A5020563019- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Hip and Femur Fractures
- Abdominal Trauma and Injuries
- Intensive Care Unit Cognitive Disorders
- Venous Thromboembolism Diagnosis and Management
- Suicide and Self-Harm Studies
- Trauma Management and Diagnosis
- Gun Ownership and Violence Research
- Bone fractures and treatments
- COVID-19 and healthcare impacts
- Interpreting and Communication in Healthcare
- Cardiac Arrest and Resuscitation
- Hernia repair and management
- Respiratory Support and Mechanisms
- COVID-19 Clinical Research Studies
- Gallbladder and Bile Duct Disorders
- Migration, Health and Trauma
- Anesthesia and Sedative Agents
- Anesthesia and Neurotoxicity Research
- Pelvic and Acetabular Injuries
- Abdominal Surgery and Complications
- Case Reports on Hematomas
- interferon and immune responses
- Intestinal and Peritoneal Adhesions
Indiana University
2020-2025
Indiana University – Purdue University Indianapolis
2019-2024
Indiana University School of Medicine
2020-2024
University School
2020-2023
University of Wisconsin–Madison
2023
Regenstrief Institute
2023
Methodist Hospital
2022-2023
Indiana University Health
2021-2022
Houston Methodist
2022
University of Washington
2019
The aim of this study was to determine the frequency venous thromboembolism in critically ill coronavirus disease 2019 patients and associate a degree inflammatory marker elevation development.An observational that identified with severe between March 12, 2020, 31, 2020. Data reported are those available through May 6, 2020.A multicenter including three Indianapolis area academic hospitals.Two-hundred forty consecutive confirmed acute respiratory syndrome 2 infection were admitted one...
Abdominal wall hernia is one of the most common conditions encountered by general surgeons. Rising rates abdominal repair have been described; however, population-based evidence concerning incidence emergent and changes with time are unknown.To examine trends in within United States for inguinal, femoral, ventral, umbilical hernias from January 1, 2001, to December 31, 2010.A retrospective analysis adults using National Center Health Statistics data, a nationally representative sample...
OBJECT Disparities in access to inpatient rehabilitation services after traumatic brain injury (TBI) have been identified, but less well described is the likelihood of discharge a higher level for Hispanic or black patients compared with non-Hispanic white patients. The authors investigate racial disparities destination (inpatient vs skilled nursing facility home health home) following TBI by using nationwide database and methods address differences prehospital characteristics. METHODS...
Background. Enterovirus (EV) infections can be rapidly detected by PCR. However, several studies suggest that results must available early in the management of patient to impact significantly on care. We evaluated this hypothesis directly during an outbreak EV aseptic meningitis. Methods. From June through November, 1998, PCR was performed 5 days a week cerebrospinal fluid specimens from pediatric patients for compared antibiotic use, length stay and hospital charges group with meningitis...
Communication and collaboration between healthcare, community, government organizations is key for community violence prevention. This qualitative study aimed to assess Innovation Forum (IF) participant solutions' alignment with recommended strategies, identify innovative solutions, the most common priorities. IF were held via teleconference in August 2022 Indianapolis, Indiana participants from healthcare organizations, local government. solutions documented, coded, categorized eight...
Abstract Objectives Early identification of geriatric patients at high risk for mortality is important to guide clinical care, medical decision making, palliative discussions, quality assurance, and research. We sought identify injured older adults highest 30‐day using an empirically derived scoring system from available data compare it with current prognostic systems. Methods This was a retrospective cohort study ≥ 65 years transported by 44 emergency services ( EMS ) agencies 49...
BACKGROUND Rapid triage of blunt agonal trauma patients is necessary to maximize survival, but autopsy uncommon, slow, and rarely informs resuscitation guidelines. Postmortem computed tomography (PMCT) can serve as an adjunct in guiding resuscitation. METHODS Retrospective cohort review decedents who died at or within 1 hour arrival following underwent noncontrasted PMCT. Primary outcome was the prevalence mortal injury defined potential exsanguination (e.g., cavitary injury, long bone...
Ventilator-associated events (VAE), using objective diagnostic criteria, are the preferred quality indicator for patients requiring mechanical ventilation (MV) greater than 48 hours. We aim to identify occurrence of VAE in our trauma population, impact on survival, and length stay, as compared traditional definition ventilator-associated pneumonia (VAP).This retrospective review included adult patients, who were Washington residents, admitted between 2012 2017, required at least 3 days MV....
To estimate the capacity for supporting new general surgery residency programs among U.S. hospitals that currently do not have such programs.The authors compiled 2011 American Hospital Association data regarding characteristics of with and without a program 2012 Accreditation Council Graduate Medical Education existing residencies. They performed an ordinary least squares regression to model number residents who could be trained at on basis program-level variables. identified candidate...
Objective: To compare differences in baseline depression and anxiety screenings between older injured patients with pre-existing diagnoses those without. Background: Little is known about the prevalence impact of psychiatric comorbidities on early postinjury nonneurologically adults. Methods: This was a retrospective post-hoc analysis data from Trauma Medical Home, multicenter randomized controlled trial (R01AG052493-01A1) that explored effect collaborative care model recovery for adults...
Current guidelines recommend nonoperative management (NOM) of low-grade (American Association for the Surgery Trauma-Organ Injury Scale Grade I-II) pancreatic injuries (LGPIs), and drainage rather than resection those undergoing operative management, but they are based on low-quality evidence. The purpose this study was to review contemporary outcomes LGPIs identify risk factors morbidity.Multicenter retrospective diagnosis, adult from 2010 2018. primary outcome pancreas-related...
IntroductionPredicting failure of nonoperative management (NOM) in splenic trauma remains elusive. Shock index (SI) is an indicator physiologic burden injury but not used as a prediction tool. The purpose this study was to determine if elevated SI would be predictive NOM patients with blunt injury.MethodsAdult admitted level-1 center from January 2011 April 2017 for were reviewed. Patients excluded they underwent procedure (angiography or surgery) prior admission. primary outcome requiring...
Walleye dermal sarcoma virus (WDSV) is a complex retrovirus found associated with tumors that appear and regress on seasonal basis. There are quantitative qualitative differences in the amount of expression between developing regressing tumors. To understand role host cell factors WDSV expression, DNase I footprint analysis, electrophoretic mobility shift assays (EMSA), reporter gene were employed. analysis U3 region long terminal repeat nuclear extract prepared from walleye line revealed...
Abstract Background It is estimated that 55 million adults will be 65 years and older in the USA by 2020. These are at increased risk for injury their recovery multi-faceted. A collaborative care model may improve psychological functional outcomes of non-neurologically impaired trauma patient reduce health costs. Methods This a randomized controlled trial 430 patients aged 50 who have suffered non-neurologic admitted to level one center Indianapolis, IN, or Madison, WI. Participants assigned...
Abstract Severe delirium is associated with an increased risk of mortality, institutionalization, and length stay. Few studies have examined differences in severity between different populations critically ill patients. The objective the study was to compare presence four core features adults surgical intensive care unit (SICU) medical (MICU) while controlling for variables known be delirium. This a secondary analysis two parallel randomized multi-center trials conducted from March 2009...
Objective The purpose of this study was to determine if exposure Prescription for Hope (RxH), a hospital-based violence intervention program (HVIP), is associated with reduced violent reinjury and new convictions crime in the 2-year period after index hospitalization injury. Methods This retrospective cohort analyzing patients from two level I trauma centers Indianapolis, Indiana. RxH participants (n=260) enrolled between January 1, 2015 December 31, 2018 who had registry data were included....
Optimal timing and procedure selection that define staged treatment strategies can affect outcomes dramatically remain an area of major debate in the multiply injured orthopaedic trauma patients. Decisions regarding choice procedure(s) are currently based on physiologic condition patient, resource availability, expected magnitude intervention. Surgical decision-making algorithms rarely rely precision-type data account for demographics, injury, physiologic/immunologic response to injury a...
Introduction: The perspective of hospitalized patients with limited English proficiency (LEP) in US hospitals interacting language-discordant healthcare providers remains understudied. Our goal is to examine the inpatient experiences Spanish-speaking and offer suggestions improve patient satisfaction. Methods: A survey was administered using interpreters during their admission medicine at an urban, academic hospital. Qualitative thematic analysis responses conducted. Results: Thirty-six...
Background and Objective: The trauma bay is a fast-paced environment where comprehension of medical jargon difficult even for native English-speaking patients. For Spanish-speaking patients, the presence, use translating tools in hospitals may change course and/or quality their care, especially setting. Our objective was to gather information perspectives patients subsequent hospitalization. This pilot study determined if there were constant themes. Methods: In this qualitative study, we...