The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Nov 2018
The impact of inpatient palliative care on end-of-life care among older trauma patients who die after hospital discharge.
Palliative care (PC) is associated with lower-intensity treatment and better outcomes at the end of life. Trauma surgeons play a critical role in end-of-life (EOL) care; however, the impact of PC on health care utilization at the end of life has yet to be characterized in older trauma patients. ⋯ Therapeutic/Care management, level III.
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J Trauma Acute Care Surg · Nov 2018
Severely injured trauma patients with admission hyperfibrinolysis: Is there a role of tranexamic acid? Findings from the PROPPR trial.
Administration of tranexamic acid (TXA) in coagulopathy of trauma gained popularity after the CRASH-2 trial. The aim of our analysis was to analyze the role of TXA in severely injured trauma patients with admission hyperfibrinolysis. ⋯ Therapeutic study, level III.
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J Trauma Acute Care Surg · Nov 2018
Comparative StudyNo wire? No problem: Resuscitative endovascular balloon occlusion of the aorta can be performed effectively and more rapidly with a wire-free device.
A wire-free device is available for resuscitative endovascular balloon occlusion of the aorta (REBOA) providing aortic occlusion (AO) without lengthy platform guide-wires and large sheaths. ⋯ Therapeutic, level V.
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J Trauma Acute Care Surg · Nov 2018
The novel oral anticoagulants (NOACs) have worse outcomes compared with warfarin in patients with intracranial hemorrhage after TBI.
Novel oral anticoagulant (NOAC) use is increasing in trauma patients. The reversal of these agents after hemorrhage is still evolving. The aim of our study was to evaluate outcomes after traumatic brain injury in patients on NOACs. ⋯ Therapeutic studies, level III.