2023
Routine post-operative labs and healthcare system burden in acute appendicitis
Sznol J, Becher R, Maung A, Bhattacharya B, Davis K, Schuster K. Routine post-operative labs and healthcare system burden in acute appendicitis. The American Journal Of Surgery 2023, 226: 571-577. PMID: 37291012, DOI: 10.1016/j.amjsurg.2023.06.005.Peer-Reviewed Original ResearchConceptsHealthcare system burdenSystem burdenHealth care costsAppendicitis managementIncreased LOSUncomplicated AAAcute appendicitisRetrospective cohortClinical courseClinical variablesPatient populationMinimal comorbiditiesMultivariable modelingHealthcare costsCare costsPatientsLaboratory utilizationNational Health Expenditure AccountsLab utilizationLaboratory testingBurdenLaboratory testsAppendicitisComorbiditiesCohortAlcohol withdrawal syndrome in trauma patients: a study using the Trauma Quality Program Participant User File
Jones T, Bhattacharya B, Schuster K, Becher R, Kodadek L, Davis K, Maung A. Alcohol withdrawal syndrome in trauma patients: a study using the Trauma Quality Program Participant User File. Trauma Surgery & Acute Care Open 2023, 8: e001047. PMID: 37188153, PMCID: PMC10175962, DOI: 10.1136/tsaco-2022-001047.Peer-Reviewed Original ResearchAlcohol withdrawal syndromeAlcohol use disorderPositive blood alcohol concentrationHistory of AUDBlood alcohol concentrationParticipant User FileAdult patientsTrauma patientsWithdrawal syndromeAbbreviated Injury Scale headHigh-risk patient populationInjury scale headAdult trauma patientsPositive toxicology screenMultivariable logistic regressionRetrospective reviewRetrospective studyToxicology screenPatient populationTricyclic antidepressantsMAIN OUTCOMEAmerican CollegePatientsUse disordersUncommon occurrence
2022
Occult traumatic pneumothorax: Is routine follow up chest X-ray necessary?
Bhattacharya B, O'Connor R, Becher R, Schuster K, Davis K, Maung A. Occult traumatic pneumothorax: Is routine follow up chest X-ray necessary? Surgery In Practice And Science 2022, 9: 100073. DOI: 10.1016/j.sipas.2022.100073.Peer-Reviewed Original ResearchChest X-rayRoutine chest X-rayInjury Severity ScoreClinical managementInitial trauma evaluationUrban trauma centerComputerized tomography scanPaucity of evidenceOccult pneumothoracesPneumothorax progressionAdult patientsTrauma centerClinical evolutionClinical symptomsInjury scoreMean ageTrauma evaluationSeverity scoreTomography scanPatientsInterventionPneumothoracesSymptomsAgeX-rayAcute Respiratory Failure and Mechanical Ventilation
Maung A, Kaplan L. Acute Respiratory Failure and Mechanical Ventilation. 2022, 77-84. DOI: 10.1002/9781119756781.ch8.Peer-Reviewed Original ResearchAcute respiratory failureRespiratory failureMechanical ventilationCritical careDifferent clinical scenariosAcute surgerySurgical interventionCare examinationClinical questionsClinical scenariosPatientsSurgical residentsMedical professionalsCareVentilationComplicationsSurgeryFailureMultiple-choice questions
2021
Clinical significance of “positive” cervical spine MRI findings following a negative CT
Khurana B, Keraliya A, Velmahos G, Maung AA, Bono CM, Harris MB. Clinical significance of “positive” cervical spine MRI findings following a negative CT. Emergency Radiology 2021, 29: 307-316. PMID: 34850316, DOI: 10.1007/s10140-021-01992-5.Peer-Reviewed Original ResearchConceptsCareful retrospective reviewNeurological deficitsCervical spineTraumatic findingsClinical significanceUnevaluable patientsRetrospective reviewNegative CTCervical spine MRI findingsSub-cohort analysisAcute traumatic findingsPrevious multicenter studyNormal CTCStable injuriesSpine traumaMRI findingsMulticenter studyUnstable injuriesNegative CTCsEmergency radiologistsSignificant findingsPatientsSpine surgeonsSubtle findingsCervicalgiaAnticoagulation Is Associated with Increased Mortality in Splenic Injuries
Bhattacharya B, Becher RD, Schuster KM, Davis KA, Maung AA. Anticoagulation Is Associated with Increased Mortality in Splenic Injuries. Journal Of Surgical Research 2021, 266: 1-5. PMID: 33975026, DOI: 10.1016/j.jss.2021.04.002.Peer-Reviewed Original ResearchConceptsNon-ACS patientsSplenic injuryAC patientsMultivariable binary logistic regressionIndependent risk factorEffect of anticoagulationInjury Severity ScoreUnits of RBCsBinary logistic regressionHospital courseMedian LOSIncreased MortalitySeverity scoreRisk factorsWorse outcomesAnticoagulationSplenic surgeryAC groupPatientsHigh mortalityInjuryLogistic regressionMortalitySerious injuriesAngiography
2020
The effect of anticoagulation on outcomes after liver and spleen injuries: A research consortium of New England centers for trauma (ReCONECT) study
Bhattacharya B, Askari R, Davis KA, Dorfman J, Eid AI, Elsharkawy AE, Kasotakis G, Mackey S, Odom S, Okafor BU, Rosenblatt M, Ruditsky A, Velmahos G, Maung AA. The effect of anticoagulation on outcomes after liver and spleen injuries: A research consortium of New England centers for trauma (ReCONECT) study. Injury 2020, 51: 1994-1998. PMID: 32482426, DOI: 10.1016/j.injury.2020.05.002.Peer-Reviewed Original ResearchConceptsNon-ACS patientsEffect of anticoagulationNon-operative managementSpleen injurySplenic injuryLiver injuryInitial non-operative managementSignificant differencesUse of anticoagulationBlood product transfusionMulticenter retrospective studyAC drugsMore PRBCsInjury gradeProduct transfusionCommon indicationAC patientsAtrial fibrillationRetrospective studyAnticoagulationSolid organsPatientsInjuryStudy periodLiver
2019
High-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient.
DeWane MP, Sukumar N, Stolar MJ, Gill TM, Maung AA, Schuster KM, Davis KA, Becher RD. High-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient. Journal Of Trauma And Acute Care Surgery 2019, 87: 140-146. PMID: 31259872, PMCID: PMC7656193, DOI: 10.1097/ta.0000000000002273.Peer-Reviewed Original ResearchConceptsCommon EGS operationsEmergency general surgeryOlder patientsGeriatric patientsEmergency general surgery operationsEGS operationsCalifornia State Inpatient DatabaseGeneral surgery hospitalsPatients 65 yearsRisk-adjusted mortalitySurvival rates 1State Inpatient DatabasesGeneral surgery operationsClusters of hospitalsOperation typeHospital performanceEGS patientsSurgery HospitalInpatient DatabaseGroup of hospitalsGeriatric populationGeneral surgeryPatientsHospitalLevel III
2018
Mechanical Ventilation: Approaches and Special Considerations
Maung A, Kaplan L. Mechanical Ventilation: Approaches and Special Considerations. DeckerMed Critical Care Of The Surgical Patient 2018 DOI: 10.2310/7ccsp.2396.Peer-Reviewed Original ResearchMechanical Ventilation: Respiratory Physiology and Conventional Ventilation
Maung A, Kaplan L. Mechanical Ventilation: Respiratory Physiology and Conventional Ventilation. DeckerMed Critical Care Of The Surgical Patient 2018 DOI: 10.2310/7ccsp.2394.Peer-Reviewed Original ResearchMechanical ventilationRespiratory failureAcute respiratory distress syndromeAcute respiratory failureRespiratory distress syndromeIntensive care unitDistress syndromeCare unitConventional ventilationEmergency departmentPulmonary physiologyGround ambulanceOperating roomAdvanced ventilation modesVentilationRespiratory physiologyNoninvasive fashionTherapyVentilation modeThree-part reviewKey wordsPatientsReviewFailureSyndromeMechanical Ventilation: Respiratory Physiology and Conventional Ventilation
Maung A, Kaplan L. Mechanical Ventilation: Respiratory Physiology and Conventional Ventilation. DeckerMed Surgery 2018 DOI: 10.2310/surg.2394.Peer-Reviewed Original ResearchMechanical ventilationRespiratory failureAcute respiratory distress syndromeAcute respiratory failureRespiratory distress syndromeIntensive care unitDistress syndromeCare unitConventional ventilationEmergency departmentPulmonary physiologyGround ambulanceOperating roomAdvanced ventilation modesVentilationRespiratory physiologyNoninvasive fashionTherapyVentilation modeThree-part reviewKey wordsPatientsReviewFailureSyndromeMechanical Ventilation: Approaches and Special Considerations
Maung A, Kaplan L. Mechanical Ventilation: Approaches and Special Considerations. DeckerMed Surgery 2018 DOI: 10.2310/surg.2396.Peer-Reviewed Original Research
2012
Mechanical Ventilation After Injury
Maung AA, Kaplan LJ. Mechanical Ventilation After Injury. Journal Of Intensive Care Medicine 2012, 29: 128-137. PMID: 22956744, DOI: 10.1177/0885066612457339.Peer-Reviewed Original ResearchConceptsMechanical ventilationPrimary respiratory failureTraumatic brain injuryMultiple organ systemsImpact of injuryConcomitant tissue injuryRespiratory failureCritical illnessVentilator strategiesBronchopleural fistulaVentilator managementBrain injuryPhysiologic changesTissue injuryBlast injuryInjuryThermal injuryOrgan systemsPatientsMajor causeVentilationSpecial considerationFistulaIllness
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