A5091205798- Trauma and Emergency Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Traumatic Brain Injury and Neurovascular Disturbances
- Venous Thromboembolism Diagnosis and Management
- Injury Epidemiology and Prevention
- Hip and Femur Fractures
- Burn Injury Management and Outcomes
- Healthcare Policy and Management
- Respiratory Support and Mechanisms
- Emergency and Acute Care Studies
- Pelvic and Acetabular Injuries
- Anesthesia and Pain Management
- Traffic and Road Safety
- Pleural and Pulmonary Diseases
- Primary Care and Health Outcomes
- Gallbladder and Bile Duct Disorders
- Trauma Management and Diagnosis
- Abdominal Trauma and Injuries
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury Research
- Sepsis Diagnosis and Treatment
- Breast Lesions and Carcinomas
- Hernia repair and management
- Case Reports on Hematomas
- COVID-19 and healthcare impacts
University of California, San Diego
2014-2025
University of Arkansas Medical Center
2022
Tulane University
2022
Regional Medical Center
2022
Our Lady of the Lake Regional Medical Center
2022
UC San Diego Health System
2014-2022
University of California System
2022
University of Nevada, Las Vegas
2021-2022
University of California, Davis
2021-2022
San Francisco General Hospital
2022
Background The use of standing electric motorized scooters (eScooters) has skyrocketed since its first release in 2016. This quickly popularized form transportation been associated with significant injury and even death. These eScooter-related traumatic injuries led to local advocacy efforts, resulting safety restrictions including speed limit geofencing, sidewalk restrictions, limiting the number eScooter providers high-density population areas. We hypothesized that these decreased...
Damage control laparotomy was first described by Dr. Harlan Stone in 1983 when he suggested that patients with severe trauma should have their primary procedures abbreviated coagulopathy encountered. He recommended temporizing abdominal packing and temporary closure to allow restoration of normal physiology prior returning the operating room for definitive repair. The term damage setting coined Rotondo et al., 1993. Studies subsequent years validated this technique demonstrating decreased...
BACKGROUND Trauma patients are known to be at increased risk for venous thromboembolism (VTE); this may change over time following injury. Determining the period in which of developing VTE have an impact on prophylaxis, cost, and quality care. METHODS The California Office Statewide Health Planning Development hospital discharge database was searched between 1995 2010 admitted with traumatic pelvic fractures, vertebral spinal cord injuries. Those were then any after Cox proportional hazards...
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BACKGROUND The frailty index is a known predictor of adverse outcomes in geriatric patients. Trauma-Specific Frailty Index (TSFI) was created and validated at single center to accurately identify reliably predict worse among trauma This study aims prospectively validate the TSFI multi-institutional cohort METHODS prospective, observational, trial across 17 American College Surgeons Levels I, II, III centers. All patients (65 years older) presenting during 3-year period were included. status...
Background: Rib fractures are a common injury in trauma patients and account for significant morbidity mortality within this population. Local anesthetic-based nerve blocks have been demonstrated to provide pain relief reduce complications. However, the analgesia provided by these is limited hours single injection or days continuous infusions, while duration of often lasts weeks. Case: This case series describes five with rib whose was successfully treated cryoneurolysis. Conclusions:...
The aim of this study was to investigate the impact US-Mexico border wall height extension on traumatic brain injuries (TBIs) and related costs.In retrospective cohort study, patients who presented UC San Diego Health Trauma Center for from falling at between 2016 2021 were considered. Patients in pre-height period (January 2016-May 2018) compared with those post-height 2020-December 2021). Demographic characteristics, clinical data, hospital charges analyzed.A total 383 identified: 51 (0...
Tourniquet use for extremity hemorrhage control has seen a recent increase in civilian usage. Previous retrospective studies demonstrated that tourniquets improve outcomes major trauma (MET). No prospective study been conducted to date. The objective of this was evaluate MET patients with prehospital tourniquet use. We hypothesized decreases the incidence arriving center shock.Data were collected prospectively adult at 26 Level I and 3 II centers from 2015 2020. Limbs applied setting...
INTRODUCTION Patients with spinal cord injury (SCI) are at high risk of venous thromboembolism (VTE). Pharmacologic VTE prophylaxis (VTEppx) is frequently delayed in patients SCI because concerns for bleeding risk. Here, we hypothesized that delaying VTEppx until >48 hours would be associated increased thrombotic events. METHODS This a secondary analysis the 2018 to 2020 prospective, observational, cohort Consortium Leaders Study Traumatic Thromboembolism (CLOTT) study aged 18 40 years,...
Burn pain includes not only the burn itself but also associated with procedures such split thickness skin graft (STSG) harvesting.[1][1] Opioid analgesics, conventionally first-line agent for analgesia, are hyperalgesia in patients.[2][2] Peripheral nerve
Patient outcome prediction models are underused in clinical practice because of lack integration with real-time patient data. The electronic health record (EHR) has the ability to use machine learning (ML) develop predictive models. While an EHR ML model been developed predict deterioration, it yet be validated for trauma. We hypothesized that Epic Deterioration Index (EDI) would mortality and unplanned intensive care unit (ICU) admission trauma patients.A retrospective analysis a registry...
Injury is the leading cause of death in patients aged 1 to 45 years and contributes a significant public health burden for individuals all ages. To achieve zero preventable deaths disability after injury, National Academies Science, Engineering Medicine called development Trauma Research Action Plan improve outcomes military civilian trauma patients. Because rapid resuscitation prompt identification treatment injuries are critical achieving optimal outcomes, panel experts was convened...
Mastectomy has long been a standard option for patients with ductal carcinoma in situ (DCIS). It is preferentially chosen by some women and may be suggested individuals recurrent, multifocal, or multicentric disease. We chose to evaluate our recent experience mastectomy DCIS. A retrospective review was conducted of 83 (87 breasts) from 1995 2006 who underwent DCIS performed 49 postmenopausal, 33 premenopausal, one male patient. The average age 53 years the mean follow up 4.5 years. Sentinel...
As the population ages, more trauma patients are admitted with coagulopathy. Fresh frozen plasma is effective in reversing coagulopathy caused by warfarin; however, it not appropriate for all patients. Prothrombin complex concentrates (PCCs) an alternative who require emergent reversal, minimal-volume administration and have a supratherapeutic international normalized ratio (INR). A four-factor PCC initially approved Europe now available United States. We sought to review our experience...
The current national burden of emergency general surgery (EGS) illnesses and the extent surgeon involvement in care these patients remain largely unknown. To inform needs assessments, research, education, we sought to: (1) translate previously developed International Classification Diseases (ICD), 9th Revision, Clinical Modification (ICD-9-CM) diagnosis codes representing EGS conditions to ICD 10th CM (ICD-10-CM) (2) determine assess across conditions.We converted ICD-9-CM candidate...
Lack of insurance coverage increases complications and mortality from surgical procedures. The 2014 Affordable Care Act (ACA) Open Enrollment (OE) insured more Americans, but it is unknown if this improved outcomes emergency general surgery (EGS) This study seeks to determine how ACA OE changes in EGS.This a retrospective review using the Nationwide Inpatient Sample database 2012 2014. Patients aged 18 64 years undergoing EGS procedures were identified by International Classification...
Postoperative respiratory failure (PRF) is associated with increased hospital charges and worse patient outcomes. Reliable prediction models can help to guide postoperative planning optimize care, resource allocation, foster shared decision-making patients.
Abstract Background Few interventions are known to reduce the incidence of respiratory failure that occurs following elective surgery (postoperative failure; PRF). We previously reported risk factors associated with PRF within first 5 days after (early PRF; E-PRF); however, six or more (late L-PRF) likely represents a different entity. hypothesized L-PRF would be worse outcomes and than E-PRF. Methods This was retrospective matched case-control study 59,073 consecutive adult patients...
Current guidelines recommend that patients with choledocholithiasis undergo same-admission cholecystectomy. The compliance this guideline is poor in elderly patients. We hypothesized treated endoscopic retrograde cholangiopancreatography (ERCP) alone would have higher complication and readmission rates than the cholecystectomy.The Nationwide Readmissions Database was queried for all aged ≥65 years admission January to June 2016. were divided based on index treatment received: (1) no...
The Brain Trauma Foundation recommends intracranial pressure (ICP) monitor placement for patients with severe traumatic brain injury (TBI). Adherence these guidelines in elderly is unknown. We hypothesized that disparities ICP would exist based on patient age.