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The fact that 71% of patients were seen by internal medicine physicians is typical of the disease-to-trauma ratio that occurs in military conflicts (1 ) and overseas training exercises (12 ).
These variables are: type of patient (medical, surgical, neurocritical and trauma), staffing ratio [PNR; patient:nurse ratio (≤2:1 vs. >2:1) and PPR; patient:physician ratio (≤2:1, 2 3:1, >3:1)], the Sequential Organ Failure Assessment (SOFA) score and length of stay (length of stay at the time of safety audits (<7, 7 14, >14 days). .
Trauma (odds ratio between 2.47 and 3.47) and vascular surgery (2.27 to 5.37) showed significantly increased prevalences of problems in mobility, self-care, usual activities and cognition.
These results did not change when adjusted for differences in the other characteristics: the probability of a positive culture result was 45% lower in trauma patients (Odds Ratio 0.55 [0.33-0.944), 44% lower in less severe SSI (Odds Ratio 0.56 [0.33-0.95]) and 77% higher in high-risk patients (Odds Ratio 1.77 [1.77-2.95]).
RBC transfusion was found to be an independent risk factor for deep vein thrombosis (DVT) in 716 trauma patients (odds ratio 1.74, 95% confidence interval (CI) 1.03 to 2.93) [ 12, 13].
(Warning: the fish-trauma-per-page ratio here makes "The Old Man and the Sea" seem like a paean to ichthyophilia).
Age was also significantly associated with hospital and all-cause mortality from trauma with hazard ratios of 1.07 (95% CI 1.01 to 1.08), (P = 0.02) and 1.06 (95% CI 1.04 to 1.08, P < 0.001) respectively.
Though primarily used during massive trauma bleeding, a ratio-based approach, often integrated into a massive transfusion protocol which aims to coordinate the activities of the various necessary departments and personnel, is steadily replacing the volume of blood loss as the trigger for FFP administration.
The ratio of trauma to medical cases in the study sample was 1: 2.4.
However, this study excluded all mortality in the interest of investigating weaning and the baseline characteristics of the groups were different, with more severe chest trauma and decreased P/F ratio at the start in the APRV group.
The following themes were prioritised: Enhanced Focussed Assessment with Sonography for Trauma (eFAST) Echocardiography [RV/LV ratio, gross LV dysfunction, pericardial effusion, major valvular dysfunction] Inferior Vena-Caval collapsibility assessment Thoracic assessment [pleural effusions and consolidation].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com