Latest & greatest articles for trauma

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Top results for trauma

501. Validity of a Set of Clinical Criteria to Rule Out Injury to the Cervical Spine in Patients with Blunt Trauma

Validity of a Set of Clinical Criteria to Rule Out Injury to the Cervical Spine in Patients with Blunt Trauma PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2000 PedsCCM Evidence-Based Journal Club

502. Increased efficiency and cost-effectiveness in the evaluation of the blunt abdominal trauma patient with the use of ultrasound

Increased efficiency and cost-effectiveness in the evaluation of the blunt abdominal trauma patient with the use of ultrasound Increased efficiency and cost-effectiveness in the evaluation of the blunt abdominal trauma patient with the use of ultrasound Increased efficiency and cost-effectiveness in the evaluation of the blunt abdominal trauma patient with the use of ultrasound Arrillaga A, Graham R, York J W, Miller R 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 Ultrasound (US) used to evaluate patients suspected of having blunt abdominal trauma. US evaluation was performed during the resuscitation by certified radiology technicians and interpreted immediately by a radiologist at the time of the test. Three areas

1999 NHS Economic Evaluation Database.

503. Systematic review of published evidence regarding trauma system effectiveness

Systematic review of published evidence regarding trauma system effectiveness Systematic review of published evidence regarding trauma system effectiveness Systematic review of published evidence regarding trauma system effectiveness Mann N C, Mullins R J, MacKenzie E J, Jurkovich G J, Mock C N Authors' objectives To assess the effectiveness of trauma centre/system implementation and maintenance on patient outcomes. Searching MEDLINE (1966-May 1998), CINAHL (1982 - May 1998) and HealthSTAR (...) (1995 - May 1998) were searched. Search terms are listed. Reference lists of retrieved articles were scanned. Retrieved literature was limited to English language reports of trauma systems in the United States and Canada. Study selection Study designs of evaluations included in the review Studies had to use a control/comparison group. Studies compared trauma outcomes across trauma centres/ systems(geographic analysis), within a trauma centre/system (temporal analysis) or contrasted regional outcomes

1999 DARE.

504. A prospective, randomised comparison of single-vs. multiple-dose antibiotic prophylaxis in penetrating trauma

A prospective, randomised comparison of single-vs. multiple-dose antibiotic prophylaxis in penetrating 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.

1999 NHS Economic Evaluation Database.

505. Surgical residents and ultrasound technician accuracy and cost-effectiveness of ultrasound in trauma

Surgical residents and ultrasound technician accuracy and cost-effectiveness of ultrasound in trauma Surgical residents and ultrasound technician accuracy and cost-effectiveness of ultrasound in trauma Surgical residents and ultrasound technician accuracy and cost-effectiveness of ultrasound in trauma Frezza E E, Ferone T, Martin M 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 Focussed Abdominal Sonogram for Trauma (FAST) performed by surgical residents as an essential diagnostic tool in the treatment of trauma patients. Type of intervention Diagnosis. Economic study type Cost-effectiveness analysis. Study population Trauma victims. Setting Hospital. The economic analysis was carried out in New York, USA. Dates to which

1999 NHS Economic Evaluation Database.

506. Impact of a dedicated trauma service on the quality and cost of care provided to injured patients at an urban teaching hospital

Impact of a dedicated trauma service on the quality and cost of care provided to injured patients at an urban teaching hospital Impact of a dedicated trauma service on the quality and cost of care provided to injured patients at an urban teaching hospital Impact of a dedicated trauma service on the quality and cost of care provided to injured patients at an urban teaching hospital Cohen M M, Fath J A, Chung R S K, Ammon A A, Matthews J 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 dedicated trauma response and care centre, provided for injured patients, was compared with the situation before the centre was provided. Specifically, the trauma centre would provide committed private attending surgeons, improved intensive

1999 NHS Economic Evaluation Database.

507. Continuous infusions of lorazepam, midazolam, and propofol for sedation of the critically ill surgery trauma patient: a prospective, randomized comparison

Continuous infusions of lorazepam, midazolam, and propofol for sedation of the critically ill surgery trauma patient: a prospective, randomized comparison Continuous infusions of lorazepam, midazolam, and propofol for sedation of the critically ill surgery trauma patient: a prospective, randomized comparison Continuous infusions of lorazepam, midazolam, and propofol for sedation of the critically ill surgery trauma patient: a prospective, randomized comparison McCollam J S, O'Neil M G, Norcross (...) E D, Byrne T K, Reeves S T 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 continuous infusions of lorazepam, midazolam and propofol for the sedation of mechanically-ventilated, critically ill trauma

1999 NHS Economic Evaluation Database.

508. Management of penetrating colon trauma: a cost-utility analysis

Management of penetrating colon trauma: a cost-utility analysis Management of penetrating colon trauma: a cost-utility analysis Management of penetrating colon trauma: a cost-utility analysis Brasel K J, Borgstrom D C, Weigelt J A 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 (...) disutility. The scale was administered to 18 healthy volunteers aged 14 to 35 years with demographic profiles similar to those of the index trauma population. All surviving patients were assumed to have a 50-year life expectancy after injury. Direct costs Costs related to colostomy supplies were discounted at an annual discount rate of 5%. Quantities and costs were reported separately. Direct costs for each procedure were calculated by identifying all components necessary for peri-operative care

1999 NHS Economic Evaluation Database.

509. Cervical spine screening with CT in trauma patients: a cost-effectiveness analysis Full Text available with Trip Pro

Cervical spine screening with CT in trauma patients: a cost-effectiveness analysis Cervical spine screening with CT in trauma patients: a cost-effectiveness analysis Cervical spine screening with CT in trauma patients: a cost-effectiveness analysis Blackmore C C, Ramsey S D, Mann F A, Deyo R A 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 Computer tomography (CT) was compared with conventional radiography for cervical spine screening in trauma patients. Type of intervention Screening. Economic study type Cost-utility analysis. Study population The study population consisted of patients who were screened for possible cervical spine fracture in trauma centres or emergency departments, and who were scheduled to undergo CT

1999 NHS Economic Evaluation Database.

510. Impact of trauma stress ulcer prophylaxis guidelines on drug cost and frequency of major gastrointestinal bleeding

Impact of trauma stress ulcer prophylaxis guidelines on drug cost and frequency of major gastrointestinal bleeding Impact of trauma stress ulcer prophylaxis guidelines on drug cost and frequency of major gastrointestinal bleeding Impact of trauma stress ulcer prophylaxis guidelines on drug cost and frequency of major gastrointestinal bleeding Devlin J W, Claire K S, Dulchavsky S A, Tyburski J 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 stress ulcer prophylaxis guidelines for trauma patients, aimed at appropriately identifying the patients that would benefit the most from ulcer prophylaxis. The guidelines reported the indications for therapy (cimetidine, sucralfate, or regularly scheduled anti-acid

1999 NHS Economic Evaluation Database.

511. Randomised trial of glutamine-enriched enteral nutrition on infectious morbidity in patients with multiple trauma. (Abstract)

Randomised trial of glutamine-enriched enteral nutrition on infectious morbidity in patients with multiple trauma. Infections are an important cause of morbidity and mortality in patients with multiple trauma. Studies in both animals and human beings have suggested that glutamine-enriched nutrition decreases the number of infections.Patients with multiple trauma with an expected survival of more than 48 h, and who had an Injury Severity Score of 20 or more, were randomly allocated glutamine (...) (45%) of 31 patients in the control group (p<0.02). Bacteraemia occurred in two (7%) patients in glutamine group and 13 (42%) in the control group (p<0.005). One patient in the glutamine group had sepsis compared with eight (26%) patients in the control group (p<0.02).There was a low frequency of pneumonia, sepsis, and bacteraemia in patients with multiple trauma who received glutamine-supplemented enteral nutrition. Larger studies are needed to investigate whether glutamine-supplemented enteral

1998 Lancet Controlled trial quality: uncertain

512. Reduced use of resources by early tracheostomy in ventilator-dependent patients with blunt trauma

Reduced use of resources by early tracheostomy in ventilator-dependent patients with blunt trauma Reduced use of resources by early tracheostomy in ventilator-dependent patients with blunt trauma Reduced use of resources by early tracheostomy in ventilator-dependent patients with blunt trauma Armstrong P A, McCarthy M C, Peoples J 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 early tracheostomy in ventilator-dependent patients with blunt trauma. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population The study population comprised ventilator-dependent patients with blunt trauma. Patients were included if they met one of the following criteria: they had blunt trauma

1998 NHS Economic Evaluation Database.

513. The costs and benefits of paramedic skills in pre-hospital trauma care

The costs and benefits of paramedic skills in pre-hospital trauma care The costs and benefits of paramedic skills in pre-hospital trauma care The costs and benefits of paramedic skills in pre-hospital trauma care Nicholl J, Hughes S, Dixon S, Turner J, 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 Nicholl J, Hughes S, Dixon S (...) , Turner J, Yates D. The costs and benefits of paramedic skills in pre-hospital trauma care. Health Technology Assessment 1998; 2(17): 1-72 Authors' objectives This study assesses the effectiveness of the additional paramedic training in the management of serious trauma. Authors' conclusions There was no evidence from this study to support the view that a substantial proportion of pre-hospital deaths are avoidable, as suggested by previous studies. The authors conclude that the protocols used

1998 Health Technology Assessment (HTA) Database.

514. Single view radiographic screening of midfacial trauma

Single view radiographic screening of midfacial trauma Single view radiographic screening of midfacial trauma Single view radiographic screening of midfacial trauma Sidebottom A J, Lord T 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 Radiographic screening of midfacial trauma. Type of intervention Screening; diagnosis. Economic study type Cost-effectiveness analysis. Study population Patients with mid-facial injuries requiring radiographic investigation. Setting The practice setting was a United Kingdom Accident & Emergency (A&E) Department. The economic analysis was undertaken within the UK. Dates to which data relate Effectiveness data were collected between 1 May 1996 to 30 Apr 1997 for the intervention

1998 NHS Economic Evaluation Database.

515. Speed and efficiency in the resuscitation of blunt trauma patients with multiple injuries: the advantage of diagnostic peritoneal lavage over abdominal computerized tomography

Speed and efficiency in the resuscitation of blunt trauma patients with multiple injuries: the advantage of diagnostic peritoneal lavage over abdominal computerized tomography Speed and efficiency in the resuscitation of blunt trauma patients with multiple injuries: the advantage of diagnostic peritoneal lavage over abdominal computerized tomography Speed and efficiency in the resuscitation of blunt trauma patients with multiple injuries: the advantage of diagnostic peritoneal lavage over (...) abdominal computerized tomography Blow O, Bassam D, Butler K, Cephas G A, Brady W, Young J 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 Diagnostic peritoneal lavage (DPL)for evaluation of adult blunt trauma patients with multiple

1998 NHS Economic Evaluation Database.

516. Cost-effectiveness of enoxaparin versus low-dose heparin for prophylaxis against venous thrombosis after major trauma

Cost-effectiveness of enoxaparin versus low-dose heparin for prophylaxis against venous thrombosis after major trauma Cost-effectiveness of enoxaparin versus low-dose heparin for prophylaxis against venous thrombosis after major trauma Cost-effectiveness of enoxaparin versus low-dose heparin for prophylaxis against venous thrombosis after major trauma Devlin J W, Petitta A, Shepard A D, Obeid F N 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 Use of enoxaparin 30 mg/twice daily for prophylaxis against venous thrombosis after major trauma. Type of intervention Secondary prevention. Economic study type Cost-effectiveness analysis. Study population Patients admitted to hospital with major trauma, with an Injury Severity

1998 NHS Economic Evaluation Database.

517. The cost-effectiveness of oblique radiography in the exclusion of C7-T1 injury in trauma patients

The cost-effectiveness of oblique radiography in the exclusion of C7-T1 injury in trauma patients The cost-effectiveness of oblique radiography in the exclusion of C7-T1 injury in trauma patients The cost-effectiveness of oblique radiography in the exclusion of C7-T1 injury in trauma patients Kaneriya P P, Schweitzer M E, Spettell C, Cohen M J, Karasick D 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 Use of bilateral oblique radiography in the exclusion of C7-T1 injury in trauma patients. The intervention treatment protocol consisted of the routine three-view series (anteroposterior, lateral, and open-mouth odontoid views) complemented by bilateral oblique radiography. In this protocol, computed tomography (CT

1998 NHS Economic Evaluation Database.

518. The costs and benefits of paramedic skills in pre-hospital trauma care

The costs and benefits of paramedic skills in pre-hospital trauma care The costs and benefits of paramedic skills in pre-hospital trauma care The costs and benefits of paramedic skills in pre-hospital trauma care Nicholl J, Hughes S, Dixon S, Turner J, Yates D 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 paramedic skills, that is, advanced life support (ALS) in pre-hospital trauma care. The authors stated that the training in the UK consisted of 8 weeks of instruction and practice (4-week training period and 4-week clinical placement) in endotracheal intubation, cannulation, and the administration of intravenous fluids and a limited range of drugs. Type of intervention Other: pre-hospital care after

1998 NHS Economic Evaluation Database.

519. The role of computed tomographic scanning in the management of facial trauma

The role of computed tomographic scanning in the management of facial trauma The role of computed tomographic scanning in the management of facial trauma The role of computed tomographic scanning in the management of facial trauma Thai K N, Hummel R P, Kitzmiller W J, Luchette F A 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 role of computed tomographic scanning (CT) in the management of blunt facial trauma. Type of intervention Diagnosis. Economic study type Cost-effectiveness analysis. Study population The study looked at patients with facial trauma admitted to hospitals. Patients with facial lacerations without associated facial fractures were excluded. Setting Hospital. The economic study was carried out

1997 NHS Economic Evaluation Database.

520. Efficacy of hypertonic 7.5% saline and 6% dextran-70 in treating trauma: a meta-analysis of controlled clinical studies

Efficacy of hypertonic 7.5% saline and 6% dextran-70 in treating trauma: a meta-analysis of controlled clinical studies Efficacy of hypertonic 7.5% saline and 6% dextran-70 in treating trauma: a meta-analysis of controlled clinical studies Efficacy of hypertonic 7.5% saline and 6% dextran-70 in treating trauma: a meta-analysis of controlled clinical studies Wade C E, Kramer G C, Grady J J, Fabian T C, Younes R N Authors' objectives To examine the efficacy of hypertonic saline with and without (...) dextran-70 for the initial treatment of trauma. Searching Meeting abstracts and conference proceedings. No details of database searches given. Letters were sent to international experts requesting information on unpublished studies. Study selection Study designs of evaluations included in the review Randomised controlled trials (RCTs) were included. Specific interventions included in the review Hypertonic 7.5% saline (HS) alone or with dextran-70 (HSD), usually at a 6% concentration. In all cases

1997 DARE.