The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Jun 2019
Right hospital, right patients: Penetrating injury patients treated at high-volume penetrating trauma centers have lower mortality.
The recognition of the relationship between volume and outcomes led to the regionalization of trauma care. The relationship between trauma mechanism-subtype and outcomes has yet to be explored. We hypothesized that trauma centers with a high volume of penetrating trauma patients might be associated with a higher survival rate for penetrating trauma patients. ⋯ Prognostic/Epidemiology Study, Level-III; Therapeutic/Care Management, Level IV.
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J Trauma Acute Care Surg · Jun 2019
Fall downs should not fall out: Blunt cerebrovascular injury in geriatric patients after low-energy trauma is common.
There are limited data examining the impact of screening for blunt cerebrovascular injury (BCVI) in the geriatric population sustaining falls. We hypothesize that BCVI screening in this cohort would rarely identify injuries that would change management. ⋯ Therapeutic/care management, level IV.
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J Trauma Acute Care Surg · Jun 2019
Should they stay or should they go? Who benefits from interfacility transfer to a higher-level trauma center following initial presentation at a lower-level trauma center.
Interfacility transfer of patients from Level III/IV to Level I/II (tertiary) trauma centers has been associated with improved outcomes. However, little data are available classifying the specific subsets of patients that derive maximal benefit from transfer to a tertiary trauma center. Drawbacks to transfer include increased secondary overtriage. Here, we ask which injury patterns are associated with improved survival following interfacility transfer. ⋯ Therapeutic/Care Management, Level IV.