome of critically ill patients with multiple injuries. ⋯ Prognostic study, level II.
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J Trauma Acute Care Surg · Jun 2014
Multicenter StudyEvaluation of the performance of French physician-staffed emergency medical service in the triage of major trauma patients.
Proper prehospital triage of trauma patients is a cornerstone for the process of care of trauma patients. In France, emergency physicians perform this process according to a national triage algorithm called Vittel Triage Criteria (VTC), introduced in 2002 to help the triage decision-making process. The aim of this two-center study was to evaluate the performance of the triage process based on the VTC to identify major trauma patients in the Paris area. ⋯ In the Paris area, the French physician-based prehospital triage system for patients with suspicion of major trauma showed a high rate of overtriage and a low rate of undertriage. Criteria of global assessment of speed and mechanism alone were poor predictors of major trauma.
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J Trauma Acute Care Surg · Jun 2014
Multicenter StudyIn-hospital mortality from femoral shaft fracture depends on the initial delay to fracture fixation and Injury Severity Score: a retrospective cohort study from the NTDB 2002-2006.
Optimal surgical timing for definitive treatment of femur fractures in severely injured patients remains controversial. This study was performed to examine in-hospital mortality for patients with femur fractures with regard to surgical timing, Injury Severity Score (ISS), and age. ⋯ Therapeutic study, level III.
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J Trauma Acute Care Surg · Jun 2014
Multicenter StudyImplementation of a nationwide trauma network for the care of severely injured patients.
Regional differences in the care of severely injured patients remain problematic in industrial countries. ⋯ Epidemiologic study, level III. Therapeutic/care management study, level IV.