Journal of the American College of Surgeons
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Observational Study
Point-of-Care Urinary Biomarker Testing for Risk Prediction in Critically-Injured Combat Casualties.
Risk prediction is important during combat operations because resources are limited and triage decisions must be rapid and accurate. We evaluated 2 point-of-care urinary biomarker tests for risk prediction in combat casualties. ⋯ Measurement of urinary biomarkers with an NGALds, but not NephroCheck, predicts poor outcomes in combat casualties. An NGALds is a simple urine dipstick that could be deployed to combat zones to prioritize aeromedical evacuation, help with triage decisions, and predict resource use.
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Multicenter Study
Efficacy of Oscillation and Lung Expansion in Reducing Postoperative Pulmonary Complication.
Postoperative pulmonary complications (PPCs) cause high morbidity and mortality. Targeted treatment for patients at risk for PPCs can improve outcomes. This multicenter prospective trial examined the impact of oscillation and lung expansion (OLE) therapy, using continuous high-frequency oscillation and continuous positive expiratory pressure on PPCs in high-risk patients. ⋯ Aggressive treatment with OLE reduces PPCs and resource use in high-risk surgical patients.