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 ratesValidation 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 patientsA simple predictor of post-operative complications after open surgical adhesiolysis for small bowel obstruction
Asuzu D, Pei KY, Davis KA. A simple predictor of post-operative complications after open surgical adhesiolysis for small bowel obstruction. The American Journal Of Surgery 2018, 216: 67-72. PMID: 29548529, DOI: 10.1016/j.amjsurg.2018.02.031.Peer-Reviewed Original ResearchConceptsPost-operative complicationsSmall bowel obstructionBowel obstructionOpen lysisSurgical managementSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseAdhesive small bowel obstructionQuality Improvement Program databaseImprovement Program databaseAvailable clinical parametersPrior sepsisAnesthesiologists classificationClinical parametersSurgical adhesiolysisFunctional statusProgram databaseAmerican CollegeComplicationsObstructionLogistic regressionPreoperative modelCharacteristic curveAmerican SocietyFAS
2016
Surgical Critical Care for the Patient with Sepsis and Multiple Organ Dysfunction
Kaml GJ, Davis KA. Surgical Critical Care for the Patient with Sepsis and Multiple Organ Dysfunction. Anesthesiology Clinics 2016, 34: 681-696. PMID: 27816128, DOI: 10.1016/j.anclin.2016.06.005.Peer-Reviewed Original ResearchConceptsMultiple organ dysfunction syndromeImmune responseCurrent evidence-based treatment strategiesEvidence-based treatment strategiesSurgical intensive care unitOrgan dysfunction syndromeMultiple organ dysfunctionPatient's immune responseDefinition of sepsisIntensive care unitProcess of sepsisSurgical critical careSuccess of therapyEvidence-based interventionsDysfunction syndromeOrgan dysfunctionCare unitSeptic processTreatment strategiesCritical careSepsisClinical definitionDisease severityTimely recognitionPatients
2014
Using the Rothman index to predict early unplanned surgical intensive care unit readmissions
Piper GL, Kaplan LJ, Maung AA, Lui FY, Barre K, Davis KA. Using the Rothman index to predict early unplanned surgical intensive care unit readmissions. Journal Of Trauma And Acute Care Surgery 2014, 77: 78-82. PMID: 24977759, DOI: 10.1097/ta.0000000000000265.Peer-Reviewed Original ResearchConceptsIntensive care unit readmissionRothman IndexSurgical floorRI scoresPotential quality metricElectronic medical recordsHours of transferSICU admissionSICU lengthReadmission groupSICU patientsMedical recordsPatient's conditionReadmissionPrognostic studiesPatientsControl groupLevel IIISICUAdmissionScoresDemographicsHoursGroupNumerical scorePredictive factors for failure of nonoperative management in perforated appendicitis
Maxfield MW, Schuster KM, Bokhari J, McGillicuddy EA, Davis KA. Predictive factors for failure of nonoperative management in perforated appendicitis. Journal Of Trauma And Acute Care Surgery 2014, 76: 976-981. PMID: 24662860, DOI: 10.1097/ta.0000000000000187.Peer-Reviewed Original ResearchConceptsNonoperative managementAbdominal tendernessFailure groupIntensive care unit careUniversity tertiary care hospitalTertiary care hospitalLength of stayUnit careCare hospitalDefinitive treatmentLaboratory markersPerforated appendicitisNonsurgical treatmentClinical findingsPredictive factorsRadiographic findingsTomographic scanTherapeutic studiesAppendicitisEarly operationLevel IIIPatientsAbscessPhlegmonTachycardia
2009
Pulseless Electrical Activity, Focused Abdominal Sonography for Trauma, and Cardiac Contractile Activity as Predictors of Survival After Trauma
Schuster KM, Lofthouse R, Moore C, Lui F, Kaplan LJ, Davis KA. Pulseless Electrical Activity, Focused Abdominal Sonography for Trauma, and Cardiac Contractile Activity as Predictors of Survival After Trauma. Journal Of Trauma And Acute Care Surgery 2009, 67: 1154-1157. PMID: 20009660, DOI: 10.1097/ta.0b013e3181c303e8.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal InjuriesAdultAgedAged, 80 and overCardiopulmonary ResuscitationChildFemaleHeart ArrestHumansMaleMiddle AgedPericardial EffusionPredictive Value of TestsPrognosisPulseRetrospective StudiesSensitivity and SpecificityStatistics, NonparametricSurvival RateTrauma Severity IndicesUltrasonographyConceptsPulseless electrical activityCardiac contractile activityFocused abdominal sonographyInitial resuscitationAbdominal sonographyEmergency departmentContractile activityCardiac activityStudy period 25 patientsLevel I trauma centerGrave prognostic indicatorI trauma centerPredictors of survivalMechanism of injuryElectrical activityClosed head injuryPericardial viewTension hemothoraxOngoing resuscitationPericardial effusionBlunt traumaRetrospective reviewTrauma centerPrognostic indicatorHead injury
2004
Urgent 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 trauma
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