A5019145874- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Hip and Femur Fractures
- Cardiac Arrest and Resuscitation
- Abdominal Trauma and Injuries
- Injury Epidemiology and Prevention
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Pelvic and Acetabular Injuries
- Posttraumatic Stress Disorder Research
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma Management and Diagnosis
- Radiation Dose and Imaging
- Suicide and Self-Harm Studies
- Traumatic Brain Injury Research
- Delphi Technique in Research
- Disaster Response and Management
- Healthcare Policy and Management
- Burn Injury Management and Outcomes
- Abdominal Surgery and Complications
- Global Health and Surgery
- COVID-19 and healthcare impacts
- Gun Ownership and Violence Research
- Traumatic Ocular and Foreign Body Injuries
- Health disparities and outcomes
- Maternal and fetal healthcare
Brigham and Women's Hospital
2016-2025
Harvard University
2016-2025
Massachusetts General Hospital
2017-2024
Bridge University
2024
Spaulding Rehabilitation Hospital
2023-2024
Shriners Hospitals for Children - Boston
2023-2024
Lemuel Shattuck Hospital
2024
MaineGeneral Medical Center
2023
St. Anthony Hospital
2023
National Coalition for Cancer Survivorship
2023
Objective: The aim of this study was to determine factors associated with patient-reported outcomes, 6 12 months after moderate severe injury. Summary Background Data: Due limitations trauma registries, we have an incomplete understanding that impact long-term outcomes As 96% patients survive their injuries, several entities including the National Academies Science, Engineering and Medicine called for a mechanism routinely follow survival, reintegration into society trauma. Methods: Over 30...
<h3>Importance</h3> Several national initiatives have emerged to empower laypersons act as immediate responders reduce preventable deaths from uncontrolled bleeding. Point-of-care instructional interventions been developed in response the scalability challenges associated with in-person training. However, our knowledge, their effectiveness for hemorrhage control has not established. <h3>Objective</h3> To evaluate of different point-of-care and training compared no intervention assess skill...
BACKGROUND The National Academies of Sciences, Engineering, and Medicine (formerly the Institute Medicine) recently recommended inclusion postdischarge health-related quality life (HRQoL) patient-reported outcomes (PROs) metrics to benchmark trauma care. Currently, these measures are not routinely collected at most centers. We sought determine feasibility value adding such long-term outcome registries. METHODS As part FORTE (Functional Outcomes Recovery after Trauma Emergencies) project, we...
Lower socioeconomic status (SES) is known to be associated with higher morbidity and mortality following injury. However, the impact of individual SES on long-term outcomes after trauma unknown. The objective this study was determine educational level income injury.Trauma patients moderate severe injuries admitted three Level-I centers were contacted 6 months 12 injury evaluate functional status, return work/school, chronic pain, posttraumatic stress disorder (PTSD). determined by income....
The aim of this study was to evaluate the Social Vulnerability Index (SVI) as a predictor long-term outcomes after injury.The SVI is measure used in emergency preparedness identify need for resources event disaster or hazardous event, ranking each census tract on 15 demographic/social factors.Moderate-severely injured adult patients treated at 1 3 level-1 trauma centers were prospectively followed 6 14 months post-injury. These data matched level with overall percentile rankings. Patients...
BACKGROUND Dynamic and efficient resuscitation strategies are now being implemented in severely injured hemodynamically unstable (HU) patients as blood products become readily more immediately available the trauma room. Our ability to maintain aggressive schemes HU allows us complete diagnostic imaging studies before rushing operating room (OR). As criteria for performing computed tomography (CT) scans continue evolve, we decided compare outcomes of immediate CT versus direct admission OR...
The strength of one's social support network is a potentially modifiable factor that may have significant impact on recovery after injury. We sought to assess the association between perceived (PSS) and physical mental health outcomes 6 months 12 postinjury.Moderate severely injured patients admitted one three Level I trauma centers were asked complete phone-based survey assessing in addition return work chronic pain postinjury. Patients also rate their PSS 5-point Likert scale. Multivariate...
The long-term physical, mental, and social sequelae of traumatic injuries are substantial have often been neglected. This burden is especially high among members marginalized populations.
Abstract Introduction A personal social network is the set of family, friends and acquaintances surrounding an individual their interpersonal connections. Personal networks have shown close associations with individual’s physical health, mental wellbeing, outcomes. People burn injury commonly experience participation challenges for years. The association between recovery outcomes unclear. Thus, this study aims to examine relationship characteristics after injury. Methods This a 6-month...
Recent evidence suggests that resuscitative endovascular balloon occlusion of the aorta (REBOA) is an effective life-saving intervention in patients with severe torso trauma. However, deployment REBOA isolated penetrating intrathoracic injuries remains controversial. We propose a median sternotomy be performed conjunction as feasible and means hemorrhage control suffering from chest trauma who present hemodynamically unstable. The objective our study was to initial experience this approach.A...
BACKGROUND Chronic pain after trauma is associated with serious clinical, social, and economic burden. Due to limitations in registry data previous studies, the current prevalence of chronic unknown, little known about association other long-term outcomes. We sought describe burden self-reported injury determine its positive screen for posttraumatic stress disorder (PTSD), functional status, return work. METHODS Trauma survivors moderate or severe injuries one completed follow-up interview...
<h3>Importance</h3> More than 500 000 laypeople in the United States have been trained hemorrhage control, including tourniquet application, under Stop Bleed campaign. However, it is unclear whether after control training participants become proficient a specific type of or can also use other tourniquets effectively. <h3>Objective</h3> To assess completing American College Surgeons Bleeding Control Basic (B-Con) with Combat Application Tourniquets (CATs) effectively apply bleeding principles...
Objective: Assess the prevalence of anxiety, depression, and posttraumatic stress disorder (PTSD) after injury their association with long-term functional outcomes. Background: Mental health disorders (MHD) have been associated worse However, prior studies almost exclusively focused on PTSD. Methods: Trauma patients an severity score ≥9 treated at 3 Level-I trauma centers were contacted 6–12 months post-injury to screen for anxiety (generalized disorder-7), depression (patient...
Resilience, or the ability to cope with difficulties, influences an individual's response life events including unexpected injury. We sought assess relationship between patient self-reported resilience traits and functional psychosocial outcomes 6 months after traumatic injury.Adult trauma patients 18 years 64 of age moderate severe injuries (Injury Severity Score, ≥9) admitted one three Level I centers 2015 2017 were contacted by phone at postinjury asked complete a validated Trauma Quality...
BACKGROUND Trauma survivors are susceptible to experiencing financial toxicity (FT). Studies have shown the negative impact of FT on chronic illness outcomes. However, there is a notable lack data in context trauma. We aimed better understand prevalence, risk factors, and trauma long-term METHODS Adult patients with an Injury Severity Score (ISS) ≥9 treated at Level I centers were interviewed 6 months 14 after discharge. Financial was considered positive if reported any following due injury:...