A5103059636- Trauma and Emergency Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Hip and Femur Fractures
- Emergency and Acute Care Studies
- Pelvic and Acetabular Injuries
- Venous Thromboembolism Diagnosis and Management
- Diversity and Career in Medicine
- Hemoglobinopathies and Related Disorders
- Abdominal Surgery and Complications
- Traditional Chinese Medicine Studies
- Innovations in Medical Education
- Healthcare professionals’ stress and burnout
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Iron Metabolism and Disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Appendicitis Diagnosis and Management
- Ultrasound in Clinical Applications
- Biochemical effects in animals
- Abdominal Trauma and Injuries
- COVID-19 and healthcare impacts
- Cardiac Arrest and Resuscitation
- Healthcare Policy and Management
- Pharmacological Effects of Natural Compounds
- Phytoestrogen effects and research
- Blood transfusion and management
Florida College
2011-2024
University of Central Florida
2019-2024
Regional Medical Center
2018-2023
College of Central Florida
2021-2023
First Affiliated Hospital of Gannan Medical University
2019-2022
HCA Healthcare
2015-2022
University of Puerto Rico at Carolina
2019
University of South Florida
2015-2017
University of Florida
2007-2015
Munroe Regional Medical Center
2014
Although sickle cell disease (SCD) is marked by high utilization of medical resources, the full cost care for patients with SCD, including not directly related to unknown. The purpose this study was estimate total a population children and adults SCD. We used data from individuals diagnosed SCD enrolled in Florida Medicaid program during 2001-2005 total, SCD-related, non-SCD-related per patient-month based on patient age at time health use. Across 4,294 samples, costs generally rose age,...
Little is known about longitudinal changes in drug utilization attention-deficit/hyperactivity disorder (ADHD).To describe trends ADHD and explore demographic differences among youths eligible for a large Southern state Medicaid program.A cross-sectional analysis of 10 years claims data all beneficiaries younger than 20 age with 6 months or more continuous insurance (N = 2,131,953) was conducted. Annual prevalence, incidence, persistence medication use (stimulants atomoxetine) were estimated...
Objective: Many patients have complicated recoveries following severe trauma due to the development of organ injury. Physiological and anatomical prognosticators had limited success in predicting clinical trajectories. We report on retrospective validation a simple genomic composite score that can be rapidly used predict outcomes. Design: Retrospective cohort study. Setting: Multi-institutional level 1 centers. Patients: Data were collected from 167 severely traumatized (injury severity >15)...
Background: Placement of prophylactic inferior vena cava filters (pIVCFs) for the prevention pulmonary embolism (PE) in high-risk trauma patients (HRTPs) are widely practiced despite lack Level I data supporting this use. We report 2-year interim analysis Filters Trauma pilot study. Methods: This is a single institution, prospective randomized controlled feasibility study center. HRTPs were identified pIVCF placement by Eastern Association Surgery guidelines. From November 2008 to 2010,...
Background and Objectives: With the rate of physician suicide increasing, more research is needed to implement adequate prevention interventions. This study aims identify trends patterns in physician/surgeon key factors influencing suicide. We hope such information can highlight areas for targeted interventions decrease Methods: Review Centers Disease Control Preventions National Violent Death Reporting System (NVDRS) 2003 2017 dentists dying by Twenty-eight medical, surgical, dental...
Viruses are the most common source of infection among immunocompetent individuals, yet they not considered a clinically meaningful risk factor critically ill. This work examines association viral infections diagnosed during hospital stay or documented as present on admission to outcomes ICU patients with no evidence immunosuppression admission. is population-based retrospective cohort study University HealthSystem Consortium (UHC) academic centers in U.S. from years 2006 2009. The UHC an...
The antioxidant effect of soymilk fermented by
This large cohort study aimed to assess the role of chronic statin use on COVID-19 disease severity.An observational retrospective from electronic medical records hospitalized patients (n = 43 950) with between January and September 2020 in 185 hospitals United States. A total 38 875 met inclusion criteria; 23 066 were included propensity-matched sampling replacement cohort; 11 533 prehospital users. The primary outcome was all-cause death; secondary outcomes death serious complications....
The purpose of this study was to examine adoption and utilization hydroxyurea (HU) in a Medicaid population adults with sickle cell disease (SCD). A retrospective cohort SCD patients aged 16–64 years, enrolled Florida program during 5-year period from 2001 2005, performed. HU determined by the presence at least one pharmacy claim using National Drug Codes. Of 2301 adult SCD, nearly 17% (n = 384) had for HU. Furthermore, 33% 769) were eligible receive HU, identified three or more...
Background Blood product transfusions are associated with increased morbidity and mortality. The purpose of this study was to determine if implementation a restrictive protocol for packed red blood cell (PRBC) fresh frozen plasma (FFP) transfusion safely reduces utilization costs in surgical intensive care unit (SICU). Study Design We performed retrospective, historical control analysis comparing before (PRE) after (POST) PRBC/FFP SICU patients. Univariate utilized compare patient...
Outpatient anticoagulation in the geriatric trauma patient is a challenging clinical problem. The aim of this study to determine outcomes associated with class preinjury anticoagulants (PA) used by population. This multicenter retrospective cohort among four Level II centers. A total 1642 patients were evaluated; 684 on and 958 not. Patients PA compared those who Drug classes divided into thromboxane A2 inhibitors, vitamin K factor-dependent antithrombin III activation, platelet P2Y12...
As the United States (US) population increases, demand for more trauma surgeons (TSs) will increase. There are no recent studies comparing TS density temporally and geographically. We aim to evaluate distribution of TSs by state region its impact on patient mortality.A retrospective cohort analysis American Medical Association Physician Masterfile (PM), 2016 US Census Bureau, Centers Disease Control Prevention (CDC's) Web-based Injury Statistics Query Reporting System (WISQARS) determine...
To determine the significance of dysphagia on clinical outcomes geriatric trauma patients.This is a retrospective population-based study patients 65 years and older utilizing Florida Agency for Health Care Administration dataset from 2010 to 2019. Patients with pre-admission were excluded. Multivariable regression was used create statistical adjustments. Primary included mortality development dysphagia. Secondary length stay complications. Subgroup analyses dementia, who received...
Centralization of cancer care needs to be based on evidence that regionalization will improve outcomes in a given region. We analyzed for esophagectomy performed Florida using the Agency Health Care Administration database. determined risk-adjusted mortality rate procedure low-volume and high-volume centers. From 1997 2006, 991 esophagectomies were Florida. The incidence significantly increased from 2001 compared with 2002 postoperative decreased latter time period (odds ratio [OR], 1.87;...
Venous thromboembolic (VTE) prophylaxis in acute traumatic brain injury (TBI) is a controversial topic with wide practice variations. This study examined the association of VTE chemoprophylaxis inpatient mortality and events among isolated TBI patients. was retrospective cohort 87 trauma centers within large hospital system United States analyzing 23,548 patients TBI, 7977 whom had moderate-to-severe TBI. Primary outcomes were events. The control group received no chemoprophylaxis. Other...