Publications by authors named "R Hoencamp"
Introduction: The aim was to determine the cost-effectiveness and cost-utility of additional hyperbaric oxygen therapy (HBOT) compared to standard care (SC) for ischaemic diabetic foot ulcers (DFUs) regarding limb salvage and health status.
Methods: An economic analysis was conducted, comprising cost-effectiveness and cost-utility analyses, with a 12-month time horizon, using data from the DAMO₂CLES multicentre randomised clinical trial. Cost-effectiveness was defined as cost per limb saved and cost-utility as cost per quality-adjusted life year (QALY).
Objectives: The aim of this systematic review was to provide an overview of value-based healthcare (VBHC) strategies and/or components within military medicine. For this purpose, the extent to which VBHC has been applied within a military health system (MHS), with emphasis on military trauma care was assessed.
Design: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
Article Synopsis
- The study investigates the impact of platelet transfusions on mortality in trauma patients experiencing massive bleeding.
- Data collected from Dutch trauma centers showed that patients receiving a higher platelet to red blood cell (RBC) ratio had significantly lower mortality rates within 6 and 12 hours compared to those receiving lower ratios or no platelets.
- The findings suggest that higher platelet ratios, along with better plasma:RBC ratios, may lead to improved survival outcomes in these patients, though the ideal transfusion strategy is still uncertain.
Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is increasingly being used for temporary bleeding control in patients with trauma with non-compressible truncal hemorrhage (NCTH). In recent years, the technique is gaining popularity in postpartum hemorrhage and non-traumatic cardiac arrest, although still underutilized. In other surgical fields, however, there is not yet much awareness for the possible advantages of this technique.
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