The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Apr 2014
Multicenter StudyBlood component transfusion increases the risk of death in children with traumatic brain injury.
Blood transfusion has been associated with worse outcomes in adult trauma patients with traumatic brain injury (TBI). However, the effects in injured children have not been evaluated. We hypothesize that blood transfusion is also associated with worse outcomes in children with TBI. ⋯ Epidemiologic study, level III. Therapeutic study, level IV.
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J Trauma Acute Care Surg · Apr 2014
Multicenter Study Comparative StudyEpidemiology and risk factors of multiple-organ failure after multiple trauma: an analysis of 31,154 patients from the TraumaRegister DGU.
In the severely injured who survive the early posttraumatic phase, multiple-organ failure (MOF) is the main cause of morbidity and mortality. An enhanced prediction of MOF might influence individual monitoring and therapy of severely injured patients. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Apr 2014
Multicenter StudyDecompressive craniectomy or medical management for refractory intracranial hypertension: an AAST-MIT propensity score analysis.
Moderate/severe traumatic brain injury (TBI) management involves minimizing cerebral edema to maintain brain oxygen delivery. While medical therapy (MT) consisting of diuresis, hyperosmolar therapy, ventriculostomy, and barbiturate coma is the standard of care, decompressive craniectomy (DC) for refractory intracranial hypertension (ICH) has gained renewed interest. Since TBI treatment guidelines consider DC a second-tier intervention after MT failure, we sought to determine if early DC (<48 hours) was associated with improved survival in patients with refractory ICH. ⋯ Therapeutic care/management, level III.
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J Trauma Acute Care Surg · Apr 2014
Multicenter StudyThe epidemiology of trauma-related mortality in the United States from 2002 to 2010.
Epidemiologic trends in trauma-related mortality in the United States require updating and characterization. We hypothesized that during the past decade, there have been changing trends in mortality that are associated with multiple public health and health care-related factors. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Mar 2014
Multicenter StudyFrom 9-1-1 call to death: evaluating traumatic deaths in seven regions for early recognition of high-risk patients.
This study aimed to characterize initial clinical presentations of patients served by emergency medical services (EMS) who die following injury, with particular attention to patients with occult ("talk-and-die") presentations. ⋯ Epidemiologic study, level III.