Annals of surgery
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Randomized Controlled Trial
Postoperative Showering for Clean and Clean-contaminated Wounds: A Prospective, Randomized, Controlled Trial.
To evaluate wound infection rates, pain scores, satisfaction with wound care, and wound care costs starting 48 hours after surgery. ⋯ Clean and clean-contaminated wounds can be safely showered 48 hours after surgery. Postoperative showering does not increase the risk of surgical site complications. It may increase patients' satisfaction and lower the cost of wound care.
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To characterize and evaluate indications for use of damage control (DC) surgery in civilian trauma patients. ⋯ This study identified a comprehensive list of candidate indications for use of DC surgery. These indications provide a practical foundation to guide surgical practice while studies are conducted to evaluate their impact on patient care and outcomes.
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We examined whether an early warning score (EWS) could predict inpatient complications in surgical patients. ⋯ Critical postoperative complications can be preceded by rising EWS. Interventional studies are needed to evaluate whether EWS can reduce the severity of postoperative complications and mortality for surgical patients through early identification and intervention.