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-ray
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 ratesWhen should screening of pediatric trauma patients for adult behaviors start?
Maung AA, Becher RD, Schuster KM, Davis KA. When should screening of pediatric trauma patients for adult behaviors start? Trauma Surgery & Acute Care Open 2018, 3: e000181. PMID: 29766143, PMCID: PMC5905833, DOI: 10.1136/tsaco-2018-000181.Peer-Reviewed Original ResearchPediatric trauma patientsMechanism of injuryTrauma patientsPediatric trauma centerInjury Severity ScoreIncidence of sportsCare of patientsPositive toxicology testsElectronic medical recordsMost patientsPatient ageRetrospective reviewTrauma centerBicycle injuriesSeverity scoreMedical recordsLevel IVGunshot injuriesPatientsInjuryYounger ageLogistic regressionSubstance abuseAge-related variationsToxicology tests
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
2015
ICD-9 diagnosis codes have poor sensitivity for identification of preexisting comorbidities in traumatic fracture patients
Samuel AM, Lukasiewicz AM, Webb ML, Bohl DD, Basques BA, Davis KA, Grauer JN. ICD-9 diagnosis codes have poor sensitivity for identification of preexisting comorbidities in traumatic fracture patients. Journal Of Trauma And Acute Care Surgery 2015, 79: 622-630. PMID: 26402537, DOI: 10.1097/ta.0000000000000805.Peer-Reviewed Original ResearchConceptsICD-9 diagnosis codesNational Trauma Data BankInjury Severity ScoreProximal tibia fracturesBilling codesTibia fracturesDiagnosis codesOdds ratioSurgeons National Trauma Data BankICD-9 billing codesTraumatic fracture patientsPrevious myocardial infarctionTrauma Data BankICD-9 diagnosisMultivariate logistic regressionLarge national databaseICD-9 codingAdministrative billing codesFracture patientsIndividual comorbiditiesPatient comorbiditiesComorbidity diagnosesProspective studyTrauma populationMyocardial infarction"Occult" rib fractures diagnosed on computed tomography scan only are still a risk factor for solid organ injury
Bhattacharya B, Fieber J, Schuster K, Davis K, Maung A. "Occult" rib fractures diagnosed on computed tomography scan only are still a risk factor for solid organ injury. Journal Of Emergencies Trauma And Shock 2015, 8: 140-143. PMID: 26229296, PMCID: PMC4520026, DOI: 10.4103/0974-2700.160706.Peer-Reviewed Original ResearchAbdominal solid organ injuriesChest X-rayLower rib fracturesSolid organ injuryRib fracturesOrgan injuryRisk factorsAdult blunt trauma patientsNegative chest X-rayBlunt trauma patientsInjury Severity ScoreComputed tomography scan imagingComputed tomography scanTrauma center databaseRoutine whole-body CTWhole-body CTTomography scan imagingClinical suspicionRetrospective reviewSpine fracturesTrauma patientsPelvic fracturesSeverity scoreTomography scanCT scan
2014
Morbid obesity predisposes trauma patients to worse outcomes
Ditillo M, Pandit V, Rhee P, Aziz H, Hadeed S, Bhattacharya B, Friese RS, Davis K, Joseph B. Morbid obesity predisposes trauma patients to worse outcomes. Journal Of Trauma And Acute Care Surgery 2014, 76: 176-179. PMID: 24368375, DOI: 10.1097/ta.0b013e3182ab0d7c.Peer-Reviewed Original ResearchConceptsBlunt traumatic injuryMorbidly obese patientsInjury Severity ScoreObese patientsGlasgow Coma ScaleHospital complicationsMorbid obesityTraumatic injuryNonobese patientsTrauma patientsIntensive care unit stayNational Trauma Data BankBlunt trauma patientsLonger hospital stayImpact of obesitySystolic blood pressureOverall mortality rateTrauma Data BankInjury prevention effortsConsequences of obesityTraumatic brain injuryUnit stayHospital staySecondary outcomesBlood pressure
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
2011
Risk of Venous Thromboembolism After Spinal Cord Injury: Not All Levels Are the Same
Maung AA, Schuster KM, Kaplan LJ, Maerz LL, Davis KA. Risk of Venous Thromboembolism After Spinal Cord Injury: Not All Levels Are the Same. Journal Of Trauma And Acute Care Surgery 2011, 71: 1241-1245. PMID: 22071925, DOI: 10.1097/ta.0b013e318235ded0.Peer-Reviewed Original ResearchConceptsLevel of SCISpinal cord injuryRate of VTEIndependent risk factorVenous thromboembolismRisk factorsHospital complicationsSpine injuriesCord injuryHigh thoracic spinal cord injuryHigh cervical spine injuryLikelihood of VTENational Trauma Data BankThoracic spinal cord injuryMultiple logistic regression modelException of pneumoniaHigh thoracic injuriesInjury Severity ScoreThoracic spine injuriesCervical spine injuryDeep vein thrombosisHigh cervical injuriesTrauma Data BankMultiple risk factorsTraumatic brain injuryRoutine 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
Aortic endograft sizing in trauma patients with hemodynamic instability
Jonker FH, Verhagen HJ, Mojibian H, Davis KA, Moll FL, Muhs BE. Aortic endograft sizing in trauma patients with hemodynamic instability. Journal Of Vascular Surgery 2010, 52: 39-44. PMID: 20494542, DOI: 10.1016/j.jvs.2010.02.256.Peer-Reviewed Original ResearchMeSH KeywordsAdultAorta, ThoracicAortographyBlood PressureBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationFemaleHeart RateHemodynamicsHumansMaleMiddle AgedProsthesis DesignRegistriesRetrospective StudiesSeverity of Illness IndexThoracic InjuriesTomography, X-Ray ComputedTreatment OutcomeYoung AdultConceptsThoracic endovascular aortic repairTraumatic thoracic aortic injuryEndovascular aortic repairAortic diameterTrauma patientsHemodynamic instabilityComputed tomographyCT examinationsAortic repairYale-New Haven HospitalControl CT examinationInitial CT examinationThoracic aortic injuryInitial computed tomographyInjury Severity ScoreMean aortic diameterUnstable trauma patientsBeats/minNew Haven HospitalControl CTStudent's t-testAortic injuryBlood pressureUnstable patientsAortic measurementsFactors Associated With Survival Following Blunt Chest Trauma in Older Patients: Results From a Large Regional Trauma Cooperative
Harrington DT, Phillips B, Machan J, Zacharias N, Velmahos GC, Rosenblatt MS, Winston E, Patterson L, Desjardins S, Winchell R, Brotman S, Churyla A, Schulz JT, Maung AA, Davis KA. Factors Associated With Survival Following Blunt Chest Trauma in Older Patients: Results From a Large Regional Trauma Cooperative. JAMA Surgery 2010, 145: 432-437. PMID: 20479340, DOI: 10.1001/archsurg.2010.71.Peer-Reviewed Original ResearchConceptsHigh-volume trauma centerInjury Severity ScoreCongestive heart failurePatient-controlled analgesiaRib fracturesTrauma centerSeverity scoreOlder patientsHeart failureMultivariable analysisTraumatic rib fracturesBlunt chest traumaPatient dataDevelopment of pneumoniaCoronary artery diseaseLevel I centersTraumatic chest injuriesStandard care practicesChest scoreChest traumaArtery diseaseImproved survivalIndependent predictorsPatient factorsUnivariable analysis
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
Trauma Team Oversight Improves Efficiency of Care and Augments Clinical and Economic Outcomes
Davis KA, Cabbad NC, Schuster KM, Kaplan LJ, Carusone C, Leary T, Udelsman R. Trauma Team Oversight Improves Efficiency of Care and Augments Clinical and Economic Outcomes. Journal Of Trauma And Acute Care Surgery 2008, 65: 1236-1244. PMID: 19077607, DOI: 10.1097/ta.0b013e31818ba311.Peer-Reviewed Original ResearchMeSH KeywordsAbbreviated Injury ScaleConnecticutCost-Benefit AnalysisCross-Sectional StudiesEfficiency, OrganizationalFees, MedicalHospital CostsHumansInjury Severity ScoreLength of StayLinear ModelsMultiple TraumaOutcome and Process Assessment, Health CarePatient Care TeamPersonnel Administration, HospitalQuality Assurance, Health CareTrauma CentersUtilization ReviewConceptsInjury Severity ScoreEfficiency of careHospital lengthTrauma serviceFull-time trauma surgeonsMean Injury Severity ScoreMedian Injury Severity ScoreTrauma team activation criteriaLevel I trauma centerPercentage of patientsShorter hospital lengthI trauma centerLength of stayActual hospital costsMost patientsPatient demographicsTrauma activationsTrauma centerHospital contribution marginInjury patternsSeverity scoreHospital costsPatient managementTrauma surgeonsPatients
2006
Predictors of the Need for Nephrectomy After Renal Trauma
Davis KA, Reed RL, Santaniello J, Abodeely A, Esposito TJ, Poulakidas SJ, Luchette FA. Predictors of the Need for Nephrectomy After Renal Trauma. Journal Of Trauma And Acute Care Surgery 2006, 60: 164-170. PMID: 16456451, DOI: 10.1097/01.ta.0000199924.39736.36.Peer-Reviewed Original ResearchConceptsRenal injury gradeGlasgow Coma Scale scoreTransfusion requirementsInjury gradeIntraabdominal injuriesRenal injuryInjury severityScale scoreLevel I trauma centerMultiple logistic regression analysisGrade 4 injuriesGrade 5 injuriesHigher nephrectomy rateModerate renal injuryBlunt trauma patientsI trauma centerSolid organ injuryInjury Severity ScoreMechanism of injuryHigher injury severityLogistic regression analysisRenal lacerationsUrgent nephrectomyHemodynamic instabilityKidney injuryVentilator-Associated Pneumonia, Like Real Estate: Location Really Matters
Eckert MJ, Davis KA, Reed RL, Esposito TJ, Santaniello JM, Poulakidas S, Gamelli RL, Luchette FA. Ventilator-Associated Pneumonia, Like Real Estate: Location Really Matters. Journal Of Trauma And Acute Care Surgery 2006, 60: 104-110. PMID: 16456443, DOI: 10.1097/01.ta.0000197376.98296.7c.Peer-Reviewed Original ResearchConceptsVentilator-associated pneumoniaLogistic regression analysisLower injury severityField intubationTrauma patientsInjury severityDevelopment of VAPHigher Glasgow Coma Scale scoreLower Injury Severity ScoreGlasgow Coma Scale scoreEmergency department intubationInjury Severity ScoreRegression analysisED intubationRetrospective reviewPrehospital intubationSeverity scoreTrauma ScoreInpatient rateIntubationHigh incidencePneumoniaPatientsED groupScale score
2005
Half-a-dozen ribs: The breakpoint for mortality
Flagel BT, Luchette FA, Reed RL, Esposito TJ, Davis KA, Santaniello JM, Gamelli RL. Half-a-dozen ribs: The breakpoint for mortality. Surgery 2005, 138: 717-725. PMID: 16269301, DOI: 10.1016/j.surg.2005.07.022.Peer-Reviewed Original ResearchConceptsAcute respiratory distress syndromeInjury Severity ScoreEpidural analgesiaRespiratory distress syndromeHospital LOSRib fracturesMortality rateICU LOSPulmonary morbidityAspiration pneumoniaDistress syndromeMechanical ventilationSeverity scoreIntensive care unit lengthNational Trauma Data BankMore fractured ribsMore rib fracturesOccurrence of pneumoniaOverall mortality rateChest wall injuryModalities of treatmentDiseases-9 codesTrauma Data BankStudent's t-testPulmonary complications
2004
Ten Year Experience of Burn, Trauma, and Combined Burn/Trauma Injuries Comparing Outcomes
Santaniello JM, Luchette FA, Esposito TJ, Gunawan H, Reed RL, Davis KA, Gamelli RL. Ten Year Experience of Burn, Trauma, and Combined Burn/Trauma Injuries Comparing Outcomes. Journal Of Trauma And Acute Care Surgery 2004, 57: 696-701. PMID: 15514521, DOI: 10.1097/01.ta.0000140480.50079.a8.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge DistributionAgedBurn UnitsBurnsBurns, InhalationCause of DeathChildCombined Modality TherapyCritical CareFemaleFollow-Up StudiesHumansInjury Severity ScoreLogistic ModelsMaleMiddle AgedMultiple TraumaMultivariate AnalysisPredictive Value of TestsRegistriesRetrospective StudiesRisk AssessmentSex DistributionSurvival AnalysisTrauma CentersTreatment OutcomeConceptsInjury Severity ScoreNational Trauma Data BankLength of stayNational Burn RepositoryInhalation injuryIndependent predictorsMultiple logistic regressionInjury patternsPercent total body surface area burnsTotal body surface area burnsBody surface area burnsLogistic regressionT patientsBurn/traumaRare injury patternSurface area burnsTrauma Data BankT-testStudent's t-testTrauma patientsRetrospective reviewTrauma registryPatient populationComparing outcomesSeverity scoreSplenic Embolization Revisited: A Multicenter Review
Haan JM, Biffl W, Knudson MM, Davis KA, Oka T, Majercik S, Dicker R, Marder S, Scalea TM. Splenic Embolization Revisited: A Multicenter Review. Journal Of Trauma And Acute Care Surgery 2004, 56: 542-547. PMID: 15128125, DOI: 10.1097/01.ta.0000114069.73054.45.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal InjuriesAdultAneurysm, FalseArteriovenous FistulaEmbolization, TherapeuticExtravasation of Diagnostic and Therapeutic MaterialsFemaleHemoperitoneumHumansMaleOutcome Assessment, Health CareRadiographyRetrospective StudiesSalvage TherapySpleenSplenectomySplenic RuptureTrauma CentersTreatment FailureTreatment OutcomeUnited StatesWounds, NonpenetratingConceptsSplenic salvage rateSplenic embolizationSalvage rateMulticenter reviewModerate injury severity scoreRetrospective multicenter reviewHigh-grade injuriesRetrospective chart reviewInjury Severity ScoreYoung male patientTomographic scan resultsYears of ageMotor vehicle crashesSignificant hemoperitoneumTomographic gradeEmbolization groupInjury gradeSplenic injuryChart reviewPatient demographicsSplenic abscessYounger patientsArterial injuryGrade injuriesMajor complications
2002
Resuscitation in the Pediatric Trauma Population: Admission Base Deficit Remains an Important Prognostic Indicator
Randolph LC, Takacs M, Davis KA. Resuscitation in the Pediatric Trauma Population: Admission Base Deficit Remains an Important Prognostic Indicator. Journal Of Trauma And Acute Care Surgery 2002, 53: 838-842. PMID: 12435932, DOI: 10.1097/00005373-200211000-00006.Peer-Reviewed Original ResearchConceptsAdmission base deficitHours of admissionBase deficitTrauma patientsPediatric populationPrognostic indicatorLower Glasgow Coma Scale scoreLower Pediatric Trauma ScoresHigher Injury Severity ScorePediatric intensive care unitGlasgow Coma Scale scoreNormal base deficitAdult trauma centersAdult trauma patientsPediatric trauma patientsPercent of patientsInjury Severity ScorePediatric trauma populationIntensive care unitPoor prognostic indicatorImportant prognostic indicatorPediatric Trauma ScoreClosed head injuryPosttraumatic shockOverall mortality