Are cirrhosis and trauma a lethal combination?
Cirrhosis is an independent risk factor for increased mortality and higher complication rate following trauma. Injured patients who undergo laparotomy are significantly more likely to die than noncirrhotic patients. Injured patients with cirrhosis warrant aggressive monitoring and treatment.
The solution to this problem may be found in one of two ways: strict enforcement of standards of authorship by journal editors, i.e., rejection of articles, no matter how good they may appear to be, because they violate these standards, and/or adoption of authorship standards as understood by commercial publishers.