2024
Altered Mental Status at the Extreme: Behavioral Evaluation of Disorders of Consciousness
Dhadwal N, Cunningham K, Pino W, Hampton S, Fischer D. Altered Mental Status at the Extreme: Behavioral Evaluation of Disorders of Consciousness. Seminars In Neurology 2024, 44: 621-633. PMID: 39102862, DOI: 10.1055/s-0044-1788807.Peer-Reviewed Original ResearchAcute care settingCare settingsMinimally conscious statePatient's current levelMental statusDisorders of consciousnessComa Recovery Scale-RevisedHealthcare providersGlasgow Coma ScaleAssessment of consciousnessVegetative state/unresponsive wakefulness syndromeAltered mental statusAssessment measuresScale-RevisedState/unresponsive wakefulness syndromeNeurological examComa ScaleConscious stateWakefulness syndromeStatusAssessmentHealthcareSetsMultiple limitationsProvidersTime-Dependent Changes in Hematoma Expansion Rate after Supratentorial Intracerebral Hemorrhage and Its Relationship with Neurological Deterioration and Functional Outcome
Karam G, Chen M, Zeevi D, Harms B, Torres-Lopez V, Rivier C, Malhotra A, de Havenon A, Falcone G, Sheth K, Payabvash S. Time-Dependent Changes in Hematoma Expansion Rate after Supratentorial Intracerebral Hemorrhage and Its Relationship with Neurological Deterioration and Functional Outcome. Diagnostics 2024, 14: 308. PMID: 38337824, PMCID: PMC10855868, DOI: 10.3390/diagnostics14030308.Peer-Reviewed Original ResearchPredictors of NDSupratentorial intracerebral hemorrhageHematoma expansionIntracerebral hemorrhageNeurological deteriorationPoor outcomeNIH Stroke ScalePost-ICHFunctional outcomesMild symptomsHematoma expansion ratesIntracerebral hemorrhage onsetAssociation of HEModifiable risk factorsGlasgow Coma ScaleBaseline CTHematoma growthConsecutive patientsHead CTSCAN-3Follow-upRate of HEComa ScaleRisk factorsHematomaPeri-hematomal edema shape features related to 3-month outcome in acute supratentorial intracerebral hemorrhage
Dierksen F, Tran A, Zeevi T, Maier I, Qureshi A, Sanelli P, Werring D, Malhotra A, Falcone G, Sheth K, Payabvash S. Peri-hematomal edema shape features related to 3-month outcome in acute supratentorial intracerebral hemorrhage. European Stroke Journal 2024, 9: 383-390. PMID: 38179883, PMCID: PMC11318427, DOI: 10.1177/23969873231223814.Peer-Reviewed Original ResearchNIH Stroke ScaleGlasgow Coma ScaleAssociation of baselineIntracerebral hemorrhagePerihematomal edemaHematoma volumeAcute supratentorial intracerebral hemorrhageNon-traumatic intracerebral hemorrhageSecondary brain injuryAcute ICH patientsIndependent prognostic factorSupratentorial intracerebral hemorrhageAdmission NIH Stroke ScalePotential treatment targetRankin scoreStroke ScaleIndependent predictorsPatient agePrognostic factorsComa ScaleMultivariable analysisICH patientsPrognostic valueBrain injuryFavorable outcome
2022
Ketamine Boluses Are Associated with a Reduction in Intracranial Pressure and an Increase in Cerebral Perfusion Pressure: A Retrospective Observational Study of Patients with Severe Traumatic Brain Injury
Dengler BA, Karam O, Barthol CA, Chance A, Snider LE, Mundy CM, Bounajem MT, Johnson WC, Maita MM, Mendez-Gomez PM, Seifi A, Hafeez S. Ketamine Boluses Are Associated with a Reduction in Intracranial Pressure and an Increase in Cerebral Perfusion Pressure: A Retrospective Observational Study of Patients with Severe Traumatic Brain Injury. Critical Care Research And Practice 2022, 2022: 3834165. PMID: 35637760, PMCID: PMC9148235, DOI: 10.1155/2022/3834165.Peer-Reviewed Original ResearchCerebral perfusion pressureSevere traumatic brain injuryTraumatic brain injuryKetamine bolusGlasgow Coma ScaleRefractory intracranial pressureIntracranial pressureBrain injuryPerfusion pressureRetrospective reviewSingle tertiary referral centerTraumatic brain injury populationSustained ICPTertiary referral centerNeurointensive care unitRetrospective observational studyBolus of ketamineSingle-institution studyBrain injury populationIntracranial pressure monitorSystemic hypotensionReferral centerSedative medicationsAdequate sedationComa Scale
2021
Admission computed tomography radiomic signatures outperform hematoma volume in predicting baseline clinical severity and functional outcome in the ATACH‐2 trial intracerebral hemorrhage population
Haider SP, Qureshi AI, Jain A, Tharmaseelan H, Berson ER, Zeevi T, Majidi S, Filippi CG, Iseke S, Gross M, Acosta JN, Malhotra A, Kim JA, Sansing LH, Falcone GJ, Sheth KN, Payabvash S. Admission computed tomography radiomic signatures outperform hematoma volume in predicting baseline clinical severity and functional outcome in the ATACH‐2 trial intracerebral hemorrhage population. European Journal Of Neurology 2021, 28: 2989-3000. PMID: 34189814, PMCID: PMC8818333, DOI: 10.1111/ene.15000.Peer-Reviewed Original ResearchConceptsAdmission Glasgow Coma ScaleGlasgow Coma ScaleRadiomics signatureMRS scoreHematoma volumeICH volumeClinical severityNoncontrast head CT scansAdmission National InstitutesHealth Stroke ScaleRankin Scale scoreStrong associationBaseline clinical severityMedium-term outcomesIndependent validation cohortHead CT scanATACH-2 trialStroke ScaleAdmission NIHSSIndependent predictorsClinical presentationComa ScaleBaseline CTICH patientsValidation cohortMotorcycle crashes and upper extremity trauma
Cravez E, Rankin KA, Ondeck N, Yaari L, Leslie M, Swigart C, Wiznia DH. Motorcycle crashes and upper extremity trauma. SICOT-J 2021, 7: 8. PMID: 33683193, PMCID: PMC7938721, DOI: 10.1051/sicotj/2021007.Peer-Reviewed Original ResearchUpper extremity injuriesInjury Severity ScoreGlasgow Coma ScaleBony injuriesExtremity injuriesCost of careIntoxicated patientsExact testSevere injuriesLevel 1 trauma centerNon-helmeted patientsRetrospective cohort analysisUpper extremity traumaSoft tissue injuriesPlastic surgery involvementFisher's exact testHospital lengthOverall morbidityWilcoxon rank testComa ScaleMCC patientsTrauma centerCommon injuriesExtremity traumaSeverity score
2020
Factors associated with EMS transport decisions for pediatric patients after motor vehicle collisions
Hartka T, Vaca FE. Factors associated with EMS transport decisions for pediatric patients after motor vehicle collisions. Traffic Injury Prevention 2020, 21: s60-s65. PMID: 33119415, PMCID: PMC8081732, DOI: 10.1080/15389588.2020.1830382.Peer-Reviewed Original ResearchConceptsMotor vehicle collisionsPediatric patientsMedical adviceNational Emergency Medical Services Information System (NEMSIS) databaseNormal Glasgow Coma ScaleEMS providersGlasgow Coma ScalePatients/caregiversVehicle collisionsOutcomes of interestNon-transport decisionsAbnormal GCSCaregiver refusalComa ScaleMale sexRisk factorsInformation System databaseInjury codesInterfacility transportPatientsPediatric occupantsProvider levelHospitalLevel of trainingSystem database
2019
Diagnosis of elevated intracranial pressure in critically ill adults: systematic review and meta-analysis
Fernando SM, Tran A, Cheng W, Rochwerg B, Taljaard M, Kyeremanteng K, English SW, Sekhon MS, Griesdale DEG, Dowlatshahi D, McCredie VA, Wijdicks EFM, Almenawer SA, Inaba K, Rajajee V, Perry JJ. Diagnosis of elevated intracranial pressure in critically ill adults: systematic review and meta-analysis. The BMJ 2019, 366: l4225. PMID: 31340932, PMCID: PMC6651068, DOI: 10.1136/bmj.l4225.Peer-Reviewed Original ResearchConceptsElevated intracranial pressureOptic nerve sheath diameterIntracranial pressureNon-invasive testsMidline shiftIll patientsPhysical examinationSystematic reviewPhysical examination signsDoppler pulsatility indexGlasgow Coma ScaleNerve sheath diameterInvasive ICP monitoringPhysical examination featuresPatient-level dataDiagnostic Accuracy Studies toolTranscranial Doppler pulsatility indexEnglish-language studiesHierarchical summary receiverExamination signsComa ScaleCT findingsIll adultsPulsatility indexBasal cisterns
2018
Minority Patients are Less Likely to Undergo Withdrawal of Care After Spontaneous Intracerebral Hemorrhage
Ormseth CH, Falcone GJ, Jasak SD, Mampre DM, Leasure AC, Miyares LC, Hwang DY, James ML, Testai FD, Becker KJ, Tirschwell DL, Langefeld CD, Woo D, Sheth KN. Minority Patients are Less Likely to Undergo Withdrawal of Care After Spontaneous Intracerebral Hemorrhage. Neurocritical Care 2018, 29: 419-425. PMID: 29949003, PMCID: PMC6286261, DOI: 10.1007/s12028-018-0554-4.Peer-Reviewed Original ResearchConceptsIntracerebral hemorrhageHematoma volumeAdmission Glasgow Coma ScaleEthnic/Racial VariationsNon-traumatic intracerebral hemorrhageIntracerebral Hemorrhage (ERICH) studyProspective cohort studyGlasgow Coma ScaleIntensive care unitWithdrawal of careSpontaneous intracerebral hemorrhageSimilar mortality ratesLogistic regression analysisRace/ethnicity modifiesRace/ethnicityCMO patientsHospital mortalityCohort studyRankin ScaleWhite patientsComa ScaleBlack patientsCare unitEndotracheal intubationICH patients
2016
Perihematomal Edema Expansion Rates and Patient Outcomes in Deep and Lobar Intracerebral Hemorrhage
Grunwald Z, Beslow LA, Urday S, Vashkevich A, Ayres A, Greenberg SM, Goldstein JN, Leasure A, Shi FD, Kahle KT, Battey TW, Simard JM, Rosand J, Kimberly WT, Sheth KN. Perihematomal Edema Expansion Rates and Patient Outcomes in Deep and Lobar Intracerebral Hemorrhage. Neurocritical Care 2016, 26: 205-212. PMID: 27844466, PMCID: PMC5378491, DOI: 10.1007/s12028-016-0321-3.Peer-Reviewed Original ResearchConceptsLobar intracerebral hemorrhageIntracerebral hemorrhagePoor functional outcomeDeep intracerebral hemorrhageFunctional outcomeIntraventricular hemorrhageWarfarin-related intracerebral hemorrhageSpontaneous supratentorial intracerebral hemorrhagePrimary intraventricular hemorrhageSupratentorial intracerebral hemorrhageGlasgow Coma ScaleSpontaneous intracerebral hemorrhageICH cohortSubsequent surgeryComa ScaleBaseline CTICH volumeFirst CTPatient outcomesOdds ratioInclusion criteriaPHE volumeCT scanExclusion criteriaUnadjusted regressionPredicting survival after acute civilian penetrating brain injuries
Muehlschlegel S, Ayturk D, Ahlawat A, Izzy S, Scalea TM, Stein DM, Emhoff T, Sheth KN. Predicting survival after acute civilian penetrating brain injuries. Neurology 2016, 87: 2244-2253. PMID: 27784772, PMCID: PMC5123553, DOI: 10.1212/wnl.0000000000003355.Peer-Reviewed Original ResearchConceptsRadiologic factorsBrain injuryMotor Glasgow Coma ScaleLower Injury Severity ScoreLevel 1 trauma centerLower international normalized ratioUS level 1 trauma centersSurvival prediction scoreInjury Severity ScoreGlasgow Coma ScaleInternational normalized ratioMultivariable logistic regressionTraumatic brain injurySelf-inflicted injurySurvival prediction toolHospital dischargeComa ScaleLocal traumaPenetrating injuryTrauma centerMean ageNormalized ratioFemale sexSeverity scorePupillary reactivityComparison of enteral ethanol and benzodiazepines for alcohol withdrawal in neurocritical care patients
Gipson G, Tran K, Hoang C, Treggiari M. Comparison of enteral ethanol and benzodiazepines for alcohol withdrawal in neurocritical care patients. Journal Of Clinical Neuroscience 2016, 31: 88-91. PMID: 27262870, DOI: 10.1016/j.jocn.2016.02.028.Peer-Reviewed Original ResearchConceptsEnteral ethanolCIWA scoreAlcohol withdrawalEthanol groupIntensive care unit lengthClinical Institute Withdrawal AssessmentAlcohol withdrawal managementRetrospective chart reviewNeurocritical care patientsGlasgow Coma ScaleLength of stayUse of benzodiazepinesLevel of comaAlcohol scale scoresPrimary endpointSecondary endpointsChart reviewClinical characteristicsFirst medicationCare patientsComa ScaleOral intakeEthanol withdrawalWithdrawal AssessmentNeurocritical care
2015
Retained Transcranial Knife Blade With Transection of the Internal Carotid Artery Treated by Staged Endovascular and Surgical Therapy: Technical Case Report
Kodadek LM, Leeper WR, Caplan JM, Molina C, Stevens KA, Colby GP. Retained Transcranial Knife Blade With Transection of the Internal Carotid Artery Treated by Staged Endovascular and Surgical Therapy: Technical Case Report. Neurosurgery 2015, 11: 372-375. PMID: 25714518, DOI: 10.1227/neu.0000000000000691.Peer-Reviewed Case Reports and Technical NotesConceptsInternal carotid arteryLeft internal carotid arteryCarotid arterySurgical therapyCoil embolizationForeign bodyInternal carotid segmentsGlasgow Coma ScaleForeign body extractionTechnical Case ReportEndovascular coil embolizationCircle of WillisIntracranial foreign bodiesAntegrade embolizationSubsequent angiographyVascular complicationsComa ScaleArtery accessCollateral flowMidline shiftParenchymal hemorrhageRetrograde embolizationVascular injuryCase reportComplete transectionTime Course and Predictors of Neurological Deterioration After Intracerebral Hemorrhage
Lord AS, Gilmore E, Choi HA, Mayer SA. Time Course and Predictors of Neurological Deterioration After Intracerebral Hemorrhage. Stroke 2015, 46: 647-652. PMID: 25657190, PMCID: PMC4739782, DOI: 10.1161/strokeaha.114.007704.Peer-Reviewed Original ResearchConceptsNeurological deteriorationIntracerebral hemorrhage volumeHematoma expansionInterventricular hemorrhageIntracerebral hemorrhageHemorrhage volumeAdmission Glasgow Coma ScaleEarly neurological deteriorationLate neurological deteriorationAcute neurological deteriorationRetrospective cohort studyHours of symptomsGlasgow Coma ScaleIntracerebral hemorrhage trialsTime coursePlacebo patientsCerebral edemaDevastating complicationRankin scoreCohort studyComa ScaleMedical complicationsPoor outcomeTomographic scanClinical evaluation
2013
Head-to-Head Comparison of Disaster Triage Methods in Pediatric, Adult, and Geriatric Patients
Cross KP, Cicero MX. Head-to-Head Comparison of Disaster Triage Methods in Pediatric, Adult, and Geriatric Patients. Annals Of Emergency Medicine 2013, 61: 668-676.e7. PMID: 23465555, DOI: 10.1016/j.annemergmed.2012.12.023.Peer-Reviewed Original ResearchConceptsGlasgow Coma ScaleReceiver operator curveOperator curveTriage methodTrauma victimsNational Trauma Data BankGeriatric trauma victimsTrauma registry patientsTrauma Data BankLength of stayTriage accuracyRegistry patientsHospital dischargeSecondary outcomesComa ScaleTrauma patientsGeriatric patientsPatient mortalityEmergency departmentSubgroup analysisTriage levelLarge cohortTriage strategiesTriage assignmentMost subgroupsPredictive Value of Initial Glasgow Coma Scale Score in Pediatric Trauma Patients
Cicero MX, Cross KP. Predictive Value of Initial Glasgow Coma Scale Score in Pediatric Trauma Patients. Pediatric Emergency Care 2013, 29: 43-48. PMID: 23283262, DOI: 10.1097/pec.0b013e31827b52bf.Peer-Reviewed Original ResearchConceptsGlasgow Coma ScaleLength of stayOverall mortalityEmergency departmentReceiver operator curveMajor injuriesPredictive valueComa ScaleInitial Glasgow Coma Scale scoreFull Glasgow Coma ScaleHospital LOSED LOSGlasgow Coma Scale scoreExcellent prognostic accuracyPediatric trauma patientsTrauma data baseLonger hospital stayLower GCS scorePediatric trauma victimsHospital stayPatients 0GCS scorePatient ageTrauma patientsClinical outcomes
2011
Predictors of Positive Head CT Scan and Neurosurgical Procedures After Minor Head Trauma
Kisat M, Zafar S, Latif A, Villegas C, Efron D, Stevens K, Haut E, Schneider E, Zafar H, Haider A. Predictors of Positive Head CT Scan and Neurosurgical Procedures After Minor Head Trauma. Journal Of Surgical Research 2011, 173: 31-37. PMID: 21872271, PMCID: PMC3684145, DOI: 10.1016/j.jss.2011.04.059.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAged, 80 and overBlack or African AmericanCraniocerebral TraumaFemaleHeadHumansLogistic ModelsMaleMiddle AgedNeurosurgical ProceduresPredictive Value of TestsRetrospective StudiesSex FactorsTomography, X-Ray ComputedTrauma Severity IndicesTreatment OutcomeWhite PeopleYoung AdultConceptsPositive head CT scanNormal Glasgow Coma ScaleGlasgow Coma ScaleHead CT scanMinor head injuryBlunt head injuryHead injuryCT scanNeurosurgical proceduresInjury characteristicsPositive findingsNational Trauma Data BankInjury-specific characteristicsMinor head traumaMechanism of injuryTrauma Data BankHistory of fallsMultivariate logistic regressionAdult patientsOlder patientsComa ScaleMale patientsPrimary outcomeHead traumaMale gender
2010
National Survey on Abdominal Trauma Practices of Pediatric Surgeons
Karam O, Sanchez O, Wildhaber B, La Scala G. National Survey on Abdominal Trauma Practices of Pediatric Surgeons. European Journal Of Pediatric Surgery 2010, 20: 334-338. PMID: 20976655, DOI: 10.1055/s-0030-1261885.Peer-Reviewed Original ResearchConceptsBlunt abdominal traumaLiver function testsAbdominal traumaFunction testsPediatric surgeonsCT scanOrgan injuryClinical assessmentAbnormal liver function testsMinor blunt abdominal traumaPediatric blunt abdominal traumaExternal genital examMild abdominal painAbdominal organ injuriesGlasgow Coma ScaleNormal CT scanManagement of childrenFull workupAbdominal painInitial workupAbdominal ultrasoundComa ScaleHospital admissionAbdominal examinationBlood countS100b Immunoassay: An Assessment of Diagnostic Utility in Minor Head Trauma
Kotlyar S, Larkin GL, Moore CL, D’Onofrio G. S100b Immunoassay: An Assessment of Diagnostic Utility in Minor Head Trauma. Journal Of Emergency Medicine 2010, 41: 285-293. PMID: 20692788, DOI: 10.1016/j.jemermed.2010.05.040.Peer-Reviewed Original ResearchConceptsMinor head traumaHead traumaS100B levelsUnited States emergency departmentsMean age 48 yearsMedian S100B levelStates emergency departmentsProspective observational studyGlasgow Coma ScaleAge 48 yearsLoss of consciousnessNon-specific markerReceiver operator characteristic analysisEnzyme-linked immunosorbentOperator characteristic analysisCentral nervous system peptideHCT patientsComa ScaleIntracranial injuryEmergency departmentHead injuryObservational studyUnnecessary headDiagnostic utilityInjury
2009
Information Loss in Emergency Medical Services Handover of Trauma Patients
Carter AJ, Davis KA, Evans LV, Cone DC. Information Loss in Emergency Medical Services Handover of Trauma Patients. Prehospital Emergency Care 2009, 13: 280-285. PMID: 19499462, DOI: 10.1080/10903120802706260.Peer-Reviewed Original ResearchConceptsGlasgow Coma ScalePrehospital hypotensionPatient handoverPrehospital Glasgow Coma ScaleLevel I trauma centerEMS providersPrehospital vital signsEmergency medical services personnelI trauma centerMechanism of injuryTrauma team activationPatients meeting criteriaMedical services personnelPrehospital eventsGCS scoreTrauma patientsComa ScaleTrauma centerEmergency departmentTeam activationHospital cliniciansAnatomic locationAppropriate careTrauma teamTrauma program
This site is protected by hCaptcha and its Privacy Policy and Terms of Service apply