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Your search keyword '"Nelson, Adam"' showing total 15 results
Start Over Author "Nelson, Adam" Journal journal of trauma and acute care surgery
15 results on '"Nelson, Adam"'

7. It is not all black and white: The effect of increasing severity of frailty on outcomes of geriatric trauma patients

Author

Alizai, Qaidar, Colosimo, Christina, Hosseinpour, Hamidreza, Stewart, Collin, Bhogadi, Sai Krishna, Nelson, Adam, Spencer, Audrey L., Ditillo, Michael, Magnotti, Louis J., Joseph, Bellal, Amos, Joseph D., Teichman, Amanda, Whitmill, Melissa L., Burruss, Sigrid K., Dunn, Julie A., Najafi, Kaveh, Godat, Laura N., Enniss, Toby M., Shoultz, Thomas H., Egodage, Tanya, Bongiovanni, Tasce, Hazelton, Joshua P., Colling, Kristin P., Costantini, Todd W., Stein, Deborah M., Schroeppel, Thomas J., Nahmias, Jeffry, El-Qawaqzeh, Khaled, Choron, Rachel L., Comish, Paul B., Leneweaver, Kyle, Palmer, Brandi, Truitt, Michael S., Farrell, Mike, Laufenberg, Lacee J., Lasso-Tay, Erica, Stillman, Zachery, Hass, Daniel T., Grossman, Heather M., Gordon, Darnell, Krause, Cassandra, and Thomas, Jonathan

Abstract

The spectrum of physiologic deficits, once a patient is identified as frail, is unknown. Increase in TSFI score correlates with rising odds of in-hospital mortality, complications, readmissions, fall recurrence, and 3-month post-discharge mortality.

Published
2024
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8. Interfacility Transfer of Pediatric Trauma Patients to Higher Levels of Care: The Effect of Transfer Time and Level of Receiving Trauma Center

Author

Hosseinpour, Hamidreza, primary, Magnotti, Louis J., additional, Bhogadi, Sai Krishna, additional, Colosimo, Christina, additional, El-Qawaqzeh, Khaled, additional, Spencer, Audrey L., additional, Anand, Tanya, additional, Ditillo, Michael, additional, Nelson, Adam, additional, and Joseph, Bellal, additional

Published
2023
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14. Validating the Brain Injury Guidelines: Results of an American Association for the Surgery of Trauma prospective multi-institutional trial

Author

Joseph, Bellal, Obaid, Omar, Dultz, Linda, Black, George, Campbell, Marc, Berndtson, Allison E., Costantini, Todd, Kerwin, Andrew, Skarupa, David, Burruss, Sigrid, Delgado, Lauren, Gomez, Mario, Mederos, Dalier R., Winfield, Robert, Cullinane, Daniel, Chehab, Mohamad, Anand, Tanya, Nelson, Adam, Kim, Stephany, and Luo-Owen, Xian

Abstract

The Brain Injury Guidelines are safe and effectively guide the management of traumatic brain injury patients, leading to reduced healthcare resource utilization, including hospital admissions, repeat imaging, and neurosurgical consultation.

Published
2022
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15. Obesity is a predictor of abdominal computed tomography imaging in pediatric trauma patients.

Author

Colosimo C, Otaibi B, Bhogadi SK, Nelson A, Spencer AL, Anand T, Stewart C, Magnotti LJ, and Joseph B

Abstract

Background: Computed tomography (CT) has helped to reduce the morbidity due to missed injuries. However, CT imaging is associated with radiation exposure and thus has limited indications in pediatric patients. In this study, we aimed to identify the association between obesity and abdominal CT imaging in pediatric trauma patients., Methods: We performed a 4-year retrospective analysis of the American College of Surgeons Trauma Quality Improvement 2017-2020. We identified all pediatric trauma patients aged between 7 and 17 years presenting with isolated abdominal trauma (nonabdominal Abbreviated Injury Scale score, 0). We excluded patients undergoing hemorrhage control surgeries and those with missing information in height and weight. Patients were stratified by body mass index into four groups (underweight, normal, overweight, and obese [body mass index, ≥30 kg/m2]). Outcomes were predictors of undergoing CT imaging of the abdomen. Descriptive statistics and multivariable logistic regression analyses were performed., Results: We identified a total of 10,204 pediatric trauma patients. The mean age was 13 years, 68% were male, and 77% were White. The median abdominal Abbreviated Injury Scale score in all the four groups was 2. On univariate analysis, underweight patients had lowest rates (25%), whereas obese patients had highest rates of CT imaging (38%) (p < 0.001). On multivariable regression analysis, increasing age (adjusted odds ratio [aOR], 1.08; 95% confidence interval [CI], 1.06-1.10; p < 0.001), male sex (aOR, 1.14; 95% CI, 1.03-1.26; p = 0.009), White race (aOR, 0.84; 95% CI, 0.76-0.92; p < 0.011), penetrating injury (aOR, 1.16; 95% CI, 1.03-1.32; p = 0.017), obesity (aOR, 1.30; 95% CI, 1.07-1.57; p = 0.008), and management at American College of Surgeons level II (aOR, 1.63; 95% CI, 1.44-1.85; p < 0.001) and level III or lower centers (aOR, 1.17; 95% CI, 1.06-1.26; p = 0.002) were identified as independent predictors of receiving CT imaging., Conclusion: Obesity is associated with increased odds of undergoing CT imaging in pediatric trauma patients independent of injury characteristics. Future efforts to define the appropriate indications for CT imaging in pediatric trauma patients are warranted to reduce the adverse effects of CT radiation., Level of Evidence: Prognostic and Epidemiological; Level III., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Published
2024
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