Global health at crossroads: uniting together to overcome challenges, restore trust and advance priorities for a sustainable future [0.03%]
全球卫生事业任重道远：团结合作应对挑战、重建信任、推进可持续未来议程
Massimo Sartelli,Elias Mossialos,Federico Coccolini et al.
Massimo Sartelli et al.
The world is currently facing an unprecedented convergence of crises that threaten the core pillars of public health, scientific integrity, and social stability. These challenges are profoundly interconnected and have the potential to exace...
Clinical efficacy and safety of endoscopic retrograde appendicitis treatment for acute appendicitis in children: a systematic review and meta-analysis [0.03%]
儿童急性阑尾炎内镜逆行性阑尾炎治疗临床疗效和安全性系统评价和meta分析
Shen Li,Tian Geng,Zhongyue Li
Shen Li
Objectives: To evaluate the clinical efficacy of endoscopic retrograde appendicitis therapy (ERAT) in the management of acute appendicitis in pediatric patients. ...
Timing of planned reoperation after damage control surgery in patients with trauma: a systematic review and meta-analysis [0.03%]
计划性控制损害手术再手术时机的系统评价和meta分析
Dongmin Seo,Hye Young Woo,Inhae Heo et al.
Dongmin Seo et al.
Background: Damage control surgery (DCS) is the standard approach for managing severely injured patients with trauma who present with extreme physiological derangements. The optimal timing for planned reoperation after th...
Indications to perform damage control surgery in pediatric trauma: a scoping review-Are children little adults? [0.03%]
儿童损伤控制手术的实施指征：综述分析-儿童是小大人吗？
Kris R Wiendels,Joris Lemson,Manouk Backes et al.
Kris R Wiendels et al.
Background: Damage Control Surgery is a technique aimed at reducing mortality in trauma patients, but its use in pediatric patients lacks standardized indications. Proper patient selection is essential to mitigate morbidi...
Diagnostic accuracy of routine hematological biomarkers for complications and prognosis in bowel obstruction: a systematic review and meta-analysis [0.03%]
系统综述和 Meta 分析：常规血液学生物标志物对肠梗阻并发症和预后的诊断准确性
Huanyu Hu,Guobiao Chen,Dan Bai et al.
Huanyu Hu et al.
Background: Bowel obstruction is a critical emergency. Although imaging like X-ray and computed tomography (CT) aids diagnosis, cost-effective hematological biomarkers are still needed. This study evaluates the diagnostic...
Federico Coccolini,Camilla Cremonini,Ernest E Moore et al.
Federico Coccolini et al.
Chest trauma is a common consequence of traumatic events. It may be blunt or penetrating. A low number of patients with blunt chest trauma require surgical intervention; in contrast, penetrating ones frequently require surgery and are assoc...
Development and external validation of an artificial intelligence model for predicting mortality and prolonged ICU stay in postoperative critically ill patients: a retrospective study [0.03%]
术后危重患者死亡率和长时间入住ICU预测的人工智能模型的开发与外部验证：回顾性研究
Dong Jin Park,Seung Min Baik,Kyung Sook Hong et al.
Dong Jin Park et al.
Background: Existing predictive models in critical care, specifically for postoperative critically ill patients, often struggle to accurately predict prolonged intensive care unit (ICU) stays, a key aspect of patient care...
Refining patient stratification and treatment decision-making in acute SMA occlusion [0.03%]
急性脊髓动脉闭塞患者分层和治疗决策的优化
Yingjian Ye,Yan Hu,Xianqun Ji et al.
Yingjian Ye et al.
This prospective multinational substudy of the AMESI project provides critical insights into managing acute SMA occlusion. By comparing endovascular versus surgical revascularization, the authors demonstrate that baseline illness severity, ...
Hannah M Thomas,Huthayfa Kahf,Benjamin Bush et al.
Hannah M Thomas et al.
Background: Tranexamic acid (TXA) is a well-known antifibrinolytic agent with increasing evidence supporting its use in trauma patients. This review evaluates the current available literature regarding TXA and its potenti...
Cumulative intra-abdominal pressure exposure and dynamic trajectories in ICU-admitted patients reveal prognostic determinants of severe acute pancreatitis [0.03%]
重症急性胰腺炎患者累积腹内压暴露和动态轨迹揭示预后决定因素
Maobin Kuang,Yaoyu Zou,Shixuan Xiong et al.
Maobin Kuang et al.
Background: Intra-abdominal pressure (IAP) critically drives organ failure progression in severe acute pancreatitis (SAP). However, traditional static IAP monitoring inadequately captures dynamic injury evolution. This st...