19 results match your criteria: "University of Southern California (K.I.)[Affiliation]"
The Journal of Trauma and Acute Care Surgery: Emergency General Surgery Algorithms Article Series.
J Trauma Acute Care Surg
October 2024
From the Riverside University Health System Medical Center, Comparative Effectiveness and Clinical Outcomes Research Center (CECORC), 26520 Cactus Ave, CPC Building, Suite 102-5 Moreno Valley, CA 92555 (R.C.); Department of Surgery, Brigham and Women's Hospital (A.S.); Department of Surgery, University of South Florida Morsani College of Medicine (J.D.); Scripps Memorial Hospital La Jolla (W.L.B.); Weill Cornell Medicine (R.W.); Dept. of Surgery, University of Michigan School of Medicine (L.N.); Department of Surgery, University of California San Diego School of Medicine (T.C.); Department of Surgery, Rutgers New Jersey Medical School Newark (D.H.L.); Trauma Surgery & Surgical Critical Care, University of Southern California (K.I.).
Who needs a tourniquet? And who does not? Lessons learned from a review of tourniquet use in the Russo-Ukrainian war.
J Trauma Acute Care Surg
August 2024
From the Defense Health Agency Joint Trauma System (F.B., J.G., H.M., S.S., J.W.); University of Alabama at Birmingham (J.B.H.), Birmingham, Alabama; Medical Center of the Rockies (W.D.), University of Colorado Health; Los Angeles County + University of Southern California (K.I.); Trauma Institute (L.J.), Hartford Hospital, Connecticut; Texas A+M Health (B.M.); NAEMT TCCC Affiliate Faculty for TCCC Training Centers in Ukraine (M.M.); University of Cincinnati Medical Center (M.O.); Uniformed Services University (M.D.T.); Department of Surgery (M.D.T.), Naval Medical Center, San Diego, California; Medical Forces of the Armed Forces of Ukraine (K.H.); and Surgeon of the Medical Forces of the Armed Forces of Ukraine (O.L., O.D.).
Background: Extremity tourniquets have proven to be lifesaving in both civilian and military settings and should continue to be used by first responders for trauma patients with life-threatening extremity bleeding. This is especially true in combat scenarios in which both the casualty and the first responder may be confronted by the imminent threat of death from hostile fire as the extremity hemorrhage is being treated. Not every extremity wound, however, needs a tourniquet.
View Article and Find Full Text PDFPatterns and Disparities in Recorded Gonioscopy During Initial Glaucoma Evaluations in the United States.
Am J Ophthalmol
August 2024
From the Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California (J.H.L., G.A., B.T., B.X.), Los Angeles, California. Electronic address:
Purpose: To assess patterns in gonioscopy during initial glaucoma evaluations in the United States.
Design: Retrospective, case-control study.
Methods: Patients undergoing initial glaucoma evaluation between 2009-2020 were identified in the Optum Clinformatics DataMart.
Blunt splenic injury, Emergency Department to discharge: A Western Trauma Association critical decisions algorithm.
J Trauma Acute Care Surg
March 2023
From the Division of Trauma and Surgical Critical Care, Department of Surgery (D.V.S.), Davis Medical Center, University of California, Davis, Sacramento, California; Department of Surgery, Medical College of Wisconsin (M.d.M.), Milwaukee, Wisconsin; Department of Surgery, Oregon Health Science University (K.J.B.), Portland, Oregon; Department of Surgery, Dell Medical School (C.V.R.B.), University of Texas at Austin, Austin, Texas; Department of Surgery, University of Kansas Medical Center (J.L.H.), Kansas City, Kansas; Department of Surgery, University of Southern California (K.I.), Los Angeles, California; Department of Surgery, Cedars-Sinai Medical Center (E.J.L.), Los Angeles, California; Department of Surgery, Ernest E Moore Shock Trauma Center (E.E.M.), Denver, Colorado; Department of Surgery, Scripps Mercy Hospital (K.A.P.), San Diego, California; Department of Surgery, Guthrie Health System (A.G.R.), Sayre, Pennsylvania; Department of Surgery, Children's Hospital (N.G.R.), Cincinnati, Ohio; Department of Surgery, University of Pittsburgh (J.L.S.), Pittsburgh, Pennsylvania; Department of Surgery, St. Joseph's Medical Center (J.A.W.), Phoenix, Arizona; Department of Surgery, Salem Health Hospital (A.M.M.), Salem, Oregon; Department of Surgery, Riverside University Health System Medical Center (R.C.), Riverside, California; Department of Surgery, University of Southern California (M.J.M.), Los Angeles, California.
Blunt pancreatic trauma: A Western Trauma Association critical decisions algorithm.
J Trauma Acute Care Surg
March 2023
From the Salem Health Hospital (A.M.M.), Salem, Oregon; Oregon Health & Science University (A.M.M.), Portland, Oregon; Scripps Memorial Hospital La Jolla (W.L.B.), La Jolla, California; University of Calgary (C.G.B.), Calgary, Canada; Medical College of Wisconsin (M.d.M.), Milwaukee, Wisconsin; Oregon Health Science University (K.J.B.), Portland, Oregon; Dell Medical School (C.V.R.B.), University of Texas at Austin, Austin, Texas; University of Kansas Medical Center (J.L.H.), Kansas City, Kansas; University of Southern California (K.I.), Los Angeles, California; Cedars-Sinai Medical Center (E.J.L.), Los Angeles, California; Ernest E Moore Shock Trauma Center (E.E.M.), Denver, Colorado; Scripps Mercy Hospital (K.A.P.), San Diego, California; Guthrie Health System (A.G.R.), Sayre, Pennsylvania; Children's Hospital (N.G.R.), Cincinnati, Ohio; University of Pittsburgh (J.L.S.), Pittsburgh, Pennsylvania; St. Joseph's Hospital and Medical Center (J.A.W.), Phoenix, Arizona; Riverside University Health System Medical Center (R.S.C.), Riverside, California; University of California (D.V.S.), Davis, Sacramento, California; and Keck School of Medicine (M.J.M.), Los Angeles, California.
Background: The Western Trauma Association (WTA) has undertaken publication of best practice clinical practice guidelines on multiple trauma topics. These guidelines are based on scientific evidence, case reports, and best practices per expert opinion. Some of the topics covered by this consensus group do not have the ability to have randomized controlled studies completed because of complexity, ethical issues, financial considerations, or scarcity of experience and cases.
View Article and Find Full Text PDFBlunt thoracic aortic injury: A Western Trauma Association critical decisions algorithm.
J Trauma Acute Care Surg
January 2023
From the Departments of Surgery (C.V.R.B., J.J.D.), Dell Medical School, University of Texas at Austin, Austin, Texas; Medical College of Wisconsin (M.d.M.), Milwaukee, Wisconsin; Oregon Health Science University (K.J.B.), Portland, Oregon; University of Kansas Medical Center (J.L.H.), Kansas City, Kansas; University of Southern California (K.I., M.J.M.), Los Angeles, California; Cedars-Sinai Medical Center (E.J.L.), Los Angeles, California; Ernest E Moore Shock Trauma Center (E.E.M.), Denver, Colorado; Scripps Mercy Hospital (K.A.P.), San Diego, California; Guthrie Health System (A.G.R.), Sayre, Pennsylvania; Children's Hospital (N.G.R.), Cincinnati, Ohio; University of Pittsburgh (J.L.S.), Pittsburgh, Pennsylvania; St. Joseph's Medical Center (J.A.W.), Phoenix, Arizona; Salem Health Hospital (A.M.M.), Salem, Oregon; and Riverside University Health System Medical Center (R.C.), Riverside, California.
Evaluation and management of traumatic pneumothorax: A Western Trauma Association critical decisions algorithm.
J Trauma Acute Care Surg
January 2022
From the Department of Surgery, Medical College of Wisconsin (M.dM.), Milwaukee, WI; Oregon Heatlh Science University (K.J.B.), Portland, OR; Department of Surgery, Dell Medical School (C.V.R.B.), University of Texas at Austin, Austin, TX; Department of Surgery, Indiana University School of Medicine (J.L.H.), Indianapolis, IN; Department of Surgery, University of Southern California (K.I.), Los Angeles, CA; Department of Surgery, Cedars-Sinai Medical Center (E.J.L.), Los Angeles, CA; Department of Surgery, Ernest E Moore Shock Trauma center (E.E.M.), Denver, CO; Department of Surgery, Scripps Mercy Hospital (K.A.P., M.J.M.), San Diego, CA; Department of Surgery, Inova Trauma Center (A.G.R.), Falls Church, VA; Department of Surgery, Children's Hospital (N.G.R.), Cincinnati, OH; Department of Surgery, University of Pittsburgh (J.S.), Pittsburgh, PA; Department of Surgery, St. Joseph's Hospital and Medical Center (J.A.W.), Phoenix, AZ.
Abstract: This is a recommended algorithm of the Western Trauma Association for the management of a traumatic pneumothorax. The current algorithm and recommendations are based on available published prospective cohort, observational, and retrospective studies and the expert opinion of the Western Trauma Association members. The algorithm and accompanying text represents a safe and reasonable approach to this common problem.
View Article and Find Full Text PDFEvaluation and management of bowel and mesenteric injuries after blunt trauma: A Western Trauma Association critical decisions algorithm.
J Trauma Acute Care Surg
November 2021
From the Department of Surgery, Creighton University School of Medicine Phoenix Regional Campus (J.A.W.), Phoenix, Arizona; Department of Surgery, Scripps Mercy Hospital (K.A.P., M.J.M.), San Diego; Department of Surgery, Cedars-Sinai Medical Center (E.J.L.), Los Angeles, California; Department of Surgery, Dell Medical School, University of Texas (C.V.B.), Austin, Texas; Department of Surgery, Ernest E. Moore Shock Trauma Center (E.E.M.), Denver, Colorado; Department of Surgery, University of Pittsburgh School of Medicine, (J.L.S.), Pittsburgh, Pennsylvania; Department of Surgery, Inova Trauma Center (A.G.R.), Falls Church, Virginia; Department of Surgery, Cincinnati Children's Hospital (N.G.R.), Cincinnati, Ohio; Department of Surgery, Oregon Health Science University (K.J.B.), Portland, Oregon; Department of Surgery, Indiana University School of Medicine (J.L.H.), Indianapolis, Indiana; Department of Surgery, Medical College of Wisconsin (M.A.d.M.), Milwaukee, Wisconsin; Department of Surgery, University of Southern California (K.I.), Los Angeles, California.
Hard signs gone soft: A critical evaluation of presenting signs of extremity vascular injury.
J Trauma Acute Care Surg
January 2021
From the Division of Vascular and Endovascular Surgery, Massachusetts General Hospital (A.N.R., A.D.), Boston, MA; Division of Trauma and Critical Care, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center (J.D., R.B., J.M., D.F.), Baltimore MD; Division of Trauma/Surgical Critical Care, University of Tennessee Health Science Center (T.B., T.F.), Memphis, TN; Division of Acute Care Surgery, University of Florida Health Jacksonville (D.S.), Jacksonville, FL; Center for Translational Injury Research, University of Texas Health Science Center at Houston (J.P.), Houston TX; Division of Trauma and Critical Care, University of Southern California (K.I.), Los Angeles; and Vascular Surgery Service, Brook Army Medical Center (D.K.), San Antonio, TX.
Background: Despite advances in management of extremity vascular injuries, "hard signs" remain the primary criterion to determine need for imaging and urgency of exploration. We propose that hard signs are outdated and that hemorrhagic and ischemic signs of vascular injury may be of greater clinical utility.
Methods: Extremity arterial injuries from the American Association for the Surgery of Trauma PROspective Observational Vascular Injury Treatment registry were analyzed to examine the relationships between hard signs, ischemic signs, and hemorrhagic signs of extremity vascular injury with workup, diagnosis, and management.
Western Trauma Association critical decisions in trauma: Management of intracranial hypertension in patients with severe traumatic brain injuries.
J Trauma Acute Care Surg
February 2020
From the Department of Surgery, University of Michigan Hospital (H.B.A.), Arbor, Michigan; Department of Surgery, University of Michigan (G.V.), Ann Arbor, Michigan; Department of Surgery, Scripps Mercy Hospital (M.M.), San Diego, California; Department of Surgery, Dell Medical School (C.V.R.B.), University of Texas at Austin, Texas; Department of Surgery, OHSU (K.B.), Portland, Oregon; Department of Surgery, University of Colorado (E.E.M.), Denver, Colorado; Department of Surgery, Washington Hospital Center (J.S.), Washington, DC; Department of Surgery, University of South Florida (D.C.), Tampa, Florida; and Department of Surgery, University of Southern California (K.I.), Los Angeles, California.
Prehospital resuscitation in adult patients following injury: A Western Trauma Association critical decisions algorithm.
J Trauma Acute Care Surg
November 2019
From the Department of Surgery, University of Pittsburgh (J.L.S.), Pittsburgh, Pennsylvania; Department of Surgery, Scripps Mercy Medical Center (M.J.M.), San Diego, California; Department of Surgery, The University of Colorado (E.E.M.), Denver, Colorado; Department of Surgery, Washington Hospital Center (J.A.S.), Washington, District of Columbia; Department of Surgery, University of South Florida (D.C.), Tampa, Florida; Department of Surgery, Inova Fairfax Hospital (A.G.R.), Falls Church, Virginia; Department of Surgery, Dell Seton Medical Center at University of Texas (C.B.), Austin Texas; Department of Surgery, Oregon Health Science University (K.B.), Portland, Oregon; Department of Surgery, Shock Trauma Center, University of Maryland School of Medicine (R.K.), Baltimore, Maryland; Department of Surgery, University of Michigan Medical Center (G.V.), Ann Arbor, Michigan; and Department of Surgery, University of Southern California (K.I.), Los Angeles, California.
Evaluation and management of abdominal gunshot wounds: A Western Trauma Association critical decisions algorithm.
J Trauma Acute Care Surg
November 2019
From the Department of Surgery, Legacy Emanuel Medical Center (M.J.M.), Portland, Oregon; Department of Surgery, Dell Medical School (C.V.R.B.), University of Texas at Austin, Austin, Texas; Department of Surgery, University of California-Davis, Sacramento (D.V.S.), Sacramento, California; Department of Surgery, University of Michigan (H.A., G.V.), Ann Arbor, Michigan; Department of Surgery, Oregon Health and Science University (K.B.), Portland, Oregon; Department of Surgery, Beth Israel Deaconess Medical Center (C.J.H.), Boston, Massachusetts; Department of Surgery, Medical College of Wisconsin (M.d.M.), Milwaukee, Wisconsin; Department of Surgery, Denver Health (E.E.M.), Denver, Colorado; Department of Surgery, University of Southern California (K.I.), Los Angeles, California.
Western Trauma Association critical decisions in trauma: Preferred triage and initial management of the burned patient.
J Trauma Acute Care Surg
November 2019
From the Department of Surgery, University of Michigan (G.A.V., H.B.A.), Ann Arbor, MI; Department of General Surgery, Madigan Army Medical Center (M.J.M), Spokane, WA; Division of Trauma and Acute Care Surgery, Oregon Health Science University (K.B.), Portland, OR; Division of Trauma and Acute Care Surgery, The University of Colorado (E.E.M.), Denver, CO; Division of Trauma and Acute Care Surgery, Dell Seton Medical Center at University of Texas (C.V.B.), Austin, TX; Department of Nursing, University of Pennsylvania (A.B.) Philadelphia, PA; Department of General Surgery, Section of Burn Surgery, Harvard University (J.S.), Cambridge, MA; Department of General Surgery, Section of Burn Surgery, University of California, Davis (T.P.); Department of General Surgery, Section of Burn Surgery, Crozer-Keystone Health System (L.H.), Springfield, PA; and Division of Trauma and Acute Care Surgery, University of Southern California (K.I.), Los Angeles, CA.
This is a recommended management algorithm from the Western Trauma Association addressing the management of victims of burn injury. Because there is a paucity of published prospective randomized clinical trials that have generated Class I data, these recommendations are based primarily on published retrospective studies, clinical guidelines, and the expert opinion of members of the Western Trauma Association in conjunction with partner members of the American Burn Association. The algorithm and accompanying comments represent one safe and sensible approach that can be followed at most trauma centers.
View Article and Find Full Text PDFOccupational exposure during emergency department thoracotomy: A prospective, multi-institution study.
J Trauma Acute Care Surg
July 2018
From the Wake Forest Baptist Health (A.N.), Winston-Salem, North Carolina; University of Chicago (P.P.), Chicago, Illinois; University of Southern California (K.I., A.E.), Los Angeles, California; Temple University (Z.M., S.Y.), Philadelphia, Pennsylvania; University of California Los Angeles (D.Y.K., J.M.), Los Angeles, California; University of Maryland (W.C.C., B.D.), Baltimore, Maryland; Cooper University Health Care (J.P.H.), Camden, New Jersey; Loma Linda University (K.M., X.L.-O.), Loma Linda, California; Hennepin County Medical Center (R.M.N., A.P.M.), Minneapolis, Minnesota; Emory University (B.C.M., C.A.F.), Atlanta, Georgia; University of Alabama at Birmingham (P.L.B.), Birmingham, Alabama; Stony Brook University (R.S.J.), Stony Brook, New York; Oregon Health & Science University (S.E.R.), Portland, Oregon; University of Tennessee Health Science Center (L.J.M.), Memphis, Tennessee; Reading Hospital (A.W.O.), Reading, Pennsylvania; Boston Medical Center (T.S.B.), Boston, Massachusetts; Southside Hospital (M.D.G.), Bay Shore, New York; and University of Pennsylvania (M.J.S.), Philadelphia, Pennsylvania.
Article Synopsis
- A study aimed to assess the risk of occupational exposure during emergency department thoracotomy (EDT), hypothesizing it to be higher than in other trauma surgeries, given existing rates of viral infections in trauma patients and exposure incidents in related procedures.* -
- Conducted between 2015-2016 across 16 trauma centers, the study involved 1,360 providers, revealing a 7.2% exposure rate per EDT, primarily affecting trainee providers who experienced mostly percutaneous injuries.* -
- The findings highlighted that full precautions were not consistently utilized, and each piece of personal protective equipment worn significantly reduced the risk of exposure, suggesting better adherence to safety protocols could protect medical staff during these high-risk procedures.*
Evaluation and management of abdominal stab wounds: A Western Trauma Association critical decisions algorithm.
J Trauma Acute Care Surg
November 2018
From the Legacy Emanuel Medical Center (M.J.M.), Portland, Oregon; Dell Medical School (C.V.R.B.), University of Texas at Austin, Austin, Texas; University of California-Davis (D.V.S.), Sacramento, California; University of Michigan (H.A., G.V.), Ann Arbor, Michigan; Oregon Health and Science University (K.B., S.R.), Portland, Oregon; Beth Israel Deaconess Medical Center (C.H.), Boston, Massachusetts; Medical College of Wisconsin (M.D.), Milwaukee, Wisconsin; Denver Health (E.E.M.), Denver, Colorado; Kings County Hospital (B.B.), Brooklyn, New York; and University of Southern California (K.I.), Los Angeles, California.
This is a recommended management algorithm from the Western Trauma Association addressing the management of adult patients with abdominal stab wounds. Because there is a paucity of published prospective randomized clinical trials that have generated Class I data, these recommendations are based primarily on published observational studies and expert opinion of Western Trauma Association members. The algorithm and accompanying comments represent a safe and sensible approach that can be followed at most trauma centers.
View Article and Find Full Text PDFThe hyperfibrinolytic phenotype is the most lethal and resource intense presentation of fibrinolysis in massive transfusion patients.
J Trauma Acute Care Surg
January 2018
From the University of Texas Health Science Center at Houston (J.R.T., E.E.F., J.B.H., C.E.W., B.A.C.), Houston, TX; St. Michael's Hospital-University of Toronto (S.R.), Toronto, ON; University of Southern California (K.I.), Los Angeles, CA; Oregon Health and Science University (M.A.S.), Portland, OR; Medical College of Wisconsin (K.B.), Milwaukee, WI; R Adams Cowley Shock Trauma Center (T.M.S.), University of Maryland Medical Center, Baltimore, MD; University of Washington (E.B.), Seattle, WA.
Background: Among bleeding patients, we hypothesized that the hyperfibrinolytic (HF) phenotype would be associated with the highest mortality, whereas shutdown (SD) patients would have the greatest complication burden.
Methods: Severely injured patients predicted to receive a massive transfusion at 12 Level I trauma centers were randomized to one of two transfusion ratios as described in the Pragmatic, Randomized, Optimal Platelet and Plasma Ratio trial. Fibrinolysis phenotypes were determined based on admission clot lysis at 30 minutes (LY30): SD ≤0.
Multi-institutional, prospective, observational study comparing the Gastrografin challenge versus standard treatment in adhesive small bowel obstruction.
J Trauma Acute Care Surg
July 2017
From the Mayo Clinic (M.D.Z., N.N.H.), Rochester, Minnesota; Marshfield Clinic (D.C.C.), Marshfield, Wisconsin; University of Southern California (K.I.), Los Angeles, California; Massachusetts General Hospital (D.D.Y.), Chelsea, Massachusetts; Cooper University (S.W., J.P.H.), Camden, New Jersey; Loma Linda University (D.T., J.-M.Y.), Loma Linda, California; Kern Medical Center (A.P., R.S.), Bakersfield, California; John Peter Smith Hospital (T.M.D.), Ft. Worth, Texas; Inova Fairfax Hospital (J.W.), Falls Church, Virginia; Geisinger Medical Center (K.A.W.), Danville, Pennsylvania; Greenville Memorial Hospital (J.C.), Greenville, South Carolina; Walter Reed National Military Medical Center (C.J.R.), Bethesda, Maryland; East Carolina University (E.A.T.), Greenville, North Carolina; and San Antonio Military Medical Center (V.G.S., J.C.G.), San Antonio, Texas.
Introduction: Existing trials studying the use of Gastrografin for management of adhesive small bowel obstruction (SBO) are limited by methodological flaws and small sample sizes. We compared institutional protocols with and without Gastrografin (GG), hypothesizing that a SBO management protocol utilizing GG is associated with lesser rates of exploration, shorter length of stay, and fewer complications.
Methods: A multi-institutional, prospective, observational study was performed on patients appropriate for GG with adhesive SBO.
Prospective derivation of a clinical decision rule for thoracolumbar spine evaluation after blunt trauma: An American Association for the Surgery of Trauma Multi-Institutional Trials Group Study.
J Trauma Acute Care Surg
March 2015
From the Division of Trauma and Surgical Critical Care, University of Southern California (K.I., L.N., D.S.) Los Angeles; Department of Surgery, Loma Linda University (D.T.), Loma Linda; Division of Trauma, Surgical Critical Care and Burns, Department of Surgery, University of California San Diego (L.K.), La Jolla; and Trauma Service, Santa Barbara Cottage Hospital (S.K.), Santa Barbara, California; Department of Surgery, R Adams Cowley Shock Trauma Center (J.M.), University of Maryland School of Medicine, Baltimore, Maryland; Division of Trauma, Burns and Surgical Critical Care, University of Alabama at Birmingham (P.B.), Birmingham, Alabama; Department of Trauma, East Texas Medical Center (L.W.), Tyler; and Department of Surgery, University of Texas Southwestern-Austin (J.C.), Austin, Texas; Department of Surgery, Crozer-Chester Medical Center (R.C.), Upland; and Division of Acute Care Surgery, Thomas Jefferson University (A.B.), Philadelphia, Pennsylvania; Division of Trauma, Massachusetts General Hospital (M.D.), Harvard Medical School, Boston, Massachusetts; Broward General Medical Center (M.B.), Florida International University, Miami, Florida; and Division of Trauma and Surgical Critical Care, Lutheran Medical Center (M.G.), Brooklyn, New York.
Background: Unlike the cervical spine (C-spine), where National Emergency X-Radiography Utilization Study (NEXUS) and the Canadian C-spine Rules can be used, evidence-based thoracolumbar spine (TL-spine) clearance guidelines do not exist. The aim of this study was to develop a clinical decision rule for evaluating the TL-spine after injury.
Methods: Adult (≥15 years) blunt trauma patients were prospectively enrolled at 13 US trauma centers (January 2012 to January 2014).
Adult respiratory distress syndrome risk factors for injured patients undergoing damage-control laparotomy: AAST multicenter post hoc analysis.
J Trauma Acute Care Surg
December 2014
From the Mayo Clinic (M.D.Z., D.J.), Rochester, Minnesota; University of Texas at Houston (B.A.C.), Houston; University of Texas, Austin (C.V.R.B.), Austin; and East Texas Medical Center (D.E.R.A.), Tyler, Texas; University of Southern California (K.I.), Los Angeles; University of California, San Diego (R.C.), La Jolla, California; University of Arizona (G.V.), Tucson, Arizona; University of Maryland (J.D., T.M.S.), College Park, Maryland.
Background: Severely injured patients undergoing damage-control laparotomy (DCL) have multiple risk factors for adult respiratory distress syndrome (ARDS), making it challenging to differentiate the contributions of individual causative factors. We aimed to determine the relative contributions of ARDS risk factors.
Methods: Analysis of the prospectively collected American Association for the Surgery of Trauma Multi-institutional Open Abdomen Database was performed.