2023
Management and Outcome of High-Grade Hepatic and Splenic Injuries
Presser E, Sznol J, Schuster K. Management and Outcome of High-Grade Hepatic and Splenic Injuries. Current Surgery Reports 2023, 11: 55-63. DOI: 10.1007/s40137-023-00344-1.Peer-Reviewed Original ResearchSplenic injuryOperative interventionUnstable patientsTrauma grade IVHigh-grade injuriesModality of choiceTransient respondersActive bleedingGrade injuriesSerial examsStable patientsSignificant morbidityPermissive hypotensionEndovascular interventionPrehospital interventionsRadiological studiesTrauma bayBlood productsGrade IVPatientsSecondary surveyInjuryExact indicationsClass IIIActive signs
2020
Closing the gap in care of blunt solid organ injury in children.
Yung N, Solomon D, Schuster K, Christison-Lagay E. Closing the gap in care of blunt solid organ injury in children. Journal Of Trauma And Acute Care Surgery 2020, 89: 894-899. PMID: 32345899, DOI: 10.1097/ta.0000000000002757.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolClinical Decision-MakingConsensusConservative TreatmentFemaleHospitals, PediatricHumansInfantInfant, NewbornInjury Severity ScoreLength of StayLiverMalePatient DischargePractice Guidelines as TopicProfessional Practice GapsRetrospective StudiesSpleenSurgical Procedures, OperativeTrauma CentersWounds, NonpenetratingYoung AdultConceptsAdult trauma centersPediatric trauma centerSolid organ injuryBlunt solid organ injuryOperative interventionOrgan injuryTrauma centerInjury gradeNonoperative managementLiver injuryPediatric blunt solid organ injuryPediatric solid organ injuryPhysiologic parametersNational Trauma Data BankTrauma center typeGrade of injuryTrauma Data BankBlunt spleenMean LOSHigher ORsConsensus guidelinesIsolated spleenOperative rateGrade ILevel IV
2018
Relationship between duration of preoperative symptoms and postoperative ileus for small bowel obstruction
Brandt WS, Wood J, Bhattacharya B, Pei K, Davis KA, Schuster K. Relationship between duration of preoperative symptoms and postoperative ileus for small bowel obstruction. Journal Of Surgical Research 2018, 225: 40-44. PMID: 29605033, DOI: 10.1016/j.jss.2017.12.031.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAscitesEquipment and Supplies UtilizationFemaleFood IntoleranceHumansIleusIntensive Care UnitsIntestinal ObstructionIntestine, SmallLength of StayMaleMiddle AgedParenteral NutritionPostoperative ComplicationsPreoperative PeriodRetrospective StudiesRisk FactorsTime FactorsTime-to-TreatmentYoung AdultConceptsTolerance of dietSmall bowel obstructionPreoperative symptomsLength of stayPostoperative ileusUnivariable analysisTotal durationIntensive care unit admissionTotal parenteral nutrition useParenteral nutrition useCare unit admissionIntensive care unitPreoperative ascitesBowel obstructionPrimary endpointSecondary endpointsSymptom durationUnit admissionMedian durationOperative interventionPostoperative outcomesCare unitMultivariable analysisRetrospective reviewNutrition use
2016
Outcomes of acute care surgical cases performed at night
Dalton MK, McDonald E, Bhatia P, Davis KA, Schuster KM. Outcomes of acute care surgical cases performed at night. The American Journal Of Surgery 2016, 212: 831-836. PMID: 27263405, DOI: 10.1016/j.amjsurg.2016.02.024.Peer-Reviewed Original ResearchConceptsAcute care surgeonsRetrospective cohort studyConditional logistic regressionMore hypotensionCohort studyOperative interventionOperative delayDay casesSurgical careOutcome differencesSurgical casesEmergency operationLogistic regressionSurgeonsPotent predictorTeam fatigueComorbiditiesSimilar degreeConfoundersOutcomesMortalityUnmeasured factorsDaysHypotensionSepsis
2014
The Use of Magnetic Resonance Imaging in the Diagnosis of Suspected Appendicitis in Pregnancy : Shortened Length of Stay Without Increase in Hospital Charges
Fonseca AL, Schuster KM, Kaplan LJ, Maung AA, Lui FY, Davis KA. The Use of Magnetic Resonance Imaging in the Diagnosis of Suspected Appendicitis in Pregnancy : Shortened Length of Stay Without Increase in Hospital Charges. JAMA Surgery 2014, 149: 687-693. PMID: 24871698, DOI: 10.1001/jamasurg.2013.4658.Peer-Reviewed Original ResearchConceptsMR imaging groupHospital chargesNontherapeutic explorationsPregnant patientsImaging groupFetal outcomesShorter LOSEmergency departmentUniversity tertiary referral centerMean hospital chargesTertiary referral centerLength of stayMagnetic resonancePathology-confirmed appendicitisAbdominal painOperative interventionReferral centerClinical outcomesGestational ageMultivariable analysisRetrospective reviewFetal lossAppendicitisMAIN OUTCOMEPatients
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