A5037438751- Burn Injury Management and Outcomes
- Wound Healing and Treatments
- Injury Epidemiology and Prevention
- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Disaster Response and Management
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Traumatic Brain Injury Research
- Reconstructive Surgery and Microvascular Techniques
- Pressure Ulcer Prevention and Management
- COVID-19 and healthcare impacts
- Fire effects on ecosystems
- Climate Change and Health Impacts
- Thermal Regulation in Medicine
- Frailty in Older Adults
- Dermatologic Treatments and Research
- Acute Kidney Injury Research
- Diabetic Foot Ulcer Assessment and Management
- Restraint-Related Deaths
- Trauma Management and Diagnosis
- Poisoning and overdose treatments
- Pediatric Pain Management Techniques
- Blood transfusion and management
- Airway Management and Intubation Techniques
- Respiratory Support and Mechanisms
University of California, Davis
2016-2025
Shriners Hospitals for Children - Erie
2012-2025
University of California Davis Medical Center
2011-2024
Shriners Hospitals for Children - Northern California
2015-2024
UC Davis Health System
2020-2024
Menlo School
2024
Arizona Research Center
2024
Khulna Medical College
2024
The University of Texas Medical Branch at Galveston
2023
Shriners Hospitals for Children - Galveston
2023
With longer life expectancy, the number of burn injuries in elderly continues to increase. Prediction outcomes for is complicated by preinjury physical fitness and comorbid illness. The authors hypothesize that admission frailty assessment would be predictive population. Our primary aim was determine if higher scores were associated with risk mortality patients. secondary aims assess increased length stay, needs mechanical ventilation poor discharge disposition. A 2-year retrospective chart...
Advanced Burn Life Support emphasizes endotracheal intubation for patients with facial burns before transfer to a burn center prevent airway obstruction. Many are intubated transport and often extubated shortly after arrival. We hypothesize that many intubations performed unnecessary. conducted retrospective review of all adults who were survived discharge from August 2003 June 2013. Intubations had 2 or fewer ventilator days (i.e., potentially unnecessary intubations) compared those lasting...
Abstract Severely burned and non-burned trauma patients are at risk for acute kidney injury (AKI). The study objective was to assess the theoretical performance of artificial intelligence (AI)/machine learning (ML) algorithms augment AKI recognition using novel biomarker, neutrophil gelatinase associated lipocalin (NGAL), combined with contemporary biomarkers such as N-terminal pro B-type natriuretic peptide (NT-proBNP), urine output (UOP), plasma creatinine. Machine approaches including...
This Clinical Practice Guideline (CPG) addresses the topic of acute fluid resuscitation during first 48 hours following a burn injury for adults with burns ≥20% total body surface area (%TBSA). The listed authors formed an investigation panel and developed clinically relevant PICO (Population, Intervention, Comparator, Outcome) questions. A systematic literature search returned 5978 titles related to this after 3 levels screening, 24 studies met criteria address questions were critically...
IMPORTANCE Current outcome predictors for illness and injury are measured at a single time point-admission.However, patient prognosis often changes during hospitalization, limiting the usefulness of those predictions.Accurate depiction dynamic interaction between competing events hospitalization may enable real-time assessment.OBJECTIVE To determine how effects burn (ie, age, total body surface area burn, inhalation injury) outcomes interest mortality length stay) vary as function throughout...
The objective of this study was to assess current practice patterns and attitudes toward pediatric sedation analgesia in United States (US) burn centers for critically ill patients. Survey-based questionnaire sent 119 Directors at US that care Forty-one surveys (34%) were analyzed. 48.8% responding mandate consultation patients based on factors such as age size. most common analgesic agents used midazolam, fentanyl, morphine, ketamine, diphenhydramine. Written policies exist 63.4% centers....
Although the elderly represent a substantial proportion of population, limited information exists on postdischarge long-term outcomes burn survivors. The purpose this study was to assess patient 2 10 years after discharge. This prospective cross-sectional survey assessment quality life and retrospective trauma registry for American College Surgeons review patients ≥ 60 age discharged alive acute from 1997 2007. In-hospital treatment demographic were obtained database chart review. Surviving...
Determine the relationship between volume of burn admissions and outcomes for children with burns.Retrospective review National Burn Repository from 2000-2009 using mixed effect logistic regression modeling.Tertiary centers in United States.All <18 years age admitted injury to a center submitting data Repository.None.Of 210,683 records NBR 2000-2009, 33,115 ≤ 18 met criteria analysis; 26,280 had sizes smaller than 10%; only 32 these died. Volume treated varied greatly among facilities. Age,...
Machine learning for data-driven diagnosis has been actively studied in medicine to provide better healthcare. Supporting analysis of a patient cohort similar under treatment is key task clinicians make decisions with high confidence. However, such not straightforward due the characteristics medical records: dimensionality, irregularity time, and sparsity. To address this challenge, we introduce method similarity calculation records. Our employs event sequence embeddings. While use an...
Abstract Introduction Due to the risks of scarring and social challenges after burn injuries, it is critical for survivors attend follow-up appointments minimize adverse outcomes. Previous studies by our group have shown that injuries closely linked factors (such as drug dependence housing insecurity), size, distance from clinic. Survivors living in rural areas often reside farther clinics present different characteristics compared urban residents. This study aims examine whether a community...
Abstract Introduction Managing the scarring of infant facial burns poses a significant challenge to burn clinicians. Scar management in this age group is unique due rapid sensorimotor development and craniomaxillofacial growth. From 6-12 months, infants’ brain volume doubles head circumference increases by 1 cm per month. Best evidence practice for scar includes use compression 23 hours/day yet literature guiding its special population sparse. In report, we demonstrate that outcomes can be...
Abstract Introduction Cell suspension autograft (CSA) is a non-cultured, autologous cellular of skin cells that can be used as primary treatment partial thickness burns well an adjunct to widely meshed split grafts (STSG). Literature has demonstrated improved patient outcomes with CSA, contributing its growing utilization in burn treatment; however, there remains gap regarding impact on when and mortality. The aim this study investigate the clinical efficacy CSA relation mortality, length...
Abstract Introduction It is common for burn patients to require blood transfusions as part of their treatment. Various transfusion strategies have been studied manage these needs. Previous studies, including the Transfusion Requirement in Burn Care Evaluation (TRIBE) study, examined restrictive (transfusing a hemoglobin ≥ 7g/dL) and liberal 10 g/dL) strategies. They found that both yield similar outcomes general population. Older adult present unique physiological challenges, but not...
Abstract Introduction Point of care for burn survivors has traditionally been the inpatient unit. Advances in have resulted significantly reduced length stay or allowed to avoid admission. However, an outpatient shift within only emphasizes a growing need rehabilitation resources. This study surveyed centers United States (US) determine current clinic structure and evaluate utilization therapy. Methods A 20-question survey was electronically distributed clinicians at US. Questions included...
Abstract Introduction The Department of Agriculture estimates that 1 in 7 Americans live rural areas. When patients from these regions sustain burn injuries, previous research shows they tend to experience larger burns and higher mortality rates compared their urban counterparts. This demographic is often older, experiences more chronic health conditions, factors associated with frailty. Despite findings, there limited on how frailty impacts outcomes among populations. study aims fill gap by...
Abstract Introduction 2-octyl cyanoacrylate tissue adhesive is commonly in use to close surgical wounds. It reported have antibacterial, hemostatic, and sealant properties has been utilized a wide variety of off-label applications. In autologous skin grafting, it described as method secure meshed split thickness grafts (STSG). To our knowledge never dressing for the donor site literature. Here we present five patients with resin applied STSG novel dressing. Methods This case series who...
Journal Article Nonsurgical Scar Management of the Face: Does Early Versus Late Intervention Affect Outcome? Get access Ingrid Parry, MS, PT, PT 1From Shriners Hospital for Children—Northern California, Sacramento. *Address correspondence to Parry I, 2425 Stockton Boulevard, Sacramento, California. Search other works by this author on: Oxford Academic Google Scholar Soman Sen, MD, FACS, FACS Tina Palmieri, David Greenhalgh, Burn Care & Research, Volume 34, Issue 5, September-October 2013,...