Search

Your search keyword '"Kufera, Joseph"' showing total 11 results
Start Over Author "Kufera, Joseph" Publication Year Range Last 3 years
11 results on '"Kufera, Joseph"'

1. Does lower extremity fracture fixation technique influence neurologic outcomes in patients with traumatic brain injury? The EAST Brain vs. Bone multicenter trial

Author

Ghneim, Mira, Kufera, Joseph, Zhang, Ashling, Penaloza-Villalobos, Liz, Swentek, Lourdes, Watras, Jill, Smith, Alison, Hahn, Alexandra, Rodriguez Mederos, Dalier, Dickhudt, Timothy John, Laverick, Paige, Cunningham, Kyle, Norwood, Scott, Fernandez, Luis, Jacobson, Lewis E., Williams, Jamie M., Lottenberg, Lawrence, Azar, Faris, Shillinglaw, William, Slivinski, Andrea, Nahmias, Jeffry, Donnelly, Megan, Bala, Miklosh, Egodage, Tanya, Zhu, Clara, Udekwu, Pascal O., Norton, Hannah, Dunn, Julie A., Baer, Robert, McBride, Katherine, Santos, Ariel P., Shrestha, Kripa, Metzner, Caleb J., Murphy, Jade M., Schroeppel, Thomas J., Stillman, Zachery, OʼConnor, Rick, Johnson, Dirk, Berry, Cherisse, Ratner, Molly, Reynolds, Jessica K., Humphrey, Mackenzie, Scott, Mark, Hickman, Zachary L., Twelker, Kate, Legister, Candice, Glass, Nina E., Siebenburgen, Christa, Palmer, Brandi, Semon, Gregory R., Lieser, Mark, McDonald, Hannah, Bugaev, Nikolay, LeClair, Madison J., Stein, Deborah, Ghneim, Mira, Kufera, Joseph, Zhang, Ashling, Stein, Deborah, Penaloza-Villalobos, Liz, Swentek, Lourdes, Luo-Owen, Xian, Watras, Jill, Smith, Alison, Mederos, Dalier Rodriguez, Laverick, Paige, Cunningham, Kyle, Norwood, Scott, Fernandez, Luis, Eagleton, Austin, Jacobson, Lewis E., Williams, Jamie M., Lottenberg, Lawrence, Azar, Faris, Benitiez, Ayla, Shillinglaw, William, Nahmias, Jeffry, Donnelly, Megan, Alvarez, Claudia, Bala, Miklosh, Egodage, Tanya, Zhu, Clara, Armento, Isabella, Norton, Hannah, Tann, Kimberly, Dunn, Julie A., Baer, Robert, Smoot, Brittany, McBride, Katherine, Santos, Ariel P., Shrestha, Kripa, Burton, Erin, Mentzer, Caleb J., Murphy, Jade M., Mack, TJ, Schroeppel, Thomas J., Stillman, Zachery, Decker, Cassandra, O’Connor, Rick, Maung, Adrian, Johnson, Dirk, Berry, Cherisse, Ratner, Molly, Shah, Noor, Berry, Cherisse, Reynolds, Jessica K., Humphrey, Mackenzie, Williams, D. Clayton, Scott, Mark, Hickman, Zachary L., Twelker, Kate, Joseph, David, Legister, Candice, Glass, Nina E., Siebenburgen, Christa, Palmer, Brandi, Semon, Gregory R., Lieser, Mark, McDonald, Hannah, Bugaev, Nikolay, LeClair, Madison J., and Tatar, Antony

Published
2023
Full Text
View/download PDF

5. Observed relationships between driver and passenger restraint use in the front and rear seats

Author

Kufera, Joseph A., Auman, Kimberly M., Chavez, Alicia, Kerns, Timothy J., Burch, Cynthia, and Vesselinov, Roumen

Subjects
Adult, Restraint, Physical, Maryland, Research Design, Public Health, Environmental and Occupational Health, Accidents, Traffic, Humans, Seat Belts, Child, Safety Research
Abstract

Seat belt usage has increased substantially since the 1960s, yet driver use continues to affect passenger usage. Recent observational restraint use findings for Maryland will examine the relationship between driver and passenger usage, including adults and children in the rear seat. Analyses were based on observational front and rear seat studies administered in parallel from 2016 to 2019. A statistically rigorous front seat project yielded weighted results among drivers and outboard passengers. A study of adults and children in the rear seat was based on a convenience sample of vehicles. Restraint usage results were presented as frequencies and proportions among occupants with known belt use, along with the 95% confidence interval for overall rates. Overall restraint usage rates averaged 90.9% in the front seat study and 81.1% in the rear seat sample. In vehicles with two front seat occupants and a belted driver, the proportion of belted passengers averaged 93.0% over four years. However, among unbelted drivers, only 41.6% of passengers were belted on average. In the rear seat study, an average of 82.7% were belted in vehicles driven by a restrained driver, differing for children (92.0%) versus adults (70.4%). Analysis of vehicles with an unbelted driver revealed an average of 45.0% of belted rear seat occupants, with a considerable difference for children (65.0%) compared with adults (21.0%). Observational seat belt studies in Maryland in recent years have shown that, despite overall rates above 80%, passenger use in both the front and rear seats is associated with driver restraint use.

Published
2022

8. Validation of the American Association for the Surgery of Trauma Emergency General Surgery Grading System for Colorectal Resection: An EAST Multicenter Study

Author

Aicher, Brittany O., primary, Betancourt-Ramirez, Alejandro, additional, Grossman, Michael D., additional, Heise, Holly, additional, Schroeppel, Thomas J., additional, Hernandez, Matthew C., additional, Zielinski, Martin D., additional, Kongkaewpaisan, Napaporn, additional, Kaafarani, Haytham M. A., additional, Wagner, Afton, additional, Grabo, Daniel, additional, Scott, Michael, additional, Peck, Gregory, additional, Chang, Gloria, additional, Matsushima, Kazuhide, additional, Cullinane, Daniel C., additional, Cullinane, Laura M., additional, Stocker, Benjamin, additional, Posluszny, Joseph, additional, Simonoski, Ursula J., additional, Catalano, Richard D., additional, Vasileiou, Georgia, additional, Yeh, Daniel Dante, additional, Agrawal, Vaidehi, additional, Truitt, Michael S., additional, Pickett, MaryAnne, additional, Dultz, Linda, additional, Muller, Alison, additional, Ong, Adrian W., additional, San Roman, Janika L., additional, Barth, Nadine, additional, Fackelmayer, Oliver, additional, Velopulos, Catherine G., additional, Hendrix, Cheralyn, additional, Estroff, Jordan M., additional, Gambhir, Sahil, additional, Nahmias, Jeffry, additional, Jeyamurugan, Kokila, additional, Bugaev, Nikolay, additional, O’Meara, Lindsay, additional, Kufera, Joseph, additional, Diaz, Jose J., additional, and Bruns, Brandon R., additional

Published
2022
Full Text
View/download PDF

10. Emergency General Surgery Procedures and Cost of Care for Older Adults in the State of Maryland.

Author

Ghneim, Mira H., Kufera, Joseph A., Clark, Jaclyn, Harfouche, Melike N., Hendrix, Cheralyn J., and Diaz, Jose J.

Subjects
*SURGICAL emergencies, *OLDER people, *HOSPITAL charges, *MEDICAL care, *PEPTIC ulcer, *SMALL intestine surgery, *APPENDECTOMY, *LENGTH of stay in hospitals, *TISSUE adhesions, *FERRANS & Powers Quality of Life Index, *OPERATIVE surgery, *COLECTOMY, *ARTHRITIS Impact Measurement Scales, *SURGICAL complications, *MEDICAL care costs, *RETROSPECTIVE studies, *MEDICAL emergencies, *SEVERITY of illness index, *CHOLECYSTECTOMY, *ABDOMINAL surgery, *QUESTIONNAIRES, *ECONOMICS, PEPTIC ulcer surgery
Abstract

Background: Older adults (OAs) ≥ 65 years of age, representing the fastest growing segment in the United States, are anticipated to require a greater percentage of emergency general surgery procedures (EGSPs) with an associated increase in health care costs. The aims of this study were to identify the frequency of EGSP and charges incurred by OA compared to their younger counterparts in the state of Maryland.Methods: A retrospective review of the Maryland Health Services Cost Review Commission from 2009 to 2018 was undertaken. Patients undergoing urgent or emergent ESGP were divided into 2 groups (18-64 years and ≥65 years). Data collected included demographics, APR-severity of illness (SOI), APR-risk of mortality (ROM), the EGSP (partial colectomy [PC], small bowel resection [SBR], cholecystectomy, operative management of peptic ulcer disease, lysis of adhesions, appendectomy, and laparotomy), length of stay (LOS), and hospital charges. P-values (P < .05) were significant.Results: Of the 181,283 patients included in the study, 55,401 (38.1%) were ≥65 years of age. Older adults presented with greater APR-SOI (major 37.7% vs 21.3%, extreme 5.2% vs 9.3%), greater APR-ROM (major 25.3% vs 8.7%, extreme 22.3% vs 5.3%), underwent PC (24.5% vs 10.9%) and SBR (12.8% vs 7.0%) more frequently, and incurred significantly higher median hospital charges for every EGSP, consistently between 2009 and 2018 due to increased LOS and complications when compared to those ≤65 years of age.Conclusion: These findings stress the need for validated frailty indices and quality improvement initiatives focused on the care of OAs in emergency general surgery to maximize outcomes and optimize cost. [ABSTRACT FROM AUTHOR]

Published
2022
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results