2016
The ‘Mortality Ascent’: Risk of Death for Hemodynamically-Unstable Trauma Patients at Level II vs Level I Trauma Centers Rises at 4 Hours and Peaks at 7 Hours after Admission
Herrera-Escobar J, Rios-Diaz A, Chowdhury R, Zogg C, Wolf L, Olufajo O, Schneider E, Ordonez C, Cooper Z, Haider A. The ‘Mortality Ascent’: Risk of Death for Hemodynamically-Unstable Trauma Patients at Level II vs Level I Trauma Centers Rises at 4 Hours and Peaks at 7 Hours after Admission. Journal Of The American College Of Surgeons 2016, 223: e55. DOI: 10.1016/j.jamcollsurg.2016.08.157.Peer-Reviewed Original ResearchThe effect of helmets on motorcycle outcomes in a level I trauma center in Connecticut
Wiznia DH, Kim CY, Dai F, Goel A, Leslie MP. The effect of helmets on motorcycle outcomes in a level I trauma center in Connecticut. Traffic Injury Prevention 2016, 17: 633-637. PMID: 26889888, DOI: 10.1080/15389588.2015.1136059.Peer-Reviewed Original ResearchConceptsHospital costsHelmet useHigh incidenceDrug useIntensive care unit admissionLower Glasgow Coma ScaleHigher Injury Severity ScoreLevel I trauma centerPartial helmet lawEffect of helmetsCare unit admissionMean hospital costRetrospective cohort studyI trauma centerWorse clinical presentationInjury Severity ScoreAlcohol/drug useGlasgow Coma ScaleMotorcycle crashesMotorcycle crash victimsLower injury severityChi-square testEligible patientsICU lengthUnit admissionIncidence and Demographics of Cervical Spine Fractures over a 10 Year Period at a Level I Trauma Center
Blizzard D, Miller C, Blizzard S, Grauer J. Incidence and Demographics of Cervical Spine Fractures over a 10 Year Period at a Level I Trauma Center. The Duke Orthopaedic Journal 2016, 6: 21-25. DOI: 10.5005/jp-journals-10017-1065.Peer-Reviewed Original ResearchCervical spine fracturesLevel I trauma centerCervical CT scanI trauma centerCervical fracturesSpine fracturesTrauma centerEmergency departmentCT scanNegative imaging studiesSingle Level ITraumatic neck painCervical spine traumaManagement of patientsMechanism of injuryHigh-energy traumaYears of ageRapidity of diagnosisRelevant demographic dataNeck painED visitsOlder patientsYounger patientsSpine traumaBlunt traumaSurgical Treatment of Femoral Neck Fractures After 24 Hours in Patients Between the Ages of 18 and 49 Is Associated With Poor Inpatient Outcomes
Samuel AM, Russo GS, Lukasiewicz AM, Webb ML, Bohl DD, Basques BA, Grauer JN. Surgical Treatment of Femoral Neck Fractures After 24 Hours in Patients Between the Ages of 18 and 49 Is Associated With Poor Inpatient Outcomes. Journal Of Orthopaedic Trauma 2016, 30: 89-94. PMID: 26429407, DOI: 10.1097/bot.0000000000000456.Peer-Reviewed Original ResearchConceptsInpatient adverse eventsCharlson Comorbidity IndexMinor adverse eventsSerious adverse eventsAdverse eventsFemoral neck fracturesDischarge dispositionComorbidity indexSurgical treatmentNeck fracturesSurgical interventionLevel I trauma centerNational Trauma Data BankPoor inpatient outcomesPrognostic Level IIRetrospective cohort studyHours of admissionI trauma centerHours of presentationLong-term outcomesTrauma Data BankYears of ageNonelderly patientsInpatient outcomesUnderwent surgery
2015
Predictors of Vertebral Artery Injury in Isolated C2 Fractures Based on Fracture Morphology Using CT Angiography
Durand D, Wu X, Kalra VB, Abbed KM, Malhotra A. Predictors of Vertebral Artery Injury in Isolated C2 Fractures Based on Fracture Morphology Using CT Angiography. Spine 2015, 40: e713-e718. PMID: 25803220, DOI: 10.1097/brs.0000000000000893.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCervical VertebraeDatabases, FactualFemaleHumansMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesRisk AssessmentRisk FactorsSpinal FracturesTomography, X-Ray ComputedTrauma CentersVascular System InjuriesVertebral ArteryYoung AdultConceptsVertebral artery injuryC2 fracturesComputed tomography angiographyTransverse foramenTomography angiographyArtery injuryLevel I trauma centerInstitutional board review approvalTransverse foramen fracturesType III densI trauma centerVertebral body fracturesRetrospective database analysisC2 transverse foramenFracture patternsFisher's exact testMultiplanar CT scansFracture classification schemeStudent's t-testAntithrombotic treatmentNeurological sequelaeFracture hospitalizationsOccipital fractureDens fracturesTrauma center
2014
Unequal Burden of Injury at Level I Trauma Centers: The Case for Efficiency in Resource Allocation for Optimal Trauma Care
Hashmi Z, Zafar S, Shah A, Schneider E, Leeper W, Haut E, Cornwell E, Haider A. Unequal Burden of Injury at Level I Trauma Centers: The Case for Efficiency in Resource Allocation for Optimal Trauma Care. Journal Of The American College Of Surgeons 2014, 219: s104-s105. DOI: 10.1016/j.jamcollsurg.2014.07.248.Peer-Reviewed Original ResearchManagement of Pneumothoraces Detected on Chest Computed Tomography: Can Anatomical Location Identify Patients Who Can Be Managed Expectantly?
Agbo C, Hempel D, Studer M, Gulati K, Oliva I, Goldflam K, Ledbetter S, Platz E. Management of Pneumothoraces Detected on Chest Computed Tomography: Can Anatomical Location Identify Patients Who Can Be Managed Expectantly? Journal Of Emergency Medicine 2014, 46: 605-611. PMID: 24508116, DOI: 10.1016/j.jemermed.2013.11.079.Peer-Reviewed Original ResearchConceptsChest tube thoracotomyChest CT scanCT scanComputed tomographyEmergency departmentAnatomical distributionLevel I trauma centerInitial hemodynamic parametersManagement of pneumothoracesTrauma ultrasound examinationI trauma centerMajority of patientsManagement of pneumothoraxSize of pneumothoraxChest Computed TomographyDistinct anatomical distributionChest zonesTube thoracotomyStable patientsMechanical ventilationMedian timeRetrospective reviewTrauma centerChest tubeMedical records
2012
Impact of adaptive statistical iterative reconstruction on radiation dose in evaluation of trauma patients
Maxfield MW, Schuster KM, McGillicuddy EA, Young CJ, Ghita M, Bokhari SA, Oliva IB, Brink JA, Davis KA. Impact of adaptive statistical iterative reconstruction on radiation dose in evaluation of trauma patients. Journal Of Trauma And Acute Care Surgery 2012, 73: 1406-1411. PMID: 23147183, PMCID: PMC3923265, DOI: 10.1097/ta.0b013e318270d2fb.Peer-Reviewed Original ResearchConceptsDose-length productCT scanTrauma patientsAdaptive statistical iterative reconstructionCervical spineLevel I trauma centerVolume CT dose indexI trauma centerRadiation doseStatistical iterative reconstructionCT dose indexBaseline demographicsTrauma centerTomographic scanPatient outcomesTrauma systemInclusion criteriaLevel IVTherapeutic studiesPatientsDose indexCT scanningRadiation exposureScansSubjective image qualitySplenic conservation: Variation between pediatric and adult trauma centers
Lippert SJ, Hartin CW, Ozgediz DE, Glick PL, Caty MG, Flynn WJ, Bass KD. Splenic conservation: Variation between pediatric and adult trauma centers. Journal Of Surgical Research 2012, 182: 17-20. PMID: 22939554, DOI: 10.1016/j.jss.2012.07.036.Peer-Reviewed Original ResearchConceptsAdult level I trauma centerPediatric Level I Trauma CenterHigher Injury Severity ScoreLevel I trauma centerI trauma centerInjury Severity ScoreSplenic injuryLocation of presentationTrauma centerNonoperative managementSeverity scoreAdult trauma centersBlunt splenic injuryOnly independent factorLogistic multivariate analysisStudent's t-testHospital coursePatients 14Older patientsLonger LOSNonoperative approachRetrospective reviewTrauma registryAdolescent patientsStable children
2010
Incidence and Risk Factors for Venous Thromboembolism in Critically Ill Children After Trauma
Hanson S, Punzalan R, Greenup R, Liu H, Sato T, Havens P. Incidence and Risk Factors for Venous Thromboembolism in Critically Ill Children After Trauma. Journal Of Trauma And Acute Care Surgery 2010, 68: 52-56. PMID: 20065757, DOI: 10.1097/ta.0b013e3181a74652.Peer-Reviewed Original ResearchConceptsCentral venous linePediatric intensive care unitVenous thromboembolismIntensive care unitRisk factorsIll childrenCare unitIncidence of VTERecombinant factor VIIa administrationLevel I trauma centerFactor VIIa administrationD-dimer levelsI trauma centerCritically Ill ChildrenRisk factor presentSignificant risk factorsMultiple risk factorsSpinal cord injuryCase-control studyInotropic supportMajor morbidityMost patientsParenteral nutritionMedian ageTrauma center
2009
Pulseless Electrical Activity, Focused Abdominal Sonography for Trauma, and Cardiac Contractile Activity as Predictors of Survival After Trauma
Schuster KM, Lofthouse R, Moore C, Lui F, Kaplan LJ, Davis KA. Pulseless Electrical Activity, Focused Abdominal Sonography for Trauma, and Cardiac Contractile Activity as Predictors of Survival After Trauma. Journal Of Trauma And Acute Care Surgery 2009, 67: 1154-1157. PMID: 20009660, DOI: 10.1097/ta.0b013e3181c303e8.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal InjuriesAdultAgedAged, 80 and overCardiopulmonary ResuscitationChildFemaleHeart ArrestHumansMaleMiddle AgedPericardial EffusionPredictive Value of TestsPrognosisPulseRetrospective StudiesSensitivity and SpecificityStatistics, NonparametricSurvival RateTrauma Severity IndicesUltrasonographyConceptsPulseless electrical activityCardiac contractile activityFocused abdominal sonographyInitial resuscitationAbdominal sonographyEmergency departmentContractile activityCardiac activityStudy period 25 patientsLevel I trauma centerGrave prognostic indicatorI trauma centerPredictors of survivalMechanism of injuryElectrical activityClosed head injuryPericardial viewTension hemothoraxOngoing resuscitationPericardial effusionBlunt traumaRetrospective reviewTrauma centerPrognostic indicatorHead injuryA Physicochemical Approach to Acid-Base Balance in Critically Ill Trauma Patients Minimizes Errors and Reduces Inappropriate Plasma Volume Expansion
Kaplan LJ, Cheung NH, Maerz L, Lui F, Schuster K, Luckianow G, Davis K. A Physicochemical Approach to Acid-Base Balance in Critically Ill Trauma Patients Minimizes Errors and Reduces Inappropriate Plasma Volume Expansion. Journal Of Trauma And Acute Care Surgery 2009, 66: 1045-1051. PMID: 19359913, DOI: 10.1097/ta.0b013e31819a04be.Peer-Reviewed Original ResearchConceptsAcid-base balanceMetabolic acidosisCritically Ill Trauma PatientsLevel I trauma centerSurgical intensive care unitIll trauma patientsI trauma centerInjury Severity ScoreHyperchloremic metabolic acidosisIntensive care unitPlasma volume expansionPC patientsAcid-based diagnosisBase deficitConsecutive patientsTrauma patientsCare unitTrauma centerPC physiciansSeverity scoreMetabolic alkalosisAcid-base dataPatientsVolume loadingDiagnosisInformation 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
2008
Trauma Team Oversight Improves Efficiency of Care and Augments Clinical and Economic Outcomes
Davis KA, Cabbad NC, Schuster KM, Kaplan LJ, Carusone C, Leary T, Udelsman R. Trauma Team Oversight Improves Efficiency of Care and Augments Clinical and Economic Outcomes. Journal Of Trauma And Acute Care Surgery 2008, 65: 1236-1244. PMID: 19077607, DOI: 10.1097/ta.0b013e31818ba311.Peer-Reviewed Original ResearchMeSH KeywordsAbbreviated Injury ScaleConnecticutCost-Benefit AnalysisCross-Sectional StudiesEfficiency, OrganizationalFees, MedicalHospital CostsHumansInjury Severity ScoreLength of StayLinear ModelsMultiple TraumaOutcome and Process Assessment, Health CarePatient Care TeamPersonnel Administration, HospitalQuality Assurance, Health CareTrauma CentersUtilization ReviewConceptsInjury Severity ScoreEfficiency of careHospital lengthTrauma serviceFull-time trauma surgeonsMean Injury Severity ScoreMedian Injury Severity ScoreTrauma team activation criteriaLevel I trauma centerPercentage of patientsShorter hospital lengthI trauma centerLength of stayActual hospital costsMost patientsPatient demographicsTrauma activationsTrauma centerHospital contribution marginInjury patternsSeverity scoreHospital costsPatient managementTrauma surgeonsPatients
2006
Ventilator-Associated Pneumonia After Combined Burn and Trauma Is Caused by Associated Injuries and Not the Burn Wound
Eckert MJ, Wade TE, Davis KA, Luchette FA, Esposito TJ, Poulakidas SJ, Santaniello JM, Gamelli RL. Ventilator-Associated Pneumonia After Combined Burn and Trauma Is Caused by Associated Injuries and Not the Burn Wound. Journal Of Burn Care & Research 2006, 27: 457-462. PMID: 16819348, DOI: 10.1097/01.bcr.0000226034.84068.cf.Peer-Reviewed Original ResearchConceptsVentilator-associated pneumoniaIndependent risk factorTime of intubationED intubationInitial EDUrgent intubationInhalation injuryAssociated injuriesBurn centerRisk factorsTraumatic injuryDiagnosis of VAPIntensive care unit lengthSubsequent ventilator-associated pneumoniaLevel I trauma centerVerified burn centerI trauma centerMajority of patientsOccurrence of pneumoniaTrauma registry dataEmergency department settingCombined burnTBSA burnHospital daysRetrospective reviewPredictors of the Need for Nephrectomy After Renal Trauma
Davis KA, Reed RL, Santaniello J, Abodeely A, Esposito TJ, Poulakidas SJ, Luchette FA. Predictors of the Need for Nephrectomy After Renal Trauma. Journal Of Trauma And Acute Care Surgery 2006, 60: 164-170. PMID: 16456451, DOI: 10.1097/01.ta.0000199924.39736.36.Peer-Reviewed Original ResearchConceptsRenal injury gradeGlasgow Coma Scale scoreTransfusion requirementsInjury gradeIntraabdominal injuriesRenal injuryInjury severityScale scoreLevel I trauma centerMultiple logistic regression analysisGrade 4 injuriesGrade 5 injuriesHigher nephrectomy rateModerate renal injuryBlunt trauma patientsI trauma centerSolid organ injuryInjury Severity ScoreMechanism of injuryHigher injury severityLogistic regression analysisRenal lacerationsUrgent nephrectomyHemodynamic instabilityKidney injury
2005
Reasons to Omit Digital Rectal Exam in Trauma Patients: No Fingers, No Rectum, No Useful Additional Information
Esposito TJ, Ingraham A, Luchette FA, Sears BW, Santaniello JM, Davis KA, Poulakidas SJ, Gamelli RL. Reasons to Omit Digital Rectal Exam in Trauma Patients: No Fingers, No Rectum, No Useful Additional Information. Journal Of Trauma And Acute Care Surgery 2005, 59: 1314-1319. PMID: 16394903, DOI: 10.1097/01.ta.0000198375.83830.62.Peer-Reviewed Original ResearchConceptsDigital rectal examinationSpinal cord injuryGlasgow Coma Scale scoreIndex injuryDRE findingsTrauma patientsGastrointestinal bleedingUrethral disruptionInjury casesPredictive valueSecondary surveyRoutine digital rectal examinationLevel I trauma centerI trauma centerDigital rectal examNegative predictive valuePositive predictive valueAdvanced Trauma Life Support (ATLS) courseInitial evaluation processLife support courseProspective studyRectal examRectal examinationTrauma centerCord injury
2003
Mechanism of injury does not predict acuity or level of service need: field triage criteria revisited
Santaniello JM, Esposito TJ, Luchette FA, Atkian DK, Davis KA, Gamelli RL. Mechanism of injury does not predict acuity or level of service need: field triage criteria revisited. Surgery 2003, 134: 698-703. PMID: 14605632, DOI: 10.1016/s0039-6060(03)00331-3.Peer-Reviewed Original ResearchConceptsIntensive care unitTrauma centerCare unitAnatomic factorsTriage criteriaLevel I trauma centerOperating roomI trauma centerMechanism of injuryEmergency department dispositionStudy inclusion criteriaField triage criteriaMechanistic factorsMandatory criteriaTrauma admissionsRetrospective reviewSubsequent complicationsInclusion criteriaTrauma systemField triageAmerican CollegeSurgeons CommitteePhysiologic factorsUndertriageStudy period
2002
Evaluation of an Emergency Radiology Quality Assurance Program at a Level I Trauma Center: Abdominal and Pelvic CT Studies
Yoon LS, Haims AH, Brink JA, Rabinovici R, Forman HP. Evaluation of an Emergency Radiology Quality Assurance Program at a Level I Trauma Center: Abdominal and Pelvic CT Studies. Radiology 2002, 224: 42-6. PMID: 12091660, DOI: 10.1148/radiol.2241011470.Peer-Reviewed Original ResearchConceptsLevel I trauma centerI trauma centerTrauma centerQuality assurance programPatient careAdditional diagnostic imagingAbdominal imaging radiologistsQuality of careAssurance programEmergency departmentCT reportsTrauma casesTrauma surgeryCT studiesNumber of casesPatient recordsRadiologic interpretationCare changesMortality recordsDiscordant readingsDiagnostic imagingDiscordant interpretationsPelvic CT studiesCareImportant additional findings
1999
Secondary Abdominal Compartment Syndrome: An Underappreciated Manifestation of Severe Hemorrhagic Shock
Maxwell R, Fabian T, Croce M, Davis K. Secondary Abdominal Compartment Syndrome: An Underappreciated Manifestation of Severe Hemorrhagic Shock. Journal Of Trauma And Acute Care Surgery 1999, 47: 995. PMID: 10608523, DOI: 10.1097/00005373-199912000-00001.Peer-Reviewed Original ResearchMeSH KeywordsAbdomenAcute DiseaseAdolescentAdultBlood Gas AnalysisBlood TransfusionCause of DeathCompartment SyndromesCrystalloid SolutionsDecompression, SurgicalFemaleHemodynamicsHumansIsotonic SolutionsMaleMiddle AgedMultiple TraumaPlasma SubstitutesRegistriesResuscitationShock, HemorrhagicSurvival AnalysisTime FactorsTrauma CentersTreatment OutcomeConceptsAbdominal compartment syndromeSecondary abdominal compartment syndromeSevere hemorrhagic shockAbdominal injuriesHemorrhagic shockResuscitation volumeCompartment syndromeBladder pressureTrauma intensive care unit patientsIntensive care unit admissionIntensive care unit patientsLevel I trauma centerPacked red blood cellsCare unit admissionIntra-abdominal injuriesExtremity compartment syndromeI trauma centerCare unit patientsPeak inspiratory pressurePacked red cellsAbdominal decompressionUnit admissionRed blood cellsUnit patientsBase deficit
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