2018
Can acute care surgeons perform while fatigued? An EAST multicenter study
Schuster KM, Hazelton JP, Rattigan D, Nguyen L, Kim D, Spence LH, Turay D, Luo-Owen X, Perez JM, Dayal S, Blatt M, Hill C, Bhattacharya B. Can acute care surgeons perform while fatigued? An EAST multicenter study. Journal Of Trauma And Acute Care Surgery 2018, 85: 476-484. PMID: 29787535, DOI: 10.1097/ta.0000000000001975.Peer-Reviewed Original ResearchConceptsAcute care surgeonsMajor morbidityPatient outcomesAcute care surgery serviceEAST multicenter studyPatient-level factorsEmergency casesFour-level ordinal scaleHours of sleepHierarchical logistic regression modelsImpact of fatigueLogistic regression modelsPatient factorsFemale patientsSurgery serviceMulticenter studyLevel IVImmediate operationPrognostic studiesSleep timePatient volumeSimilar outcomesMorbiditySurgeonsMortality
2016
Outcomes of acute care surgical cases performed at night
Dalton MK, McDonald E, Bhatia P, Davis KA, Schuster KM. Outcomes of acute care surgical cases performed at night. The American Journal Of Surgery 2016, 212: 831-836. PMID: 27263405, DOI: 10.1016/j.amjsurg.2016.02.024.Peer-Reviewed Original ResearchConceptsAcute care surgeonsRetrospective cohort studyConditional logistic regressionMore hypotensionCohort studyOperative interventionOperative delayDay casesSurgical careOutcome differencesSurgical casesEmergency operationLogistic regressionSurgeonsPotent predictorTeam fatigueComorbiditiesSimilar degreeConfoundersOutcomesMortalityUnmeasured factorsDaysHypotensionSepsis
2014
Continuous glucose monitoring in the surgical intensive care unit
Schuster KM, Barre K, Inzucchi SE, Udelsman R, Davis KA. Continuous glucose monitoring in the surgical intensive care unit. Journal Of Trauma And Acute Care Surgery 2014, 76: 798-803. PMID: 24553551, DOI: 10.1097/ta.0000000000000127.Peer-Reviewed Original ResearchMeSH KeywordsBlood GlucoseCapillariesCritical CareFemaleHumansMaleMiddle AgedMonitoring, IntraoperativeConceptsSurgical intensive care unitIntensive glycemic controlContinuous glucose monitoring systemIntensive care unitCare unitInsulin infusionCapillary blood glucose readingsDoses of vasopressorsLarge volume resuscitationBlood glucose readingsContinuous glucose monitoringCBG readingsGlycemic controlBland-Altman plotsClinical outcomesGlucose monitoring systemFluid balanceSubcutaneous tissueLevel IIIGlucose readingsDiagnostic studiesGlucose monitoringAbsolute differenceError grid analysisMedian absolute difference
2013
Repositioning endotracheal tubes in the intensive care unit
Wang ML, Schuster KM, Bhattacharya B, Maung AA, Kaplan LJ, Davis KA. Repositioning endotracheal tubes in the intensive care unit. Journal Of Trauma And Acute Care Surgery 2013, 75: 146-149. PMID: 23940860, DOI: 10.1097/ta.0b013e31829849cd.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedChi-Square DistributionCohort StudiesCritical CareCritical IllnessFemaleFollow-Up StudiesHumansIntensive Care UnitsIntubation, IntratrachealLinear ModelsMaleMiddle AgedMonitoring, PhysiologicMultivariate AnalysisPatient PositioningProspective StudiesRadiography, ThoracicRetreatmentRisk AssessmentTracheaConceptsEndotracheal tubeSurgical intensive care unit patientsIntensive care unit patientsChest X-ray studyRoutine chest radiographCare unit patientsProspective observational studyIntensive care unitInterquartile rangeUnit patientsCare unitWithdrawal groupRespiratory therapistsChest radiographsObservational studyInclusion criteriaMedian withdrawalET withdrawalMean differencePatientsSuboptimal positioningInterventionIncisorsMedianWithdrawal
2012
Compared 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
2009
Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire
Kaplan LJ, Maerz LL, Schuster K, Lui F, Johnson D, Roesler D, Luckianow G, Davis KA. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. Journal Of Trauma And Acute Care Surgery 2009, 67: 173-179. PMID: 19590331, DOI: 10.1097/ta.0b013e31819ea514.Peer-Reviewed Original ResearchConceptsRapid response teamRRT activationPatient's diseaseAcute volume overloadPatient care errorsBlood component therapyRRT needRRT therapyRespiratory failureComorbid diseasesVolume overloadPatient morbidityComponent therapyResponse teamsFluid balanceCommon reasonCare errorsNursing DatabaseNursing errorsPatientsPreventable errorsActivation criteriaDiseaseComplete dataTherapy