2024
System-level Variability in Trauma Center Utilization for Seriously Injured Older Adults
Ordoobadi A, Castillo-Angeles M, Tabata-Kelly M, Jenkins P, Hwang U, Cooper Z, Jarman M. System-level Variability in Trauma Center Utilization for Seriously Injured Older Adults. Journal Of Surgical Research 2024, 305: 10-18. PMID: 39616785, PMCID: PMC11779583, DOI: 10.1016/j.jss.2024.10.047.Peer-Reviewed Original ResearchInjured older adultsTrauma service areasSystem-level factorsOlder adultsMultivariable hierarchical logistic regressionHierarchical logistic regressionTrauma centerLogistic regressionRate of undertriageLevel IRetrospective cross-sectional studyCross-sectional studyUnited States countiesHospital destinationInjury characteristicsTrauma center utilizationMedicare dataSystem-level variablesPatient demographicsRandom interceptStates countiesUndertriagePrimary outcomeRural regionsCenter utilization
2023
Association between Medicare eligibility at age 65 years and in-hospital treatment patterns and health outcomes for patients with trauma: regression discontinuity approach
Bhaumik D, Ndumele C, Scott J, Wallace J. Association between Medicare eligibility at age 65 years and in-hospital treatment patterns and health outcomes for patients with trauma: regression discontinuity approach. The BMJ 2023, 382: e074289. PMID: 37433620, PMCID: PMC10334336, DOI: 10.1136/bmj-2022-074289.Peer-Reviewed Original ResearchConceptsAge 65 yearsHealth insurance coverageHospital admissionTreatment patternsInsurance coverageSimilar patientsTrauma encountersAge 65Health systemLevel II trauma centerPatient's hospital admissionShare of patientsMain outcome measuresProcess of careDischarge planning processHospital mortalityHospital stayTrauma centerTrauma bayTreatment decisionsOutcome measuresAmerican CollegeInpatient facilitiesLevel INursing homesPoster 306: Examining Preoperative Magnetic Resonance Imaging for Medial Meniscal Ramp Lesions in Patients Surgically Treated for Acute Grade III Combined Posterolateral Corner Knee Injuries
Jimenez A, Katz L, Wang A, McLaughlin W, Gillinov S, Kunze K, Hewett T, Alaia M, LaPrade R, Medvecky M, Moran J. Poster 306: Examining Preoperative Magnetic Resonance Imaging for Medial Meniscal Ramp Lesions in Patients Surgically Treated for Acute Grade III Combined Posterolateral Corner Knee Injuries. Orthopaedic Journal Of Sports Medicine 2023, 11: 2325967123s00279. PMCID: PMC10392321, DOI: 10.1177/2325967123s00279.Peer-Reviewed Original ResearchPreoperative magnetic resonance imagingMedial meniscal ramp lesionsMulti-ligament knee injuriesAcute grade IIIMeniscal ramp lesionsMagnetic resonance imagingPosterolateral corner knee injuriesRamp lesionsIntra-class correlation coefficientPLC injuriesGrade IIIKnee injuriesBone bruisingBone bruiseResonance imagingAnterior cruciate ligament injuryMulti-ligament reconstructionCruciate ligament injuryDays of injuryMeniscocapsular tearsConsecutive patientsLigament injuryMeniscal injurySame patientLevel IIncorporating clinicopathological and molecular risk prediction tools to improve outcomes in early HR+/HER2– breast cancer
Curigliano G, Dent R, Llombart-Cussac A, Pegram M, Pusztai L, Turner N, Viale G. Incorporating clinicopathological and molecular risk prediction tools to improve outcomes in early HR+/HER2– breast cancer. Npj Breast Cancer 2023, 9: 56. PMID: 37380659, PMCID: PMC10307886, DOI: 10.1038/s41523-023-00560-z.Peer-Reviewed Original ResearchOptimal treatment pathwayBreast cancerCyclin D kinase 4/6 inhibitorDifferent adjuvant treatment modalitiesFuture risk stratification strategiesSimilar prognostic accuracyAdjuvant treatment modalitiesEarly breast cancerRisk of recurrenceRisk stratification strategiesRisk prediction toolsIndividual patient levelEpidermal growth factor receptorBreast cancer diagnosisGrowth factor receptorTreatment guidelinesRisk stratificationMultigene assaysTreatment modalitiesClinical trialsPatient levelPrognostic accuracyTreatment pathwaysEarly breast cancer diagnosisLevel I
2022
Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging
Moran J, Schneble C, Katz L, Jimenez A, McLaughlin W, Vasavada K, Wang A, Kunze K, Chahla J, LaPrade R, Alaia M, Medvecky M. Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 592-599. PMID: 36575108, DOI: 10.1016/j.arthro.2022.10.022.Peer-Reviewed Original ResearchConceptsMedial meniscus ramp lesionsIntact anterior cruciate ligamentMultiligament knee injuriesAnterior cruciate ligamentMagnetic resonance imagingRamp lesionsBone bruiseBone bruisingKnee injuriesCruciate ligamentMedial meniscal ramp lesionsResonance imagingPreoperative magnetic resonance imagingMeniscal ramp lesionsRetrospective case seriesPosterior cruciate ligamentOne-thirdIntraclass correlation coefficientConsecutive patientsRetrospective reviewCase seriesLigament reconstructionOperative reportsLevel IVLevel I
2021
Provider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology
Fang JL, Umoren R, Whyte H, Limjoco J, Makkar A, Yankanah R, McCoy M, Lo MD, Colby CE, Herrin J, Jacobson RM, Demaerschalk BM. Provider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology. American Journal Of Perinatology 2021, 40: 1521-1528. PMID: 34583392, DOI: 10.1055/a-1656-6363.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitTertiary neonatal intensive care unitNeonatal careNewborn nurseryCommunity hospitalLevel II special care nurseryProvider perspectivesSpecial care nurseryIntensive care unitYears of experiencePercent of respondentsSurvey response rateCare unitLevel IResponse rateMedian scoreTeleneonatologyHospitalSmall hospitalsProfessional roleMean scoreScoresLevel of experienceCareHigher scoresProvider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology
Fang J, Umoren R, Whyte H, Limjoco J, Makkar A, Yankanah R, McCoy M, Lo M, Colby C, Herrin J, Jacobson R, Demaerschalk B. Provider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology. American Journal Of Perinatology 2021 DOI: 10.1055/s-0041-1736587.Peer-Reviewed Original ResearchNeonatal intensive care unitTertiary neonatal intensive care unitNeonatal careCommunity hospitalLevel II special care nurseryProvider perspectivesSpecial care nurseryIntensive care unitPercent of respondentsSurvey response rateCare unitNewborn nurseryLevel IResponse rateMedian scoreTeleneonatologyConclusion ProvidersYears of experienceMean scoreHospitalScoresLevel of experienceCareHigher scoresAcceptabilityAre cardiology fellows receiving enough basic level I cardiovascular computed tomography education during their general fellowship training? Insights from a needs assessment survey at an academic medical center
Hur DJ, Meadows JL, Baldassarre LA, Mojibian HR, Villines TC, Windish DM. Are cardiology fellows receiving enough basic level I cardiovascular computed tomography education during their general fellowship training? Insights from a needs assessment survey at an academic medical center. Journal Of Cardiovascular Computed Tomography 2021, 16: 186-188. PMID: 34600865, DOI: 10.1016/j.jcct.2021.09.005.Peer-Reviewed Original ResearchCapsular Repair May Improve Outcomes in Patients Undergoing Hip Arthroscopy for Femoroacetabular Impingement: A Systematic Review of Comparative Outcome Studies
Owens JS, Jimenez AE, Shapira J, Saks BR, Glein RM, Maldonado DR, Ankem HK, Sabetian PW, Lall AC, Domb BG. Capsular Repair May Improve Outcomes in Patients Undergoing Hip Arthroscopy for Femoroacetabular Impingement: A Systematic Review of Comparative Outcome Studies. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2021, 37: 2975-2990. PMID: 33887416, DOI: 10.1016/j.arthro.2021.03.063.Peer-Reviewed Original ResearchConceptsPatient-reported outcome scoresUnrepaired capsulotomyCapsular repairOutcome studiesComparative outcome studiesHip arthroscopySystematic reviewUnrepaired groupLevel INon-randomized StudiesPatient-reported outcomesGood patient-reported outcome scoresFemoroacetabular impingement syndromeLevel III studiesClinical outcome studiesPartial repairMeta-Analyses (PRISMA) guidelinesPreferred Reporting ItemsCapsular management techniquesIII studyReoperation rateImpingement syndromeOutcome scoresImaging outcomesMethodological Index
2020
Second thoughts: Emergency clinicians see value in secondary interpretations
Danda D, Mezrich J. Second thoughts: Emergency clinicians see value in secondary interpretations. Clinical Imaging 2020, 68: 7-12. PMID: 32554166, DOI: 10.1016/j.clinimag.2020.05.036.Peer-Reviewed Original ResearchConceptsTrauma surgeonsAdditional imagingEmergency physiciansPatient careInsurance coverageAdult emergency physiciansChi-square testingAnonymous electronic surveyClinical benefitEmergency cliniciansClinician's perspectiveLevel IEmergency radiologyRadiologist interpretationSurgeonsElectronic surveyConflicting reportsMost respondentsSecondary interpretationPhysiciansCareSecondary reportsRadiologyImagingReportReliability of International Classification of Disease-9 Versus International Classification of Disease-10 Coding for Proximal Femur Fractures at a Level 1 Trauma Center.
Schneble CA, Natoli RM, Schonlau DL, Reed RL, Kempton LB. Reliability of International Classification of Disease-9 Versus International Classification of Disease-10 Coding for Proximal Femur Fractures at a Level 1 Trauma Center. Journal Of The American Academy Of Orthopaedic Surgeons 2020, 28: 29-36. PMID: 30969187, DOI: 10.5435/jaaos-d-17-00874.Peer-Reviewed Original ResearchConceptsProximal femur fracturesFemur fracturesICD-9International ClassificationICD-10Level 1 trauma centerDiseases-10 codingMedical record codingTrauma centerBilling codesLevel IBilling recordsICD codesMedicaid ServicesSignificant differencesPhysiciansFracturesIntercoder reliabilityLack reliability
2019
Evolution of the American College of Cardiology and American Heart Association Cardiology Clinical Practice Guidelines: A 10‐Year Assessment
DuBose‐Briski V, Yao X, Dunlay SM, Dhruva SS, Ross JS, Shah ND, Noseworthy PA. Evolution of the American College of Cardiology and American Heart Association Cardiology Clinical Practice Guidelines: A 10‐Year Assessment. Journal Of The American Heart Association 2019, 8: e012065. PMID: 31566106, PMCID: PMC6806052, DOI: 10.1161/jaha.119.012065.Peer-Reviewed Original ResearchConceptsValvular heart diseaseClinical practice guidelinesAmerican Heart AssociationLevel of evidenceAmerican CollegeLOE BHeart failureHeart AssociationHeart diseasePractice guidelinesCardiology/American Heart Association (ACC/AHA) guideline recommendationsCardiology/American Heart Association guidelinesCardiology/American Heart AssociationMedian proportionCardiology clinical practice guidelinesAmerican Heart Association guidelinesHeart Association guidelinesClass of recommendationLOE AGuideline recommendationsResults ThirtyAssociation guidelinesMedian numberStable ischemiaLevel IThe associations between initial radiographic findings and interventions for renal hemorrhage after high-grade renal trauma: Results from the Multi-Institutional Genitourinary Trauma Study.
Keihani S, Putbrese BE, Rogers DM, Zhang C, Nirula R, Luo-Owen X, Mukherjee K, Morris BJ, Majercik S, Piotrowski J, Dodgion CM, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Sherwood BG, Erickson BA, Baradaran N, Breyer BN, Fick CN, Smith BP, Okafor BU, Askari R, Miller B, Santucci RA, Carrick MM, Kocik JF, Hewitt T, Burks FN, Heilbrun ME, Myers JB. The associations between initial radiographic findings and interventions for renal hemorrhage after high-grade renal trauma: Results from the Multi-Institutional Genitourinary Trauma Study. Journal Of Trauma And Acute Care Surgery 2019, 86: 974-982. PMID: 31124895, DOI: 10.1097/ta.0000000000002254.Peer-Reviewed Original ResearchConceptsHigh-grade renal traumaVascular contrast extravasationInitial radiographic findingsRadiographic findingsCertain radiographic findingsRenal traumaLaceration sizeMixed-effects Poisson regressionRisk of interventionRenal angioembolizationContrast extravasationRenal injuryRenal hemorrhageUnivariable analysisMulticenter studySurgical packingPartial nephrectomyDeep lacerationsTomography scanMultivariable modelLevel IVEpidemiological studiesInjury mechanismLevel IOptimal cutoffLong-term social dysfunction after trauma: What is the prevalence, risk factors, and associated outcomes?
Herrera-Escobar JP, Rivero R, Apoj M, Geada A, Villanyi M, Blake D, Nehra D, Velmahos G, Kaafarani HMA, Salim A, Haider AH, Kasotakis G. Long-term social dysfunction after trauma: What is the prevalence, risk factors, and associated outcomes? Surgery 2019, 166: 392-397. PMID: 31104807, DOI: 10.1016/j.surg.2019.04.004.Peer-Reviewed Original ResearchConceptsLonger hospital stayAfrican American raceHospital stayPost-traumatic stress disorderRisk factorsLogistic regression modelsFunctional limitationsSocial dysfunctionLower educationStress disorderBackward logistic regression modelStepwise backward logistic regression modelMultiple logistic regression modelPast psychiatric illnessIndependent risk factorSocial functioningLower mean ageRegression modelsMechanical ventilationMultivariable analysisMean agePsychiatric illnessMedicaid beneficiariesLevel IDysfunctionNo difference in outcomes between femoral fixation methods with hamstring autograft in anterior cruciate ligament reconstruction – A network meta-analysis
Hurley E, Gianakos A, Anil U, Strauss E, Gonzalez-Lomas G. No difference in outcomes between femoral fixation methods with hamstring autograft in anterior cruciate ligament reconstruction – A network meta-analysis. The Knee 2019, 26: 292-301. PMID: 30773253, DOI: 10.1016/j.knee.2019.01.015.Peer-Reviewed Original ResearchConceptsAnterior cruciate ligament reconstructionCruciate ligament reconstructionFemoral fixation methodsInterference screwRandomized control trialTendon autograftACL reconstructionLigament reconstructionKnee stabilityFunctional outcomeFemoral fixationRevision proceduresControl trialFixation methodsFemoral fixation techniquesLevel I studiesMean followGraft failureClinical outcomesI studiesPRISMA guidelinesLevel IPatientsAutograftFixation techniquesOptimal timing of delayed excretory phase computed tomography scan for diagnosis of urinary extravasation after high-grade renal trauma
Keihani S, Putbrese BE, Rogers DM, Patel DP, Stoddard GJ, Hotaling JM, Nirula R, Luo-Owen X, Mukherjee K, Morris BJ, Majercik S, Piotrowski J, Dodgion CM, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Sherwood BG, Erickson BA, Baradaran N, Breyer BN, Fick CN, Smith BP, Okafor BU, Askari R, Miller B, Santucci RA, Carrick MM, Kocik JF, Hewitt T, Burks FN, Heilbrun ME, Myers JB. Optimal timing of delayed excretory phase computed tomography scan for diagnosis of urinary extravasation after high-grade renal trauma. Journal Of Trauma And Acute Care Surgery 2019, 86: 274-281. PMID: 30605143, DOI: 10.1097/ta.0000000000002098.Peer-Reviewed Original ResearchConceptsHigh-grade renal traumaInitial CT scanUrinary extravasationRenal collecting system injuryRenal traumaExcretory phaseCT scanSystem injuryTomography scanOptimal timingPhase CT scansInitial CTMedian timeLevel ICutoff pointExtravasationPoisson regressionLevel IIIAccurate diagnosisDiagnosisPhase timingAccurate gradingTraumaScansPatients
2018
ADHERENCE TO THE PECARN PEDIATRIC HEAD INJURY RULE IN TWO CANADIAN EMERGENCY SETTINGS
Gariepy M, Gravel J, Turcotte S, Légaré F, Melnick E, Hess E, Witteman H, Lelaidier-Hould L, Truchon C, Sauvé L, Plante P, Lesage N, Archambault P. ADHERENCE TO THE PECARN PEDIATRIC HEAD INJURY RULE IN TWO CANADIAN EMERGENCY SETTINGS. Paediatrics & Child Health 2018, 23: e9-e10. PMCID: PMC5961350, DOI: 10.1093/pch/pxy054.024.Peer-Reviewed Original ResearchTraumatic brain injuryLevel II trauma centerEmergency departmentHead CTPECARN rulesHead traumaTrauma centerImportant traumatic brain injuryMinor traumatic brain injuryMandatory inclusion criteriaRetrospective chart reviewPediatric level ICanadian emergency departmentsRisk of cancerYears of ageCT overuseEligible patientsChart reviewPediatric patientsRelated complicationsHead injuryMedical recordsBrain injuryInclusion criteriaLevel IThe “mortality ascent”
Herrera-Escobar JP, Rios-Diaz AJ, Zogg CK, Wolf LL, Harlow A, Schneider EB, Cooper Z, Ordonez CA, Salim A, Haider AH. The “mortality ascent”. Journal Of Trauma And Acute Care Surgery 2018, 84: 139-145. PMID: 28930947, DOI: 10.1097/ta.0000000000001706.Peer-Reviewed Original ResearchConceptsUnstable trauma patientsLevel I TCsLevel II TCsHours postadmissionTrauma patientsLevel ILevel IIMortality riskHospital mortalityLog-binomial regression modelsNational Trauma Data BankComparable mortality riskHospital-level confoundersInjury Severity ScoreSystolic blood pressureAvailable treatment modalitiesTrauma Data BankSpecific risk factorsRisk-adjusted modelsBlood pressureHigher relative mortalityUnstable patientsBurn patientsSeverity scoreTreatment modalities
2017
Selective Nonoperative Management of Abdominal Gunshot Wounds from Heresy to Adoption: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCoNECT)
Peponis T, Kasotakis G, Yu J, Alouidor R, Burkott B, Maung AA, Johnson DC, Saillant N, Walden H, Salim A, Bryant E, Dorfman JD, Klein EN, Elefant R, Tabrizi MB, Bugaev N, Arabian SS, Velmahos GC. Selective Nonoperative Management of Abdominal Gunshot Wounds from Heresy to Adoption: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCoNECT). Journal Of The American College Of Surgeons 2017, 224: 1036-1045. PMID: 28259545, DOI: 10.1016/j.jamcollsurg.2016.12.055.Peer-Reviewed Original ResearchConceptsSelective nonoperative managementAbdominal gunshot woundsImmediate laparotomyNonoperative managementTrauma centerGunshot woundsLevel IFailure of SNOMLower median injury severity scoreMedian Injury Severity ScoreInjury Severity ScoreGunshot wound patientsAcceptable methodLaparotomy patientsHospital stayShorter ICUNontherapeutic laparotomyOverall incidenceMulticenter studySeverity scoreMedical recordsLower incidenceWound patientsLaparotomyPatientsAcute care surgery fellowship graduates' practice patterns
Burlew CC, Davis KA, Fildes JJ, Esposito TJ, Dente CJ, Jurkovich GJ. Acute care surgery fellowship graduates' practice patterns. Journal Of Trauma And Acute Care Surgery 2017, 82: 208-210. PMID: 27779596, DOI: 10.1097/ta.0000000000001309.Peer-Reviewed Original ResearchConceptsEmergency general surgeryGeneral surgeryPractice patternsLevel IACS fellowshipFellowship trainingAcademic Level IElective general surgeryCurrent practice patternsSurgery of TraumaSurgical critical careHospital-based groupScope of practiceFellowship programsAmerican AssociationTrauma designationElective casesThoracic surgeryTeaching hospitalCritical careSurgeryTrauma surgeryCase mixVascular casesPractice demographics
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