2023
TQIP mortality reporting system case reports: Unanticipated mortality due to failures in clinical performance
Williams R, Davis K, Group T. TQIP mortality reporting system case reports: Unanticipated mortality due to failures in clinical performance. Journal Of Trauma And Acute Care Surgery 2023, 94: 747-749. PMID: 36735543, DOI: 10.1097/ta.0000000000003893.Peer-Reviewed Original Research
2020
Spirometry not pain level predicts outcomes in geriatric patients with isolated rib fractures.
Schuster KM, Sanghvi M, O'Connor R, Becher R, Maung AA, Davis KA. Spirometry not pain level predicts outcomes in geriatric patients with isolated rib fractures. Journal Of Trauma And Acute Care Surgery 2020, 89: 947-954. PMID: 32467465, DOI: 10.1097/ta.0000000000002795.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overEmergency Service, HospitalFemaleHand StrengthHospitals, RehabilitationHumansIntensive Care UnitsLength of StayMalePainPain ManagementPain MeasurementPatient DischargePatient TransferPredictive Value of TestsProspective StudiesRib FracturesSpirometryTrauma CentersTreatment OutcomeConceptsLength of stayIsolated rib fracturesNegative inspiratory forceUnplanned ICU admissionRib fracturesPain levelsDay 1ICU admissionInspiratory forceGrip strengthMedian LOSHospital day 1Expiratory volume 1Complete spirometryPain controlDischarge dispositionPulmonary functionEarly dischargeGeriatric patientsVital capacityMean ageSpirometry measuresPulmonary capacityLevel IVFEV1The 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
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 ratesInsurance Status Biases Trauma-system Utilization and Appropriate Interfacility Transfer
Zogg CK, Schuster KM, Maung AA, Davis KA. Insurance Status Biases Trauma-system Utilization and Appropriate Interfacility Transfer. Annals Of Surgery 2018, 268: 681-689. PMID: 30004929, DOI: 10.1097/sla.0000000000002954.Peer-Reviewed Original ResearchConceptsNTC patientsMajor injuriesOlder adult trauma patientsNationwide Emergency Department SampleOptimal trauma careAdult trauma patientsEmergency department admissionsEmergency Department SampleTrauma center careTransfer of patientsComplex traumatic injuriesMultilevel logistic regressionTrauma patientsDepartment admissionsHigh morbidityTC careDirect admissionInsurance statusInterfacility transferUninsured patientsTrauma careTraumatic injuryOutcome measuresTrauma systemCenter careExternal Validation of University of Wisconsin's Clinical Criteria for Obtaining Maxillofacial Computed Tomography in Trauma
Harrington AW, Pei KY, Assi R, Davis KA. External Validation of University of Wisconsin's Clinical Criteria for Obtaining Maxillofacial Computed Tomography in Trauma. Journal Of Craniofacial Surgery 2018, 29: e167-e170. PMID: 29309356, DOI: 10.1097/scs.0000000000004240.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedEcchymosisFacial BonesFacial InjuriesFemaleGlasgow Coma ScaleHospitals, UniversityHumansMaleMalocclusionMiddle AgedPhysical ExaminationPractice Guidelines as TopicPredictive Value of TestsRetrospective StudiesSkull FracturesTomography, X-Ray ComputedTooth LossTrauma CentersWisconsinConceptsLevel 1 trauma centerTrauma centerFacial fracturesClinical criteriaPredictive valueAdditional cross-sectional imagingModern practice patternsPhysical examination criteriaCross-sectional imagingNegative predictive valueMaxillofacial computed tomographyPositive predictive valueElectronic medical recordsRetrospective case studyMultisystem traumaPhysical examinationMaxillofacial fracturesBoard-certified radiologistsMedical recordsPractice patternsComputed tomographyFacial bonesConfidence intervalsInternal validation studyExamination criteria
2017
Natural history of splenic vascular abnormalities after blunt injury
Zarzaur BL, Dunn JA, Leininger B, Lauerman M, Shanmuganathan K, Kaups K, Zamary K, Hartwell JL, Bhakta A, Myers J, Gordy S, Todd SR, Claridge JA, Teicher E, Sperry J, Privette A, Allawi A, Burlew CC, Maung AA, Davis KA, Cogbill T, Bonne S, Livingston DH, Coimbra R, Kozar RA. Natural history of splenic vascular abnormalities after blunt injury. Journal Of Trauma And Acute Care Surgery 2017, 83: 999-1005. PMID: 28570347, DOI: 10.1097/ta.0000000000001597.Peer-Reviewed Original ResearchConceptsBlunt splenic injurySplenic vascular injuryVascular injuryVascular abnormalitiesSplenic injuryTomography scanNatural historyRisks of splenectomyOutcomes of patientsComputed tomography scanNonoperative failureAdult patientsBlunt injuryEarly splenectomyUnderwent splenectomyInjury characteristicsMultivariable analysisTrauma centerTrauma radiologistSplenectomyHigh riskPrognostic studiesPatientsAppropriate managementLevel III
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 reviewThe older they are the harder they fall: Injury patterns and outcomes by age after ground level falls
Bhattacharya B, Maung A, Schuster K, Davis KA. The older they are the harder they fall: Injury patterns and outcomes by age after ground level falls. Injury 2016, 47: 1955-1959. PMID: 27346422, DOI: 10.1016/j.injury.2016.06.019.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAgedAged, 80 and overAnticoagulantsAspirinComorbidityFemaleFollow-Up StudiesFractures, BoneGeriatric AssessmentHospitalizationHumansInjury Severity ScoreIntracranial HemorrhagesMaleMultiple TraumaPlatelet Aggregation InhibitorsRetrospective StudiesSurvival AnalysisTrauma CentersTreatment OutcomeUnited StatesConceptsGround-level fallInjury patternsAnticoagulation useAspirin useIntracranial bleedAnticoagulation agentsAbdominal solid organ injuriesCertain injury patternsAdult trauma patientsSolid organ injuryAntiplatelet useHome dischargePatient characteristicsLife expectancy increasesMean ISSOrgan injuryOverall mortalityRetrospective reviewTrauma patientsGeriatric patientsSignificant morbidityTrauma centerPatient populationPelvic fracturesCervical spine
2013
When the ICU is the operating room
Piper GL, Maerz LL, Schuster KM, Maung AA, Luckianow GM, Davis KA, Kaplan LJ. When the ICU is the operating room. Journal Of Trauma And Acute Care Surgery 2013, 74: 871-875. PMID: 23425750, DOI: 10.1097/ta.0b013e31827e9c52.Peer-Reviewed Original ResearchConceptsSurgical intensive care unitOperating roomOperative locationICU casesEmergency general surgery patientsGeneral surgery patientsTotal operative casesType of anesthesiaIntensive care unitMode of ventilationT-testStudent's t-testSurgery patientsCare unitNeuromuscular blockadeAdverse outcomesDeep sedationProcedure typeOperative procedureSurgical proceduresEpidemiologic studiesICU databaseCase volumeLevel ITotal cases
2012
Impact of adaptive statistical iterative reconstruction on radiation dose in evaluation of trauma patients
Maxfield MW, Schuster KM, McGillicuddy EA, Young CJ, Ghita M, Bokhari SA, Oliva IB, Brink JA, Davis KA. Impact of adaptive statistical iterative reconstruction on radiation dose in evaluation of trauma patients. Journal Of Trauma And Acute Care Surgery 2012, 73: 1406-1411. PMID: 23147183, PMCID: PMC3923265, DOI: 10.1097/ta.0b013e318270d2fb.Peer-Reviewed Original ResearchConceptsDose-length productCT scanTrauma patientsAdaptive statistical iterative reconstructionCervical spineLevel I trauma centerVolume CT dose indexI trauma centerRadiation doseStatistical iterative reconstructionCT dose indexBaseline demographicsTrauma centerTomographic scanPatient outcomesTrauma systemInclusion criteriaLevel IVTherapeutic studiesPatientsDose indexCT scanningRadiation exposureScansSubjective image qualityCompared 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
2010
Factors 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 analysisManagement of the Most Severely Injured Spleen: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCONECT)
Velmahos GC, Zacharias N, Emhoff TA, Feeney JM, Hurst JM, Crookes BA, Harrington DT, Gregg SC, Brotman S, Burke PA, Davis KA, Gupta R, Winchell RJ, Desjardins S, Alouidor R, Gross RI, Rosenblatt MS, Schulz JT, Chang Y. Management of the Most Severely Injured Spleen: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCONECT). JAMA Surgery 2010, 145: 456-460. PMID: 20479344, DOI: 10.1001/archsurg.2010.58.Peer-Reviewed Original ResearchConceptsBlunt splenic injuryFailure of NOMNonoperative managementGrade IVF-NOMBrain injurySevere blunt splenic injuryTrial of NOMOverall high success rateMortality of patientsRetrospective case seriesSuccessful nonoperative managementPredictors of failureRequire surgerySplenic injuryAdult patientsIndependent predictorsCase seriesTrauma centerMulticenter studyHigh success ratePatientsMultivariate analysisInjurySuccess rateThe 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
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
2005
Ventilator-Associated Pneumonia in Injured Patients: Do You Trust Your Gram’s Stain?
Davis KA, Eckert MJ, Reed RL, Esposito TJ, Santaniello JM, Poulakidas S, Luchette FA. Ventilator-Associated Pneumonia in Injured Patients: Do You Trust Your Gram’s Stain? Journal Of Trauma And Acute Care Surgery 2005, 58: 462-467. PMID: 15761337, DOI: 10.1097/01.ta.0000153941.39697.aa.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalysis of VarianceAnti-Bacterial AgentsBronchoalveolar LavageCross InfectionFemaleGentian VioletGram-Negative Bacterial InfectionsGram-Positive Bacterial InfectionsHospital MortalityHumansIllinoisLength of StayMaleMiddle AgedMultiple TraumaPatient SelectionPhenazinesPneumonia, BacterialPredictive Value of TestsRespiration, ArtificialRetrospective StudiesSputumTrauma CentersConceptsVentilator-associated pneumoniaGram-positive ventilator-associated pneumoniaGram stainTrauma patientsGram-negative ventilator-associated pneumoniaPredictive valueDiagnosis of VAPPresumptive antibiotic therapyResults of sputumRetrospective chart reviewNegative predictive valuePositive predictive valueChart reviewAntibiotic therapyBAL fluidPresumptive therapyPrevention criteriaGram-positive organismsEarly diagnosisPatientsQuantitative culturesPneumoniaDisease controlNegative organismsCulture data
2004
Medicare’s Bundling of Trauma Care Codes Violates Relative Value Principles
Reed RL, Luchette F, Davis KA, Esposito TJ, Poulakidas S, Santaniello J, Silver G, Pyrz K, Gamelli R. Medicare’s Bundling of Trauma Care Codes Violates Relative Value Principles. Journal Of Trauma And Acute Care Surgery 2004, 57: 1164-1172. PMID: 15625445, DOI: 10.1097/01.ta.0000151259.21467.fb.Peer-Reviewed Original ResearchUrgent Airways After Trauma: Who Gets Pneumonia?
Eckert MJ, Davis KA, Reed RL, Santaniello JM, Poulakidas S, Esposito TJ, Luchette FA. Urgent Airways After Trauma: Who Gets Pneumonia? Journal Of Trauma And Acute Care Surgery 2004, 57: 750-755. PMID: 15514528, DOI: 10.1097/01.ta.0000147499.73570.12.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge DistributionCohort StudiesEmergency TreatmentFemaleHumansIncidenceInjury Severity ScoreIntubation, IntratrachealMaleMiddle AgedPneumonia, BacterialPredictive Value of TestsProbabilityPrognosisRegression AnalysisRetrospective StudiesRisk AssessmentSex DistributionSurvival AnalysisTracheostomyTrauma CentersWounds and InjuriesConceptsIndependent risk factorDevelopment of pneumoniaRisk factorsEmergency departmentField intubationEmergent intubationLower Glasgow Coma Scale scoreGlasgow Coma Scale scoreMultiple logistic regression analysisPost-traumatic pneumoniaPre-hospital areaIncidence of pneumoniaLower GCS scoreSevere head injuryLogistic regression analysisSeverity of injuryAIS extremityAIS headED intubationHigher ISSHospital lengthGCS scoreRetrospective reviewTrauma patientsBlunt traumaTen 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 score