https://ogma.newcastle.edu.au/vital/access/ /manager/Index en-au 5 https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:22611 80%, and four (33%) accepted by > 50%, but required discussion to produce revised definitions. One (8%) was rejected by > 50%. In addition to previous 2006 definitions, the panel also defined the open abdomen, lateralization of the abdominal musculature, polycompartment syndrome, abdominal compliance, and suggested a refined open abdomen classification system. Recommendations were possible regarding intra-abdominal pressure (IAP) measurement, approach to sustained IAH, philosophy of protocolized IAP management and same-hospital-stay fascial closure, use of decompressive laparotomy, and negative pressure wound therapy. Consensus suggestions included use of non-invasive therapies for treating IAH/ACS, considering body position and IAP, damage control resuscitation, prophylactic open abdomen usage, and prudence in early biological mesh usage. No recommendations were made for the use of diuretics, albumin, renal replacement therapies, and utilizing abdominal perfusion pressure as a resuscitation-endpoint. Collaborating Methodological Guideline Development and Clinical Experts produced Consensus Definitions/Clinical Management statements encompassing the most contemporary evidence. Data summaries now exist for clinically relevant IAH/ACS questions, which will facilitate future scientific reanalysis.]]> Wed 11 Apr 2018 15:45:19 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:21598 15. Main outcome measures: The NSW Trauma Registry outcome measures included were overall hospital length of stay, length of stay in an intensive care unit and inhospital mortality. Results: There was a decreasing trend in severe trauma presentations in the age group 16–34 years, and an increasing trend in presentations of older people, particularly those aged ≥ 75 years. Road trauma and falls were consistently the commonest injury mechanisms. There were 1328 inhospital deaths (13.6%). Year of injury, level of trauma centre, ISS, head/neck injury and age were all independent predictors of mortality. The odds of mortality was significantly higher among patients receiving definitive care at regional trauma centres compared with Level I centres (odds ratio, 1.34; 95% CI, 1.10–1.63). Conclusions: Deaths from major trauma in NSW trauma centres have declined since 2003, and definitive care at a Level 1 trauma centre was associated with a survival benefit. More comprehensive trauma data collection with timely analysis will improve injury surveillance and better inform health policy in NSW.]]> Wed 11 Apr 2018 14:25:59 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:18944 Tue 19 May 2020 06:13:37 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:6927 Sat 24 Mar 2018 08:40:24 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:17214 Sat 24 Mar 2018 07:59:17 AEDT ]]>