The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Oct 2020
Multicenter StudyNationwide analysis of resuscitative thoracotomy in pediatric trauma: Time to differentiate from adult guidelines?
Emergency department thoracotomy (EDT) for pediatric patients is uncommon, and practice patterns have not been evaluated. We examined the indications and outcomes for EDT by trauma center designation using a nationwide database. ⋯ Therapeutic, level IV.
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J Trauma Acute Care Surg · Oct 2020
Multicenter StudyStop flailing: The impact of bicortically displaced rib fractures on pulmonary outcomes in patients with chest trauma - an American Association for the Surgery of Trauma multi-institutional study.
Current evaluation of rib fractures focuses almost exclusively on flail chest with little attention on bicortically displaced fractures. Chest trauma that is severe enough to cause fractures leads to worse outcomes. An association between bicortically displaced rib fractures and pulmonary outcomes would potentially change patient care in the setting of trauma. We tested the hypothesis that bicortically displaced fractures were an important clinical marker for pulmonary outcomes in patients with nonflail rib fractures. ⋯ Prognostic and epidemiological study, level III.
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J Trauma Acute Care Surg · Oct 2020
A statistically rigorous deep neural network approach to predict mortality in trauma patients admitted to the intensive care unit.
Trauma patients admitted to critical care are at high risk of mortality because of their injuries. Our aim was to develop a machine learning-based model to predict mortality using Fahad-Liaqat-Ahmad Intensive Machine (FLAIM) framework. We hypothesized machine learning could be applied to critically ill patients and would outperform currently used mortality scores. ⋯ Prognostic study, level II.
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J Trauma Acute Care Surg · Oct 2020
Early comprehensive testing for COVID-19 is essential to protect trauma centers.
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic presents a threat to health care systems worldwide. Trauma centers may be uniquely impacted, given the need for rapid invasive interventions in severely injured and the growing incidence of community infection. We discuss the impact that SARS-CoV-2 has had in our trauma center and our steps to limit the potential exposures. ⋯ Diagnostic tests or criteria, level III, Therapeutic/care management, level IV.