The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · May 2017
Review Meta AnalysisPrehospital hypertonic fluid resuscitation for trauma patients: A systematic review and meta-analysis.
Prehospital assessment of a patient's circulation status and appropriate resuscitation with intravenous fluids plays a critical role in patients with obvious hemorrhage or systolic blood pressure below 90 mm Hg. ⋯ Systematic review and meta-analysis, level I.
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J Trauma Acute Care Surg · May 2017
Multicenter Study Observational StudyNovel oral anticoagulants and trauma: The results of a prospective American Association for the Surgery of Trauma Multi-Institutional Trial.
The number of anticoagulated trauma patients is increasing. Trauma patients on warfarin have been found to have poor outcomes, particularly after intracranial hemorrhage (ICH). However, the effect of novel oral anticoagulants (NOAs) on trauma outcomes is unknown. We hypothesized that patients on NOAs would have higher rates of ICH, ICH progression, and death compared with patients on traditional anticoagulant and antiplatelet agents. ⋯ Prognostic/epidemiologic study, level III.
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J Trauma Acute Care Surg · May 2017
Comparative StudyResuscitative endovascular balloon occlusion of the aorta or resuscitative thoracotomy with aortic clamping for noncompressible torso hemorrhage: A retrospective nationwide study.
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emerging treatment for noncompressible torso hemorrhage. It remains unclear if REBOA is superior to resuscitative thoracotomy with aortic cross-clamping (RT) in terms of improving outcomes. This study compared in-hospital outcomes between REBOA and RT in trauma patients with uncontrolled hemorrhagic shock, using data from a national inpatient database in Japan. ⋯ Therapeutic/care management, level III.
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J Trauma Acute Care Surg · May 2017
The American College of Surgeons Needs-Based Assessment of Trauma Systems: Estimates for the State of California.
In 2015, the American College of Surgeons Committee on Trauma convened a consensus conference to develop the Needs-Based Assessment of Trauma Systems (NBATS) tool to assist in determining the number of trauma centers required for a region. We tested the performance of NBATS with respect to the optimal number of trauma centers needed by region in California. ⋯ Economic, level V.
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J Trauma Acute Care Surg · May 2017
Resuscitative endovascular balloon occlusion of the aorta in trauma patients in youth.
Resuscitative endovascular balloon occlusion of the aorta (REBOA) has received increasing attention for critically uncontrolled hemorrhagic shock. However, the efficacy of REBOA in patients in youth is unknown. ⋯ Epidemiologic study, level III; therapeutic study, level IV.