Long-term neurodevelopmental outcomes in children born with gastroschisis: the tiebreaker.

Purpose: We evaluated 2-year neurodevelopmental outcomes in children with gastroschisis.

Methods: We reviewed the records of children with gastroschisis treated between August 2001 and July 2008. Children discharged from the neonatal intensive care unit were referred to the state-sponsored Developmental Tracking Infant Progress Statewide (TIPS) program.

Using hospital outcomes to predict 30-day mortality among injured patients insured by Medicare.

Hypothesis: Survival until a fixed time after injury is a more useful outcome variable than survival until hospital discharge.

Design: We sought to determine whether 30-day survival could be accurately predicted by hospital discharge status.

Setting: Academic research.

Asymptomatic isolated celiac artery dissection after a fall.

Isolated injury to mesenteric vessels in blunt trauma is uncommon. Most patients with these injuries present with abdominal pain, shock, or laboratory evidence of bowel and/or liver ischemia. We report herein the case of a man with asymptomatic isolated celiac artery dissection after blunt trauma suspected by screening abdominal computed tomography and confirmed by catheter-based angiography.

Regional variation in hospital mortality and 30-day mortality for injured Medicare patients.

Background: We sought to evaluate how survival of older patients with injuries differs by geographic region within the United States.

Methods: We analyzed Medicare fee-for-service records for patients aged 65 years and older with principal injury diagnoses (ICD-9 800-959, excluding 905, 930-939, 958). Cases were classified by Maximum Abbreviated Injury Score (AISmax) and Charlson Comorbidity score (0, 1, 2, >or=3).