A5077842957- Trauma and Emergency Care Studies
- Trauma Management and Diagnosis
- Abdominal Trauma and Injuries
- Clinical Nutrition and Gastroenterology
- Pelvic and Acetabular Injuries
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Cardiac Arrest and Resuscitation
- Cardiac, Anesthesia and Surgical Outcomes
- Vascular Procedures and Complications
- Appendicitis Diagnosis and Management
- Nutrition and Health in Aging
- Abdominal Surgery and Complications
- Venous Thromboembolism Diagnosis and Management
- Acute Kidney Injury Research
- Electrolyte and hormonal disorders
- Intensive Care Unit Cognitive Disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Diabetes Management and Research
- Hip and Femur Fractures
- Spinal Fractures and Fixation Techniques
- Blood transfusion and management
- Congenital Diaphragmatic Hernia Studies
- Ultrasound in Clinical Applications
- Delphi Technique in Research
University of Tennessee Health Science Center
2021-2025
University of Colorado Denver
2017-2024
Denver Health Medical Center
2017-2024
University of California, San Francisco
2022-2024
Regional Medical Center
2024
Johns Hopkins University
2021-2024
University of Washington
2024
Christiana Care Health System
2024
Stanford University
2024
Wake Forest University
2024
In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon possible after acceptance. Accepted have been peer-reviewed and copyedited, but are posted before technical formatting author proofing. These not final version record will be replaced with article (formatted per style proofed by authors) at a later time. The intent this study was evaluate predictive performance two common methods for estimating kidney function in critically ill trauma patients...
Background: Our protocolized empiric antibiotic therapy for early (≤7 d) ventilator-associated pneumonia (VAP) and late (>7 VAP based on our local antibiogram leads to inappropriate (IEAT) approximately 15% of the time. We reviewed trauma intensive care unit (TICU) determine if sensitivity patterns were changing warranted protocol adjustments. hypothesized there would be no change in IEAT over Patients Methods: TICU patients with (bronchoalveolar lavage culture ≥100,000 CFU/mL) between 2017...
Ileocecectomy (IC) as an alternative to right hemicolectomy (RH) for traumatic indication is controversial with limited comparison data. We sought compare IC vs RH injury and hypothesized there was no difference in outcomes. The Trauma Quality Improvement Program database queried from 2017 2022 patients evaluated using propensity score matching (PSM) a 1:3 ratio. Presenting factors outcomes were analyzed. After PSM, 558 186 had age, penetrating mechanism, time OR severity score. more likely...
Prior studies have used vital signs and laboratory measurements with conventional modeling techniques to predict acute kidney injury (AKI). The purpose of this study was use the trend in machine learning algorithms for predicting AKI ICU patients. eICU Collaborative Research Database queried five consecutive days per patient. Patients were identified trends values determined by calculating slope least-squares-fit linear equation using three each value. Different classifiers (gradient boosted...
Intoxication often prevents clinical clearance of the cervical spine (Csp) after trauma leading to prolonged immobilization even with a normal computed tomography (CT) scan. We evaluated accuracy CT at detecting clinically significant Csp injury, and surveyed participants on related opinions practice.A prospective multicenter study (2013-2015) 17 centers. All adult blunt patients underwent structured examination imaging including CT, follow-up thru discharge. alcohol- drug-intoxicated (TOX+)...
Background: The efficacy of oral chlorhexidine (oCHG) for decontamination in intensive care unit (ICU) patients is controversial. purpose this study was to evaluate the effect oCHG on incidence pneumonia, sepsis, and death ICU patients. Methods: Philips eICU database version 2.0 queried admitted ≥48 hours 2014-2015. primary outcome interest ICU. Secondary outcomes were a diagnosis pneumonia or sepsis. Patients with sepsis diagnosed within first 48 admission excluded from analyses....
Outcomes following pancreatic trauma have not improved significantly over the past two decades. A 2013 Western Trauma Association algorithm highlighted emerging data that might improve diagnosis and management of high-grade injuries (HGPIs; grades III-V). We hypothesized use magnetic resonance cholangiopancreatography, duct stenting, operative drainage versus resection, nonoperative HGPIs increased time.Multicenter retrospective review diagnosis, management, outcomes adult from 2010 to 2018...
The efficacy of vitamin C (VitC) and thiamine (THMN) in patients admitted to the intensive care unit (ICU) with sepsis is unclear. purpose this study was evaluate effect VitC THMN on mortality lactate clearance ICU patients. We hypothesized that survival would be improved when treated and/or VitC.The Philips eICU database version 2.0 queried for 2014 2015 48 hours or longer an elevated mmol/L greater. Subjects were categorized according receipt VitC, THMN, both, neither. primary outcome...
There is little evidence guiding the management of grade I-II traumatic splenic injuries with contrast blush (CB). We aimed to analyze failure rate nonoperative (NOM) CB in hemodynamically stable patients.
Need for Trauma Intervention (NFTI) score was proposed to help identify injured trauma patients while minimizing under (UT) and over triage (OT). Using a national database, we aimed describe UT OT of NFTI vs standard Cribari method (CM) hypothesized sensitivity remains poor.
Objective: This study sought to elucidate clinical and imaging findings predictive for malperfusion syndrome after blunt thoracic aortic injury (BTAI). Summary Background Data: There is limited literature on BTAI the timing of endovascular repair (TEVAR) in patients with this condition has not been defined. Methods: A retrospective analysis prospectively collected data treated between January 2021 October 2023. Clinical (TA) data, time TEVAR, in-hospital death, malperfusion/reperfusion...