Journal of orthopaedic trauma
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Multicenter Study Comparative Study
Adverse Events in Orthopaedics: Is Trauma More Risky? An Analysis of the NSQIP Data.
As our healthcare system moves toward bundling payments, orthopaedic trauma surgeons will be increasingly benchmarked on perioperative complications. We therefore sought to determine financial risks under bundled payments by identifying adverse event rates for (1) orthopaedic trauma patients compared with general orthopaedic patients and (2) based on anatomic region and (3) to identify patient factors associated with complications. ⋯ Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
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Comparative Study
Clinical and Economic Impact of Duplicated Radiographic Studies in Trauma Patients Transferred to a Regional Trauma Center.
Many trauma patients are evaluated at community hospitals and rural emergency departments before transfer to regional trauma centers. Radiographic studies are often duplicated, leading to significant additional costs to the healthcare system. Our purpose is to identify the reasons for duplicate studies, the costs associated with this practice, and potential clinical effects to patients. ⋯ Economic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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Comparative Study
Mechanism of Injury Differentiates Risk Factors for Mortality in Geriatric Trauma Patients.
To evaluate the relationship between mechanism of injury and mortality in geriatric trauma patients and the ability of existing injury severity indices (ISIs) to assess mortality. ⋯ Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
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Delayed Primary Closure of Fasciotomy Incisions in the Lower Leg: Do We Need to Change Our Strategy?
The primary purpose of this study is to determine whether a strategy of bringing patients back to the operating room for successive debridements allows for the eventual delayed primary closure (DPC) of fasciotomy wounds. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.