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13 results on '"Carrick, Matthew"'

7. Decreased adult trauma admission volumes and changing injury patterns during the COVID-19 pandemic at 85 trauma centers in a multistate healthcare system

Author

Berg, Gina M, primary, Wyse, Ransom J, additional, Morse, Jennifer L, additional, Chipko, John, additional, Garland, Jeneva M, additional, Slivinski, Andrea, additional, Lieser, Mark, additional, Biswas, Saptarshi, additional, Carrick, Matthew M, additional, Rhodes, Heather, additional, Acuna, David, additional, Watts, Dorraine D, additional, Wilson, Nina Y, additional, Shen, Yan, additional, Deas, Shenequa, additional, and Fakhry, Samir M, additional

Published
2021
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10. Laboratory measures of coagulation among trauma patients on NOAs: results of the AAST-MIT

Author

Kobayashi, Leslie M, primary, Brito, Alexandra, additional, Barmparas, Galinos, additional, Bosarge, Patrick, additional, Brown, Carlos V, additional, Bukur, Marko, additional, Carrick, Matthew M, additional, Catalano, Richard D, additional, Holly-Nicolas, Jan, additional, Inaba, Kenji, additional, Kaminski, Stephen, additional, Klein, Amanda L, additional, Kopelman, Tammy, additional, Ley, Eric J, additional, Martinez, Ericca M, additional, Moore, Forrest O, additional, Murry, Jason, additional, Nirula, Raminder, additional, Paul, Douglas, additional, Quick, Jacob, additional, Rivera, Omar, additional, Schreiber, Martin, additional, and Coimbra, Raul, additional

Published
2018
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13. Association of sex and aspirin use with postoperative bleeding in patients with lower extremity long bone fractures.

Author

Fisher M, Salottolo K, Carrick M, Corrigan CM, Banton KL, Madayag R, and Bar-Or D

Abstract

Objective: The perioperative management of patients on antiplatelet drugs is a rising challenge in orthopedic trauma because antiplatelet drugs are frequently encountered and carry an increased risk of hemorrhagic consequences. The study objective was to examine the effect of aspirin on bleeding outcomes for patients with lower extremity fractures., Methods: This retrospective study included patients requiring surgical fixation of traumatic hip, femur, and tibia fractures from January 1, 2018, to March 1, 2020. Patients were excluded if they had a significant head injury, were on chronic anticoagulant therapy, or they did not receive venous thromboembolism chemoprophylaxis. Comparisons between aspirin users (patients on aspirin therapy preinjury) and non-aspirin users were examined using χ 2 tests, Cochran-Mantel-Haenszel tests, and multivariate logistic regression. The primary outcome was an overt, actionable bleed (eg, blood transfusion for surgical site hemorrhage) within 24 hours postoperative., Results: There were 864 patients with lower extremity long bone fractures and 24% were aspirin users. The incidence of postoperative bleeding was 8.8% and significantly differed for patients taking aspirin versus not (13.6% vs 7.3%, p=0.01). However, biological sex at birth (M/F) was a significant effect modifier (interaction p=0.04). Among women, there were significantly more postoperative bleeds for aspirin users (17.8% aspirin vs 7.4% no aspirin, adjusted OR (AOR): 2.48 (1.28-4.81), p=0.01). Among men, there were similar postoperative bleeding events by aspirin use (5.6% aspirin vs 7.2% no aspirin, AOR: 0.50 (0.14-1.82), p=0.30). Postoperative hemoglobin values <8 g/dL were more frequent among female aspirin users (21.5% aspirin vs 12.5% no aspirin, p=0.01), but this association was not observed in men (p=0.43)., Conclusion: Women taking aspirin who suffer lower extremity fractures have greater than twofold greater odds of a postoperative bleeding event. These findings suggest adequate perioperative planning to ensure blood availability, and increased awareness to monitor closely for hemorrhage in the 24-hour postoperative window for women taking aspirin preinjury., Level of Evidence: IV., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Published
2024
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