The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Mar 2012
Multicenter Study Comparative StudyEvaluation of multidetector computed tomography for penetrating neck injury: a prospective multicenter study.
The purpose of this prospective multicenter study was to evaluate a clinical protocol integrating multidetector computed tomographic angiography (MDCTA) as the initial screening examination for the work-up of penetrating neck injury. ⋯ II, prospective study.
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J Trauma Acute Care Surg · Mar 2012
Multicenter Study Comparative StudyHomicide as a medical outcome: racial disparity in deaths from assault in US Level I and II trauma centers.
Since 1900, thousands of medical journal articles have been published on the topic of racial disparities in health and medical outcomes in the United States, including overlapping disparities based on health insurance status. But research on the question of such disparities in the medical treatment of injury from assault-matters of public safety, considerable public expense, and policy debate-is lacking. ⋯ I, prognostic study.
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J Trauma Acute Care Surg · Mar 2012
Randomized Controlled Trial Multicenter Study Comparative StudyImpact of prehospital mode of transport after severe injury: a multicenter evaluation from the Resuscitation Outcomes Consortium.
There is ongoing controversy about the relative effectiveness of air medical versus ground transportation for severely injured patients. In some systems, air medical crews may provide a higher level of care but may require longer transport times. We sought to evaluate the impact of mode of transport on outcome based on analysis of data from two randomized trials of prehospital hypertonic resuscitation. ⋯ III.
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J Trauma Acute Care Surg · Mar 2012
Multicenter Study Comparative StudyThe forgotten trauma patient: outcomes for injured patients evaluated by emergency medical services but not transported to the hospital.
Injured patients who are not transported by an ambulance to the hospital are often not included in trauma registries. The outcomes of these patients have until now been unknown. Understanding what happens to nontransports is necessary to better understand triage validity, patient outcomes, and costs associated with injury. We hypothesized that a subset of patients who were not transported from the scene would later present for evaluation and that these patients would have a nonzero mortality rate. ⋯ III, therapeutic study.
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J Trauma Acute Care Surg · Mar 2012
Multicenter Study Comparative StudyPrehospital injury deaths--strengthening the case for prevention: nationwide cohort study.
To determine the frequency and characteristics of prehospital deaths compared with hospital deaths in different subpopulations with severe injuries. ⋯ III.