The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Feb 2014
Comparative StudyAge-associated impact on presentation and outcome for penetrating thoracic trauma in the adult and pediatric patient populations.
Studies reporting on penetrating thoracic trauma in the pediatric population have been limited by small numbers and implied differences with the adult population. Our objectives were to report on a large cohort of pediatric patients presenting with penetrating thoracic trauma and to determine age-related impacts on management and outcome through comparison with an adult cohort. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Feb 2014
Outcomes of endovascular repair for patients with blunt traumatic aortic injury.
Traumatic aortic injury (TAI) remains a leading cause of death after blunt force. Thoracic endovascular aortic repair (TEVAR) has been widely adopted as an alternative to open repair for the treatment of TAI. Although significant short-term benefits have been demonstrated for patients undergoing TEVAR, longer-term follow-up data are lacking. ⋯ Therapeutic study, level V.
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J Trauma Acute Care Surg · Feb 2014
Comparative StudyHow much and what type: analysis of the first year of the acute care surgery operative case log.
A case log was created by the American Association for the Surgery of Trauma Acute Care Surgery (ACS) committee to track trainee operative experiences, allowing them to enter their cases in the form of Current Procedural Terminology (CPT) codes. We hypothesized that the number of cases an ACS trainee performed would be similar to the expectations of a fifth-year general surgery resident and that the current list of essential and desired cases (E/D list) would accurately reflect cases done by ACS trainees. ⋯ ACS trainees have substantial operative experience averaging nearly 200 major cases during their ACS year. However, high variability exists in the number of essential or desirable cases being performed with approximately 50% of the fellows' operative experience falling outside the E/D list of cases. Modification of the fellows' operative experience and/or the rotation requirements seems to be needed to provide experience in E/D cases.
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J Trauma Acute Care Surg · Feb 2014
Review Comparative StudyHealth-related quality of life and influence of age after trauma: an overview.
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J Trauma Acute Care Surg · Feb 2014
Cost-utility analysis of prehospital spine immobilization recommendations for penetrating trauma.
The American College of Surgeons' Committee on Trauma's recent prehospital trauma life support recommendations against prehospital spine immobilization (PHSI) after penetrating trauma are based on a low incidence of unstable spine injuries after penetrating injuries. However, given the chronic and costly nature of devastating spine injuries, the cost-utility of PHSI is unclear. Our hypothesis was that the cost-utility of PHSI in penetrating trauma precludes routine use of this prevention strategy. ⋯ Economic and value-based evaluation, level II.