2021
Revision of the AAST grading scale for acute cholecystitis with comparison to physiologic measures of severity
Schuster KM, O’Connor R, Cripps M, Kuhlenschmidt K, Taveras L, Kaafarani HM, Hechi M, Puri R, Schroeppel TJ, Enniss TM, Cullinane DC, Cullinane LM, Agarwal S, Kaups K, Crandall M, Tominaga G. Revision of the AAST grading scale for acute cholecystitis with comparison to physiologic measures of severity. Journal Of Trauma And Acute Care Surgery 2021, 92: 664-674. PMID: 34936593, DOI: 10.1097/ta.0000000000003507.Peer-Reviewed Original ResearchConceptsAAST gradeAcute cholecystitisGrading systemAAST grading scaleAnatomic grading systemEmergency Surgery ScoreHigher AAST gradeRevised grading systemTrauma grading systemDistribution of patientsAAST grading systemKey clinical variablesTokyo GuidelinesBile leakChart reviewDischarge dispositionMajor complicationsOperative outcomesSurgery scoreMulticenter studyRadiologic dataClinical variablesOpen procedurePatient distributionLevel IV
2020
Multicenter validation of the American Association for the Surgery of Trauma grading scale for acute cholecystitis.
Schuster KM, O'Connor R, Cripps M, Kuhlenschmidt K, Taveras L, Kaafarani HM, El Hechi M, Puri R, Mull J, Schroeppel TJ, Rodriquez J, Cullinane DC, Cullinane LM, Enniss TM, Sensenig R, Zilberman B, Crandall M. Multicenter validation of the American Association for the Surgery of Trauma grading scale for acute cholecystitis. Journal Of Trauma And Acute Care Surgery 2020, 90: 87-96. PMID: 33332782, DOI: 10.1097/ta.0000000000002901.Peer-Reviewed Original ResearchConceptsAAST gradeTokyo GuidelinesAcute cholecystitisOperative timeEmergency general surgery (EGS) diseasesMedian AAST gradeTrauma grading scaleLonger operative timeSingle-institution studyModest discriminatory powerMulti-institutional fashionClinical decision makingAmerican AssociationPreoperative gradeUnderwent cholecystectomySurgical complicationsMean ageWorse outcomesPatient outcomesLevel IVCholecystitisOperative surgeonMulticenter validationGrading scaleGrading systemSpirometry 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 IVFEV1