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40
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/TA.0000000000002155" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/TA.0000000000002155</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
737-743
Issue
4
Volume
86
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of General Surgery
Dublin Core
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Title
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Evidence-based review of trauma center care and routine palliative care processes for geriatric trauma patients; A collaboration from the American Association for the Surgery of Trauma Patient Assessment Committee, the American Association for the Surgery of Trauma Geriatric Trauma Committee, and the Eastern Association for the Surgery of Trauma Guidelines Committee.
Publisher
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The journal of trauma and acute care surgery
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-04
Creator
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Aziz Hiba Abdel; Lunde John; Barraco Robert; Como John J; Cooper Zara; Hayward Thomas 3rd; Hwang Franchesca; Lottenberg Lawrence; Mentzer Caleb; Mosenthal Anne; Mukherjee Kaushik; Nash Joshua; Robinson Bryce; Staudenmayer Kristan; Wright Rebecca; Yon James; Crandall Marie
Description
An account of the resource
BACKGROUND: Despite an aging population and increasing number of geriatric trauma patients annually, gaps in our understanding of best practices for geriatric trauma patients persist. We know that trauma center care improves outcomes for injured patients generally, and palliative care processes can improve outcomes for disease-specific conditions, and our goal was to determine effectiveness of these interventions on outcomes for geriatric trauma patients. METHODS: A priori questions were created regarding outcomes for patients 65 years or older with respect to care at trauma centers versus nontrauma centers and use of routine palliative care processes. A query of MEDLINE, PubMed, Cochrane Library, and EMBASE was performed. Letters to the editor, case reports, book chapters, and review articles were excluded. GRADE (Grading of Recommendations Assessment, Development and Evaluation) methodology was used to perform a systematic review and create recommendations. RESULTS: We reviewed seven articles relevant to trauma center care and nine articles reporting results on palliative care processes as they related to geriatric trauma patients. Given data quality and limitations, we conditionally recommend trauma center care for the severely injured geriatric trauma patients but are unable to make a recommendation on the question of routine palliative care processes for geriatric trauma patients. CONCLUSIONS: As our older adult population increases, injured geriatric patients will continue to pose challenges for care, such as comorbidities or frailty. We found that trauma center care was associated with improved outcomes for geriatric trauma patients in most studies and that utilization of early palliative care consultations was generally associated with improved secondary outcomes, such as length of stay; however, inconsistency and imprecision prevented us from making a clear recommendation for this question. As caregivers, we should ensure adequate support for trauma systems and palliative care processes in our institutions and communities and continue to support robust research to study these and other aspects of geriatric trauma. LEVEL OF EVIDENCE: Systematic review/guideline, level III.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/TA.0000000000002155" target="_blank" rel="noreferrer noopener">10.1097/TA.0000000000002155</a>
2019
Aziz Hiba Abdel
Barraco Robert
Como John J
Cooper Zara
Crandall Marie
Department of General Surgery
Hayward Thomas 3rd
Hwang Franchesca
Lottenberg Lawrence
Lunde John
Mentzer Caleb
Mosenthal Anne
Mukherjee Kaushik
Nash Joshua
NEOMED College of Medicine
Robinson Bryce
Staudenmayer Kristan
The journal of trauma and acute care surgery
Wright Rebecca
Yon James
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/ta.0000000000002944" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/ta.0000000000002944</a>
ISSN
2163-0763 2163-0755
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1097/ta.0000000000002944" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1097/ta.0000000000002944</a>
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Update Year & Number
Hospital List
Dublin Core
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Title
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Thromboelastography and Rotational Thromboelastometry in Bleeding Patients with Coagulopathy: Practice Management Guideline from the Eastern Association for the Surgery of Trauma.
Publisher
An entity responsible for making the resource available
The Journal of Trauma and Acute Care Surgery
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-09-16
Creator
An entity primarily responsible for making the resource
Bugaev N; Como JJ; Golani G; Freeman JJ; Sawhney JS; Vatsaas CJ; Yorkgitis BK; Kreiner LA; Garcia NM; Aziz Hiba A; Pappas PA; Mahoney EJ; Brown ZW; Kasotakis G
Description
An account of the resource
BACKGROUND: Assessment of the immediate need for specific blood product transfusions in acutely bleeding patients is challenging. Clinical assessment and commonly used coagulation tests are inaccurate and time-consuming. The goal of this practice management guideline was to evaluate the role of the viscoelasticity tests: thromboelastography (TEG) and rotational thromboelastometry (ROTEM), in the management of acutely bleeding trauma, surgical and critically ill patients. METHODS: Systematic review and meta-analyses of manuscripts comparing TEG/ROTEM to non-TEG/ROTEM-guided blood products transfusions strategies were performed. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology was applied to assess the level of evidence and create recommendations for TEG/ROTEM-guided blood product transfusions in adult trauma, surgical, and critically ill patients. RESULTS: Utilizing TEG/ROTEM-guided blood transfusions in acutely bleeding trauma, surgical, and critically ill patients was associated with a tendency to fewer blood product transfusions in all populations. TEG/ROTEM-guided transfusions were associated with a reduced number of additional invasive hemostatic interventions (angioembolic, endoscopic, or surgical) in surgical patients. TEG/ROTEM -guided transfusions were associated with a reduction in mortality in trauma patients. CONCLUSION: In patients with ongoing hemorrhage and concern for coagulopathy, we conditionally recommend using TEG/ROTEM-guided transfusions, compared with traditional coagulation parameters, to guide blood component transfusions in each of the following three groups: adult trauma patients, adult surgical patients, and patients with critical illness. LEVEL OF EVIDENCE: Level II TYPE OF STUDY: Therapeutic.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/ta.0000000000002944" target="_blank" rel="noreferrer noopener">10.1097/ta.0000000000002944</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
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journalArticle
2020
Aziz Hiba A
Brown ZW
Bugaev N
Como JJ
Freeman JJ
Garcia NM
Golani G
Hospital List
journalArticle
Kasotakis G
Kreiner LA
Mahoney EJ
Pappas PA
Sawhney JS
The journal of trauma and acute care surgery
Vatsaas CJ
Yorkgitis BK
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/TA.0000000000000232" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/TA.0000000000000232</a>
Pages
1484–1493
Issue
6
Volume
76
Dublin Core
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Title
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Timing and type of surgical treatment of Clostridium difficile-associated disease: a practice management guideline from the Eastern Association for the Surgery of Trauma.
Publisher
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The journal of trauma and acute care surgery
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
2014-06
Subject
The topic of the resource
*Clostridium difficile; *Practice Guidelines as Topic; *Societies; *Traumatology; Clostridium Difficile; Clostridium Infections – Epidemiology; Clostridium Infections – Microbiology; Clostridium Infections – Surgery; Clostridium Infections/epidemiology/microbiology/*surgery; Cross Infection – Epidemiology; Cross Infection – Microbiology; Cross Infection – Surgery; Cross Infection/epidemiology/microbiology/*surgery; Human; Humans; Incidence; Medical; Medical Organizations; Meta Analysis; Operative Time; Practice Guidelines; Survival – Trends; Survival Rate/trends; Systematic Review; Time Factors; Traumatology; United States; United States/epidemiology
Creator
An entity primarily responsible for making the resource
Ferrada Paula; Velopulos Catherine G; Sultan Shahnaz; Haut Elliott R; Johnson Emily; Praba-Egge Anita; Enniss Toby; Dorion Heath; Martin Niels D; Bosarge Patrick; Rushing Amy; Duane Therese M
Description
An account of the resource
BACKGROUND: Clostridium difficile infection is the leading cause of nosocomial diarrhea in the United States; however, few patients will develop fulminant C. difficile-associated disease (CDAD), necessitating an urgent operative intervention. Mortality for patients who require operative intervention is very high, up to 80% in some series. Since there is no consensus in the literature regarding the best operative treatment for this disease, we sought to answer the following:PICO [population, intervention, comparison, and outcome] Question 1: In adult patients with CDAD, does early surgery compared with late surgery, as defined by the need for vasopressors, decrease mortality?PICO Question 2: In adult patients with CDAD, does total abdominal colectomy (TAC) compared with other types of surgical intervention decrease mortality? METHODS: A subcommittee of the Practice Management Guideline Committee of the Eastern Association for the Surgery of Trauma conducted a systematic review and meta-analysis for the selected questions. RevMan software was used to generate forest plots. Grading of Recommendations, Assessment, Development and Evaluations methodology was used to rate the quality of the evidence, using GRADEpro software to create evidence tables. RESULTS: Reduction in mortality was significantly associated with early surgery, with a risk ratio (RR) of 0.5 (95% confidence interval [CI], 0.35-0.72). The quality of evidence was rated "moderate." Considering only the first procedure performed, mortality seemed to trend higher for TAC, with an RR of 1.11 (95% CI, 0.69-1.80). Considering only the actual procedure performed, the point estimate switched sides, showing a trend toward decreased mortality with TAC (RR, 0.86; 95% CI, 0.56-1.31). The quality of evidence was rated "very low." CONCLUSION: We strongly recommend that adult patients with CDAD undergo early surgery, before the development of shock and need for vasopressors. We conditionally recommend total or subtotal colectomy (vs. partial colectomy or other surgery) when the diagnosis of The Centers for Disease Control and Prevention is known.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/TA.0000000000000232" target="_blank" rel="noreferrer noopener">10.1097/TA.0000000000000232</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Clostridium difficile
*Practice Guidelines as Topic
*Societies
*Traumatology
2014
Bosarge Patrick
Clostridium difficile
Clostridium Infections – Epidemiology
Clostridium Infections – Microbiology
Clostridium Infections – Surgery
Clostridium Infections/epidemiology/microbiology/*surgery
Cross Infection – Epidemiology
Cross Infection – Microbiology
Cross Infection – Surgery
Cross Infection/epidemiology/microbiology/*surgery
Dorion Heath
Duane Therese M
Enniss Toby
Ferrada Paula
Haut Elliott R
Human
Humans
Incidence
Johnson Emily
Martin Niels D
Medical
Medical Organizations
Meta Analysis
Operative Time
Praba-Egge Anita
Practice Guidelines
Rushing Amy
Sultan Shahnaz
Survival – Trends
Survival Rate/trends
systematic review
The journal of trauma and acute care surgery
Time Factors
Traumatology
United States
United States/epidemiology
Velopulos Catherine G