The journal of trauma and acute care surgery
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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
Repeat head imaging in blunt pediatric trauma patients: Is it necessary?
Children with confirmed brain injury usually undergo follow-up computed tomography (CT) scan of the head within 24 hours of admission. To date, no evidence exists to validate the diagnostic or therapeutic value of these repeat CTs. The purpose of this study was to (1) evaluate progression of traumatic brain injuries, (2) determine if routine repeat imaging changes management, and (3) compare the efficacy of recognizing worsening hemorrhage with serial neurological examination versus repeat imaging. ⋯ Therapeutic study, level III.
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J Trauma Acute Care Surg · May 2017
Historical ArticlePanamerican Trauma Society: The first three decades.
Panamerican Trauma Society was born 30 years ago with the mission of improving trauma care in the Americas by exchange of ideas and concepts and expanding knowledge of trauma and acute illness. The authors, immediate-past leaders of the organization, review the evolution of this assembly of diverse cultures and nationalities.
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J Trauma Acute Care Surg · May 2017
Potential impact of Affordable Care Act-related insurance expansion on trauma care reimbursement.
Nearly one quarter of trauma patients are uninsured and hospitals recoup less than 20% of inpatient costs for their care. This study examines changes to hospital reimbursement for inpatient trauma care if the full coverage expansion provisions of the Affordable Care Act (ACA) were in effect. ⋯ Economic analysis, level II.