Article
Medicine, General & Internal
Mina Lee, Myungjin Jang, Jayun Jo, Byungchul Yu, Giljae Lee, Jungnam Lee, Seunghwan Lee, Yangbin Jeon, Kangkook Choi
Summary: Hyperbilirubinemia is common in trauma patients, but little is known about its effects on clinical outcomes. This study aimed to assess the relationship between hyperbilirubinemia and patient outcomes following trauma. The study included 387 severely injured patients admitted to the trauma bay. Patients were categorized into low-bilirubin (LB) and high-bilirubin (HB) groups based on peak bilirubin levels. The HB group had significantly higher rates of complications and mortality, including pneumonia, acute kidney injury, sepsis, and wound infections. Multivariate analysis showed that higher bilirubin levels were associated with increased risk of complications. In conclusion, hyperbilirubinemia was associated with poorer outcomes in trauma patients.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Forestry
Matthew Robert Auer, Benjamin Evan Hexamer
Summary: This article discusses the risks faced by lower-income policy holders in the United States as destructive wildfires become more frequent. The research aims to identify regions where moderate and high wildfire risk, lower income, and insurability intersect, and analyze the potential risks posed by highly concentrated insurance markets to lower-income homeowners.
Article
Cardiac & Cardiovascular Systems
Andrew S. Oseran, Tianyu Sun, Rishi K. Wadhera
Summary: This study found that in states without Medicaid expansion, working-age adults with low income had higher rates of uninsurance and worse access to healthcare. However, cardiovascular risk factor management was similar regardless of insurance status.
Article
Medicine, General & Internal
Sarahn M. Wheeler, Sabrena O. Myers, Geeta K. Swamy, Evan R. Myers
Summary: The study found that in 2019, out of 3,695,019 pregnancies in the United States, 528,778 had no risk factors, 169,540 had one or more high-risk factors, and 2,996,701 had one or more moderate-risk factors. Multifetal gestation was the most common high-risk factor, while low socioeconomic status was the most common moderate-risk factor. According to the 2021 criteria, 3,166,241 pregnant patients (85.7%) were eligible for LDA for preeclampsia prevention.
Article
Clinical Neurology
P. Sreeharsha, Rishi Mugesh Kanna, Raunak Milton, Ajoy Prasad Shetty, S. Rajasekaran
Summary: The incidence and risk factors for complications, length of stay, and mortality after traumatic spinal injuries were analyzed in this study. Chest injuries, cervical spine injury, complete neurological deficit, and ankylosing spondylitis were key predictors of mortality, while age and thoracic injuries contributed to higher morbidity and prolonged hospitalization.
EUROPEAN SPINE JOURNAL
(2023)
Article
Public, Environmental & Occupational Health
L. Du, H-Y Shi, Y. Qian, X-H Jin, H-R Yu, X-L Fu, Y-P Song, H-L Chen, Y-Q Shi
Summary: The study found that cancer patients without insurance had a higher risk of suicide mortality compared to those with private insurance, while patients with Medicaid did not show significant results. Furthermore, patients in the uninsured and Medicaid groups with localized stage of disease, White ethnicity, and American Indian/Alaska Native and Asian/Pacific Islander backgrounds had a greater risk of suicide mortality than insured patients.
Article
Urology & Nephrology
Hayne Cho Park, Young-Eun Kwon, Hyung Yun Choi, Hyung Jung Oh, Tae Ik Chang, Ea Wha Kang, Kyoung Sook Park, Ki Hwa Yang, Eun Mi Won, Ji Hyeon Shin, Dong-Ryeol Ryu, Young-Ki Lee
Summary: This study found that low SES as measured by health insurance status was associated with an increased risk of patient mortality and hospitalization in Korean maintenance HD patients. The MA recipient group showed significantly higher mortality risk and hospitalization risk compared to the NHI beneficiary group.
AMERICAN JOURNAL OF NEPHROLOGY
(2021)
Article
Surgery
Yueh-Tzu Chiang, Tzu-Hsin Lin, Rey-Heng Hu, Po-Chu Lee, Hsin-Chin Shih
Summary: This study identified predictors of mortality in major trauma patients, including age, injury severity score, Glasgow coma scale score, injury mechanisms, preexisting comorbidities, emergency department CPR procedures, ICU blood transfusion, and treatment complications.
ASIAN JOURNAL OF SURGERY
(2021)
Article
Criminology & Penology
Susan McNeeley, Valerie A. Clark, Grant Duwe
Summary: A study shows that individuals released from prison are at an increased risk of premature death, particularly in the first few weeks after release. Racial and ethnic disparities may exacerbate these consequences of incarceration. The study examines the characteristics and experiences that put individuals at risk for different types of post-release mortality, and also analyzes the race-specific factors associated with these deaths.
JOURNAL OF CRIMINAL JUSTICE
(2023)
Article
Oncology
Gabriel S. Makar, Michael Makar, Chioma Obinero, William Davis, John P. Gaughan, Michael Kwiatt
Summary: The study involved 288,322 patients, of which 98.7% underwent cancer-direct surgery and 1.3% refused recommended surgery. Patients refusing surgery were more likely to be older than 70 years, non-Hispanic black, and have distant staged cancer. Risk factors for mortality in those refusing surgery included older age, female gender, widowhood, higher grade or distant-staged cancer, and a positive CEA.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Peter Kokkinos, Charles Faselis, Immanuel Babu Henry Samuel, Andreas Pittaras, Michael Doumas, Rayelynn Murphy, Michael S. Heimall, Xuemei Sui, Jiajia Zhang, Jonathan Myers
Summary: This study evaluated the association of cardiorespiratory fitness (CRF) with mortality risk across different age, race, and sex groups. The results showed an inverse association between CRF and mortality risk, which was consistent across various populations. Individuals with poor CRF had a four-fold higher risk of mortality compared to those with the highest levels of fitness.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Surgery
Daniela Rebollo Salazar, Anna Velez-Rosborough, Charles DiMaggio, Leandra Krowsoski, Michael Klein, Cherisse Berry, Manish Tandon, Spiros Frangos, Marko Bukur
Summary: This study found that non-White race is associated with a decreased likelihood of rib fixation and/or epidural placement in patients with rib fractures following thoracic trauma, while underinsurance is associated with higher mortality.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Medicine, General & Internal
Thaqif El Khassawna, Gero Knapp, Nadja Scheibler, Deeksha Malhan, Nike Walter, Christoph Biehl, Volker Alt, Christian Heiss, Markus Rupp
Summary: Delayed surgery after 48 hours does not negatively affect mortality in patients with PFF; The Charlson Comorbidity Index (CCI) appears to be a suitable tool for assessing mortality risk in PFF patients, while the commonly used ASA score does not provide relevant risk assessment.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Pediatrics
Merick M. Yamada, Michael B. Rosamilia, Karen E. Chiswell, Alfred D'Ottavio, Tracy Spears, Claire Osgood, Marie Lynn Miranda, Nina Forestieri, Jennifer S. Li, Andrew P. Landstrom
Summary: The study highlights the associations between SIDS and factors such as race/ethnicity, birth weight/gestational age, and socioeconomic/environmental factors in North Carolina. Certain factors like Non-Hispanic Black maternal race/ethnicity, young maternal age, and maternal previous children now deceased are significantly associated with increased risk of SIDS in infants.
FRONTIERS IN PEDIATRICS
(2021)
Article
Cardiac & Cardiovascular Systems
Amit Iyengar, William L. Patrick, Mark R. Helmers, John J. Kelly, Jason Han, Matthew L. Williams, Emily J. Mackay, Nimesh D. Desai, Marisa Cevasco
Summary: Socioeconomic status has an impact on outcomes after cardiac surgery. This study examined the influence of neighborhood-level socioeconomic status on patients undergoing mitral valve surgery in the United States. It was found that patients from more disadvantaged areas had fewer opportunities for surgery and experienced more postoperative complications.
ANNALS OF THORACIC SURGERY
(2023)
Article
Surgery
Astrid Botty van den Bruele, Jessica Ryan, Justine Broecker, Johanna McCracken, Brian Yorkgitis, Andrew Kerwin, Marie Crandall
Summary: The study found that for-profit trauma centers charge more and have longer length of stay compared to non-profit centers, while government centers have lower charges and longer length of stay. Patients with mild/moderate femur, tibial, or rib fractures had higher charges and longer length of stay when presenting at for-profit trauma centers compared to government or non-profit centers. There were no differences in overall complication rates among the different types of centers.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Medicine, Research & Experimental
Smirnov D. Exilus, Elliot R. Haut, Joe Canner, Emily F. Boss, Nicholas R. Rowan
Summary: This study identified that outlier patterns in balloon sinuplasty (BSP) utilization are associated with a few otolaryngologists in small practices who perform low numbers of endoscopic sinus surgeries but provide a high number of services per Medicare beneficiary. Provider sex, years of experience, and geographic setting were not found to be associated with outlier status.
Editorial Material
Surgery
Marie Crandall
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Surgery
Brady A. Campbell, Grace F. Rozycki, Elliott R. Haut, Raymond Fang, Charles Scott Hultman
Summary: The purpose of this study was to compare the patient outcomes between motor vehicle crash (MVC) victims with an ISS < 15 and those with a similar ISS and a flame burn injury. The study found that MVC victims with mild injuries who also sustain a burn injury are more likely to require admission to the ICU regardless of their comorbidities and more likely to develop respiratory complications. Their hospital stay is also longer.
Article
Surgery
Mihir J. Chaudhary, Joseph K. Canner, Elliott R. Haut
Summary: This study evaluated the utilization of MRI in obtunded adult blunt trauma patients and found that the use of spinal MRI has been increasing over time, even after the release of the Eastern Association for the Surgery of Trauma guidelines in 2015. Future research should investigate whether this increase is driven by improper MRI utilization and suggest strategies to promote guideline adherence.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Surgery
M. Margaret Knudson, Ernest E. Moore, Lucy Z. Kornblith, Amy M. Shui, Scott Brakenridge, Brandon R. Bruns, Mark D. Cipolle, Todd W. Costantini, Bruce A. Crookes, Elliott R. Haut, Andrew J. Kerwin, Laszlo N. Kiraly, Lisa M. Knowlton, Matthew J. Martin, Michelle K. McNutt, David J. Milia, Alicia Mohr, Ram Nirula, Fredrick B. Rogers, Thomas M. Scalea, Sherry L. Sixta, David A. Spain, Charles E. Wade, George C. Velmahos
Summary: The study conducted by the CLOTT study group is the largest prospective investigation in the world on posttraumatic PT, suggesting that most pulmonary clots are not embolic but rather a result of inflammation, endothelial injury, and the hypercoagulable state caused by the injury itself.
Article
Surgery
L. R. Taveras, M. G. Scrushy, M. W. Cripps, K. Kuhlenschmidt, M. Crandall, R. Puri, T. J. Schroeppel, K. M. Schuster, R. P. Dumas
Summary: This study analyzed the outcomes of laparoscopic cholecystectomy performed during the day and at night, while controlling for disease severity. The results showed that regardless of the severity of the disease, laparoscopic cholecystectomy is safe 24/7, with similar complication risks between surgeries performed at night and during the day.
AMERICAN JOURNAL OF SURGERY
(2023)
Article
Critical Care Medicine
Grace Keegan, Myles Francis, Kristen Chalmers, Mark Hoofnagle, Mary Noory, Rachael Essig, Lea Hoefer, Neha Bhardwaj, Elinore Kaufman, Marie L. Crandall, Mohammad Zaidi, Valerie Koch, Hillary McLaren, Marion Henry, Chelsea Dorsey, Tanya Zakrison, Julie Chor
Summary: In the aftermath of Dobbs vs. Jackson Women's Health decision, acute care surgeons are likely to see more patients with complications from self-managed abortions and forced pregnancy. This situation is particularly dire in underserved areas with limited reproductive and maternity care resources. Acute care surgeons have a moral and legal duty to provide care to these patients and advocate for the right to abortion as essential healthcare.
TRAUMA SURGERY & ACUTE CARE OPEN
(2023)
Article
Critical Care Medicine
Markus Ziesmann, Saskya Byerly, Daniel Dante Yeh, Melissa Boltz, Rondi Gelbard, Elliott R. Haut, Jason W. Smith, Deborah M. Stein, Ben L. Zarzaur, Denis D. Bensard, Walter L. Biffl, April Boyd, Tor Brommeland, Clay Cothren Burlew, Timothy Fabian, Margaret Lauerman, Stefan Leichtle, Ernest E. Moore, Shelly Timmons, Kelly Vogt, Jeffry Nahmias
Summary: A core outcome set (COS) for blunt cerebrovascular injury (BCVI) has been developed through a modified Delphi study, defining important outcomes such as incidence of stroke, time to stroke, and overall mortality. This COS will guide future research and enable data pooling for enhanced statistical power.
TRAUMA SURGERY & ACUTE CARE OPEN
(2023)
Article
Critical Care Medicine
Kaitlin M. Alexander, Charles Caleb Butts, Yan-Leei Larry Lee, Matthew E. Kutcher, Nathan Polite, Elliott R. Haut, David Spain, Allison E. Berndtson, Todd W. Costantini, Jon D. Simmons
Summary: This study investigated the dosing practices and timing of initiation of pharmacological VTE chemoprophylaxis in trauma centers. The findings showed a high degree of variability in prescribing and monitoring practices in trauma patients. The involvement of clinical pharmacists can optimize dosing and increase the use of guideline-recommended VTE chemoprophylaxis.
TRAUMA SURGERY & ACUTE CARE OPEN
(2023)
Editorial Material
Critical Care Medicine
Elliott R. Haut
TRAUMA SURGERY & ACUTE CARE OPEN
(2023)
Article
Surgery
Kevin M. Schuster, Thomas J. Schroeppel, Rick O'Connor, Toby M. Enniss, Michael Cripps, Daniel C. Cullinane, Haytham M. Kaafarani, Marie Crandall, Ruchir Puri, Gail T. Tominaga
Summary: There is no established gold standard for imaging in patients with right upper quadrant pain. A multicenter study compared different imaging modalities for patients with acute cholecystitis. The results showed consistent measurements for wall thickness and bile duct diameter among the imaging studies.
AMERICAN JOURNAL OF SURGERY
(2023)
Editorial Material
Health Care Sciences & Services
Brandyn D. Lau, Dauryne L. Shaffer, Peggy S. Kraus, Oluwafemi P. Owodunni, Mujan Varasteh Kia, Sara J. Chiochetti, Michael B. Streiff, Elliott R. Haut
QUALITY MANAGEMENT IN HEALTH CARE
(2023)
Article
Health Care Sciences & Services
Andrea Simioni, Ryan Fransman, Bashar Safar, Elliott R. Haut, Chady Atallah
Summary: Unintentionally Retained Foreign Objects (URFO) are rare but significant patient harm, particularly with the emergence of minimally invasive surgery (MIS). In this case, the routine use of end-of-procedure checklists helped identify a retained surgical specimen before patient extubation.
JOURNAL OF PATIENT SAFETY AND RISK MANAGEMENT
(2022)
Article
Critical Care Medicine
Saskya Byerly, Jeffry Nahmias, Deborah M. Stein, Elliott R. Haut, Jason W. Smith, Rondi Gelbard, Markus Ziesmann, Melissa Boltz, Ben L. Zarzaur, Miklosh Bala, Andrew Bernard, Scott Brakenridge, Karim Brohi, Bryan Collier, Clay Cothren Burlew, Michael Cripps, Bruce Crookes, Jose J. Diaz, Juan Duchesne, John A. Harvin, Kenji Inaba, Rao Ivatury, Kevin Kasten, Jeffrey D. Kerby, Margaret Lauerman, Tyler Loftus, Preston R. Miller, Thomas Scalea, D. Dante Yeh
Summary: This study aimed to develop a core outcome set for DCL clinical studies to facilitate the pooling and analysis of data and minimize reporting bias.
TRAUMA SURGERY & ACUTE CARE OPEN
(2022)