(Journal of Trauma[TA])
15,408 results
  • Impact of interhospital transfer on outcomes for trauma patients: a systematic review. [Systematic Review]
    J Trauma. 2011 Dec; 71(6):1885-900; discussion 1901.Hill AD, Fowler RA, Nathens ABJT
  • CONCLUSIONS: Available evidence suggests there is no difference in mortality between transfer and direct admissions. However, the significant heterogeneity across studies precludes deriving any definitive conclusions regarding the impact of interhospital transfer on mortality after major trauma. Moreover, most studies excluded patients dying at outlying hospitals, which may underestimate the association of transfer status with mortality. Prospective studies that address the limitations of the current evidence, including use of population-based trauma registries, are warranted to establish whether the process of interhospital transfer to higher level care when compared with direct admission to a trauma center negatively impacts clinical outcomes for trauma patients.
  • Fixation of sternal fractures: a systematic review. [Systematic Review]
    J Trauma. 2011 Dec; 71(6):1875-9.Harston A, Roberts CJT
  • CONCLUSIONS: Although the outcomes were generally positive, only one-half of the articles documented patient follow-up. In future studies, focus needs to be placed on long-term results and specific indications for surgery. The first step toward a standardized sternal fracture operative trial must be a prospective study of incidence and nonoperative long-term outcomes. It is likely that as the interest and demand for plate fixation increases, the demand for orthopedic involvement with sternal fractures will also increase.