2018
Opioid dependency is independently associated with inferior clinical outcomes after trauma
Hsiang WR, McGeoch C, Lee S, Cheung W, Becher R, Davis KA, Schuster K. Opioid dependency is independently associated with inferior clinical outcomes after trauma. Injury 2018, 50: 192-196. PMID: 30342762, DOI: 10.1016/j.injury.2018.10.015.Peer-Reviewed Original ResearchConceptsNon-home dischargeOpioid-dependent patientsLength of stayInjury Severity ScoreOpioid dependencyVentilator daysMajor complicationsClinical outcomesPrescription abuseIllicit abuseLonger LOSChronic pain subgroupsMore ventilator daysOpioid-naïve patientsUse of opioidsAcademic Level IHigher readmission ratesInferior clinical outcomesChronic pain patientsOpioid subgroupsNaïve patientsAdult patientsPain subgroupsPatient demographicsReadmission rates
2016
Trauma patients on new oral anticoagulation agents have lower mortality than those on warfarin
Maung AA, Bhattacharya B, Schuster KM, Davis KA. Trauma patients on new oral anticoagulation agents have lower mortality than those on warfarin. Journal Of Trauma And Acute Care Surgery 2016, 81: 652-657. PMID: 27438683, DOI: 10.1097/ta.0000000000001189.Peer-Reviewed Original ResearchConceptsNew oral agentsNew oral anticoagulation agentsOral anticoagulation agentsAnticoagulation agentsControl groupLevel 1 trauma center databaseLower mortalityTrauma-related mortalityInjury Severity ScoreMechanism of injuryIntensive care unitMultivariable logistic regressionHigher overall mortalityTrauma center databaseTraumatic brain injuryElectronic medical recordsWarfarin groupHospital courseOral agentsControl patientsIndependent predictorsOverall mortalityTrauma patientsCare unitRetrospective review
2013
When the ICU is the operating room
Piper GL, Maerz LL, Schuster KM, Maung AA, Luckianow GM, Davis KA, Kaplan LJ. When the ICU is the operating room. Journal Of Trauma And Acute Care Surgery 2013, 74: 871-875. PMID: 23425750, DOI: 10.1097/ta.0b013e31827e9c52.Peer-Reviewed Original ResearchConceptsSurgical intensive care unitOperating roomOperative locationICU casesEmergency general surgery patientsGeneral surgery patientsTotal operative casesType of anesthesiaIntensive care unitMode of ventilationT-testStudent's t-testSurgery patientsCare unitNeuromuscular blockadeAdverse outcomesDeep sedationProcedure typeOperative procedureSurgical proceduresEpidemiologic studiesICU databaseCase volumeLevel ITotal cases
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 qualityCompared to conventional ventilation, airway pressure release ventilation may increase ventilator days in trauma patients
Maung AA, Schuster KM, Kaplan LJ, Ditillo MF, Piper GL, Maerz LL, Lui FY, Johnson DC, Davis KA. Compared to conventional ventilation, airway pressure release ventilation may increase ventilator days in trauma patients. Journal Of Trauma And Acute Care Surgery 2012, 73: 507-510. PMID: 23019679, DOI: 10.1097/ta.0b013e31825ff653.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedContinuous Positive Airway PressureCritical CareDatabases, FactualFemaleFollow-Up StudiesHumansInjury Severity ScoreIntra-Abdominal HypertensionLength of StayLinear ModelsMaleMiddle AgedMultivariate AnalysisPulmonary Gas ExchangeRespiration, ArtificialRetrospective StudiesRisk AssessmentSurvival RateTime FactorsTrauma CentersTreatment OutcomeVentilator WeaningWounds and InjuriesConceptsAirway pressure release ventilationTotal ventilator daysVentilator daysHospital complicationsMechanical ventilationAIS scoreChest Abbreviated Injury Scale scoreAbbreviated Injury Scale scoreSpontaneous breathing trialAbdominal compartment syndromeAcute lung injuryAcute renal failureInjury Scale scoreStudy entry criteriaInjury Severity ScorePotential confounding factorsAPRV groupAPRV modeBreathing trialRescue therapyCompartment syndromeLung injuryRenal failureIndependent predictorsRetrospective review
2011
Routine or Protocol Evaluation of Trauma Patients With Suspected Syncope is Unnecessary
Maung AA, Kaplan LJ, Schuster KM, Johnson DC, Davis KA. Routine or Protocol Evaluation of Trauma Patients With Suspected Syncope is Unnecessary. Journal Of Trauma And Acute Care Surgery 2011, 70: 428-432. PMID: 21307745, DOI: 10.1097/ta.0b013e31820958be.Peer-Reviewed Original ResearchConceptsDiagnostic workupCardiac enzymesSyncope workupAbnormal resultsStudy entry criteriaInjury Severity ScoreCause of injuryMotor vehicle collisionsSignificant abnormal resultsStandardized workupRetrospective reviewTrauma patientsCarotid duplexPhysical examinationSeverity scoreTomography angiographyEntry criteriaFemale genderFurther interventionClinical informationLevel ISyncopePatientsSubsequent interventionsWorkup
2010
Contrast-Induced Nephropathy in Elderly Trauma Patients
McGillicuddy EA, Schuster KM, Kaplan LJ, Maung AA, Lui FY, Maerz LL, Johnson DC, Davis KA. Contrast-Induced Nephropathy in Elderly Trauma Patients. Journal Of Trauma And Acute Care Surgery 2010, 68: 294-297. PMID: 20154540, DOI: 10.1097/ta.0b013e3181cf7e40.Peer-Reviewed Original ResearchConceptsAcute kidney injuryElderly trauma patientsTrauma patientsNoncontrast groupDevelopment of AKIRisk of AKILevel one trauma centerContrast-Induced NephropathyHours of admissionIndependent risk factorHours of presentationLength of stayAdministration of contrastHospital mortalityKidney injuryBaseline characteristicsElderly patientsOccult injuriesProlonged lengthRenal functionSerum creatinineTrauma centerIntravenous contrastMedical recordsRisk factors
2009
A 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 loadingDiagnosis
2008
How Can Trauma Surgeons Maintain Their Operative Skills?
Schuster KM, Lopez PP, Greene T, Wheeler K, Soffer D, Habib F, Cohn SM, Schulman CI. How Can Trauma Surgeons Maintain Their Operative Skills? Journal Of Trauma And Acute Care Surgery 2008, 65: 387-389. PMID: 18695476, DOI: 10.1097/ta.0b013e31817db08f.Peer-Reviewed Original ResearchConceptsEmergency general surgeryElective general surgeryGeneral surgeryOperative experienceTrauma serviceTrauma casesTrauma surgeonsEmergency general surgery casesGeneral surgery consultationOperative skillsGeneral surgery casesOperative trauma casesElective case volumesTrauma operative experienceNeck explorationSurgery consultationRetrospective studyTrauma centerOperative databaseSurgery casesSurgical servicesCase volumeLevel ISurgeryOperative workload