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View article: Current patterns of trauma center proliferation have not led to proportionate improvements in access to care or mortality after injury: An ecologic study
Current patterns of trauma center proliferation have not led to proportionate improvements in access to care or mortality after injury: An ecologic study Open
BACKGROUND Timely access to high-level (I/II) trauma centers (HLTCs) is essential to minimize mortality after injury. Over the last 15 years, there has been a proliferation of HLTC nationally. The current study evaluates the impact of addi…
View article: Frequency and Predictors of Trauma Transfer Futility to a Rural Level I Trauma Center
Frequency and Predictors of Trauma Transfer Futility to a Rural Level I Trauma Center Open
A small proportion (1.1%) of transfers to a rural Level I trauma center met criteria for futility. Predictive tools, such as MGAP scoring, can provide objective criteria for evaluation of transfer necessity and prompt care pathways that in…
View article: Racial Disparities in In-hospital Mortality and Discharge Disposition among Trauma Patients in Massachusetts
Racial Disparities in In-hospital Mortality and Discharge Disposition among Trauma Patients in Massachusetts Open
Background: Population-based data on trauma care are important to a solid understanding of racial disparities in the care and outcomes of trauma patients. Methods: Data on inpatient hospitalizations for trauma were obtained from the Massac…
View article: Spanish translation section
Spanish translation section Open
Meta-analysis of neoadjuvant therapy and its
View article: Vena Cava Filter Use in Trauma and Rates of Pulmonary Embolism, 2003-2015
Vena Cava Filter Use in Trauma and Rates of Pulmonary Embolism, 2003-2015 Open
Despite a precipitous decline of VCF use in trauma, PE rates remained unchanged during this period. Taking this association into consideration, VCFs may have limited utility in influencing rates of PE. More judicious identification of at-r…
View article: 310 Common mortality models fail to use anatomic injury information optimally
310 Common mortality models fail to use anatomic injury information optimally Open
Background Comparison of trauma centres requires accurate injury severity metrics. The Trauma Audit and Research Network (TARN) in the UK, and the Trauma Injury Severity Score (TRISS) provide such risk adjustment. These models incorporate …
View article: Impact of Risk Adjustment for Socioeconomic Status on Risk-adjusted Surgical Readmission Rates
Impact of Risk Adjustment for Socioeconomic Status on Risk-adjusted Surgical Readmission Rates Open
Differences in surgery readmissions between SNHs and non-SNHs are due to differences in the patient case mix of low-SES patients, and not due to differences in quality. Adjusting readmission measures for SES leads to changes in hospital ra…
View article: Elevated Biomarkers of Inflammation and Coagulation in Patients with HIV Are Associated with Higher Framingham and VACS Risk Index Scores
Elevated Biomarkers of Inflammation and Coagulation in Patients with HIV Are Associated with Higher Framingham and VACS Risk Index Scores Open
Despite viral suppression and immunological stability, biomarkers of inflammation and coagulation remain elevated in a significant number of patients with HIV and are associated with higher scores on risk stratification indices.
View article: Single Surgeon Experience With Minimally Invasive AVR: Expectations of a Change in Practice
Single Surgeon Experience With Minimally Invasive AVR: Expectations of a Change in Practice Open
are hampered by non-standardized techniques and multi-surgeon/institution practice.
View article: Survival Rates in Trauma Patients Following Health Care Reform in Massachusetts
Survival Rates in Trauma Patients Following Health Care Reform in Massachusetts Open
Health care reform did not affect health insurance coverage for patients hospitalized following injury but was associated with a transient increase in adjusted mortality rates. Reducing mortality rates for acutely injured patients may requ…
View article: Trauma care does not discriminate
Trauma care does not discriminate Open
Epidemiologic and prognostic study, level III.