Robert W. Letton

ORCID: 0000-0003-0638-1986
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About
Contact & Profiles
Research Areas
  • Abdominal Trauma and Injuries
  • Trauma and Emergency Care Studies
  • Trauma Management and Diagnosis
  • Injury Epidemiology and Prevention
  • Urological Disorders and Treatments
  • Gun Ownership and Violence Research
  • Pelvic and Acetabular Injuries
  • Emergency and Acute Care Studies
  • Abdominal Surgery and Complications
  • Trauma, Hemostasis, Coagulopathy, Resuscitation
  • Spinal Fractures and Fixation Techniques
  • Clinical Nutrition and Gastroenterology
  • Hernia repair and management
  • Suicide and Self-Harm Studies
  • Oral and gingival health research
  • Oral Health Pathology and Treatment
  • Cardiac Arrest and Resuscitation
  • Congenital Anomalies and Fetal Surgery
  • Gastrointestinal disorders and treatments
  • Appendicitis Diagnosis and Management
  • Birth, Development, and Health
  • Traumatic Brain Injury and Neurovascular Disturbances
  • Oral microbiology and periodontitis research
  • Spine and Intervertebral Disc Pathology
  • Traumatic Ocular and Foreign Body Injuries

Nemours Children's Health System
2022-2024

Wolfson Children's Hospital
2022-2024

University of Leeds
2023

Albert Einstein College of Medicine
2021

University of Maryland, Baltimore
2021

Cedars-Sinai Medical Center
2021

Leeds Dental Hospital
2020

University of Oklahoma Medical Center
2015-2019

University of Oklahoma Health Sciences Center
2009-2019

University of Oklahoma
2002-2019

In Brief Objective: Purposes of this study were: 1) to compare mortality and postoperative morbidities (intra-abdominal abscess, wound dehiscence, intestinal stricture) in extremely low birth weight (ELBW) infants who underwent initial laparotomy or drainage for necrotizing enterocolitis (NEC) isolated perforation (IP); 2) determine the ability distinguish NEC from IP preoperatively importance distinction on outcome measures; 3) evaluate association between extent disease determined at...

10.1097/01.sla.0000164181.67862.7f article EN Annals of Surgery 2005-05-19

BACKGROUND Nonoperative management of liver and spleen injury should be achievable for more than 95% children. Large national studies continue to show that some regions fail meet these benchmarks. Simultaneously, current guidelines recommend hospitalization grade + 2 (in days). A new treatment algorithm, the ATOMAC guideline, is in clinical use at many centers but has not been prospectively validated. METHODS literature review conducted through MEDLINE identified publications after American...

10.1097/ta.0000000000000808 article EN Journal of Trauma and Acute Care Surgery 2015-09-23

Nonoperative management (NOM) is standard of care for most pediatric blunt liver and spleen injuries (BLSI); only 5% patients fail NOM in retrospective reports. No prospective studies examine failure BLSI children. The aim this study was to determine the frequency clinical characteristics patients.A observational conducted on 18 years or younger presenting any 10 Level I trauma centers April 2013 January 2016 with computed tomography. Management based Arizona-Texas-Oklahoma-Memphis-Arkansas...

10.1097/ta.0000000000001375 article EN Journal of Trauma and Acute Care Surgery 2017-01-18

Injury is still the number 1 killer of children ages to 18 years in United States (http://www.cdc.gov/nchs/fastats/children.htm). Children who sustain injuries with resulting disabilities incur significant costs not only for their health care but also productivity lost economy. The families survive childhood injury disability face emotional and financial hardship, along a societal burden. entire process managing enormously complex varies by region. Only comprehensive cooperation broadly...

10.1542/peds.2016-1569 article EN PEDIATRICS 2016-07-25

In the United States, there is a perceived divide regarding benefits and risks of firearm ownership. The American College Surgeons Committee on Trauma Injury Prevention Control designed survey to evaluate (COT) member attitudes about ownership, freedom, responsibility, physician-patient freedom policy, with objective using results inform injury prevention policy development.A 32-question was sent 254 current U.S. COT members by email Qualtrics. SPSS used for χ exact tests nonparametric...

10.1097/ta.0000000000001405 article EN Journal of Trauma and Acute Care Surgery 2017-02-25

Abstract Background Nonoperative management (NOM) is the standard of care for blunt liver and spleen injuries (BLSI) in stable pediatric patient. Angiography with embolization (AE) utilized as an adjunctive therapy adult BLSI patients, but it rarely population. In this planned secondary analysis, we describe current utilization patterns AE BLSI. Methods After obtaining IRB approval at each center, cohort data was collected prospectively children admitted confirmed on CT 10 Level 1 trauma...

10.1097/ta.0000000000004228 article EN Journal of Trauma and Acute Care Surgery 2024-01-08

Timely identification of high-risk pediatric trauma patients and appropriate resource mobilization may lead to improved outcomes. We hypothesized that reverse shock index times the motor component Glasgow Coma Scale (GCS) (rSIM) would perform equivalently total GCS (rSIG) in prediction mortality need for intervention following trauma.

10.1097/ta.0000000000004258 article EN Journal of Trauma and Acute Care Surgery 2024-01-26

The base deficit, an important indicator of physiologic derangement after severe injury in adults, has not been specifically examined the pediatric trauma population. purpose this study was to assess ability admission deficit predict severity and outcome population.The group included all patients National Trauma Data Bank over a 2-year period aged 0 12 years with (0 -30 mEq/L) recorded from emergency department. Age, presence closed head injury, were analyzed respect mortality other...

10.1097/00005373-200108000-00018 article EN Journal of Trauma and Acute Care Surgery 2001-08-01

Background: Reconstruction of the abdominal wall poses a problem common to many surgical specialties. Abdominal defects may be caused by trauma and/or prior surgery, with dehiscence or infection. Several options repair structural integrity exist, including primary closure, flaps, mesh, and skin grafts. Complications these procedures include recurrent infection wall, dehiscence, flap death, poor graft take. Risk factors predisposing complications tissue edema, preoperative infection, patient...

10.1097/01.prs.0000299268.51008.47 article EN Plastic & Reconstructive Surgery 2008-03-01

Rosen, Nelson G. MD; Escobar, Mauricio A. Jr. Brown, Carlos V. Moore, Ernest E. Sava, Jack Peck, Kimberly Ciesla, David J. Sperry, Jason L. MPH, Rizzo, Anne MS, Ley, Eric Brasel, Karen Kozar, Rosemary MD, PhD; Inaba, Kenji Hoffman-Rosenfeld, Jamie Notrica, M. Sayrs, Lois W. Nickoles, Todd BSN, MBA; Letton, Robert Falcone, Richard Mitchell, Ian C. Martin, Matthew MD Author Information

10.1097/ta.0000000000003076 article EN Journal of Trauma and Acute Care Surgery 2021-01-13
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