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Title of Journal: Eur J Trauma Emerg Surg

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Abbravation: European Journal of Trauma and Emergency Surgery

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Urban and Vogel

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DOI

10.1007/bf00305769

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ISSN

1863-9941

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Optimizing Outcomes in the Jehovah’s Witness Follo

Authors: Chrysanthos Georgiou Kenji Inaba Joseph DuBose Pedro G R Teixeira Pantelis Hadjizacharia Ali Salim Carlos Brown Peter Rhee Demetrios Demetriades
Publish Date: 2009/07/09
Volume: 35, Issue: 4, Pages: 383-
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Abstract

Over the study period 143 JWs were identified Among these 154 22/143 overall and 323 10/31 requiring surgical intensive care unit SICU admission accepted transfusion Overall 566 of JWs 81/143 required operation and 217 31/143 were admitted to the SICU with a complication rate of 42 6/143 and a mortality of 14 2/143 One patient of the 31 patients that were admitted to the SICU received 10 ml of blood with subsequent discontinuation of the transfusion and was excluded from analysis Of the 30 JWs admitted to the SICU 20 667 did not receive transfusion and demonstrated mean admission and nadir hemoglobin Hb levels of 127 ±25 and 91 ±30 mg/dl respectively Ten patients accepted transfusion This group had longer mean SICU stays 233 vs 55 days but similar mortality 10 1/10 vs 5 1/20 compared to nontransfused counterparts Only one complication 1/20 5 was observed in the JWs who were not transfused compared to a 40 4/10 complication rate in those accepting transfusionAlthough our experience was limited we found no significant difference in the mortality or morbidity between JW patients who received or abstained from transfusion following major trauma We should keep in mind that the population was small in order to extract safe conclusions regarding whether we should transfuse or not transfuse trauma patients We can however see interesting insights on the value of trauma resuscitation


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Other Papers In This Journal:

  1. History, development and future of trauma care for multiple injured patients in the Netherlands
  2. Severe pelvic fracture-related bleeding in pediatric patients: does it occur?
  3. Severe pelvic fracture-related bleeding in pediatric patients: does it occur?
  4. Operative management versus non-operative management of rib fractures in flail chest injuries: a systematic review
  5. Indications and anatomic landmarks for the application of lower extremity traction: a review
  6. The Aachen Mobility and Balance Index to measure physiological falls risk: a comparison with the Tinetti POMA Scale
  7. Paediatric trauma resuscitation: an update
  8. When Should Open Reduction and Internal Fixation Ankle Fractures Begin Weight Bearing? A Systematic Review
  9. The effect of video-assisted oral feedback versus oral feedback on surgical communicative competences in undergraduate training
  10. Popliteal vessel injuries: complex anatomy, difficult problems and surgical challenges
  11. Iatrogenic Sciatic Nerve Palsy Following Hemiarthroplasty of the Hip
  12. Anatomy-based surgical strategy of gastrointestinal fistula treatment
  13. Major Incident Hospital: Development of a Permanent Facility for Management of Incident Casualties
  14. Late Reconstruction of a Traumatic Trapeziometacarpal Dislocation with a Semi-constrained Prosthesis: A Case Report
  15. Treatment of ankle osteoarthritis: arthrodesis versus total ankle replacement
  16. Osteitis and Septic Arthritis after Tibial Head Fracture: Results of a Radical Treatment Regime
  17. Extramedullary fixation of trochanteric hip fracture
  18. The use of Hypertonic Saline in the Treatment of Post-Traumatic Cerebral Edema: A Review
  19. Focus on challenges and advances in the treatment of patients with penetrating injuries
  20. Surface proteins and osteoblast markers: characterization of human adipose tissue-derived osteogenic cells
  21. Traumatic Cervical Vertebral Artery Transection Associated with a Dural Tear Leading to Subarachnoid Extravasation
  22. Rupture of Flexor Pollicis Longus Tendon: A Complication of Volar Locking Plating of the Distal Radius

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