1998
Computed Tomography in the Initial Evaluation of Hemodynamically Stable Patients with Blunt Abdominal Trauma
Taylor C, Degutis L, Lange R, Burns G, Cohn S, Rosenfield A. Computed Tomography in the Initial Evaluation of Hemodynamically Stable Patients with Blunt Abdominal Trauma. Journal Of Trauma And Acute Care Surgery 1998, 44: 893-901.. PMID: 9603095, DOI: 10.1097/00005373-199805000-00025.Peer-Reviewed Original ResearchConceptsBlunt abdominal traumaAbdominal traumaComputed tomographyGrading systemGrading of injuryHemodynamically Stable PatientsRate of admissionReporting of injuriesFive-point grading systemLevel 2 injuriesSpecificity 89.5Exploratory laparotomyAbdominal injuriesStable patientsSurgical managementTrauma casesPatient triageDiagnostic certaintyOverall severityIndeterminate studiesInjurySensitivity 100Initial evaluationInterobserver variabilityTrauma
1997
Emergency Department Patients With Assault Injuries: Previous Injury and Assault Convictions
Moscovitz H, Degutis L, Bruno G, Schriver J. Emergency Department Patients With Assault Injuries: Previous Injury and Assault Convictions. Annals Of Emergency Medicine 1997, 29: 770-775. PMID: 9174523, DOI: 10.1016/s0196-0644(97)70199-9.Peer-Reviewed Original ResearchConceptsHistory of convictionED patientsAssault injuriesPrevious injuryEmergency department patientsRecord-based case-control studyCase-control studyControl patientsBlunt traumaDepartment patientsControl subjectsVictims of assaultTeaching hospitalSurgical problemsLower incidenceLevel ICase subjectsPatientsInjuryViolence prevention programsIncidenceZip codesOverall rateBroader populationHigh rate
1989
Nonoperative Management of Adult Blunt Splenic Trauma
LONGO W, BAKER C, McMILLEN M, MODLIN I, DEGUTIS L, ZUCKER K. Nonoperative Management of Adult Blunt Splenic Trauma. Annals Of Surgery 1989, 210: 626-629. PMID: 2818032, PMCID: PMC1357797, DOI: 10.1097/00000658-198911000-00010.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedHumansLength of StayMiddle AgedRetrospective StudiesSpleenWounds, NonpenetratingConceptsBlunt splenic traumaSplenic traumaSplenic injuryNonoperative managementSplenic defectsAdult blunt splenic traumaSuccessful outcomeAdult splenic injuryMode of therapyInterval laparotomyPeritoneal signsTransfusion requirementsHemodynamic stabilityOperative interventionAdult patientsBlood lossRetrospective reviewBed restNasogastric tubePhysical examGI functionSerial hematocritsICU monitoringSplenic imagingLeft flankBlunt hollow viscus injuries of the digestive tract: a poorly recognized phenomenon.
Longo W, Degutis L, Baker C. Blunt hollow viscus injuries of the digestive tract: a poorly recognized phenomenon. Connecticut Medicine 1989, 53: 451-4. PMID: 2766714.Peer-Reviewed Original ResearchConceptsHollow viscus injuryBlunt hollow viscus injuryViscus injuryYale-New Haven HospitalReview of recordsAbdominal tendernessEarly celiotomyMajor morbidityTrauma centerHigh morbidityPeritoneal lavageGall bladderMortality rateSmall intestineLarge intestineInjuryMorbidityPatientsDigestive tractAccurate predictorMortalityDiagnosisIntestineYear periodLavage