Archives of surgery (Chicago, Ill. : 1960)
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To examine the association between the American College of Surgeons Committee on Trauma (ACSCOT) quality indicators and outcomes. ⋯ Several current ACSCOT quality indicators have a strong association with clinical outcomes. These findings should be interpreted with caution because some measures may lack face validity for identifying poor-quality care in complex patients with multiple injuries.
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To determine the effects of body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) on outcomes after liver resection performed at Veterans Affairs medical centers. ⋯ Obesity did not increase postoperative complications after liver resection in veterans. After adjusting for other clinical factors, extreme obesity (BMI ≥ 40.0) was an independent risk factor for increased mortality.
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Randomized Controlled Trial
Effect of the volume of fluids administered on intraoperative oliguria in laparoscopic bariatric surgery: a randomized controlled trial.
To determine whether intraoperative fluid management affects urine output in patients undergoing laparoscopic bariatric operations. ⋯ In patients undergoing laparoscopic bariatric surgery, intraoperative urine output is low regardless of the use of relatively high-volume fluid therapy. The results suggest that we should reconsider the common practice to administer intraoperative fluids in response to low urine output. Further studies are required to evaluate these data in other surgical patient populations. Trial Registration clinicaltrials.gov Identifier: NCT00753402.