The Journal of Trauma: Injury, Infection, and Critical Care 
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No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: DEPARTMENT Source Type: research
Featured articles for cme credit august 2020
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: CONTINUING MEDICAL EDUCATION PROGRAM Source Type: research
Authors’ reply: Preventing unnecessary trauma transfers: Triage guidelines for patients with isolated subarachnoid hemorrhage and GCS 13 to 15
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITORS Source Type: research
Putting a halt to unnecessary transfers for patients with isolated subarachnoid hemorrhage and GCS 13 to 15: Usefulness of transcranial Doppler to improve triage
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITORS Source Type: research
Authors’ reply: A rule of thumb heuristic in the evaluation of diagnostic value
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITORS Source Type: research
Does computed tomography scan add any diagnostic value to the evaluation of stab wounds of the anterior abdominal wall? Methodological issues on diagnostic value
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITORS Source Type: research
Authors’ reply: Understanding state-level Medicaid expansion in the context of nationwide data
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITORS Source Type: research
Lifting the burden: State Medicaid expansion reduces financial risk for the injured
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITORS Source Type: research
Authors’ reply: Outcomes after nonoperative diverticulitis management: Longitudinal risk for survivors
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITORS Source Type: research
Identification of diverticulitis patients at high risk for recurrence and poor outcomes
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITORS Source Type: research
Authors’ reply: Use of ShotSpotter detection technology decreases prehospital time for patients sustaining gunshot wounds
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITORS Source Type: research
Use of ShotSpotter detection technology decreases prehospital time for patients sustaining gunshot wounds
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITORS Source Type: research
Prehospital chest gunshot wounds management in French tactical medicine
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITORS Source Type: research
Insufficient evidence to adopt algorithm
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITORS Source Type: research
Comment on acute care surgery challenge: Threatened limb with arterial and venous thrombosis. Karmy-Jones R, Bloch R, Lowery M.
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: CHALLENGES IN ACUTE CARE SURGERY Source Type: research
Threatened limb with arterial and venous thrombosis
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: CHALLENGES IN ACUTE CARE SURGERY Source Type: research
Evaluation and management of blunt cerebrovascular injury: A practice management guideline from the Eastern Association for the Surgery of Trauma: Erratum
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ERRATUM Source Type: research
Severe traumatic brain injury is associated with a unique coagulopathy phenotype: Erratum
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ERRATUM Source Type: research
Complications and outcome after rib fracture fixation: A systematic review
CONCLUSION
Surgical fixation can be considered as a safe procedure with a considerably low complication risk and satisfactory long-term outcomes, with surgery- and implant-related complications in approximately 10% of the patients. However, the clinically most relevant complications such as infections occur infrequently, and the number of complications requiring immediate (surgical) treatment is low.
LEVEL OF EVIDENCE
Systematic Review, level III. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: SYSTEMATIC REVIEW Source Type: research
The impact of non-neurological organ dysfunction on outcomes in severe isolated traumatic brain injury
INTRODUCTION
Organ dysfunction following traumatic brain injury (TBI) is common and has been associated with unpredictable outcomes. The aim of our study is to describe the incidence of non-neurological organ dysfunction (NNOD) and its impact on outcomes in patients with severe TBI admitted to our intensive care unit (ICU).
METHODS
We performed a 3-year (2015-2017) review of our Level 1 trauma center’s prospectively maintained TBI database and included all adult (age ≥18y) patients with isolated severe TBI (head abbreviated injury severity (AIS) ≥3 and other AIS 48 hours. Organ dysfunction (OD) was measure...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
The Geriatric Nutritional Risk Index is a powerful predictor of adverse outcome in the elderly emergency surgery patient
BACKGROUND
The degree to which malnutrition impacts perioperative outcomes in the elderly emergency surgery (ES) patient remains unknown. We aimed to study the relationship between malnutrition, as measured by the Geriatric Nutritional Risk Index (GNRI), and postoperative outcomes in elderly patients undergoing ES.
METHODS
Using the 2007 to 2016 American College of Surgeons National Surgical Quality Improvement Program database, all patients 65 years or older undergoing ES were included in our study. The GNRI, defined as (1.489 × albumin [g/L]) + (41.7 × [weight/ideal weight]) was calculated for each patie...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Early single-dose exosome treatment improves neurologic outcomes in a 7-day swine model of traumatic brain injury and hemorrhagic shock
BACKGROUND
Early single-dose treatment with human mesenchymal stem cell–derived exosomes promotes neuroprotection and promotes blood-brain barrier integrity in models of traumatic brain injury (TBI) and hemorrhagic shock (HS) in swine. The impact of an early single dose of exosomes on late survival (7 days), however, remains unknown. We sought to evaluate the impact of early single-dose exosome treatment on neurologic outcomes, brain lesion size, inflammatory cytokines, apoptotic markers, and mediators of neural plasticity in a 7-day survival model.
METHODS
Yorkshire swine were subjected to a severe TBI (8-mm co...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Evaluating and improving current risk prediction tools in emergency laparotomy
CONCLUSION
We have demonstrated the NELA tool to be most predictive of mortality after EL. The NELA tool would therefore facilitate preoperative risk assessment and operative decision making most precisely in EL. Future research should consider adding mFI and nutritional status to the NELA tool.
LEVEL OF EVIDENCE
Level IV; Retrospective observational cohort study. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
How soon is too soon?: Optimal timing of split-thickness skin graft following polyglactin 910 mesh closure of the open abdomen
BACKGROUND
Various management strategies exist for the abdomen that will not close. At our institution, these patients are managed with polyglactin 910 mesh followed 14 days later (LATE) by split-thickness skin graft (STSG) or, in some cases, earlier (EARLY, (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Recidivism rates following firearm injury as determined by a collaborative hospital and law enforcement database
CONCLUSION
Both hospital and law enforcement data are critical for determining reinjury rates in patients treated at trauma centers. Recidivism rates following violent firearm injury are four times higher using a collaborative database compared with the inpatient trauma registry alone. Predicted incidence of recidivism at 10 years was at least 16% for all patients, with high-risk subgroups experiencing rates as high as 26%.
LEVEL OF EVIDENCE
Epidemiological, level III. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Is magnetic resonance imaging becoming the new computed tomography for cervical spine clearance? Trends in magnetic resonance imaging utilization at a Level I trauma center
BACKGROUND
Increasing evidence supports the limited use of magnetic resonance imaging (MRI) for cervical spine (C-spine) clearance following blunt trauma. We sought to characterize the utilization of MRI of the C-spine at a Level I trauma center.
METHODS
All blunt trauma patients undergoing a computed tomography (CT) of the C-spine between January 2009 and December 2018 were reviewed. The CT and MRI results, demographics, clinical presentation, subspecialty consultations, and interventions were recorded. The MRI results were considered clinically significant if they resulted in cervical thoracic orthosis/halo placemen...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Time to tracheostomy impacts overall outcomes in patients with cervical spinal cord injury
CONCLUSION
Early tracheostomy regardless of CSCI level may lead to improved outcomes. Quality improvement efforts should focus on defining the optimal time to tracheostomy and considering ET as a component of SCI management bundle.
LEVEL OF EVIDENCE
Therapeutic, level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Extracorporeal membrane oxygenation use in Trauma Quality Improvement Program centers: Temporal trends and future directions
CONCLUSION
The use of ECMO for trauma, although rare, is rapidly increasing. Two thirds of patients who receive ECMO following traumatic injury survive their hospitalization. These data suggest that ECMO represents a potential treatment strategy for trauma patients with respiratory or cardiopulmonary failure. However, given the rarity of the procedure, there exists an opportunity to develop practice guidelines regarding the indications for, and approach to, ECMO in the setting of trauma.
LEVEL OF EVIDENCE
Therapeutic/care management, level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Damage to red blood cells during whole blood storage
CONCLUSION
Storage of WB results in changes associated with the pRBC storage lesion but not for all parameters tested. The relative rate of hemolysis (indexed by free hemoglobin and microparticles) and oxidative stress was similar to that of pRBCs. However, the absolute level of hemolysis products were lower due to lower hematocrit of stored WB units. The clinical significance of these findings requires further investigation. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
The role of cryoprecipitate in massively transfused patients: Results from the Trauma Quality Improvement Program database may change your mind
BACKGROUND
Cryoprecipitate was developed for the treatment of inherited and acquired coagulopathies. The role of cryoprecipitate in hemorrhaging trauma patients is still speculative. The aim of our study was to assess the role of cryoprecipitate as an adjunct to transfusion in trauma patients.
METHODS
We performed a 2-year (2015–2016) analysis of the American College of Surgeons-Trauma Quality Improvement Program data set and included all adult trauma patients who received 4 or greater packed red blood cells (pRBCs)/4 hours. Patients were stratified based on receipt of cryoprecipitate within the first 24 hours (...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Nationwide analysis of whole blood hemostatic resuscitation in civilian trauma
INTRODUCTION
Renewed interest in whole blood (WB) resuscitation in civilians has emerged following its military use. There is a paucity of data on its role in civilians where balanced component therapy (CT) resuscitation is the standard of care. The aim of this study was to assess nationwide outcomes of using WB as an adjunct to CT versus CT alone in resuscitating civilian trauma patients.
METHODS
We analyzed the (2015–2016) Trauma Quality Improvement Program. We included adult (age, ≥18 years) trauma patients presenting with hemorrhagic shock and requiring at least 1 U of packed red blood cells (pRBCs) withi...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
A three-tier Rescue stent improves outcomes over balloon occlusion in a porcine model of noncompressible hemorrhage
CONCLUSION
Compared with aortic balloon occlusion, a Rescue stent offers superior hemorrhage control and survival by virtue of reduced ischemic injury and direct control of the hemorrhagic injury. The Rescue stent may become a useful tool for damage control, especially on the battlefield where definitive repair presents logistical challenges. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Resuscitative endovascular balloon of the aorta is feasible in penetrating chest trauma with major hemorrhage: Proposal of a new institutional deployment algorithm
CONCLUSION
Resuscitative endovascular balloon occlusion of the aorta can be used safely in penetrating chest trauma, and the implementation of a REBOA management algorithm is feasible with a well-trained multidisciplinary team.
LEVEL OF EVIDENCE
Therapeutic, level V. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Repeat computed tomography head scan is not indicated in trauma patients taking novel anticoagulation: A multicenter study
BACKGROUND
The number of trauma patients on prehospital novel oral anticoagulants (NOACs) is increasing. After an initial negative computed tomography of the head (CTH), practice patterns are variable for obtaining repeat CTH to evaluate for delayed intracranial hemorrhage (ICH-d). However, the risks and outcomes of ICH-d for patients on NOACs are unclear. We hypothesized that, for these patients, the incidence of ICH-d is low, similar to that of warfarin, and when it occurs, it does not result in clinically significant worse outcomes.
METHODS
Five level 1 trauma centers in Northern California participated in a retros...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: AAST 2019 PODIUM PAPERS Source Type: research
Barriers to improving health care value in emergency general surgery: A nationwide analysis
INTRODUCTION
There is a growing need to improve the quality of care while decreasing health care costs in emergency general surgery (EGS). Health care value includes costs and quality and is a targeted metric by improvement programs. The aim of our study was to evaluate the trend of health care value in EGS over time and to identify barriers to high-value surgical care.
METHODS
The (2012–2015) National Readmission Database was queried for patients 18 years or older who underwent an EGS procedure (according to the American Association for the Surgery of Trauma definition). Health care value (V = quality metrics/c...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: AAST 2019 PODIUM PAPERS Source Type: research
Epidemiological trends of surgical admissions to the intensive care unit in the United States
BACKGROUND
Epidemiologic assessment of surgical admissions into intensive care units (ICUs) provides a framework to evaluate health care system efficiency and project future health care needs.
METHODS
We performed a 9-year (2008–2016), retrospective, cohort analysis of all adult admissions to 88 surgical ICUs using the prospectively and manually abstracted Cerner Acute Physiology and Chronic Health Evaluation Outcomes database. We stratified patients into 13 surgical cohorts and modeled temporal trends in admission, mortality, surgical ICU length of stay (LOS), and change in functional status (FS) using generali...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: AAST 2019 PODIUM PAPERS Source Type: research
Laparotomy represents the safest option during COVID-19 outbreak: Authors' response to: “The COVID-19 pandemic should not take us back to the prelaparoscopic era” by Botteri et al. and “Emergency laparoscopic surgery during COVID-19: what can we do and how to do it safely” by Bonapasta et al.
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITOR Source Type: research
Emergency laparoscopic surgery during COVID-19: What can we do and how to do it safely
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITOR Source Type: research
The COVID-19 pandemic should not take us back to the prelaparoscopic era
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITOR Source Type: research
Surgical stabilization of rib fractures during the COVID-19 pandemic
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: LETTERS TO THE EDITOR Source Type: research
Open tracheostomy for COVID-19–positive patients: A method to minimize aerosolization and reduce risk of exposure
CONCLUSION
This report describes a method of performing open tracheostomy with minimal aerosolization using readily available equipment and supplies in most hospitals.
LEVEL OF EVIDENCE
Therapeutic/care management, Level V. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - August 1, 2020 Category: Orthopaedics Tags: BRIEF REPORT Source Type: research
Meetings/Courses
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 23, 2020 Category: Orthopaedics Tags: DEPARTMENT Source Type: research
Featured Articles For CME Credit July 2020
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 23, 2020 Category: Orthopaedics Tags: CONTINUING MEDICAL EDUCATION PROGRAM Source Type: research
Big colon surgery, little incisions: Minimally invasive techniques in emergent colon surgery
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 23, 2020 Category: Orthopaedics Tags: 2020 EAST SURGICAL VIDEO Source Type: research
Racial inequality in the trauma of women: A disproportionate decade
BACKGROUND
Historically, women have been largely underrepresented in the body of medical research. Given the paucity of data regarding race and trauma in women, we aimed to evaluate the most common types of traumas incurred by women and analyze temporal racial differences.
METHODS
A 10-year review (2007–2016) of the National Trauma Data Bank was conducted to identify common mechanisms of injuries among women. Trends of race, intent of injury, and firearm-related assaults were assessed using the Cochran-Armitage Trend test. Multivariable multinomial logistic regressions were utilized to examine the association be...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 23, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Disparities in rural versus urban field triage: Risk and mitigating factors for undertriage
BACKGROUND
There are well-known disparities for patients injured in rural setting versus urban setting. Many cite access to care; however, the mechanisms are not defined. One potential factor is differences in field triage. Our objective was to evaluate differences in prehospital undertriage (UT) in rural setting versus urban settings.
METHODS
Adult patients in the Pennsylvania Trauma Outcomes Study (PTOS) registry 2000 to 2017 were included. Rural/urban setting was defined by county according to the Pennsylvania Trauma Systems Foundation. Rural/urban classification was performed for patients and centers. Undertriage ...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 23, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Large volume transfusion with whole blood is safe compared with component therapy
BACKGROUND
Transfusion with uncrossmatched cold-stored low-titer group O-positive or -negative whole blood (WB) in civilian trauma has been investigated as an alternative to component therapy but only in limited volumes. To our knowledge, this is the first analysis of the safety and efficacy of large volume transfusion of patients with trauma with WB.
METHODS
This is a retrospective cohort analysis comparing trauma patients resuscitated with component therapy (COMP) versus component therapy plus WB. The COMP group was comprised of patients who presented from January 2017 through June 2018 and the WB group from patient...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 23, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
No news is good news? Three-year postdischarge mortality of octogenarian and nonagenarian patients following emergency general surgery
CONCLUSION
More than half of the very elderly patients undergoing major EGS were still alive at 3 years postdischarge. The combination of hypoalbuminemia and elevated liver enzymes predicted the highest 1-year mortality. Such information can prove useful for patient and family counseling preoperatively.
LEVEL OF EVIDENCE
Prognostic, Level III. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 23, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Feasibility of a trauma quality-of-life follow-up clinic
CONCLUSIONS
A comprehensive multidisciplinary TQOL addressing issues affecting convalescence for trauma patients at high risk for developing PTSD and CP can improve follow-up rates to ensure patients are recovering successfully.
LEVEL OF EVIDENCE
Therapeutic, Level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 23, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
Putting a halt to unnecessary transfers: Do patients with isolated subarachnoid hemorrhage and Glasgow Coma Scale of 13 to 15 need a trauma center?
CONCLUSION
Trauma patients transferred for iSAH with GCS of 13 to 15 are at very low risk for requiring neurosurgical intervention.
LEVEL OF EVIDENCE
Therapeutic/care management, Level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 23, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
