American journal of surgery
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This study aimed to describe the natural history of delirium after major injury, to identify risk factors that predict the development of postinjury delirium, and to compare outcome measures in subjects with and without delirium. ⋯ Delirium is common in the trauma ICU. Higher multiple organ failure score was the strongest predictor of postinjury delirium.
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Multicenter Study Comparative Study
Laparoscopic improves perioperative outcomes of antireflux surgery at US academic centers.
Open and laparoscopic antireflux surgeries are standard for the treatment of gastroesophageal reflux disease (GERD). The in-hospital outcomes of laparoscopic and open antireflux procedures were analyzed and compared at US academic medical centers. ⋯ In the context of US academic centers, approximately three quarters of antireflux procedures are being performed using the laparoscopic approach. These data suggest that laparoscopy has improved in-hospital outcomes when compared with open surgery and is preferred for the surgical treatment of GERD.
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Randomized Controlled Trial Comparative Study
Noninvasive Doppler ultrasonography for assessing cardiac function: can it replace the Swan-Ganz catheter?
Cardiac function, including cardiac index (CI), traditionally has been measured by a pulmonary artery catheter (PAC). A noninvasive alternative for measuring cardiac function would offer obvious advantages. ⋯ Doppler UTS correlates well with PAC measurements of CI. This noninvasive modality is an accurate and safe alternative to PAC.