A5088048973- Trauma and Emergency Care Studies
- Gallbladder and Bile Duct Disorders
- Cardiac Arrest and Resuscitation
- Pelvic and Acetabular Injuries
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Traumatic Brain Injury and Neurovascular Disturbances
- Appendicitis Diagnosis and Management
- Emergency and Acute Care Studies
- Surgical site infection prevention
- Pancreatic and Hepatic Oncology Research
- Gun Ownership and Violence Research
- Frailty in Older Adults
- Injury Epidemiology and Prevention
- COVID-19 and healthcare impacts
- Pregnancy-related medical research
- Traumatic Brain Injury Research
- Trauma Management and Diagnosis
- Pediatric Hepatobiliary Diseases and Treatments
- Abdominal Surgery and Complications
- Nursing Roles and Practices
- Spinal Cord Injury Research
- Abdominal Trauma and Injuries
- Pancreatitis Pathology and Treatment
- Suicide and Self-Harm Studies
The Ohio State University
2020-2025
The Ohio State University Wexner Medical Center
2020-2024
ORCID
2024
Emory University
2019-2022
University of Alabama at Birmingham
2020-2022
St Vincent Medical Center
2022
St. Vincent Hospital
2022
Loma Linda University
2022
St Vincent Hospital
2022
Loma Linda University Medical Center
2022
Background: Ventilator-associated pneumonia (VAP) is linked to poor outcomes in patients with severe traumatic brain injury (TBI), yet its effect on cognitive disability unknown. We hypothesized that there would be an association between and VAP this patient population. Methods: performed a post hoc analysis of prospective, multi-center, observational study adults severe, blunt TBI from 2020 2023. Patients were grouped by whether they developed VAP. Our primary outcome was disability,...
Retained bullets are common after firearm injuries, yet their management remains poorly defined. Surgeon members of the Eastern Association for Surgery Trauma (N = 427) were surveyed using an anonymous, web-based questionnaire during Spring 2016. Indications bullet removal and practice patterns surrounding this theme queried. Also, habits around screening diagnosing psychological illness in victims injury asked. Most respondents male (76.5%, n 327) practiced at urban (84.3%, 360), academic...
Background Frailty has been studied extensively in trauma, but there is minimal research detailing its impact on traumatic brain injury (TBI). We hypothesized that the 11-item modified frailty index (mFI-11) would predict complications and discharge outcomes patients with TBI. Methods A retrospective review of our trauma quality improvement program (TQIP) registry was conducted for all The mFI-11 score calculated each patient. Multivariable logistic regression used to assess relationship...
BACKGROUND Identifying clinical and biomarker profiles of trauma patients may facilitate the creation models that predict postoperative complications. We sought to determine utility modeling for predicting severe sepsis (SS) organ space infections (OSI) following laparotomy abdominal trauma. METHODS Clinical molecular data were collected prospectively from undergoing exploratory at a Level I center between 2014 2017. Machine learning algorithms used develop SS OSI. Random forest (RF) was...
Introduction Food insecurity (FI), defined as inadequate access to affordable and quality nutrition, has negative health consequences. FI violence share similar root causes. The aim of this study was determine the association with gunshot injury (GSI) incidence. Methods We performed a retrospective review all patients from 2012 2018 who sustained GSI. data abstracted US Department Agriculture. analyzed impact FI, low food (LA), no vehicle (LANV) on incidence GSI using Poisson regression....
Social media has become a permeating form of communication with billions daily users. Twitter in particular tool for the surgical community to engage other providers, as well patients, through active online discussions, sharing research, and highlighting opportunities outreach. can help personal branding, mentorship, international collaboration on multiple types academic endeavors. Likewise, institutional residency programs harness power social develop an presence aid resident recruitment.
To assess the accuracy of AM-PAC "6-Clicks" in predicting discharge dispositions among severely injured patients with an acute traumatic brain injury (TBI).We performed a retrospective review TBI who presented to our trauma center from 2016 through 2018 and received assessment. Outcomes were hospital length stay (LOS) disposition: home, inpatient rehabilitation facility (IRF), subacute location (SL), or death/hospice. Subgroup analyses evaluated concomitant mobility-limiting injuries...
We examined the impact of metabolic syndrome (MetS) on operative outcomes with orthopedic trauma, particularly among patients pelvic, acetabular, and lower extremity fractures. This retrospective cohort study used American College Surgeons National Surgical Quality Improvement Program database to identify who had trauma from 2006 through 2014. defined MetS as type 2 diabetes, a history hypertension requiring medication, body mass index 30 kg/m2 or greater. Patients were compared unaffected...
The American Society for Gastrointestinal Endoscopy and of Endoscopic Surgeons provide guidelines managing suspected common bile duct (CBD) stones. We sought to evaluate adherence the among patients with choledocholithiasis and/or acute biliary pancreatitis (ABP) ability these predict choledocholithiasis.We prospectively identified undergoing same-admission cholecystectomy ABP from 2016 2019 at 12 United States medical centers. Predictors CBD stones were very strong (CBD stone on ultrasound;...
Abstract Although chronic hepatitis C is still the leading indication for liver transplantation ( LT ) in United States and Europe, acute failure caused by distinctly uncommon fulminant virus HCV has not been documented States. We present a case report of hepatic genotype 2a/c only treated with but also complicated severe, rapid recurrence within 6 days transplantation. The risk factor initial infection was likely sexual, there were no explanations post‐transplant other than recurrent C....
The optimal timing for cholecystectomy after endoscopic retrograde cholangiopancreatography (ERCP) common bile duct (CBD) stones is unknown. We hypothesized that a delay between procedures would correlate with more biliary complications and longer hospitalizations.We prospectively identified patients who underwent same admission ERCP CBD from 2016 to 2019 at 12 US medical centers. cohort was stratified by time cholecystectomy: ≤24 hours (immediate), >24 ≤72 (early), >72 (late). Primary...
Introduction There is a growing concern that certain public health restrictions imposed to prevent the spread of coronavirus disease 2019 (COVID-19) could result in more violence against women (VAW). We sought determine if rates and types VAW changed during COVID-19 pandemic at our level 1 trauma center (L1TC). Methods performed retrospective review female patients who presented L1TC because from through 2020. Patients were grouped into pre-COVID or COVID period. The primary aim this study...