The journal of trauma and acute care surgery

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• J Trauma Acute Care Surg · Feb 2021

  Multicenter Study

  Increasing BMI is associated with higher mortality, worsening outcomes and highly specific injury patterns following trauma: A multi-institutional analysis of 191,274 patients.

  As the prevalence of obesity has increased, trauma centers are faced with managing this expanding demographics' unique care requirements. Research on the effects of body mass index (BMI) in trauma patients remains conflicting. This study aims to evaluate the impact of BMI on patterns of injury and patient outcomes following trauma. ⋯ Epidemiological, Level III.

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• J Trauma Acute Care Surg · Feb 2021

  Comment

  Surgery in phase 3 of the COVID-19 pandemic in Northern Italy spoke hospitals. Comments to "reply to letter to the editor: Surgery in the COVID-19 phase 2 Italian scenario: Lessons learned in Northern Italy spoke hospitals".

  no abstract available

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• J Trauma Acute Care Surg · Feb 2021

  Hybrid emergency room shows maximum effect on trauma resuscitation when used in patients with higher severity.

  The hybrid emergency room (ER) system is a novel trauma workflow that uses angio-computed tomography equipment in a trauma resuscitation room. Although the hybrid ER system decreases time to start surgery and endovascular treatments and improves mortality, the optimal target benefitting from this system remained unclear. We aimed to identify a subset of trauma patients likely to receive the greatest benefits from the hybrid ER. ⋯ Therapeutic/care management, level IV.

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