Background: Blunt injury to the carotid or vertebral vessels (blunt cerebrovascular [BCVI]) is diagnosed in approximately 1 of 1,000 (0.1%) patients hospitalized for trauma United States with majority these injuries after development symptoms secondary central nervous system ischemia, a resultant neurologic morbidity up 80% and associated mortality 40%. With screening, incidence rises 1% all blunt as high 2.7% an Injury Severity Score ≥16. The Eastern Association Surgery Trauma organization...

In Brief Objectives: To evaluate the incidence of postoperative sepsis after elective procedures, to define surgical procedures with greatest risk for developing sepsis, and patient hospital confounders. Background Data: The development imposes a significant clinical resource utilization burden in United States. We evaluated nationally representative cohort assessed effect sociodemographic characteristics on sepsis. Methods: Nationwide inpatient sample was queried between 2002 2006 patients...

The first edition of Rutherford's Vascular Surgery, published in 1977, was recognized as the textbook devoted to specialty vascular surgery; a result, it has developed an aura final authority on all matters.

The purpose of this study was to determine if early enteral nutrition improves outcome for trauma patients with an open abdomen (OA).Retrospective review used identify 78 who required OA >or=4 hospital days, survived, and had available data. Demographic data comprising initiation day daily % target goal were collected. Patients divided into 2 groups: feeding (EEN), initiated <or=4 days within celiotomy; late (LEN; >4 days). Outcomes included infectious complications, closure the abdominal...

The ability of nursing home residents to function independently is associated with their quality life. impact amputations on functional status in this population remains unclear. This analysis evaluated the effect amputations-transmetatarsal (TM), below-knee (BK), and above-knee (AK)--on perform self-care activities.Medicare inpatient claims were linked assessment data identify admissions for amputation. Minimum Data Set Activities Daily Living Long Form Score (0-28; higher numbers...

No FDA approved pharmacological therapy is available that would reduce cell death following traumatic brain injury (TBI). Dexmedetomidine (Dex) a highly selective agonist of alpha-2 adrenergic receptors and has demonstrated neuroprotective effects in hippocampal slice cultures undergoing direct impact. However, no one tested whether Dex, addition to its sedative action, an animal model TBI. Thus, the present study, we investigated Dex on Mice received different doses (1, 10, or 100 µg/kg...

Objective: The management of popliteal artery aneurysms (PAAs) has undergone significant transition from open surgery to endovascular graft placement with few longitudinal data evaluating outcomes. Methods: Centers Medicare &amp; Medicaid Services Inpatient claims (2005-2007) were queried a diagnosis lower extremity aneurysm in association elective Current Procedural Terminology codes for (OPEN group) and (ENDO repair. Results: A total 2962 patients identified. Endovascular interventions...

Background— Statins stabilize atherosclerotic plaque, decrease mortality after surgical procedures, and are linked to anti-inflammatory effects. The objective of this study was evaluate preoperative administration statins longitudinal limb salvage lower extremity endovascular revascularization open surgery. Methods Results— Patients were selected from 2007 2008 Medicare claims using the International Classification Diseases, Ninth Revision, Clinical Modification , diagnosis codes for...

Objective: To evaluate sociodemographic influences on utilization and outcomes of endovascular abdominal aortic repair (EVAR) for the treatment aneurysm (AAA). Methods: Secondary data analysis State Inpatient Databases New Jersey. Results: Between 2001 2006, a total 6227 adult subjects (mean [SD] age, 73.3 [8.3] years; 77.6% male) underwent AAA (3167 EVAR 3060 open surgery [OS]). Patients receiving were older than those undergoing OS 74.2 [8.0] vs 72.4 [8.6] years) ( P &lt; .001). Men 1.60...

Background and Purpose: Each year, as many two million operations are complicated by surgical site infections in the United States, patients account for 30% of with sepsis. The purpose this study was to determine recent trends sepsis incidence, severity, mortality rate after procedures evaluate changes pattern septicemia pathogens over time. Methods: Analysis 1990–2006 hospital discharge data from Healthcare Cost Utilization Project (HCUP) State Inpatient Databases (SID) New Jersey. Patients...

Objective: To evaluate the impact of carotid reconstruction (REC) and pre-operative embolization (EMB) for Carotid Body Tumor (CBT) surgery. Methods: Retrospective study utilizing Nationwide Inpatient Sample (2002-2006). Results: 2117 patients (mean age 56.5 ± 17.2 years) underwent CBT surgery: 1686 excision alone (EX); 129 with (EX+EMB); 302 artery (EX+REC). EX+REC compared to EX had greater rates mortality (1.61%vs.0.59%; P =.0495), stroke (17.7% vs. 3.5%; &lt; .0002), postoperative...

Background and Purpose: Whereas the negative impact of infectious complications (IC) during index hospitalization after elective surgery is well established, long-term ramifications hospital-acquired post-operative infections are not studied. This analysis evaluated a IC open abdominal vascular on readmission rate mortality rates 30 90 days initial discharge. Methods: Data from all hospitals in United States that performed operations Medicare population 2005 to 2007 were extracted national...

Objectives This study evaluated the utilization of preoperative statins and their impact on perioperative outcomes in patients undergoing open or endovascular aortic repair. Methods Patients ≥50 years age with non-ruptured abdominal aneurysm repair were identified MedPAR files 2007–2008 utilizing ICD-9-CM codes. Preoperative use was using National Drug Codes Part D. Chi-square test, multivariable logistic regression, Kaplan-Meier Cox regression modeling performed. Results In all, 19,323...

Objective: One of the primary goals damage control surgery in trauma patient is closure abdomen. We hypothesized that extra-abdominal infections, such as those complicating injuries to thorax, diaphragm, long bones, or musculoskeletal system, would decrease likelihood abdominal and increase hospital resource utilization patients requiring open management. Methods: The registry American College Surgeons (TRACS) was reviewed retrospectively from 1995–2002 for abdomen technique surgery. outcome...