A5029506828- Injury Epidemiology and Prevention
- Gun Ownership and Violence Research
- Congenital gastrointestinal and neural anomalies
- Trauma and Emergency Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Appendicitis Diagnosis and Management
- Esophageal and GI Pathology
- Global Health and Surgery
- Emergency and Acute Care Studies
- Renal and related cancers
- Renal cell carcinoma treatment
- Global Health Workforce Issues
- Radiation Dose and Imaging
- Enhanced Recovery After Surgery
- COVID-19 and healthcare impacts
- Healthcare Policy and Management
- Urological Disorders and Treatments
- Anorectal Disease Treatments and Outcomes
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Congenital Anomalies and Fetal Surgery
- Diverticular Disease and Complications
- Pelvic floor disorders treatments
- Cardiac Arrest and Resuscitation
- Suicide and Self-Harm Studies
- Intestinal Malrotation and Obstruction Disorders
Cincinnati Children's Hospital Medical Center
2017-2025
University of Cincinnati Medical Center
2021-2025
University of Cincinnati
2019-2025
McGill University
2024
Cohen Children's Medical Center
2024
University of California, San Francisco
2024
Mbarara University of Science and Technology
2023-2024
Medical College of Wisconsin
2022
Children's Hospital of Wisconsin
2022
Indiana University – Purdue University Indianapolis
2022
More than 2 billion people are unable to receive surgical care based on operating theatre density alone. The vision of the Lancet Commission Global Surgery is universal access safe, affordable and anaesthesia when needed. We aimed estimate number individuals worldwide without services as defined by Commission's vision.
To study the association between diabetes status, perioperative hyperglycemia, and adverse events in a statewide surgical cohort.Perioperative hyperglycemia may increase risk of more significantly patients without (NDM) than those with (DM).Using data from Surgical Care Outcomes Assessment Program, cohort (2010-2012) evaluated composite abdominal, vascular, spine surgery at 53 hospitals Washington State.Among 40,836 (mean age, 54 years; 53.6% women), 19% had diabetes; 47% underwent blood...
THE SICKEST PATIENTS LIE IN INTENSIVE CARE UNITS (ICUs) facing fearful illness; surrounded by overwhelming noise from pulsating ventilators and monitors; invaded the necessary ministrations of nurses; overhearing, if they are awake, strange portentous conversations. Professionals buzz about them, but these patients mostly alone, separated those who love them restrictive ICU visiting policies, except at rigidly specified times or with doled-out permission staff. Restricting in ICUs is neither...
Objectives Injury is a significant source of morbidity and mortality worldwide, often disproportionately affects younger, more productive members society. While many have made the case for improved injury prevention trauma care, health system development in low- middle-income countries limited by resources. This study aims to determine economic benefit care countries. Methods uses existing data on worldwide from 2010 Global Burden Disease Study estimate number lives that could be saved if...
5 billion people around the world do not have access to safe, affordable, timely surgical care. This series of qualitative interviews was launched by The Lancet Commission on Global Surgery (LCoGS) with aim understanding contextual challenges-the specific circumstances-faced care providers in low-resource settings who for impoverished patients, and how those overcome these challenges. From January 2014 February 2015, 20 LCoGS collaborators conducted semistructured 148 21 countries....
BACKGROUND Disparities in pediatric injury are widely documented and partly driven by differential exposures to social determinants of health (SDH). Here, we examine associations between neighborhood-level SDH firearm-related admissions as a step defining specific targets for interventions prevent injury. METHODS We conducted retrospective review patients 16 years or younger admitted our Level I trauma center (2010–2019) after extracted patients’ demographic characteristics intent geocoded...
To study the association between ketorolac use and postoperative complications.Nonsteroidal anti-inflammatory drugs may impair wound healing increase risk of anastomotic leak in colon surgery. Studies to date have been limited by sample size, inability identify confounding, a focus surgery.Ketorolac use, reinterventions, emergency department (ED) visits, readmissions adults (≥ 18 years) undergoing gastrointestinal (GI) operations was assessed nationwide cohort using MarketScan Database...
The Patient Protection and Affordable Care Act (PPACA) allowed young adults to remain on their parents' insurance until 26 years of age. Reports indicate that this has expanded health coverage.To evaluate coverage, access care, care use among 19- 25-year-olds compared with 26- 34-year-olds following PPACA implementation.Data from the Behavior Risk Factor Surveillance System National Health Interview Survey, which provide nationally representative measures use, were used conduct study...
Cervical spine clearance of pediatric trauma patients requires consistent, clear documentation for multidisciplinary team members to provide safe care. Yet, cervical often remains inconsistently and inappropriately documented. This study evaluated the effects a initiative on adherence rates. quality improvement used Plan-Do-Study-Act with iterative cycles prospective data collection conducted from May 2022 September 2023 in large urban freestanding, Midwestern, U.S. Level I center. The...
There are no comprehensive management guidelines for pediatric blunt renal injury; therefore, we hypothesized that wide variation in care exists. We sought to describe contemporary of trauma and explore associations between clinical strategies adverse outcomes. retrospectively evaluated injury patients (younger than 18 years) treated at 11 level I centers from 2020 2022. categorized by the American Association Surgery Trauma grade (low, grades 1-3; high, 4-5) isolated versus polytrauma....
ABSTRACT Background Elevated pre‐treatment inflammatory markers predict disease progression and overall survival among adults with renal tumors, including elevated neutrophil‐to‐lymphocyte ratio (NLR), platelet‐to‐lymphocyte (PLR), lymphocyte‐to‐monocyte (LMR). We hypothesized that at diagnosis higher stages adverse outcomes for children Wilms tumor. Procedure performed a retrospective review of tumor who underwent surgical resection two centers from 2002 to 2022. Differences in patient...
Total pancreatectomy with islet autotransplantation (TPIAT) is used to treat debilitating chronic pancreatitis (CP) and acute recurrent (ARP) that has failed medical endoscopic therapy. We performed a retrospective review of TPIAT patients at free-standing children's hospital evaluate perioperative outcomes. Twenty (median age 13, 65% female) underwent (2015 through 2017). Of the 20 patients, 95% had CP 1 patient (5%) ARP alone. Seventy-five percent pancreatitis-associated genetic mutation;...