BACKGROUND We evaluated the role of the Charlson age-comorbidity index (CACI), a
weighted comorbidity index that reflects cumulative increased likelihood of 1-year mortality, in …

Objective: To identify the core principles that guide expert intraoperative behaviors and to use
these principles to develop a universal framework that defines intraoperative performance. …

Background Trauma is a large contributor to the global burden of disease, particularly in low
and middle-income countries (LMICs). This study aimed to summarize the literature …

More than 235 million patients undergo surgery every year worldwide, but less than 1% are
enrolled in surgical clinical trials—few of which are international collaborations. Several …

Background The optimal method of pain control for patients with traumatic rib fractures is
unknown. The aim of this study was to determine the effect of epidural analgesia on respiratory …

Background Over 90 % of injury deaths occur in low-income countries. Evaluating the
impact of focused trauma courses in these settings is challenging. We hypothesized that …

Background Injury remains a leading cause of death worldwide with a disproportionate impact
in the developing world. Capabilities for trauma care remain limited in these settings. We …

Background Management of the post‐traumatic open abdomen (OA) using negative pressure
wound therapy (NPWT) alone is associated with low rates of primary fascial closure. The …

Injuries are a global public health concern because most are preventable yet they continue
to be a major cause of death and disability, especially among children, adolescents, and …

Objective The purpose of this study was to describe bicycle helmet use among Montreal
cyclists as a step towards injury prevention programming. Methods Using a cross-sectional …