2019
The EGS Grading Scale For Skin And Soft Tissue Infections Is Predictive Of Poor Outcomes
Savage SA, Li SW, Utter GH, Cox JA, Wydo SM, Cahill K, Sarani B, Holzmacher J, Duane TM, Gandhi RR, Zielinski MD, Ray-Zack M, Tierney J, Chapin T, Murphy PB, Vogt KN, Schroeppel TJ, Callaghan E, Kobayashi L, Coimbra R, Schuster KM, Gillaspie D, Timsina L, Louis A, Crandall M. The EGS Grading Scale For Skin And Soft Tissue Infections Is Predictive Of Poor Outcomes. Journal Of Trauma And Acute Care Surgery 2019, Publish Ahead of Print: &na;. PMID: 30601458, PMCID: PMC6433490, DOI: 10.1097/ta.0000000000002175.Peer-Reviewed Original ResearchConceptsSoft tissue infectionsLength of stayDisease processGrading scaleInter-rater reliabilityGrade IVEmergency general surgery (EGS) diseasesDisparate disease processesRetrospective multicenter trialLaboratory Risk IndicatorNecrotizing Fasciitis (LRINEC) scoreSurgery of TraumaMulti-institutional trialHigh gradeDifferent disease processesClinical disease processesOverall complicationsHospital lengthICU lengthFasciitis (LRINEC) scoreMulticenter trialTissue infectionsValidation studyPoor outcomeDisease characteristicsAmerican Association for the Surgery of Trauma emergency general surgery guideline summaries 2018: acute appendicitis, acute cholecystitis, acute diverticulitis, acute pancreatitis, and small bowel obstruction
Schuster KM, Holena DN, Salim A, Savage S, Crandall M. American Association for the Surgery of Trauma emergency general surgery guideline summaries 2018: acute appendicitis, acute cholecystitis, acute diverticulitis, acute pancreatitis, and small bowel obstruction. Trauma Surgery & Acute Care Open 2019, 4: e000281. PMID: 31058240, PMCID: PMC6461136, DOI: 10.1136/tsaco-2018-000281.Peer-Reviewed Original ResearchEmergency general surgerySmall bowel obstructionAcute diverticulitisAcute cholecystitisBowel obstructionAcute appendicitisAcute pancreatitisClinical practice guidelinesSurgery of TraumaSolid evidence baseAmerican AssociationEGS diseasesGuideline recommendationsEGS conditionsConsensus guidelinesSeverity scorePractice guidelinesGeneral surgeryLiterature searchSurgeryEvidence baseDisease statesFurther researchDiverticulitisCholecystitis
2018
Definition of Emergency General Surgery (EGS) and Its Burden on the Society
Gale S, Schuster K, Crandall M, Shafi S. Definition of Emergency General Surgery (EGS) and Its Burden on the Society. 2018, 1-11. DOI: 10.1007/978-3-319-96286-3_1.Peer-Reviewed Original ResearchValidation of a new American Association for the Surgery of Trauma (AAST) anatomic severity grading system for acute cholecystitis
Vera K, Pei KY, Schuster KM, Davis KA. Validation of a new American Association for the Surgery of Trauma (AAST) anatomic severity grading system for acute cholecystitis. Journal Of Trauma And Acute Care Surgery 2018, 84: 650-654. PMID: 29271871, DOI: 10.1097/ta.0000000000001762.Peer-Reviewed Original ResearchConceptsLength of stayAcute cholecystitisICU useGrade 2Anatomic gradingAdverse eventsGrade 1Longer LOSAnatomic grading systemGrade 1 diseaseEmergency general surgeryGrade 3 patientsRetrospective cohort studyIncidence of complicationsMajority of patientsTertiary medical centerLow-grade diseaseSurgery of TraumaRisk-adjusted outcomesGood inter-rater reliabilityAAST gradeAmerican AssociationCholecystitis severityCohort studyConsecutive patients
2016
Multicenter validation of American Association for the Surgery of Trauma grading system for acute colonic diverticulitis and its use for emergency general surgery quality improvement program
Shafi S, Priest EL, Crandall ML, Klekar CS, Nazim A, Aboutanos M, Agarwal S, Bhattacharya B, Byrge N, Dhillon TS, Eboli DJ, Fielder D, Guillamondegui O, Gunter O, Inaba K, Mowery NT, Nirula R, Ross SE, Savage SA, Schuster KM, Schmoker RK, Siboni S, Siparsky N, Trust MD, Utter GH, Whelan J, Feliciano DV, Rozycki G. Multicenter validation of American Association for the Surgery of Trauma grading system for acute colonic diverticulitis and its use for emergency general surgery quality improvement program. Journal Of Trauma And Acute Care Surgery 2016, 80: 405-411. PMID: 26670116, DOI: 10.1097/ta.0000000000000943.Peer-Reviewed Original ResearchConceptsAcute colonic diverticulitisQuality Improvement ProgramAAST gradeLength of stayColonic diverticulitisGrade IClinical eventsNational Surgical Quality Improvement ProgramEmergency general surgery (EGS) diseasesPhysiologic statusSurgical Quality Improvement ProgramGrading systemTrauma grading systemRisk of deathTime of admissionSurgery of TraumaNew grading systemHigher disease gradeRegression analysisAmerican AssociationEGS careEGS registryAdverse eventsMedian ageClinical outcomes
2014
Application of a uniform anatomic grading system to measure disease severity in eight emergency general surgical illnesses
Crandall ML, Agarwal S, Muskat P, Ross S, Savage S, Schuster K, Tominaga GT, Shafi S. Application of a uniform anatomic grading system to measure disease severity in eight emergency general surgical illnesses. Journal Of Trauma And Acute Care Surgery 2014, 77: 705-708. PMID: 25494421, DOI: 10.1097/ta.0000000000000444.Peer-Reviewed Original ResearchGeneral surgical diseasesSurgical diseaseUniform grading systemGrading systemDisease severityAnatomic grading systemPleural space infectionsGeneral surgical conditionsPelvic inflammatory diseaseSoft tissue infectionsSurgical site infectionSurgery of TraumaWidespread severe diseaseInfectious colitisSpace infectionSite infectionEsophageal perforationSurgical illnessTissue infectionsConsensus of expertsMild diseasePatient assessmentAnatomic severityInflammatory diseasesSurgical conditions
2012
Nonoperative management of blunt hepatic injury
Stassen NA, Bhullar I, Cheng JD, Crandall M, Friese R, Guillamondegui O, Jawa R, Maung A, Rohs TJ, Sangosanya A, Schuster K, Seamon M, Tchorz KM, Zarzuar BL, Kerwin A. Nonoperative management of blunt hepatic injury. Journal Of Trauma And Acute Care Surgery 2012, 73: s288-s293. PMID: 23114483, DOI: 10.1097/ta.0b013e318270160d.Peer-Reviewed Original ResearchConceptsBlunt hepatic injuryNonoperative managementPractice management guidelinesHepatic injuryOperative interventionClinical statusEastern AssociationManagement guidelinesEmergent operative interventionHealth MEDLINE databaseSerial clinical evaluationsBlunt abdominal traumaGrade of injuryPatient's clinical statusEndoscopic retrograde cholangiopancreatographySelective nonoperative managementSurgery of TraumaEnglish-language citationsAbdominal traumaExpectant managementHemodynamic instabilityTrauma guidelinesAdjunctive therapyPatient ageStable patientsSelective nonoperative management of blunt splenic injury
Stassen NA, Bhullar I, Cheng JD, Crandall ML, Friese RS, Guillamondegui OD, Jawa RS, Maung AA, Rohs TJ, Sangosanya A, Schuster KM, Seamon MJ, Tchorz KM, Zarzuar BL, Kerwin AJ. Selective nonoperative management of blunt splenic injury. Journal Of Trauma And Acute Care Surgery 2012, 73: s294-s300. PMID: 23114484, DOI: 10.1097/ta.0b013e3182702afc.Peer-Reviewed Original ResearchConceptsBlunt splenic injuryPractice management guidelinesSplenic injuryNonoperative managementSelective nonoperative managementOperative interventionClinical statusManagement guidelinesEmergent operative interventionHealth MEDLINE databaseLower overall morbiditySerial clinical evaluationsBlunt abdominal traumaGrade of injuryNon-operative managementPatient's clinical statusAppropriate patient populationSurgery of TraumaEnglish-language citationsAbdominal traumaExpectant managementHemodynamic instabilityOverall morbidityUrgent laparotomyAdjunctive therapy
2010
The status of massive transfusion protocols in United States trauma centers: massive transfusion or massive confusion?
Schuster KM, Davis KA, Lui FY, Maerz LL, Kaplan LJ. The status of massive transfusion protocols in United States trauma centers: massive transfusion or massive confusion? Transfusion 2010, 50: 1545-1551. PMID: 20158684, DOI: 10.1111/j.1537-2995.2010.02587.x.Peer-Reviewed Original ResearchConceptsFresh frozen plasmaRed blood cellsTrauma surgeonsRatio of FFPUnited States trauma centersMassive transfusion protocolStates trauma centersSurgery of TraumaTransfusion protocolMassive transfusionTrauma centerEmergency departmentMost centersEastern AssociationAnesthesia staffWeb-based surveyLogistic regressionRBC ratioBlood bankStudy designBlood cellsOperating roomSurgeonsSurgeryProtocol utilization