Archives of surgery (Chicago, Ill. : 1960)
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Multicenter Study Comparative Study
Invasion vs insurgency: US Navy/Marine Corps forward surgical care during Operation Iraqi Freedom.
The transition from maneuver warfare to insurgency warfare has changed the mechanism and severity of combat wounds treated by US Marine Corps forward surgical units in Iraq. ⋯ The transition from maneuver to insurgency warfare has changed the type and severity of casualties treated by US Marine Corps forward surgical units in Iraq. Improvised explosive devices, severity and number of injuries per casualty, longer transport times, and higher KIA and DOW rates represent major differences between periods. Further data collection is necessary to determine the association between transport times and mortality rates.
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Multicenter Study Comparative Study
Indwelling urinary catheter use in the postoperative period: analysis of the national surgical infection prevention project data.
To describe the frequency and duration of perioperative catheter use and to determine the relationship between catheter use and postoperative outcomes. ⋯ Indwelling urinary catheters are routinely in place longer than 2 days postoperatively and may result in excess nosocomial infections. The association with adverse outcomes makes postoperative catheter duration a reasonable target of infection control and surgical quality-improvement initiatives.