2023
Does lower extremity fracture fixation technique influence neurologic outcomes in patients with traumatic brain injury? The EAST Brain vs. Bone multicenter trial
Ghneim M, Kufera J, Zhang A, Penaloza-Villalobos L, Swentek L, Watras J, Smith A, Hahn A, Mederos D, Dickhudt T, Laverick P, Cunningham K, Norwood S, Fernandez L, Jacobson L, Williams J, Lottenberg L, Azar F, Shillinglaw W, Slivinski A, Nahmias J, Donnelly M, Bala M, Egodage T, Zhu C, Udekwu P, Norton H, Dunn J, Baer R, McBride K, Santos A, Shrestha K, Metzner C, Murphy J, Schroeppel T, Stillman Z, O'Connor R, Johnson D, Berry C, Ratner M, Reynolds J, Humphrey M, Scott M, Hickman Z, Twelker K, Legister C, Glass N, Siebenburgen C, Palmer B, Semon G, Lieser M, McDonald H, Bugaev N, LeClair M, Stein D, Group T. Does lower extremity fracture fixation technique influence neurologic outcomes in patients with traumatic brain injury? The EAST Brain vs. Bone multicenter trial. Journal Of Trauma And Acute Care Surgery 2023, 95: 516-523. PMID: 37335182, DOI: 10.1097/ta.0000000000004095.Peer-Reviewed Original ResearchConceptsNeurologic outcomeFracture fixation techniquesIntramedullary nailingIMN groupTBI patientsGlasgow Coma Scale motor scoreHead Abbreviated Injury Scale scoreAbbreviated Injury Scale scoreFixation techniquesSevere lower extremity injuriesEx-fix groupRancho Los AmigosInjury Scale scoreProspective observational studyScale motor scoreLower extremity fracturesAge 18 yearsLower extremity injuriesTraumatic brain injuryMultivariable regression modelsHead AISORIF groupOperative interventionDefinitive managementExtremity fractures
2020
Pandemic Recovery Using a COVID-Minimal Cancer Surgery Pathway
Boffa DJ, Judson BL, Billingsley KG, Galetta D, Fontanez P, Odermatt C, Lindner K, Mitchell MR, Henderson CM, Carafeno T, Pinto J, Wagner J, Ancuta M, Beley P, Turner AL, Banack T, Laurans MS, Johnson DC, Yoo P, Morton JM, Zurich H, Davis K, Ahuja N. Pandemic Recovery Using a COVID-Minimal Cancer Surgery Pathway. The Annals Of Thoracic Surgery 2020, 110: 718-724. PMID: 32417195, PMCID: PMC7227551, DOI: 10.1016/j.athoracsur.2020.05.003.Peer-Reviewed Original ResearchConceptsSurgery pathwayHospital-acquired COVID-19 infectionLarge academic medical centerCOVID-19 patientsCoronavirus disease 2019 (COVID-19) pandemicCOVID-19 infectionPatient care pathwayAcademic medical centerDisease 2019 pandemicHealth care deliveryOnly surgerySurgery populationElective surgeryPatient survivalRisk of exposureProtection of patientsCare pathwayNosocomial infectionsMedical CenterCare deliverySurgical activityHospitalPatientsSurgeryMost hospitals
2017
Selective Nonoperative Management of Abdominal Gunshot Wounds from Heresy to Adoption: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCoNECT)
Peponis T, Kasotakis G, Yu J, Alouidor R, Burkott B, Maung AA, Johnson DC, Saillant N, Walden H, Salim A, Bryant E, Dorfman JD, Klein EN, Elefant R, Tabrizi MB, Bugaev N, Arabian SS, Velmahos GC. Selective Nonoperative Management of Abdominal Gunshot Wounds from Heresy to Adoption: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCoNECT). Journal Of The American College Of Surgeons 2017, 224: 1036-1045. PMID: 28259545, DOI: 10.1016/j.jamcollsurg.2016.12.055.Peer-Reviewed Original ResearchConceptsSelective nonoperative managementAbdominal gunshot woundsImmediate laparotomyNonoperative managementTrauma centerGunshot woundsLevel IFailure of SNOMLower median injury severity scoreMedian Injury Severity ScoreInjury Severity ScoreGunshot wound patientsAcceptable methodLaparotomy patientsHospital stayShorter ICUNontherapeutic laparotomyOverall incidenceMulticenter studySeverity scoreMedical recordsLower incidenceWound patientsLaparotomyPatientsCervical spine MRI in patients with negative CT
Maung AA, Johnson DC, Barre K, Peponis T, Mesar T, Velmahos GC, McGrail D, Kasotakis G, Gross RI, Rosenblatt MS, Sihler KC, Winchell RJ, Cholewczynski W, Butler KL, Odom SR, Davis KA. Cervical spine MRI in patients with negative CT. Journal Of Trauma And Acute Care Surgery 2017, 82: 263-269. PMID: 27893647, DOI: 10.1097/ta.0000000000001322.Peer-Reviewed Original ResearchConceptsCervical spine CTNegative cervical spine CTAbnormal MRINegative CTNeurological signsCervical spine managementAbnormal MRI findingsBlunt trauma patientsCervical spine surgeryAbnormal neurological signsCervical spine MRISoft tissue injuriesResults of MRISpine managementSpine precautionsUnevaluable patientsNormal MRIBony injuriesMRI findingsTrauma patientsTrauma centerHalo placementLigamentous injuriesInjury patternsAdditional injuries
2015
Ventilator gas delivery wave form substantially impacts plateau pressure and peak-to-plateau pressure gradient determination
Maung AA, Johnson DC, Luckianow GM, Kaplan LJ. Ventilator gas delivery wave form substantially impacts plateau pressure and peak-to-plateau pressure gradient determination. Journal Of Trauma And Acute Care Surgery 2015, 78: 976-979. PMID: 25909418, DOI: 10.1097/ta.0000000000000615.Peer-Reviewed Original ResearchConceptsAdult surgical intensive care unitAdult intensive care unit patientsSurgical intensive care unitIntensive care unit patientsPeak airway pressureCare unit patientsIntensive care unitAirway pressureUnit patientsIll patientsCare unitNeuromuscular blockadeVentilator parametersUnwarranted therapyPplatPatientsLevel IIINormal valuesDiagnostic studiesVentilation parametersPressure measurementsPlateau pressureFentanylPropofolMidazolam
2013
Successful Nonoperative Management of the Most Severe Blunt Renal Injuries: A Multicenter Study of the Research Consortium of New England Centers for Trauma
van der Wilden GM, Velmahos GC, Joseph DK, Jacobs L, DeBusk MG, Adams CA, Gross R, Burkott B, Agarwal S, Maung AA, Johnson DC, Gates J, Kelly E, Michaud Y, Charash WE, Winchell RJ, Desjardins SE, Rosenblatt MS, Gupta S, Gaeta M, Chang Y, de Moya MA. Successful Nonoperative Management of the Most Severe Blunt Renal Injuries: A Multicenter Study of the Research Consortium of New England Centers for Trauma. JAMA Surgery 2013, 148: 924-931. PMID: 23945834, DOI: 10.1001/jamasurg.2013.2747.Peer-Reviewed Original ResearchConceptsBlunt renal injuriesNonoperative managementNOM failureRenal injuryGrade IVFailure of NOMSevere blunt renal injuryRenal salvage rateSevere renal injuryRetrospective case seriesUrinary tract infectionMechanism of injurySuccessful nonoperative managementYears of ageRoad traffic crashesHemodynamic instabilityKidney injuryAdult patientsRenal failureStable patientsTract infectionsIndependent predictorsSalvage rateCase seriesNonoperative approach
2012
Evaluation and management of small-bowel obstruction
Maung AA, Johnson DC, Piper GL, Barbosa RR, Rowell SE, Bokhari F, Collins JN, Gordon JR, H. JH, Kerwin AJ. Evaluation and management of small-bowel obstruction. Journal Of Trauma And Acute Care Surgery 2012, 73: s362-s369. PMID: 23114494, DOI: 10.1097/ta.0b013e31827019de.Peer-Reviewed Original ResearchConceptsSmall bowel obstructionManagement of SBODate evidence-based recommendationsComplete small bowel obstructionWater-soluble contrast studyRemainder of patientsEvidence of ischemiaEvaluation of patientsLevel I evidenceInitial nonoperative managementSurgery of TraumaEvidence-based recommendationsClinical deteriorationContinuous painGeneralized peritonitisLaparoscopic treatmentSurgical admissionsNonoperative managementI evidenceMetabolic acidosisTomographic scanSurgical techniqueContrast studiesCritical carePlain filmsCompared 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 reviewSuccessful Nonoperative Management of the Most Severe Blunt Liver Injuries: A Multicenter Study of the Research Consortium of New England Centers for Trauma
van der Wilden GM, Velmahos GC, Emhoff T, Brancato S, Adams C, Georgakis G, Jacobs L, Gross R, Agarwal S, Burke P, Maung AA, Johnson DC, Winchell R, Gates J, Cholewczynski W, Rosenblatt M, Chang Y. Successful Nonoperative Management of the Most Severe Blunt Liver Injuries: A Multicenter Study of the Research Consortium of New England Centers for Trauma. JAMA Surgery 2012, 147: 423-428. PMID: 22785635, DOI: 10.1001/archsurg.2012.147.Peer-Reviewed Original ResearchConceptsBlunt liver injurySuccessful nonoperative managementFailure of NOMNonoperative managementLiver injuryF-NOMIndependent predictorsSevere blunt liver injuryTrial of NOMGrade 4Level II trauma centerLiver-specific complicationsLife-threatening complicationsAbdominal organ injuriesRetrospective case seriesSystolic blood pressureLife-threatening eventsHemodynamic instabilityAdult patientsMajor sequelaeBlood pressureOrgan injuryCase seriesTrauma centerMulticenter study
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
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