2012
A Brief Intervention Reduces Hazardous and Harmful Drinking in Emergency Department Patients
D'Onofrio G, Fiellin DA, Pantalon MV, Chawarski MC, Owens PH, Degutis LC, Busch SH, Bernstein SL, O'Connor PG. A Brief Intervention Reduces Hazardous and Harmful Drinking in Emergency Department Patients. Annals Of Emergency Medicine 2012, 60: 181-192. PMID: 22459448, PMCID: PMC3811141, DOI: 10.1016/j.annemergmed.2012.02.006.Peer-Reviewed Original ResearchConceptsBrief Negotiation InterviewStandard careEmergency department patientsBrief interventionAlcohol consumptionDepartment patientsHarmful drinkersDrinking outcomesHarmful drinkingAssessment groupStandard care groupAdult ED patientsNegative health behaviorsSecondary outcomesPrimary outcomeED patientsCare groupED settingTelephone boosterBooster groupBinge episodesHealth behaviorsPatientsAlcohol useCare
2010
Integrating Project ASSERT: A Screening, Intervention, and Referral to Treatment Program for Unhealthy Alcohol and Drug Use Into an Urban Emergency Department
D’Onofrio G, Degutis LC. Integrating Project ASSERT: A Screening, Intervention, and Referral to Treatment Program for Unhealthy Alcohol and Drug Use Into an Urban Emergency Department. Academic Emergency Medicine 2010, 17: 903-911. PMID: 20670330, DOI: 10.1111/j.1553-2712.2010.00824.x.Peer-Reviewed Original ResearchConceptsSpecialized treatment facilitiesBrief Negotiation InterviewHealth promotion advocatesDrug useTreatment programUnhealthy alcoholED patientsEmergency departmentPercent of patientsAdult ED patientsAlcohol/drug useUrban emergency departmentLow-risk drinkingGeneral Health QuestionnaireAlcoholism guidelinesReferral completionUrban EDFacilitated referralDirect admissionHealth QuestionnaireUnhealthy drinkingAlcohol abusePatientsSeverity of useAlcohol consumption
2009
Skiing and Snowboarding Head Injuries in 2 Areas of the United States
Greve MW, Young DJ, Goss AL, Degutis LC. Skiing and Snowboarding Head Injuries in 2 Areas of the United States. Wilderness And Environmental Medicine 2009, 20: 234-238. PMID: 19737041, DOI: 10.1580/08-weme-or-244r1.1.Peer-Reviewed Original ResearchConceptsHead injuryTerrain parksHelmet useHigh incidenceGlasgow Coma Scale scoreFall-related head injuriesEmergency department medical recordsRetrospective cohort studyAcute head injuryMechanism of injuryDiseases-9 codesLoss of consciousnessDepartment medical recordsHead injury severityEligible patientsNeurologic findingsCohort studyUse of helmetsMost injuriesMental statusMedical recordsLower incidenceInjury eventsInternational ClassificationInjury severity
2008
Brief Intervention for Hazardous and Harmful Drinkers in the Emergency Department
D'Onofrio G, Pantalon MV, Degutis LC, Fiellin DA, Busch SH, Chawarski MC, Owens PH, O'Connor PG. Brief Intervention for Hazardous and Harmful Drinkers in the Emergency Department. Annals Of Emergency Medicine 2008, 51: 742-750.e2. PMID: 18436340, PMCID: PMC2819119, DOI: 10.1016/j.annemergmed.2007.11.028.Peer-Reviewed Original ResearchConceptsBrief Negotiation InterviewBinge-drinking episodesHarmful drinkersBrief interventionDischarge instructionsPatients 18 yearsRandomized clinical trialsEmergency department settingMean numberInterview groupAlcoholism guidelinesBaseline characteristicsUrban EDAlcohol ingestionED patientsEmergency departmentClinical trialsDepartment settingAlcohol abuseAlcohol consumptionEmergency practitionersTreatment servicesHarmful drinkingMonthsDrinkers
2007
Illy
Gaild'onofrio, Mccausland JB, Tarabar AF, Degutis LC. Illy. Substance Abuse 2007, 27: 45-51. PMID: 17347125, DOI: 10.1300/j465v27n04_06.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAlcohol-Related DisordersComorbidityCross-Sectional StudiesDrug CombinationsEmergency Service, HospitalFemaleFormaldehydeHumansIllicit DrugsMaleMarijuana AbuseMental DisordersMethanolPsychoses, Substance-InducedReferral and ConsultationSubstance Abuse DetectionSubstance-Related DisordersConceptsPercent of patientsUrine toxicology resultsConcurrent drug useDrug use patternsMost patientsSupportive careMajor complicationsClinical presentationEmergency departmentMean ageMental statusRisk drinkingToxicology resultsObservational studyPsychiatric evaluationRestraint usePatientsDrug useVital signsStreet drugsActive ingredientsComplicationsActive componentsPhencyclidineCare
2006
Injury Prevention
Degutis LC, Greve M. Injury Prevention. Emergency Medicine Clinics Of North America 2006, 24: 871-888. PMID: 16982344, DOI: 10.1016/j.emc.2006.06.015.Peer-Reviewed Original ResearchIntravenous Morphine Plus Ketorolac Is Superior to Either Drug Alone for Treatment of Acute Renal Colic
Safdar B, Degutis LC, Landry K, Vedere SR, Moscovitz HC, D’Onofrio G. Intravenous Morphine Plus Ketorolac Is Superior to Either Drug Alone for Treatment of Acute Renal Colic. Annals Of Emergency Medicine 2006, 48: 173-181.e1. PMID: 16953530, DOI: 10.1016/j.annemergmed.2006.03.013.Peer-Reviewed Original ResearchConceptsAcute renal colicRenal colicRescue analgesiaMorphine groupCombination of morphineHours of presentationVerbal pain scalePresence of peritonitisVisual analog scaleAnti-inflammatory drugsIntravenous ketorolacKetorolac groupRescue morphineIntravenous morphinePain reductionPain reliefPain scoresModerate painPain scaleConsecutive patientsPrimary outcomeAnalog scaleCombination therapyEmergency departmentPain ratings
2004
The Saliva Strip Test Is an Accurate Method to Determine Blood Alcohol Concentration in Trauma Patients
Degutis LC, Rabinovici R, Sabbaj A, Mascia R, D'Onofrio G. The Saliva Strip Test Is an Accurate Method to Determine Blood Alcohol Concentration in Trauma Patients. Academic Emergency Medicine 2004, 11: 885-887. DOI: 10.1197/j.aem.2004.02.529.Peer-Reviewed Original ResearchThe saliva strip test is an accurate method to determine blood alcohol concentration in trauma patients.
Degutis L, Rabinovici R, Sabbaj A, Mascia R, D'Onofrio G. The saliva strip test is an accurate method to determine blood alcohol concentration in trauma patients. Academic Emergency Medicine 2004, 11: 885-7. PMID: 15289199, DOI: 10.1111/j.1553-2712.2004.tb00775.x.Peer-Reviewed Original ResearchCompliance with the Centers for Disease Control and Prevention Recommendations for the Diagnosis and Treatment of Sexually Transmitted Diseases
Kane BG, Degutis LC, Sayward HK, D'Onofrio G. Compliance with the Centers for Disease Control and Prevention Recommendations for the Diagnosis and Treatment of Sexually Transmitted Diseases. Academic Emergency Medicine 2004, 11: 371-377. PMID: 15064211, DOI: 10.1197/j.aem.2003.11.016.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnti-Bacterial AgentsCenters for Disease Control and Prevention, U.S.Chlamydia InfectionsEmergency Service, HospitalFemaleGonorrheaGuideline AdherenceHumansMalePatient DischargePatient Education as TopicPelvic Inflammatory DiseaseRetrospective StudiesSex DistributionSexually Transmitted DiseasesUnited StatesUrethritisUterine CervicitisConceptsPelvic inflammatory diseasePrevention recommendationsDisease controlRetrospective chart reviewTreatment of STDsICD-9 codesUrban teaching hospitalEmergency department practiceDocumentation of complianceChart reviewED visitsChlamydia casesCDC guidelinesDischarge instructionsPhysical examinationPrescribed antibioticsInflammatory diseasesPatient visitsTeaching hospitalED practiceED practitionersCervicitisDiagnostic testingUrethritisClinical standards
2003
Nonoccupational postexposure HIV prevention Emergency physicians' current practices, attitudes, and beliefs
McCausland JB, Linden JA, Degutis LC, Ramanujam P, Sullivan LM, D'Onofrio G. Nonoccupational postexposure HIV prevention Emergency physicians' current practices, attitudes, and beliefs. Annals Of Emergency Medicine 2003, 42: 651-656. PMID: 14581917, DOI: 10.1016/s0196-0644(03)00338-x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnti-HIV AgentsAttitude of Health PersonnelClinical CompetenceCounselingEmergency MedicineEnvironmental ExposureFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMaleMedical Staff, HospitalMiddle AgedNeeds AssessmentPhysician's RolePractice Patterns, Physicians'Referral and ConsultationSelf EfficacySurveys and QuestionnairesUnited StatesConceptsPostexposure preventionEmergency physiciansEmergency medicine residentsNational databaseInjection drug useMedicine residentsComposite scoreMost emergency physiciansUnsafe sexual practicesPrevention recommendationsPrevention drugsNeedle stickKnowledge of CentersAmerican CollegePrevention protocolsRole responsibilitiesEmergency medicine residencyDrug usePrevention practicesDisease controlPhysiciansPreventionCurrent practiceMedicine residencyExposure typeNeed for brief interventions for marijuana and alcohol use related to injuries.
Degutis L. Need for brief interventions for marijuana and alcohol use related to injuries. Academic Emergency Medicine 2003, 10: 62-4. PMID: 12511318, DOI: 10.1111/j.1553-2712.2003.tb01979.x.Peer-Reviewed Original ResearchNeed for Brief Interventions for Marijuana and Alcohol Use Related to Injuries
Degutis LC. Need for Brief Interventions for Marijuana and Alcohol Use Related to Injuries. Academic Emergency Medicine 2003, 10: 62-64. DOI: 10.1197/aemj.10.1.62.Peer-Reviewed Original Research
2002
Improving emergency medicine residents' approach to patients with alcohol problems: A controlled educational trial
D'Onofrio G, Nadel ES, Degutis LC, Sullivan LM, Casper K, Bernstein E, Samet JH. Improving emergency medicine residents' approach to patients with alcohol problems: A controlled educational trial. Annals Of Emergency Medicine 2002, 40: 50-62. PMID: 12085073, DOI: 10.1067/mem.2002.123693.Peer-Reviewed Original ResearchConceptsAlcohol problemsEvidence of screeningMain outcome measuresSkills-based interventionRecord reviewMedicine residency programsEmergency departmentMedical recordsIntervention groupOutcome measuresEmergency medicine residency programsLevel ISelf-reported knowledgeControl groupKnowledge scoreEmergency Medicine Residents' KnowledgeProvider readinessPatientsSkills-based workshopEducational interventionCurrent practiceComposite scoreResidents' knowledgeInterventionSignificant differences
1998
Computed Tomography in the Initial Evaluation of Hemodynamically Stable Patients with Blunt Abdominal Trauma
Taylor C, Degutis L, Lange R, Burns G, Cohn S, Rosenfield A. Computed Tomography in the Initial Evaluation of Hemodynamically Stable Patients with Blunt Abdominal Trauma. Journal Of Trauma And Acute Care Surgery 1998, 44: 893-901.. PMID: 9603095, DOI: 10.1097/00005373-199805000-00025.Peer-Reviewed Original ResearchConceptsBlunt abdominal traumaAbdominal traumaComputed tomographyGrading systemGrading of injuryHemodynamically Stable PatientsRate of admissionReporting of injuriesFive-point grading systemLevel 2 injuriesSpecificity 89.5Exploratory laparotomyAbdominal injuriesStable patientsSurgical managementTrauma casesPatient triageDiagnostic certaintyOverall severityIndeterminate studiesInjurySensitivity 100Initial evaluationInterobserver variabilityTrauma
1997
Emergency Department Patients With Assault Injuries: Previous Injury and Assault Convictions
Moscovitz H, Degutis L, Bruno G, Schriver J. Emergency Department Patients With Assault Injuries: Previous Injury and Assault Convictions. Annals Of Emergency Medicine 1997, 29: 770-775. PMID: 9174523, DOI: 10.1016/s0196-0644(97)70199-9.Peer-Reviewed Original ResearchConceptsHistory of convictionED patientsAssault injuriesPrevious injuryEmergency department patientsRecord-based case-control studyCase-control studyControl patientsBlunt traumaDepartment patientsControl subjectsVictims of assaultTeaching hospitalSurgical problemsLower incidenceLevel ICase subjectsPatientsInjuryViolence prevention programsIncidenceZip codesOverall rateBroader populationHigh rate
1995
Enteric absorption of ciprofloxacin during the immediate postoperative period
Cohn S, Cohn K, Rafferty M, Smith A, Degutis L, Kowalsky S, Shah A. Enteric absorption of ciprofloxacin during the immediate postoperative period. Journal Of Antimicrobial Chemotherapy 1995, 36: 717-721. PMID: 8591948, DOI: 10.1093/jac/36.4.717.Peer-Reviewed Original ResearchConceptsMajor abdominal surgeryEnteric absorptionAbdominal surgeryImmediate postoperative periodSerum ciprofloxacin concentrationsPostoperative periodFourth doseIll patientsFourth dosesParenteral agentsInitial doseNasogastric tubeAUC0-12Ill subjectsDrug concentrationsCiprofloxacin concentrationsCiprofloxacinSurgeryDoseSubjectsPatientsCmaxDoses
1989
Blunt hollow viscus injuries of the digestive tract: a poorly recognized phenomenon.
Longo W, Degutis L, Baker C. Blunt hollow viscus injuries of the digestive tract: a poorly recognized phenomenon. Connecticut Medicine 1989, 53: 451-4. PMID: 2766714.Peer-Reviewed Original ResearchConceptsHollow viscus injuryBlunt hollow viscus injuryViscus injuryYale-New Haven HospitalReview of recordsAbdominal tendernessEarly celiotomyMajor morbidityTrauma centerHigh morbidityPeritoneal lavageGall bladderMortality rateSmall intestineLarge intestineInjuryMorbidityPatientsDigestive tractAccurate predictorMortalityDiagnosisIntestineYear periodLavage
1985
Impact of a trauma service on trauma care in a university hospital
Baker C, Degutis L, DeSantis J, Baue A. Impact of a trauma service on trauma care in a university hospital. The American Journal Of Surgery 1985, 149: 453-458. PMID: 3985284, DOI: 10.1016/s0002-9610(85)80039-8.Peer-Reviewed Original ResearchConceptsIntensive care unitTrauma serviceTrauma patientsCare unitUniversity HospitalTrauma careSurgical intensive care unitDedicated trauma serviceMultiple organ failureNumber of patientsSeverity of injuryMajor university hospitalOrgan failurePatientsMajor hospitalsDemographic dataHospitalCareMortalityPercentSepsisInjuryYearsSeverity