Latest & greatest articles for trauma

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Top results for trauma

481. Enoxaparin for thromboprophylaxis after major trauma: potential cost implications

Enoxaparin for thromboprophylaxis after major trauma: potential cost implications Enoxaparin for thromboprophylaxis after major trauma: potential cost implications Enoxaparin for thromboprophylaxis after major trauma: potential cost implications Shorr A F, Ramage A S Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed (...) critical assessment on the reliability of the study and the conclusions drawn. Health technology The study compared the use of low molecular weight heparin (LMWH), in this case enoxaparin, with the use of low-dose heparin (LDH) for thromboprophylaxis after major trauma. Type of intervention Primary prevention. Economic study type Cost-effectiveness analysis. Study population The study population comprised a hypothetical cohort of 1,000 critically ill trauma patients requiring thromboprophylaxis

2001 NHS Economic Evaluation Database.

482. Systematic review and meta-analysis of emergency ultrasonography for blunt abdominal trauma

Systematic review and meta-analysis of emergency ultrasonography for blunt abdominal trauma Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2001 DARE.

483. Infectious disease consultation and microbiologic surveillance for intensive care unit trauma patients: a pilot study Full Text available with Trip Pro

Infectious disease consultation and microbiologic surveillance for intensive care unit trauma patients: a pilot study Infectious disease consultation and microbiologic surveillance for intensive care unit trauma patients: a pilot study Infectious disease consultation and microbiologic surveillance for intensive care unit trauma patients: a pilot study Fox B C, Imrey P B, Voights M B, Norwood S Record Status This is a critical abstract of an economic evaluation that meets the criteria (...) for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study examined the routine use of prospective microbiologic surveillance and infectious disease (ID) consultation as part of the management of trauma patients admitted to the intensive care unit (ICU). The ID consultation was facilitated by including an ID physician

2001 NHS Economic Evaluation Database.

484. The cost-effectiveness of exclusion arteriography in extremity trauma

The cost-effectiveness of exclusion arteriography in extremity trauma The cost-effectiveness of exclusion arteriography in extremity trauma The cost-effectiveness of exclusion arteriography in extremity trauma Keen J D, Keen R R Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability (...) of the study and the conclusions drawn. Health technology The use of exclusion arteriography for the diagnostic workup of patients with penetrating or blunt trauma to the extremity. Type of intervention Diagnosis. Economic study type Cost-utility analysis. Study population The hypothetical study population comprised asymptomatic patients with injuries in proximity to arteries. Unstable patients needing immediate surgical exploration were excluded. Setting The setting was a hospital trauma centre

2001 NHS Economic Evaluation Database.

485. Proximity arteriography: cost-effectiveness in asymptomatic penetrating extremity trauma

Proximity arteriography: cost-effectiveness in asymptomatic penetrating extremity trauma Proximity arteriography: cost-effectiveness in asymptomatic penetrating extremity trauma Proximity arteriography: cost-effectiveness in asymptomatic penetrating extremity trauma Keen J D, Dunne P M, Keen R R, Langer B G Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results (...) and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of delayed (next morning) proximity arteriography, a diagnostic instrument, to evaluate asymptomatic patients with penetrating extremity trauma near a major vessel with no obvious signs of vascular injury. Type of intervention Diagnosis. Economic study type Cost-utility analysis. Study population The study population comprised patients presenting at the trauma unit

2001 NHS Economic Evaluation Database.

486. Cost-effectiveness of early living related segmental bowel transplantation as therapy for trauma-induced irreversible intestinal failure

Cost-effectiveness of early living related segmental bowel transplantation as therapy for trauma-induced irreversible intestinal failure Cost-effectiveness of early living related segmental bowel transplantation as therapy for trauma-induced irreversible intestinal failure Cost-effectiveness of early living related segmental bowel transplantation as therapy for trauma-induced irreversible intestinal failure Cicalese L, Sileri P, Gonzales O, Asolati M, Rastellini C, Abcarian H, Benedetti E (...) Treatment. Economic study type Cost-effectiveness analysis. Study population The study population comprised trauma patients who had subsequent total eneterectomy and irreversible intestinal failure. Setting The setting was tertiary care. The study was conducted in Chicago, USA. Dates to which data relate The dates to which the effectiveness, resource or cost data for the intervention referred, were not reported. The price data used for the comparator were from 1992. Source of effectiveness data

2001 NHS Economic Evaluation Database.

487. Trauma-specific intensive care units can be cost effective and contribute to reduced hospital length of stay

Trauma-specific intensive care units can be cost effective and contribute to reduced hospital length of stay Trauma-specific intensive care units can be cost effective and contribute to reduced hospital length of stay Trauma-specific intensive care units can be cost effective and contribute to reduced hospital length of stay Park C A, McGwin G, Smith D R, May A K, Melton S M, Taylor A J, Rue L W Record Status This is a critical abstract of an economic evaluation that meets the criteria (...) for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology A "closed" trauma intensive care unit (TICU), managed by surgeons with added qualifications in surgical critical care and staffed by highly trained nurses and ancillary personnel, was studied. The TICU consisted of 12 beds separated by permanent door to ceiling partitions (6 of them

2001 NHS Economic Evaluation Database.

488. Complementary roles of diagnostic peritoneal lavage and computed tomography in the evaluation of blunt abdominal trauma

Complementary roles of diagnostic peritoneal lavage and computed tomography in the evaluation of blunt abdominal trauma Complementary roles of diagnostic peritoneal lavage and computed tomography in the evaluation of blunt abdominal trauma Complementary roles of diagnostic peritoneal lavage and computed tomography in the evaluation of blunt abdominal trauma Gonzalez R P, Ickler J, Gachassin P Record Status This is a critical abstract of an economic evaluation that meets the criteria (...) for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of diagnostic peritoneal lavage (DPL) in a complementary role with computed tomography (CT) for the evaluation of blunt abdominal trauma. Type of intervention Diagnosis and secondary screening. Economic study type Cost-effectiveness analysis. Study population The study

2001 NHS Economic Evaluation Database.

489. Variation in therapy and outcome for pediatric head trauma patients

Variation in therapy and outcome for pediatric head trauma patients PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2001 PedsCCM Evidence-Based Journal Club

490. Relationship between trauma center volume and outcomes

Relationship between trauma center volume and outcomes PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2001 PedsCCM Evidence-Based Journal Club

491. Brief psychological interventions ("debriefing") for trauma-related symptoms and the prevention of post traumatic stress disorder. Full Text available with Trip Pro

Brief psychological interventions ("debriefing") for trauma-related symptoms and the prevention of post traumatic stress disorder. To assess the effectiveness of brief psychological debriefing for the management of psychological distress after trauma, and the prevention of post traumatic stress disorder.Electronic searching of MEDLINE, EMBASE, PsychLit, PILOTS, Biosis, Pascal, Occ.Safety and Health, CDSR and the Trials Register of the Depression, Anxiety and Neurosis group. Hand search (...) ratio for the two trials with follow ups just included unity (odds ratio 2.0, 95% ci 0.9-4.5). There was also no evidence that debriefing reduced general psychological morbidity, depression or anxiety.There is no current evidence that psychological debriefing is a useful treatment for the prevention of post traumatic stress disorder after traumatic incidents. Compulsory debriefing of victims of trauma should cease.

2000 Cochrane

492. Medical anti-shock trousers (pneumatic anti-shock garments) for circulatory support in patients with trauma. (Abstract)

Medical anti-shock trousers (pneumatic anti-shock garments) for circulatory support in patients with trauma. Medical antishock trousers (MAST) have been used to increase venous return to the heart until definitive care could be given. This, combined with compression of blood vessels, is believed to cause the movement of blood from the lower body to the brain, heart and lungs. However, the equipment is expensive, and may have adverse effects.To quantify the effect on mortality and morbidity (...) contacted and asked about any other trials that may have been conducted, whether published or unpublished.Randomised and quasi-randomised trials of MAST/PASG in patients following trauma (excluding fractures of the extremities in which MAST/PASG may be used as a splint).Data were extracted independently by two reviewers. Data were collected on mortality, duration of hospitalisation and ICU stay, and quality of allocation concealment.Two trials were identified that met the inclusion criteria

2000 Cochrane

493. A randomised controlled trial of prehospital intravenous fluid replacement therapy in serious trauma

A randomised controlled trial of prehospital intravenous fluid replacement therapy in serious trauma A randomised controlled trial of prehospital intravenous fluid replacement therapy in serious trauma A randomised controlled trial of prehospital intravenous fluid replacement therapy in serious trauma Turner J, Nicholl J, Webber L, Cox H, Dixon S, Yates D Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation (...) of the quality of this assessment has been made for the HTA database. Citation Turner J, Nicholl J, Webber L, Cox H, Dixon S, Yates D. A randomised controlled trial of prehospital intravenous fluid replacement therapy in serious trauma. Health Technology Assessment 2000; 4(31): 1-57 Authors' objectives This study aims to compare the effects of two different fluid replacement protocols, one usually with fluid administration and one usually without, used by paramedics Authors' conclusions This study does

2000 Health Technology Assessment (HTA) Database.

494. Open or closed diagnostic peritoneal lavage for abdominal trauma: a meta-analysis

Open or closed diagnostic peritoneal lavage for abdominal trauma: a meta-analysis Open or closed diagnostic peritoneal lavage for abdominal trauma: a meta-analysis Open or closed diagnostic peritoneal lavage for abdominal trauma: a meta-analysis Hodgson N F, Stewart T C, Girotti M J Authors' objectives To compare the closed and open techniques of diagnostic peritoneal lavage (DPL) in trauma patients, in order to determine whether there are any differences in outcomes. Searching MEDLINE (...) was searched from 1977 to 1999 using the search terms 'diagnostic peritoneal lavage', 'trauma' and 'randomized controlled trials'. Additional relevant studies were identified by searching the Cochrane Library (Volume IV, year not stated) and examining bibliographies. Unpublished studies were not sought. The search was limited to English language publications. Study selection Study designs of evaluations included in the review RCTs were included. Specific interventions included in the review Studies

2000 DARE.

495. A systematic overview of the effectiveness of physical therapy intervention on soft tissue neck injury following trauma

A systematic overview of the effectiveness of physical therapy intervention on soft tissue neck injury following trauma A systematic overview of the effectiveness of physical therapy intervention on soft tissue neck injury following trauma A systematic overview of the effectiveness of physical therapy intervention on soft tissue neck injury following trauma Magee D J, Oborn-Barrett E, Turner S, Fenning N Authors' objectives To assess the evidence concerning the effectiveness of physical therapy (...) intervention for soft tissue neck injuries, following trauma induced by automobile accidents. Searching The following databases were searched: MEDLINE from 1985 to February 1997; CINAHL from 1985 to December 1996; EMBASE from 1988 to December 1996; Current Contents from 1966 to March 1997; HealthSTAR from 1985 to December 1996; Canadian Research Index from 1982 to 1997; AMED from 1985 to 1997; CHIROLARS from 1990 to 1997; the Agency for Health Care Policy and Research (AHCPR); and the Cochrane Library from

2000 DARE.

496. Preventing perineal trauma during childbirth: a systematic review

Preventing perineal trauma during childbirth: a systematic review Preventing perineal trauma during childbirth: a systematic review Preventing perineal trauma during childbirth: a systematic review Eason E, Labrecque M, Wells G, Feldman P Authors' objectives To conduct a systematic review of the techniques proposed to prevent perineal trauma during childbirth, and to summarise quantitatively the evidence from randomised trials for the efficacy of these techniques. Searching MEDLINE was searched (...) were examined for original papers. Study selection Study designs of evaluations included in the review Randomised and quasi-randomised studies were included. Studies with a non-randomised design were included, but only if no randomised controlled trials (RCTs) of an intervention were found. Specific interventions included in the review Studies of an intervention to prevent perineal trauma were included. These included the following: episiotomy (median and mediolateral); operative vaginal delivery

2000 DARE.

497. Cost effectiveness analysis of BMD referral for DXA using ultrasound as a selective pre-screen in a group of women with low trauma Colles' fractures

Cost effectiveness analysis of BMD referral for DXA using ultrasound as a selective pre-screen in a group of women with low trauma Colles' fractures Cost effectiveness analysis of BMD referral for DXA using ultrasound as a selective pre-screen in a group of women with low trauma Colles' fractures Cost effectiveness analysis of BMD referral for DXA using ultrasound as a selective pre-screen in a group of women with low trauma Colles' fractures Sim M F, Stone M, Johansen A, Evans W Record Status (...) This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of quantitative ultrasound (QUS) for the measurement of bone mineral density in women with low trauma Colles' fractures. The intervention aimed to detect the presence of osteoporosis. Type

2000 NHS Economic Evaluation Database.

498. The risk assessment profile score identifies trauma patients at risk for deep vein thrombosis Full Text available with Trip Pro

The risk assessment profile score identifies trauma patients at risk for deep vein thrombosis The risk assessment profile score identifies trauma patients at risk for deep vein thrombosis The risk assessment profile score identifies trauma patients at risk for deep vein thrombosis Gearhart M M, Luchette F A, Proctor M C, Lutomski D M, Witsken C, James L, Davis K, Johannigman J A, Hurst J M, Frame S B Record Status This is a critical abstract of an economic evaluation that meets the criteria (...) for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of a risk assessment profile (RAP) to stratify trauma patients for deep vein thrombosis (DVT) prophylaxis, within 24 hours of admission, according to their potential for the development of DVT. The RAP is a scoring system that weights risk factors associated

2000 NHS Economic Evaluation Database.

499. Cost savings associated with changes in routine laboratory tests ordered for victims of trauma

Cost savings associated with changes in routine laboratory tests ordered for victims of trauma Cost savings associated with changes in routine laboratory tests ordered for victims of trauma Cost savings associated with changes in routine laboratory tests ordered for victims of trauma Jacobs I A, Kelly K, Valenziano C, Chevinsky A H, Pawar J, Jones C Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains (...) a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology An admission trauma protocol, for patients admitted to the emergency department of a hospital, was under evaluation. The protocol had two categories of admission, Trauma Blue (severe injury likely) and Trauma Yellow (severe injury unlikely). The conditions necessary to qualify for Trauma Blue were a Glasgow coma scale score

2000 NHS Economic Evaluation Database.

500. Prevention of infection in multiple trauma patients by high-dose intravenous immunoglobulins.

Prevention of infection in multiple trauma patients by high-dose intravenous immunoglobulins. PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2000 PedsCCM Evidence-Based Journal Club