https://ogma.newcastle.edu.au/vital/access/ /manager/Index en-au 5 https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54056 Wed 28 Feb 2024 15:08:10 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:33890 Tue 22 Jan 2019 14:21:58 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54907  15, Abbreviated Injury Scale (AIS) Head < 3 and survived > 48 h. Demographics, physiological and shock resuscitation parameters were collected. The primary outcome was MOF defined by a Denver Score > 3. Secondary outcomes: intensive care unit length of stay (ICU LOS), ventilation days and mortality. Results: Three hundred and forty-seven patients met inclusion criteria (age 48 ± 20; ISS 30 ± 11, 248 (71%) were males and 23 (6.6%) patients died. The 74 (21%) MOF patients (maximum Denver Score: 5.5 ± 1.8; Duration; 5.6 ± 5.8 days) had higher ISS (32 ± 11 versus 29 ± 11) and were older (54 ± 19 versus 46 ± 20 years) than non-MOF patients. Mean daily Denver scores adjusted for age, sex, MOF and ISS did not change over time. Crystalloid usage decreased over the 10-year period (p value < 0.01) and PRBC increased (p value < 0.01). Baseline cumulative incidence of MOF at 28 days was 9% and competing risk analyses showed that incidence of MOF increased over time (subdistribution hazard ratio 1.14, 95% CI 1.04 to 1.23, p value < 0.01). Mortality risk showed no temporal change. ICU LOS increased over time (subdistribution hazard ratio 0.95, 95% CI 0.92 to 0.98, p value < 0.01). Ventilator days increased over time (subdistribution hazard ratio 0.94, 95% CI 0.9 to 0.97, p value < 0.01). Conclusion: The epidemiology of MOF continues to evolve. Our prospective cohort suggests an ageing population with increasing incidence of MOF, particularly in males, with little changes in injury or shock parameters, who are being resuscitated with less crystalloids, stay longer on ICU without improvement in survival.]]> Thu 21 Mar 2024 11:56:18 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:42084 Thu 18 Aug 2022 11:14:08 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:41245 Sat 30 Jul 2022 12:33:27 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:7097 Sat 24 Mar 2018 08:37:59 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:15479 Sat 24 Mar 2018 08:19:01 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:20178 110 g/l). Conclusion: The prospective evaluation of acutely transfused trauma patients showed a distinct pattern of transfusion triggers as the patient passes from ED to the OT and arrives to the ICU. The conventional transfusion trigger (haemoglobin level) is not appropriate in ET as early transfusion triggers are based on vital signs, blood gas results, injury patterns and anticipated major bleeding.]]> Sat 24 Mar 2018 07:51:40 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:23619 3, intubated patients and those with subsequent fatal outcome. Conclusions: Although 93 min to completion of trauma CT scans is comparable with some international reports, it falls well behind centres who have demonstrated improved outcomes with CT scanning. Our results serve as a baseline to our and potentially other Australasian trauma centres to improve on this surrogate measure of trauma team efficacy.]]> Sat 24 Mar 2018 07:13:28 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48169 Sat 11 Mar 2023 12:22:50 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:44827 Mon 24 Oct 2022 09:45:39 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:34591 Mon 01 Apr 2019 11:11:26 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:44476 Fri 14 Oct 2022 08:50:44 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:39971 Fri 01 Jul 2022 09:16:31 AEST ]]>