Search results for: David A. Spain

Items from 1 to 20 out of 78 results

article

Using a virtual platform for personal protective equipment education and training

Aussama K. Nassar, Dana T. Lin, David A. Spain, Lisa M. Knowlton

Medical Education > 54 > 11 > 1071 - 1072

article

The association between angioembolization and splenic salvage for isolated splenic injuries

Graeme M. Rosenberg, Thomas G. Weiser, Paul M. Maggio, Timothy D. Browder, more

Journal of Surgical Research > 2018 > 229 > C > 150-155

Recent data suggest improved splenic salvage rates when angioembolization (AE) is routinely employed for high-grade splenic injuries; however, protocols and salvage rates vary among centers.Adult patients with isolated splenic injuries were identified using the National Trauma Data Bank, 2013-2014. Patients were excluded if they underwent immediate splenectomy or died in the emergency department....

article

Financial Stability of Level I Trauma Centers Within Safety-Net Hospitals

Lisa M. Knowlton, Arden M. Morris, Lakshika Tennakoon, David A. Spain, more

Journal of the American College of Surgeons > 2018 > 227 > 2 > 172-180

Level I trauma centers often exist within safety-net hospitals (SNHs), facilities servicing high proportions of low-income and uninsured patients. Given the current health care funding environment, trauma centers within SNHs may be at particular risk. Using California as a model, we hypothesized that SNHs with trauma centers vary in terms of financial stability.We performed a retrospective cohort...

article

Risk Factors for Deliberate Self-Harm after Major Operative Procedures

Charlotte M. Rajasingh, Lakshika Tennakoonc, David A. Spain, Kristan L. Staudenmayer

Journal of the American College of Surgeons > 2017 > 225 > 4(S2) > e113

article

Financial Stability of Level I Trauma Centers within Safety Net Hospitals

Lisa M. Knowlton, Kristan L. Staudenmayer, David A. Spain, Arden M. Morris

Journal of the American College of Surgeons > 2017 > 225 > 4(S1) > S117-S118

article

Splenic trauma: WSES classification and guidelines for adult and pediatric patients

Federico Coccolini, Giulia Montori, Fausto Catena, Yoram Kluger, more

World Journal of Emergency Surgery > 2017 > 12 > 1 > 1-26

Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially...

article

Clinical phenotypes of US level I trauma centers: use of clustering methodology

Joseph D. Forrester, Thomas G. Weiser, Paul Maggio, Timothy Browder, more

Journal of Surgical Research > 2017 > 215 > C > 146-152

American College of Surgeons Level I Trauma Centers (ACSL1TCs) meet the same personnel and structural requirements but serve different populations. We hypothesized that these nuanced differences may amenable to description through mathematical clustering methodology.The National Trauma Data Bank 2014 was used to derive information on ACSL1TCs. Explorative cluster hypothesis generation was performed...

article

The prevalence of psychiatric diagnoses and associated mortality in hospitalized US trauma patients

Laura L. Townsend, Micaela M. Esquivel, Tarsicio Uribe-Leitz, Thomas G. Weiser, more

Journal of Surgical Research > 2017 > 213 > C > 171-176

We hypothesized that psychiatric diagnoses would be common in hospitalized trauma patients in the United States and when present, would be associated with worse outcomes.The Nationwide Inpatient Sample (NIS, 2012) was used to determine national estimates for the number of patients admitted with an injury. Psychiatric diagnoses were identified using diagnosis codes according to the Diagnostic and Statistical...

article

Development and preliminary performance of a risk factor screen to predict posttraumatic psychological disorder after trauma exposure

Eve B. Carlson, Patrick A. Palmieri, David A. Spain

General Hospital Psychiatry > 2017 > 46 > C > 25-31

We examined data from a prospective study of risk factors that increase vulnerability or resilience, exacerbate distress, or foster recovery to determine whether risk factors accurately predict which individuals will later have high posttraumatic (PT) symptom levels and whether brief measures of risk factors also accurately predict later symptom elevations.Using data from 129 adults exposed to traumatic...

article

A Multinational Evaluation of Timely Access to Basic Surgical Services Using Geospatial Analyses

Lisa-Marie Knowlton, Micaela Esquivel, Tarsicio Uribe-Leitz, Kelly Mcqueen, more

Journal of the American College of Surgeons > 2016 > 223 > 4(S2) > e118

article

General surgery resident rotations in surgical critical care, trauma, and burns: what is optimal for residency training?

Lena M. Napolitano, Thomas W. Biester, Gregory J. Jurkovich, Jo Buyske, more

The American Journal of Surgery > 2016 > 212 > 4 > 629-637

There are no specific Accreditation Council for Graduate Medical Education General Surgery Residency Program Requirements for rotations in surgical critical care (SCC), trauma, and burn. We sought to determine the experience of general surgery residents in SCC, trauma, and burn rotations.Data analysis of surgical rotations of American Board of Surgery general surgery resident applicants (n = 7,299)...

article

Contributions of risk and protective factors to prediction of psychological symptoms after traumatic experiences

Eve B. Carlson, Patrick A. Palmieri, Nigel P. Field, Constance J. Dalenberg, more

Comprehensive Psychiatry > 2016 > 69 > C > 106-115

Traumatic experiences cause considerable suffering and place a burden on society due to lost productivity, increases in suicidality, violence, criminal behavior, and psychological disorder. The impact of traumatic experiences is complicated because many factors affect individuals' responses. By employing several methodological improvements, we sought to identify risk factors that would account for...

article

Trends in the management of pelvic fractures, 2008–2010

Christopher H. Chu, Lakshika Tennakoon, Paul M. Maggio, Tom G. Weiser, more

Journal of Surgical Research > 2016 > 202 > 2 > 335-340

Bleeding from pelvic fractures can be lethal. Angioembolization (AE) and external fixation (EXFIX) are common treatments to control bleeding, but it is not known how frequently they are used. We hypothesized that AE would be increasingly more common compared with EXFIX over time.The National Trauma Data Bank for the years from 2008–2010 were used. Patients were included in the study if they had an...

article

Erratum to: Advantages and psychometric validation of proximal intensive assessments of patient-reported outcomes collected in daily life

Eve B. Carlson, Nigel P. Field, Josef I. Ruzek, Richard A. Bryant, more

Quality of Life Research > 2016 > 25 > 9 > 2399-2399

article

Advantages and psychometric validation of proximal intensive assessments of patient-reported outcomes collected in daily life

Eve B. Carlson, Nigel P. Field, Josef I. Ruzek, Richard A. Bryant, more

Quality of Life Research > 2016 > 25 > 3 > 507-516

Objectives Ambulatory assessment data collection methods are increasingly used to study behavior, experiences, and patient-reported outcomes (PROs), such as emotions, cognitions, and symptoms in clinical samples. Data collected close in time at frequent and fixed intervals can assess PROs that are discrete or changing rapidly and provide information about temporal dynamics or mechanisms of change...

article

Uninsured status may be more predictive of outcomes among the severely injured than minority race

Jon M. Gerry, Thomas G. Weiser, David A. Spain, Kristan L. Staudenmayer

Injury > 2016 > 47 > 1 > 197-202

Worse outcomes in trauma in the United States have been reported for both the uninsured and minority race. We sought to determine whether disparities would persist among severely injured patients treated at trauma centres where standard triage trauma protocols limit bias from health systems and providers.We performed a retrospective analysis of the 2010–2012 National Sample Program from the National...

article

Surgical deserts in California: an analysis of access to surgical care

Tarsicio Uribe-Leitz, Micaela M. Esquivel, Kristan L. Staudenmayer, David A. Spain, more

Journal of the American College of Surgeons > 2015 > 221 > 4 Supplement 2 > e29

article

Trauma center verification and a more inclusive system: identifying unnecessary criteria for level lll/lV centers

Jared Forrester, Thomas G. Weiser, Paul M. Maggio, Lakshika Tennakoon, more

Journal of the American College of Surgeons > 2015 > 221 > 4 Supplement 2 > e31

article

The Effect of Chronic Kidney Disease on Postoperative Outcomes after Major Hepatectomy: Results from the National Surgical Quality Improvement Program

Thuy B. Tran, Monica M. Dua, David A. Spain, George A. Poultsides, more

Journal of the American College of Surgeons > 2015 > 221 > 4(S1) > S94-S95

article

Hepato‐pancreatectomy: how morbid? Results from the national surgical quality improvement project

Thuy B. Tran, Monica M. Dua, David A. Spain, Brendan C. Visser, more

HPB > 17 > 9 > 763 - 769

BackgroundSimultaneous resection of both the liver and the pancreas carries significant complexity. The objective of this study was to investigate peri‐operative outcomes after a synchronous hepatectomy and pancreatectomy (SHP). MethodsThe American College of Surgeons National Surgical Quality Improvement Project database was queried to identify patients who underwent SHP. Resections were categorized...

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INFONA - science communication portal

Search results for: David A. Spain

Using a virtual platform for personal protective equipment education and training

The association between angioembolization and splenic salvage for isolated splenic injuries

Financial Stability of Level I Trauma Centers Within Safety-Net Hospitals

Risk Factors for Deliberate Self-Harm after Major Operative Procedures

Financial Stability of Level I Trauma Centers within Safety Net Hospitals

Splenic trauma: WSES classification and guidelines for adult and pediatric patients

Clinical phenotypes of US level I trauma centers: use of clustering methodology

The prevalence of psychiatric diagnoses and associated mortality in hospitalized US trauma patients

Development and preliminary performance of a risk factor screen to predict posttraumatic psychological disorder after trauma exposure

A Multinational Evaluation of Timely Access to Basic Surgical Services Using Geospatial Analyses

General surgery resident rotations in surgical critical care, trauma, and burns: what is optimal for residency training?

Contributions of risk and protective factors to prediction of psychological symptoms after traumatic experiences

Trends in the management of pelvic fractures, 2008–2010

Erratum to: Advantages and psychometric validation of proximal intensive assessments of patient-reported outcomes collected in daily life

Advantages and psychometric validation of proximal intensive assessments of patient-reported outcomes collected in daily life

Uninsured status may be more predictive of outcomes among the severely injured than minority race

Surgical deserts in California: an analysis of access to surgical care

Trauma center verification and a more inclusive system: identifying unnecessary criteria for level lll/lV centers

The Effect of Chronic Kidney Disease on Postoperative Outcomes after Major Hepatectomy: Results from the National Surgical Quality Improvement Program

Hepato‐pancreatectomy: how morbid? Results from the national surgical quality improvement project

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