A5057593614- Trauma and Emergency Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Hip and Femur Fractures
- Appendicitis Diagnosis and Management
- Pelvic and Acetabular Injuries
- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Frailty in Older Adults
- Abdominal Surgery and Complications
- Intraperitoneal and Appendiceal Malignancies
- Telemedicine and Telehealth Implementation
- Colorectal Cancer Screening and Detection
- Conferences and Exhibitions Management
- Innovations in Medical Education
- Patient-Provider Communication in Healthcare
- Surgical Simulation and Training
- Simulation-Based Education in Healthcare
- COVID-19 and healthcare impacts
- Gastric Cancer Management and Outcomes
- Global Health Workforce Issues
- Neuroblastoma Research and Treatments
- Injury Epidemiology and Prevention
- Venous Thromboembolism Diagnosis and Management
- Vascular Procedures and Complications
The University of Texas Southwestern Medical Center
2019-2025
Parkland Memorial Hospital
2020-2022
Southwestern Institute of Physics
2021
Angeles University Foundation
2021
Orange (Poland)
2021
Southwestern Medical Center
2020
Memorial Hospital
2020
Massachusetts General Hospital
2020
Johns Hopkins University
2020
University of Maryland, Baltimore
2020
An association between stress-induced hyperglycemia (SIH) and increased mortality has been demonstrated following trauma. Experimental animal model data regarding the outcomes traumatic brain injury (TBI) are inconsistent, suggesting that may be harmful, neutral, or beneficial. The purpose of this study was to examine effects SIH versus diabetic (DH) on severe TBI.Admission glycosylated hemoglobin (HbA1c), glucose levels, comorbidity were collected during a 4-year period from September 2009...
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 Establishing proficiency in specific trauma procedures during surgical residency has been limited to annual courses with data on its effect the delivery of health care and patient outcomes. There is a wide variety training content complexity recent studies looking at time imaging or secondary survey. In this study, we implement monthly case-based simulation after initial bedside procedures. The overall goal evaluate interventions. METHODS This prospective, observational study...
BACKGROUND The Emergency Surgery Score (ESS) was recently developed and retrospectively validated as an accurate mortality risk calculator for emergency general surgery. We sought to prospectively validate ESS, specifically in the high-risk nontrauma laparotomy (EL) patient. METHODS This is Eastern Association of Trauma multicenter prospective observational study. Between April 2018 June 2019, 19 centers enrolled all adults (aged >18 years) undergoing EL. Preoperative, intraoperative,...
Trauma patients have an increased risk of venous thromboembolism (VTE), partly because greater inflammation. However, it is unknown if this association present in who undergo emergency general surgery (EGS).To investigate whether case status independently associated with VTE compared elective and to test the hypothesis that cases would a higher VTE.This retrospective cohort study used American College Surgeons National Surgical Quality Improvement Program database from January 1, 2005,...
At the onset of social distancing, our general surgery residency transitioned its educational curriculum to an entirely virtual format with no gaps in conference offerings. The aim this study is examine feasibility evolution a and report program attitudes toward changes.On March 15, 2020, due coronavirus disease (COVID-19) institution restricted mass gatherings. We immediately all lectures platform. cancellation elective surgeries April 2020 then created need for augmented resident education...
Quality improvement in geriatric trauma depends on timely identification of frailty, yet little is known about providers' knowledge and beliefs frailty assessment. This study sought to understand understanding, beliefs, practices for assessment.We developed a 20-question survey using the Health Belief Model health behavior surveyed physicians, advanced practice providers, trainees services at single institution that does not use formal screening all injured seniors. Results were analyzed via...
The Trauma and Injury Severity Score (TRISS) uses anatomic/physiologic variables to predict outcomes. National Surgical Quality Improvement Program Risk Calculator (NSQIP-SRC) includes functional status comorbidities. It is unclear which of these tools superior for high-risk trauma patients (American Society Anesthesiologists Physical Status (ASA-PS) class IV or V). This study compares risk prediction TRISS NSQIP-SRC mortality, length stay (LOS), complications operative patients.This a...
The Trauma and Injury Severity Score (TRISS) uses anatomical physiologic variables to predict mortality. Elderly (65 years or older) trauma patients have increased mortality morbidity for a given TRISS, in part because of functional status comorbidities. These factors are incorporated into the American Society Anesthesiologists Physical Status (ASA-PS) National Surgical Quality Improvement Program Risk Calculator (NSQIP-SRC). We hypothesized scoring tools using comorbidities be superior at...
Trauma outcome prediction models have traditionally relied upon patient injury and physiologic data (eg, Injury Severity Score [TRISS]) without accounting for comorbidities. We sought to prospectively evaluate the role of American Society Anesthesiologists physical status (ASA-PS) score National Surgical Quality Improvement Program Risk-Calculator (NSQIP-SRC), which are measurements comorbidities, in trauma outcomes, hypothesizing that they will improve predictive ability mortality, hospital...
Bundle checklists are increasingly utilized in patient care, but data inconsistent regarding their efficacy reducing nosocomial complication rates. We examined whether checklist usage was associated with complications; when documented, elements were verified by provider bedside rounds.We performed a retrospective cohort study of trauma patients admitted to our hospital during three-phase implementation quality improvement project. For this analysis, categorized under predocumentation (PD),...
The Emergency Surgery Score (ESS) was recently validated as an accurate mortality risk calculator for emergency general surgery. We sought to prospectively evaluate whether ESS can predict the need respiratory and/or renal support (RRS) at discharge after emergent laparotomies (EL).This is a post hoc analysis of 19-center prospective observational study. Between April 2018 and June 2019, all adult patients undergoing EL were enrolled. Preoperative, intraoperative, postoperative variables...
Although 1-year survival in medically critically ill patients with prolonged mechanical ventilation is less than 50%, the relationship between respiratory failure after trauma and mortality unknown. We hypothesize that duration associated decreased survival.Retrospective cohort of patients.Single center, level 1 center.Trauma admitted from 2011 to 2014; defined as greater or equal 48 hours, excluded head Abbreviated Injury Score 4.None.Mortality was calculated Washington state death...