The journal of trauma and acute care surgery
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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
Caring for critically injured children: An analysis of 56 pediatric damage control laparotomies.
Injury is the leading cause of death in children under 18 years. Damage control principles have been extensively studied in adults but remain relatively unstudied in children. Our primary study objective was to evaluate the use of damage control laparotomy (DCL) in critically injured children. ⋯ Therapeutic study, level IV.
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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
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.
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J Trauma Acute Care Surg · May 2017
Comparative StudyThe occurrence of single and multiple organ dysfunction in pediatric electrical versus other thermal burns.
Multiple organ failure (MOF) is a major contributor to morbidity and mortality in burned children. While various complications induced by electrical injuries have been described, the incidence and severity of single organ failure (SOF) and MOF associated with this type of injury are unknown. The study was undertaken to compare the incidence and severity of SOF and MOF as well as other complications between electrically and thermally burned children. ⋯ Retrospective chart review, level III.