Latest & greatest articles for trauma

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Top results for trauma

521. Selective intestinal decontamination in multiple trauma patients: prospective, controlled trial

Selective intestinal decontamination in multiple trauma patients: prospective, controlled trial Selective intestinal decontamination in multiple trauma patients: prospective, controlled trial Selective intestinal decontamination in multiple trauma patients: prospective, controlled trial Lingnau W, Berger J, Javorsky F, Lejeune P, Mutz N, Benzer H 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 Selective intestinal decontamination in multiple trauma patients. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population Patients (male and female) 18 years of age or older (mean age 38, + Setting Hospital. The economic study was carried out in Innsbruck, Austria. Dates to which data relate

1997 NHS Economic Evaluation Database.

522. Cost-effectiveness analysis of helicopter EMS for trauma patients

Cost-effectiveness analysis of helicopter EMS for trauma patients Cost-effectiveness analysis of helicopter EMS for trauma patients Cost-effectiveness analysis of helicopter EMS for trauma patients Gearhart P A, Wuerz R, Localio A 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 Helicopter emergency medical services (EMS) for trauma patients. Type of intervention Emergency treatment. Economic study type Cost-effectiveness analysis. Study population Trauma patients. Setting University hospital, Pennsylvania, USA. Dates to which data relate The study used resource use data (from 1994-1995) obtained from a hospital-based air medical program serving a rural suburban area (population approximately 2 million). Effectiveness data

1997 NHS Economic Evaluation Database.

523. Cost-effective prevention of pulmonary embolus in high-risk trauma patients

Cost-effective prevention of pulmonary embolus in high-risk trauma patients Cost-effective prevention of pulmonary embolus in high-risk trauma patients Cost-effective prevention of pulmonary embolus in high-risk trauma patients 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 of the study and the conclusions drawn. Health technology Screening with twice-weekly duplex ultrasound (US), or prophylactic placement of an inferior vena cava filter (VCF) to prevent pulmonary embolus (PE) in high-risk trauma patients receiving DVT prophylaxis with either subcutaneous unfractionated heparin (SUH) or sequential compression devices (SCD). Type of intervention Screening, secondary prevention and treatment. Economic study type Cost-effectiveness analysis

1997 NHS Economic Evaluation Database.

524. Management outcomes in splenic injury: a statewide trauma center review

Management outcomes in splenic injury: a statewide trauma center review Management outcomes in splenic injury: a statewide trauma center review Management outcomes in splenic injury: a statewide trauma center review Clancy T V, Ramshaw D G, Maxwell J G, Covington D L, Churchill M P, Rutledge R, Oller D W, Cunningham P R, Meredith J W, Thomason M H, Baker C 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 Nonoperative versus operative methods of management as initial therapeutic options for the management of patients with splenic injury. Type of intervention Diagnosis; treatment. Economic study type Cost-effectiveness analysis. Study population Patients aged 17 years or older, with splenic trauma. Setting Hospital

1997 NHS Economic Evaluation Database.

525. Throughput analysis of trauma resuscitations with financial impact

Throughput analysis of trauma resuscitations with financial impact Throughput analysis of trauma resuscitations with financial impact Throughput analysis of trauma resuscitations with financial impact Imami E R, Clevenger F W, Lampard S D, Kallenborn C, Tepas J 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 Trauma management with co-ordinated physician-hospital patient care groups (PCGs) and physician education intervention regarding resource use. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population Trauma patients. Setting The setting was an adult and pediatric Level I trauma centre with 5 acute resuscitation bays, Department of Surgery, University of Florida Health Science

1997 NHS Economic Evaluation Database.

526. Cost-effective method for bedside insertion of vena caval filters in trauma patients

Cost-effective method for bedside insertion of vena caval filters in trauma patients Cost-effective method for bedside insertion of vena caval filters in trauma patients Cost-effective method for bedside insertion of vena caval filters in trauma patients Nunn C R, Neuzil D, Naslund T, Bass J G, Jenkins J M, Pierce R, Morris 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 of the study and the conclusions drawn. Health technology Bedside insertion of inferior vena cava (IVC) filters in trauma patients versus radiology suite or operating room. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population Male and female trauma patients requiring IVC filter placement. Setting Hospital. The economic study was carried out in Nashville

1997 NHS Economic Evaluation Database.

527. Complications and costs of early postoperative parenteral versus enteral nutrition in trauma patients

Complications and costs of early postoperative parenteral versus enteral nutrition in trauma patients Complications and costs of early postoperative parenteral versus enteral nutrition in trauma patients Complications and costs of early postoperative parenteral versus enteral nutrition in trauma patients Trice S, Melnik G, Page C 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 Early postoperative parenteral or enteral nutrition in trauma patients. Type of intervention Life support. Economic study type Cost-effectiveness analysis. Study population Patients in need of post-operative nutrition support. Setting Hospital. The economic study was performed in the USA. Dates to which data relate The effectiveness and resource

1997 NHS Economic Evaluation Database.

528. A comparison of low-dose heparin with low-molecular-weight heparin as prophylaxis against venous thromboembolism after major trauma. (Abstract)

A comparison of low-dose heparin with low-molecular-weight heparin as prophylaxis against venous thromboembolism after major trauma. Patients who have had major trauma are at very high risk for venous thromboembolism if they do not receive thromboprophylaxis. We compared low-dose heparin and a low-molecular-weight heparin with regard to efficacy and safety in a randomized clinical trial in patients with trauma.Consecutive adult patients admitted to a trauma center who had Injury Severity Scores (...) in the heparin group and five in the enoxaparin group, P=0.12).Low-molecular-weight heparin was more effective than low-dose heparin in preventing venous thromboembolism after major trauma. Both interventions were safe.

1996 NEJM Controlled trial quality: predicted high

529. Randomised controlled trial of single-dose antibiotic prophylaxis in surgical treatment of closed fractures: the Dutch Trauma Trial. (Abstract)

Randomised controlled trial of single-dose antibiotic prophylaxis in surgical treatment of closed fractures: the Dutch Trauma Trial. The efficacy of prophylactic antibiotics in fracture surgery remains controversial for lack of well-documented prospective studies. We report here the findings of the Dutch Trauma Trial, a prospective, randomised, double-blind, placebo-controlled study of antibiotic prophylaxis in the primary operative treatment of limb fractures. Ceftriaxone was chosen because

1996 Lancet Controlled trial quality: predicted high

530. Selective decontamination of the digestive tract in multiple trauma patients: a prospective double-blind, randomized, placebo-controlled study

Selective decontamination of the digestive tract in multiple trauma patients: a prospective double-blind, randomized, placebo-controlled study Selective decontamination of the digestive tract in multiple trauma patients: a prospective double-blind, randomized, placebo-controlled study Selective decontamination of the digestive tract in multiple trauma patients: a prospective double-blind, randomized, placebo-controlled study Quinio B, Albanese J, Bues-Charbit M, Viviand X, Martin C Record (...) of the oropharynx, nares, and bronchi in adult trauma patients needing mechanical ventilation. The SDD regimen comprised suspension and gel: "a suspension of colistin sulfate (polymixin E) (10 mg/mL), gentamicin (8 mg/mL), and amphotericin B (50 mg/mL) instilled through the nasogastric tube (10 mL) and nares (2 mL in each) four times daily. An oral gel made of carboxymethylcellulose containing 2% of the same antibiotics was also applied four times daily with a glove in oropharyngeal cavity; about 15 mL of gel

1996 NHS Economic Evaluation Database.

531. A meta-analysis of blunt cardiac trauma: ending myocardial contusion

A meta-analysis of blunt cardiac trauma: ending myocardial contusion 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.

1996 DARE.

532. Ultrasonography for the initial evaluation of blunt abdominal trauma: a review of prospective trials

Ultrasonography for the initial evaluation of blunt abdominal trauma: a review of prospective trials Ultrasonography for the initial evaluation of blunt abdominal trauma: a review of prospective trials Ultrasonography for the initial evaluation of blunt abdominal trauma: a review of prospective trials Pearl W S, Todd K H Authors' objectives To assess the efficacy of diagnostic ultrasound in blunt abdominal trauma, to investigate the impact of training and experience of ultrasound operator (...) , and no details of the reference standards used in the included studies were reported. Participants included in the review No inclusion criteria relating to participant characteristics were specified. The included studies were of patients with blunt abdominal trauma. Three included studies were selective in their inclusion so that a limited spectrum of disease would be included; they specifically excluded severely injured patients. One paediatric study was excluded. Outcomes assessed in the review

1996 DARE.

533. Limiting computed tomography to patients with peritoneal lavage-positive results reduces cost and unnecessary celiotomies in blunt trauma

Limiting computed tomography to patients with peritoneal lavage-positive results reduces cost and unnecessary celiotomies in blunt trauma Limiting computed tomography to patients with peritoneal lavage-positive results reduces cost and unnecessary celiotomies in blunt trauma Limiting computed tomography to patients with peritoneal lavage-positive results reduces cost and unnecessary celiotomies in blunt trauma Schreiber M A, Gentilello L M, Rhee P, Jurkovich G J, Maier R V 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 Computed tomographic (CT) scanning used to identify patients with blunt trauma and positive results of diagnostic peritoneal lavage (DPL). Patients with a red blood cell count greater than 10?11/L on lavage

1996 NHS Economic Evaluation Database.

534. Blunt thoracic aortic trauma: a cost-utility approach for injury detection

Blunt thoracic aortic trauma: a cost-utility approach for injury detection Blunt thoracic aortic trauma: a cost-utility approach for injury detection Blunt thoracic aortic trauma: a cost-utility approach for injury detection Brasel K J, 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 of the study and the conclusions drawn. Health technology Four diagnostic approaches for blunt chest trauma after the initial chest radiograph: observation with follow-up chest radiography (CR), aortography, transesophageal echocardiography (TEE), and dynamic chest computed tomography (CT). Type of intervention Diagnosis and treatment. Economic study type Cost-utility analysis. Study population Patients with blunt thoracic aortic trauma. Setting Hospital. The economic study was conducted

1996 NHS Economic Evaluation Database.

535. Computed tomography vs clinical and multidisciplinary procedures for early evaluation of severe abdomen and chest trauma: a cost analysis approach

Computed tomography vs clinical and multidisciplinary procedures for early evaluation of severe abdomen and chest trauma: a cost analysis approach Computed tomography vs clinical and multidisciplinary procedures for early evaluation of severe abdomen and chest trauma: a cost analysis approach Computed tomography vs clinical and multidisciplinary procedures for early evaluation of severe abdomen and chest trauma: a cost analysis approach Navarrete-Navarro P, Vazquez G, Bosch J M, Fernandez E (...) , Rivera R, Carazo E 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 Computed tomography (CT) in the evaluation of severe abdomen and chest trauma. Type of intervention Diagnosis. Economic study type Cost-effectiveness analysis. Study

1996 NHS Economic Evaluation Database.

536. Diagnosis of ligament rupture of the ankle joint: physical examination, arthrography, stress radiography and sonography compared in 160 patients after inversion trauma

Diagnosis of ligament rupture of the ankle joint: physical examination, arthrography, stress radiography and sonography compared in 160 patients after inversion trauma Diagnosis of ligament rupture of the ankle joint: physical examination, arthrography, stress radiography and sonography compared in 160 patients after inversion trauma Diagnosis of ligament rupture of the ankle joint: physical examination, arthrography, stress radiography and sonography compared in 160 patients after inversion (...) trauma van Dijk C N, Willem B, Mol J, Lim L S, Marti R K, Bossuyt P 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 Strategies for the diagnosis of ligament rupture, consisting of combinations of physical examination, arthrography

1996 NHS Economic Evaluation Database.

537. Effect of homoeopathy on pain and other events after acute trauma: placebo controlled trial with bilateral oral surgery. Full Text available with Trip Pro

Effect of homoeopathy on pain and other events after acute trauma: placebo controlled trial with bilateral oral surgery. To examine whether homoeopathy has any effect on pain and other inflammatory events after surgery.Randomised double blind, placebo controlled crossover trial with "identical" oral surgical procedures performed on two separate occasions in 24 patients.Treatment started 3 hours after surgery with either homoeopathy or placebo.Postoperative pain and preference for postoperative

1995 BMJ Controlled trial quality: predicted high

538. Motorcycle trauma in the state of Illinois: analysis of the Illinois Department of Public Health trauma registry

Motorcycle trauma in the state of Illinois: analysis of the Illinois Department of Public Health trauma registry Motorcycle trauma in the state of Illinois: analysis of the Illinois Department of Public Health trauma registry Motorcycle trauma in the state of Illinois: analysis of the Illinois Department of Public Health trauma registry Orsay E, Holden J A, Williams J, Lumpkin J 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 Using helmets in the prevention of motorcycle crashes and trauma. Type of intervention Primary prevention. Economic study type Cost-effectiveness analysis. Study population All patients involved in motorcycle crashes and subsequently taken to a level I or level II trauma centre. Setting

1995 NHS Economic Evaluation Database.

539. Surveillance venous scans for deep venous thrombosis in multiple trauma patients

Surveillance venous scans for deep venous thrombosis in multiple trauma patients Surveillance venous scans for deep venous thrombosis in multiple trauma patients Surveillance venous scans for deep venous thrombosis in multiple trauma patients Meyer C S, Blebea J, Davis K, Fowl R J, Kempczinski R F 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 Venous duplex scanning for deep vein thrombosis (DVT) in lower extremities of multiple trauma patients. Type of intervention Diagnosis. Economic study type Cost-effectiveness analysis. Study population Patients admitted to a US regional trauma centre with injuries needing admission to surgical intensive care unit. Setting Surgical intensive care unit of a regional trauma centre

1995 NHS Economic Evaluation Database.

540. Prehospital classification combined with an in-hospital trauma radio system response reduces cost and duration of evaluation of the injured patient

Prehospital classification combined with an in-hospital trauma radio system response reduces cost and duration of evaluation of the injured patient Prehospital classification combined with an in-hospital trauma radio system response reduces cost and duration of evaluation of the injured patient Prehospital classification combined with an in-hospital trauma radio system response reduces cost and duration of evaluation of the injured patient Gerndt S J, Conley J L, Lowell M J, Holmes J, Marsh E (...) , Larin L R, Taheri P A, Polley T Z, Rodriquez J L 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 Pre-hospital trauma classification system (PHTCS) combined with an in-hospital trauma radio system response. (IHTRSR). Type

1995 NHS Economic Evaluation Database.