Уважаемые коллеги, доброго времени суток! Представляем вам South African Journal of Surgery - научное издание из ЮАР. Журнал имеет четвёртый квартиль, издаётся в South African Medical Association, находится в открытом доступе, его SJR за 2022 г. равен 0,16, электронный ISSN - 0038-2361, предметная область Хирургия. Вот так выглядит обложка:
Редактором является Санди Томсон, контактные данные - sandie.thomson@uct.ac.za, jej.krige@uct.ac.za, robyn@jesser-point.co.za.
Это ежеквартальный общехирургический журнал. В нем публикуются исследовательские статьи и письма, передовицы, клиническая практика и другие хирургические статьи, а также полемика, новости здравоохранения Южной Африки, некрологи и общая корреспонденция.
Адрес издания - http://sajs.redbricklibrary.com/index.php/sajs
Пример статьи, название - The impact of thromboelastography on patients with penetrating abdominal trauma requiring intensive care. Заголовок (Abstract)
Background: Trauma-induced coagulopathy (TIC) is a complex multifaceted process which contributes to higher mortality rates in severely injured trauma patients. Thromboelastography (TEG) is effective in detecting TIC which assists in instituting goal-directed therapy as part of damage control resuscitation.
Methods: This retrospective study included all adult patients over a 36-month period with penetrating abdominal trauma who required a laparotomy, blood products and admission for critical care. Analysis included demographics, admission data, 24-hour interventions, TEG parameters and 30-day outcomes.
Results: Eighty-four patients with a median age of 28 years were included. The majority (93%; 78/84) suffered from a gunshot injury, with 75% (63/84) receiving a damage control laparotomy. Forty-eight patients (57%) had a TEG. Injury severity score and total fluid and blood product administered in the first 24 hours were all significantly higher in patients who had a TEG (p < 0.05). TEG profiles were: 42% (20/48) normal, 42% (20/48) hypocoagulable, 12% (6/48) hypercoagulable and 4% (2/48) mixed parameters. Fibrinolysis profiles were: 48% (23/48) normal, 44% (21/48) fibrinolysis shutdown and 8% (4/48) hyperfibrinolysis. Mortality rate was 5% (4/84) at 24 hours and 26% (22/84) at 30 days, with no difference between the two groups. High-grade complication rates, days on a ventilator and intensive care unit length of stay were all significantly higher in patients who did not have a TEG.
Conclusion: TIC is common in severely injured penetrating trauma patients. The usage of a thromboelastogram did not impact on 24-hour or 30-day mortality but did result in a decreased intensive care stay and a decreased high-grade complication rate.
Keywords: thromboelastography, penetrating abdominal trauma, critical care