Archives of surgery (Chicago, Ill. : 1960)
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Multicenter Study Comparative Study
Surgical site infection in elective operations for colorectal cancer after the application of preventive measures.
To assess the prevalence of surgical site infection (SSI) after elective operations for colon and rectal cancer after the application of evidence-based preventive measures and to identify risk factors for SSI. ⋯ The prevalence of SSI in elective colon and rectal operations remains high despite the application of evidence-based preventive measures.
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Comparative Study
Factors associated with trauma center use for elderly patients with trauma: a statewide analysis, 1999-2008.
To estimate the likelihood of trauma center admission for injured elderly patients with trauma, determine trends in trauma center admissions, and identify factors associated with trauma center use for elderly patients with trauma. ⋯ Age and likelihood of admission to a trauma center for injured patients were observed to be inversely proportional after controlling for other factors. System-level factors play a major role in determining which injured patients receive trauma care.
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Comparative Study
Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery.
To study the impact of different adherence levels to the enhanced recovery after surgery (ERAS) protocol and the effect of various ERAS elements on outcomes following major surgery. ⋯ Improved adherence to the standardized multimodal ERAS protocol is significantly associated with improved clinical outcomes following major colorectal cancer surgery, indicating a dose-response relationship.
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Comparative Study
Successful selective nonoperative management of abdominal gunshot wounds despite low penetrating trauma volumes.
To determine whether selective nonoperative management of abdominal gunshot wounds (AGSW) is safe in trauma centers with a low volume of penetrating trauma. ⋯ Selective nonoperative management of AGSW is feasible and safe in trauma centers with low penetrating trauma volumes. Nearly 1 in 4 AGSW patients does not need a laparotomy, and nontherapeutic laparotomies are associated with complications. The volume of AGSW per se should not be an excuse for routine laparotomies. These data become particularly important because penetrating trauma volumes are decreasing around the country.