J Trauma
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Multicenter Study Comparative Study
Classifying transfusions related to the anemia of critical illness in burn patients.
Critically ill patients require transfusions because of acute blood loss and the anemia of critical illness. In critically ill burn patients, typically, no distinction is made between transfusions related to acute surgical blood loss and those related to the anemia of critical illness. We sought to identify the percentage of blood transfusions due to the anemia of critical illness and the clinical characteristics associated with these transfusions in severely burned patients. ⋯ The anemia of critical illness is responsible for >50% of all transfusions in severely burned patients. The initial severity of critical illness (APACHE II score) and duration of the critical illness (number of ventilator days) correlated with transfusions related to anemia of critical illness. Further investigation into the specific risk factors for these transfusions may help to develop strategies to further reduce transfusion rates.
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Moped and scooter crash outcomes in the United States were last reported more than 20 years ago. These vehicles have experienced resurgence in popularity with sales that have increased up to 60% in recent years. The purpose of this study is to identify risk factors between severe and nonsevere driver-related injuries and to identify modifiable risk factors. ⋯ These results suggest that most of the traffic infrastructure does not accommodate the safety of moped and scooter drivers. Focused interventions and further investigation into statewide traffic rules may improve moped crash outcomes.