The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Mar 2013
Randomized Controlled Trial Multicenter StudyOccult pneumothoraces in critical care: a prospective multicenter randomized controlled trial of pleural drainage for mechanically ventilated trauma patients with occult pneumothoraces.
Patients with an occult pneumothoraces (OPTXs) may be at risk of tension pneumothoraces (TPTXs) without drainage or pleural drainage complications if treated. ⋯ Therapeutic study, level III.
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J Trauma Acute Care Surg · Mar 2013
Randomized Controlled Trial Comparative StudyUrinary proteomics analysis for sepsis biomarkers with iTRAQ labeling and two-dimensional liquid chromatography-tandem mass spectrometry.
Proteomics has only recently been applied to the field of critical care research. Sepsis is a major factor contributing to intensive care unit admissions and deaths. The purpose of this study was to screen potential urinary biomarkers for sepsis using A proteomics approach. ⋯ Diagnostic study, level IV.
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J Trauma Acute Care Surg · Mar 2013
Multicenter Study Comparative StudyLimb salvage after complex repairs of extremity arterial injuries is independent of surgical specialty training.
Major peripheral vascular trauma is managed by several surgical specialties. The impact of surgical specialty training and certification on outcome has not been evaluated. We hypothesized that general surgeons without specialty training in vascular surgery would have outcomes equivalent to surgeons with vascular training in the management of extremity arterial injuries requiring interposition grafting. ⋯ Therapeutic/care management, level III.
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J Trauma Acute Care Surg · Mar 2013
Comparative Study Controlled Clinical TrialEffects of routine monitoring of delirium in a surgical/trauma intensive care unit.
Delirium is prevalent in surgical and trauma intensive care units (ICUs) and carries substantial morbidity. This study tested the hypothesis that daily administration of a diagnostic instrument for delirium in a surgical/trauma ICU decreases the time of institution of pharmacologic therapy and improves related outcomes. ⋯ Therapeutic study, level IV.
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J Trauma Acute Care Surg · Mar 2013
Comparative StudyThe definition of polytrauma: variable interrater versus intrarater agreement--a prospective international study among trauma surgeons.
The international trauma community has recognized the lack of a validated consensus definition of "polytrauma." We hypothesized that using a subjective definition, trauma surgeons will not have substantial agreement; thus, an objective definition is needed. ⋯ Based on subjective assessments, trauma surgeons do not agree on the definition of polytrauma, with the subjective definition differing both within and across institutions.