2023
Changes in Older Adult Trauma Quality When Evaluated Using Longer-Term Outcomes vs In-Hospital Mortality
Zogg C, Cooper Z, Peduzzi P, Falvey J, Castillo-Angeles M, Kodadek L, Staudenmayer K, Davis K, Tinetti M, Lichtman J. Changes in Older Adult Trauma Quality When Evaluated Using Longer-Term Outcomes vs In-Hospital Mortality. JAMA Surgery 2023, 158: e234856. PMID: 37792354, PMCID: PMC10551815, DOI: 10.1001/jamasurg.2023.4856.Peer-Reviewed Original ResearchConceptsHospital-level factorsTraumatic brain injurySevere traumatic brain injuryHospital mortalityTrauma QualityOlder adultsHip fractureComposite scoreHigher risk-adjusted oddsLevel 1 trauma centerIn-Hospital MortalityRisk-adjusted oddsLong-term outcomesMultivariable logistic regressionNontrauma centersTrauma patientsTerm outcomesTrauma centerPrimary diagnosisBrain injuryTrauma systemMAIN OUTCOMEMedicare feeService claimsForms of traumaTQIP 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
2022
Occult traumatic pneumothorax: Is routine follow up chest X-ray necessary?
Bhattacharya B, O'Connor R, Becher R, Schuster K, Davis K, Maung A. Occult traumatic pneumothorax: Is routine follow up chest X-ray necessary? Surgery In Practice And Science 2022, 9: 100073. DOI: 10.1016/j.sipas.2022.100073.Peer-Reviewed Original ResearchChest X-rayRoutine chest X-rayInjury Severity ScoreClinical managementInitial trauma evaluationUrban trauma centerComputerized tomography scanPaucity of evidenceOccult pneumothoracesPneumothorax progressionAdult patientsTrauma centerClinical evolutionClinical symptomsInjury scoreMean ageTrauma evaluationSeverity scoreTomography scanPatientsInterventionPneumothoracesSymptomsAgeX-ray
2021
Geriatric Trauma Systems
Bhattacharya B, Davis K. Geriatric Trauma Systems. Current Trauma Reports 2021, 7: 8-14. DOI: 10.1007/s40719-020-00210-w.Peer-Reviewed Original Research
2018
When should screening of pediatric trauma patients for adult behaviors start?
Maung AA, Becher RD, Schuster KM, Davis KA. When should screening of pediatric trauma patients for adult behaviors start? Trauma Surgery & Acute Care Open 2018, 3: e000181. PMID: 29766143, PMCID: PMC5905833, DOI: 10.1136/tsaco-2018-000181.Peer-Reviewed Original ResearchPediatric trauma patientsMechanism of injuryTrauma patientsPediatric trauma centerInjury Severity ScoreIncidence of sportsCare of patientsPositive toxicology testsElectronic medical recordsMost patientsPatient ageRetrospective reviewTrauma centerBicycle injuriesSeverity scoreMedical recordsLevel IVGunshot injuriesPatientsInjuryYounger ageLogistic regressionSubstance abuseAge-related variationsToxicology testsExternal 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 IIISplenic trauma: WSES classification and guidelines for adult and pediatric patients
Coccolini F, Montori G, Catena F, Kluger Y, Biffl W, Moore E, Reva V, Bing C, Bala M, Fugazzola P, Bahouth H, Marzi I, Velmahos G, Ivatury R, Soreide K, Horer T, ten Broek R, Pereira B, Fraga G, Inaba K, Kashuk J, Parry N, Masiakos P, Mylonas K, Kirkpatrick A, Abu-Zidan F, Gomes C, Benatti S, Naidoo N, Salvetti F, Maccatrozzo S, Agnoletti V, Gamberini E, Solaini L, Costanzo A, Celotti A, Tomasoni M, Khokha V, Arvieux C, Napolitano L, Handolin L, Pisano M, Magnone S, Spain D, de Moya M, Davis K, De Angelis N, Leppaniemi A, Ferrada P, Latifi R, Navarro D, Otomo Y, Coimbra R, Maier R, Moore F, Rizoli S, Sakakushev B, Galante J, Chiara O, Cimbanassi S, Mefire A, Weber D, Ceresoli M, Peitzman A, Wehlie L, Sartelli M, Di Saverio S, Ansaloni L. Splenic trauma: WSES classification and guidelines for adult and pediatric patients. World Journal Of Emergency Surgery 2017, 12: 40. PMID: 28828034, PMCID: PMC5562999, DOI: 10.1186/s13017-017-0151-4.Peer-Reviewed Original ResearchConceptsWorld Society of Emergency SurgerySplenic traumaPediatric patientsManagement of splenic traumaBlunt splenic traumaSplenic trauma patientsOptimal treatment strategyManagement of adultsPediatric trauma centerEmergency surgeryAnatomic derangementsBleeding managementNon-operativelyHemodynamic statusTrauma-related injuriesAssociated lesionsSpleen injuryTrauma patientsTreatment strategiesPatientsTrauma centerFrequent trauma-related injuriesManagement guidelinesInjuryTraumaCervical spine MRI in patients with negative CT
Maung AA, Johnson DC, Barre K, Peponis T, Mesar T, Velmahos GC, McGrail D, Kasotakis G, Gross RI, Rosenblatt MS, Sihler KC, Winchell RJ, Cholewczynski W, Butler KL, Odom SR, Davis KA. Cervical spine MRI in patients with negative CT. Journal Of Trauma And Acute Care Surgery 2017, 82: 263-269. PMID: 27893647, DOI: 10.1097/ta.0000000000001322.Peer-Reviewed Original ResearchConceptsCervical spine CTNegative cervical spine CTAbnormal MRINegative CTNeurological signsCervical spine managementAbnormal MRI findingsBlunt trauma patientsCervical spine surgeryAbnormal neurological signsCervical spine MRISoft tissue injuriesResults of MRISpine managementSpine precautionsUnevaluable patientsNormal MRIBony injuriesMRI findingsTrauma patientsTrauma centerHalo placementLigamentous injuriesInjury patternsAdditional injuries
2016
The 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
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 quality
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 utilizationContrast-Induced Nephropathy in Elderly Trauma Patients
McGillicuddy EA, Schuster KM, Kaplan LJ, Maung AA, Lui FY, Maerz LL, Johnson DC, Davis KA. Contrast-Induced Nephropathy in Elderly Trauma Patients. Journal Of Trauma And Acute Care Surgery 2010, 68: 294-297. PMID: 20154540, DOI: 10.1097/ta.0b013e3181cf7e40.Peer-Reviewed Original ResearchConceptsAcute kidney injuryElderly trauma patientsTrauma patientsNoncontrast groupDevelopment of AKIRisk of AKILevel one trauma centerContrast-Induced NephropathyHours of admissionIndependent risk factorHours of presentationLength of stayAdministration of contrastHospital mortalityKidney injuryBaseline characteristicsElderly patientsOccult injuriesProlonged lengthRenal functionSerum creatinineTrauma centerIntravenous contrastMedical recordsRisk factors
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 injuryA Physicochemical Approach to Acid-Base Balance in Critically Ill Trauma Patients Minimizes Errors and Reduces Inappropriate Plasma Volume Expansion
Kaplan LJ, Cheung NH, Maerz L, Lui F, Schuster K, Luckianow G, Davis K. A Physicochemical Approach to Acid-Base Balance in Critically Ill Trauma Patients Minimizes Errors and Reduces Inappropriate Plasma Volume Expansion. Journal Of Trauma And Acute Care Surgery 2009, 66: 1045-1051. PMID: 19359913, DOI: 10.1097/ta.0b013e31819a04be.Peer-Reviewed Original ResearchConceptsAcid-base balanceMetabolic acidosisCritically Ill Trauma PatientsLevel I trauma centerSurgical intensive care unitIll trauma patientsI trauma centerInjury Severity ScoreHyperchloremic metabolic acidosisIntensive care unitPlasma volume expansionPC patientsAcid-based diagnosisBase deficitConsecutive patientsTrauma patientsCare unitTrauma centerPC physiciansSeverity scoreMetabolic alkalosisAcid-base dataPatientsVolume loadingDiagnosisInformation Loss in Emergency Medical Services Handover of Trauma Patients
Carter AJ, Davis KA, Evans LV, Cone DC. Information Loss in Emergency Medical Services Handover of Trauma Patients. Prehospital Emergency Care 2009, 13: 280-285. PMID: 19499462, DOI: 10.1080/10903120802706260.Peer-Reviewed Original ResearchConceptsGlasgow Coma ScalePrehospital hypotensionPatient handoverPrehospital Glasgow Coma ScaleLevel I trauma centerEMS providersPrehospital vital signsEmergency medical services personnelI trauma centerMechanism of injuryTrauma team activationPatients meeting criteriaMedical services personnelPrehospital eventsGCS scoreTrauma patientsComa ScaleTrauma centerEmergency departmentTeam activationHospital cliniciansAnatomic locationAppropriate careTrauma teamTrauma program
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
Reasons to Omit Digital Rectal Exam in Trauma Patients: No Fingers, No Rectum, No Useful Additional Information
Esposito TJ, Ingraham A, Luchette FA, Sears BW, Santaniello JM, Davis KA, Poulakidas SJ, Gamelli RL. Reasons to Omit Digital Rectal Exam in Trauma Patients: No Fingers, No Rectum, No Useful Additional Information. Journal Of Trauma And Acute Care Surgery 2005, 59: 1314-1319. PMID: 16394903, DOI: 10.1097/01.ta.0000198375.83830.62.Peer-Reviewed Original ResearchConceptsDigital rectal examinationSpinal cord injuryGlasgow Coma Scale scoreIndex injuryDRE findingsTrauma patientsGastrointestinal bleedingUrethral disruptionInjury casesPredictive valueSecondary surveyRoutine digital rectal examinationLevel I trauma centerI trauma centerDigital rectal examNegative predictive valuePositive predictive valueAdvanced Trauma Life Support (ATLS) courseInitial evaluation processLife support courseProspective studyRectal examRectal examinationTrauma centerCord injury