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10.1097/TA.0b013e31819ea047 http://scihub22266oqcxt.onion/10.1097/TA.0b013e31819ea047 C4672372!4672372 !19430235     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\19430235 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       J+Trauma 2009 ; 66 (5 ): 1327-35 Nephropedia Template TP {{tp|p=19430235 |t=2009. Withdrawal of life-sustaining therapy in injured patients: variations between trauma centers and nontrauma centers |pdf=|usr=}}{{19430235 }} gab.com Text Withdrawal of life-sustaining therapy in injured patients: variations between trauma centers and nontrauma centers JO: J Trauma http://www.kidney.de/pget.php?&tw=1&pmid=19430235 #FOAvip BACKGROUND: We sought to identify patient and institutional variables predictive of a withdrawal of care order (WOCO) in trauma patients. We hypothesized that the frequency of WOCO would be higher at trauma centers. METHODS: Data from the National Study on the Costs and Outcomes of Trauma were used to determine associations between WOCO status and patient characteristics, institutional characteristics, and hospital course. chi, t tests, and multivariate analysis were used to identify variables predictive of WOCO. RESULTS: Of 14,190 patients, 618 (4.4%) had WOCO, which accounted for 60.9% of patients who died in hospital. Age (p = <0.001), race (p = <0.001), comorbidity (p = <0.001), and injury mechanism were associated with WOCO (p = 0.03). WOCO patients had higher New Injury Severity Score (p = <0.001), lower Glasgow Coma Scale motor scores (p = <0.001), and higher incidence of midline shift on head computed tomography (p = 0.01). Trauma center status (odds ratio, 1.56; 95% confidence interval, 1.06-2.30) and closed intensive care units (odds ratio, 1.53; 95% confidence interval, 1.03-2.25) were also predictive of a WOCO. There was a sizable variation (0%-16%) in the percentage of patients with WOCO across centers. CONCLUSION: Most trauma patients who die in hospital do so after a WOCO. Although trauma center status and closed intensive care units are predictive of a WOCO, variation in the percentage of patients with WOCO across all centers speaks to the complexity of these decisions. Further investigation is needed to understand how a WOCO is applied to trauma patients. Twit Text FOAVip Withdrawal of life-sustaining therapy in injured patients: variations between trauma centers and nontrauma centers ????J Trauma http://www.kidney.de/pget.php?&tw=1&pmid=19430235 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=19430235 #FOAvip English Wikipedia <ref>{{Cite pmid|19430235 }}</ref> Withdrawal of life-sustaining therapy in injured patients: variations between trauma centers and nontrauma centers #MMPMID19430235 Cooper Z ; Rivara FP ; Wang J ; MacKenzie EJ ; Jurkovich GJ J Trauma 2009[May]; 66 (5 ): 1327-35 PMID19430235 show ga BACKGROUND: We sought to identify patient and institutional variables predictive of a withdrawal of care order (WOCO) in trauma patients. We hypothesized that the frequency of WOCO would be higher at trauma centers. METHODS: Data from the National Study on the Costs and Outcomes of Trauma were used to determine associations between WOCO status and patient characteristics, institutional characteristics, and hospital course. chi, t tests, and multivariate analysis were used to identify variables predictive of WOCO. RESULTS: Of 14,190 patients, 618 (4.4%) had WOCO, which accounted for 60.9% of patients who died in hospital. Age (p = <0.001), race (p = <0.001), comorbidity (p = <0.001), and injury mechanism were associated with WOCO (p = 0.03). WOCO patients had higher New Injury Severity Score (p = <0.001), lower Glasgow Coma Scale motor scores (p = <0.001), and higher incidence of midline shift on head computed tomography (p = 0.01). Trauma center status (odds ratio, 1.56; 95% confidence interval, 1.06-2.30) and closed intensive care units (odds ratio, 1.53; 95% confidence interval, 1.03-2.25) were also predictive of a WOCO. There was a sizable variation (0%-16%) in the percentage of patients with WOCO across centers. CONCLUSION: Most trauma patients who die in hospital do so after a WOCO. Although trauma center status and closed intensive care units are predictive of a WOCO, variation in the percentage of patients with WOCO across all centers speaks to the complexity of these decisions. Further investigation is needed to understand how a WOCO is applied to trauma patients. |*Resuscitation Orders [MESH] |Adolescent [MESH] |Adult [MESH] |Age Factors [MESH] |Aged [MESH] |Aged, 80 and over [MESH] |Attitude of Health Personnel [MESH] |Chi-Square Distribution [MESH] |Cohort Studies [MESH] |Female [MESH] |Hospital Mortality/*trends [MESH] |Humans [MESH] |Intensive Care Units/standards/trends [MESH] |Life Support Care/standards/trends [MESH] |Male [MESH] |Middle Aged [MESH] |Multivariate Analysis [MESH] |Outcome Assessment, Health Care [MESH] |Predictive Value of Tests [MESH] |Probability [MESH] |Prospective Studies [MESH] |Reference Values [MESH] |Risk Assessment [MESH] |Trauma Centers/*standards/trends [MESH] |Trauma Severity Indices [MESH] |Withholding Treatment/*standards/trends [MESH] |Wounds and Injuries/*mortality/*therapy [MESH]Withdrawal of life-sustaining therapy in injured patients: variations (epmc).pdf DeepDyve Pubget Overpricing