The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Jun 2020
Early and prehospital trauma deaths: Who might benefit from advanced resuscitative care?
Recent civilian and military data from the United States and the United Kingdom suggest that further reductions in mortality will require prehospital or preoperating room hemorrhage control and blood product resuscitation. The aims of this study were to examine the potential preventability of prehospital and early in-hospital fatalities, and to consider the geographical location of such incidents, to contextualize how the use of advanced resuscitative techniques could be operationalized. ⋯ Epidemiological, level III.
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J Trauma Acute Care Surg · Jun 2020
Validation of the American Association for the Surgery of Trauma grading system for acute appendicitis severity.
The American Association for the Surgery of Trauma (AAST) developed an anatomic grading system to assess disease severity through increasing grades of inflammation. Severity grading can then be utilized in risk-adjustment and stratification of patient outcomes for clinical benchmarking. We sought to validate the AAST appendicitis grading system by examining the ability of AAST grade to predict clinical outcomes used for clinical benchmarking. ⋯ Prospective/Epidemiologic, Level III.
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J Trauma Acute Care Surg · Jun 2020
Comparative StudyComparison of American Association for the Surgery of Trauma grading scale with modified Hinchey classification in acute colonic diverticulitis: A pilot study.
The American Association for the Surgery of Trauma (AAST) developed a severity scale for surgical conditions, including diverticulitis. The Hinchey classification requires operative intervention yet remains the established scoring system for acute diverticulitis. This is a pilot study to compare the AAST grading scale for acute colonic diverticulitis with the traditional Hinchey classification. We hypothesize that the AAST classification scale is equivalent to the Hinchey in predicting outcomes. ⋯ Prognostic and epidemiological study, level III.