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2. Mechanism matters: mortality and endothelial cell damage marker differences between blunt and penetrating traumatic injuries across three prehospital clinical trials

Author

Donohue, Jack K., Gruen, Danielle S., Iyanna, Nidhi, Lorence, John M., Brown, Joshua B., Guyette, Francis X., Daley, Brian J., Eastridge, Brian J., Miller, Richard S., Nirula, Raminder, Harbrecht, Brian G., Claridge, Jeffrey A., Phelan, Herb A., Vercruysse, Gary A., O’Keeffe, Terence, Joseph, Bellal, Neal, Matthew D., Billiar, Timothy R., and Sperry, Jason L.

Published
2024
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3. Stop The Falls! A framework for injury prevention outreach for older adults presented by the American Association for the Surgery of Trauma Geriatric Trauma and Injury Prevention Committees.

Author

Egodage, Tanya, Duncan, Thomas, Ho, Vanessa, Joseph, DAndrea, Putnam, Adin, Burruss, Sigrid, Bongiovanni, Tasce, Knight-Davis, Jennifer, Adams, Sasha, Gorman, Elizabeth, Jarman, Molly, Ahmed, Nasim, Ratnasekera, Asanthi, Prabhakaran, Kartik, Cohan, Caitlin, Hornor, Melissa, Colling, Kristin, and Joseph, Bellal

Subjects
Accident Prevention, Multiple Trauma, epidemiology, geriatrics
Abstract

With the increasing age of the population in the USA, fall prevention events to target older patients are imperative. The American Association for the Surgery of Trauma hosted a fall prevention event at the host city of the 2023 Annual Meeting. We review the planning and implementation of this Stop the Falls event, in hopes that other institutions may benefit and sustainably effectuate fall prevention events for an increasingly geriatric population.

Published
2024

4. Geriatric trauma triage: optimizing systems for older adults-a publication of the American Association for the Surgery of Trauma Geriatric Trauma Committee.

Author

Egodage, Tanya, Ho, Vanessa, Bongiovanni, Tasce, Knight-Davis, Jennifer, Adams, Sasha, Digiacomo, Jody, Swezey, Elisabeth, Posluszny, Joseph, Ahmed, Nasim, Prabhakaran, Kartik, Ratnasekera, Asanthi, Putnam, Adin, Behbahaninia, Milad, Hornor, Melissa, Cohan, Caitlin, and Joseph, Bellal

Subjects
Outcome Assessment, Health Care, geriatrics, resource allocation, triage
Abstract

BACKGROUND: Geriatric trauma patients are an increasing population of the United States (US), sustaining a high incidence of falls, and suffer greater morbidity and mortality to their younger counterparts. Significant variation and challenges exist to optimize outcomes for this cohort, while being mindful of available resources. This manuscript provides concise summary of locoregional and national practices, including relevant updates in the triage of geriatric trauma in an effort to synthesize the results and provide guidance for further investigation. METHODS: We conducted a review of geriatric triage in the United States (US) at multiple stages in the care of the older patient, evaluating existing literature and guidelines. Opportunities for improvement or standardization were identified. RESULTS: Opportunities for improved geriatric trauma triage exist in the pre-hospital setting, in the trauma bay, and continue after admission. They may include physiologic criteria, biochemical markers, radiologic criteria and even age. Recent Trauma Quality Improvement Program (TQIP) Best Practices Guidelines for Geriatric Trauma Management published in 2024 support these findings. CONCLUSION: Trauma systems must adjust to provide optimal care for older adults. Further investigation is required to provide pertinent guidance.

Published
2024

6. The impact of postoperative enteral nutrition on duodenal injury outcomes: A post hoc analysis of an Eastern Association for the Surgery of Trauma multicenter trial

Author

Choron, Rachel L., Rallo, Michael, Piplani, Charoo, Youssef, Sara, Teichman, Amanda L., Bargoud, Christopher G., Sciarretta, Jason D., Smith, Randi N., Hanos, Dustin S., Afif, Iman N., Beard, Jessica H., Dhillon, Navpreet K., Zhang, Ashling, Ghneim, Mira, Devasahayam, Rebekah J., Gunter, Oliver L., Smith, Alison A., Sun, Brandi L., Cao, Chloe S., Reynolds, Jessica K., Hilt, Lauren A., Holena, Daniel N., Chang, Grace, Jonikas, Meghan, Echeverria-Rosario, Karla, Fung, Nathaniel S., Anderson, Aaron, Dumas, Ryan P., Fitzgerald, Caitlin A., Levin, Jeremy H., Trankiem, Christine T., Yoon, JaeHee Jane, Blank, Jacqueline, Hazelton, Joshua P., McLaughlin, Christopher J., Al-Aref, Rami, Kirsch, Jordan M., Howard, Daniel S., Scantling, Dane R., Dellonte, Kate, Vella, Michael, Hopkins, Brent, Shell, Chloe, Udekwu, Pascal O., Wong, Evan G., Joseph, Bellal A., Lieberman, Howard, Ramsey, Walter A., Stewart, Collin, Alvarez, Claudia, Berne, John D., Nahmias, Jeffry, Puente, Ivan, Patton, Joe H., Jr, Rakitin, Ilya, Perea, Lindsey L., Pulido, Odessa R., Ahmed, Hashim, Keating, Jane, Kodadek, Lisa M., Wade, Jason, Henry, Reynold, Schreiber, Martin A., Benjamin, Andrew J., Khan, Abid, Mann, Laura K., Mentzer, Caleb J., Mousafeiris, Vasileios, Mulita, Francesk, Reid-Gruner, Shari, Sais, Erica, Foote, Christopher, Palacio, Carlos H., Argandykov, Dias, Kaafarani, Haytham, Bover Manderski, Michelle T., Narayan, Mayur, and Seamon, Mark J.

Published
2024
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9. Creation of standardized tools to evaluate reporting in health research: Population Reporting Of Gender, Race, Ethnicity & Sex (PROGRES).

Author

Stey, Anne, Ghneim, Mira, Gurney, Onaona, Santos, Ariel, Rattan, Rishi, Abahuje, Egide, Baskaran, Archit, Nahmias, Jeffry, Richardson, Joseph, Zakrison, Tanya, Baily, Zinzi, Haut, Elliott, Chaudhary, Mihir, Joseph, Bellal, Zarzaur, Ben, and Hendershot, Kimberly

Abstract

Despite increasing diversity in research recruitment, research finding reporting by gender, race, ethnicity, and sex has remained up to the discretion of authors. This study developped and piloted tools to standardize the inclusive reporting of gender, race, ethnicity, and sex in health research. A modified Delphi approach was used to develop standardized tools for the inclusive reporting of gender, race, ethnicity, and sex in health research. Health research, social epidemiology, sociology, and medical anthropology experts from 11 different universities participated in the Delphi process. The tools were pilot tested on 85 health research manuscripts in top health research journals to determine inter-rater reliability of the tools. The tools each spanned five dimensions for both sex and gender as well as race and ethnicity: Author inclusiveness, Participant inclusiveness, Nomenclature reporting, Descriptive reporting, and Outcomes reporting for each subpopulation. The sex and gender tool had a median score of 6 and a range of 1-15 out of 16 possible points. The percent agreement between reviewers piloting the sex and gender tool was 82%. The interrater reliability or average Cohens Kappa was 0.54 with a standard deviation of 0.33 demonstrating moderate agreement. The race and ethnicity tool had a median score of 1 and a range of 0-15 out of 16 possible points. Race and ethnicity were both reported in only 25.8% of studies evaluated. Most studies that reported race reported only the largest subgroups; White, Black, and Latinx. The percent agreement between reviewers piloting the race and ethnicity tool was 84 and average Cohens Kappa was 0.61 with a standard deviation of 0.38 demonstrating substantial agreement. While the overall dimension scores were low (indicating low inclusivity), the interrater reliability measures indicated moderate to substantial agreement for the respective tools. Efforts in recruitment alone will not provide more inclusive literature without improving reporting.

Published
2023

10. Futility in acute care surgery: first do no harm.

Author

Hornor, Melissa, Khan, Uzer, Cripps, Michael, Cook Chapman, Allyson, Knight-Davis, Jennifer, Puzio, Thaddeus, and Joseph, Bellal

Subjects
acute, geriatrics, multiple trauma
Abstract

The consequences of the delivery of futile or potentially ineffective medical care and interventions are devastating on the healthcare system, our patients and their families, and healthcare providers. In emergency situations in particular, determining if escalating invasive interventions will benefit a frail and/or severely critically ill patient can be exceedingly difficult. In this review, our objective is to define the problem of potentially ineffective care within the specialty of acute care surgery and describe strategies for improving the care of our patients in these difficult situations.

Published
2023

11. Feeling like an imposter: are surgeons holding themselves back?

Author

Joseph, Bellal, Tseng, Esther, Zielinski, Martin, Ramirez, Christine, Galey, Kelly, Bhogadi, Sai, El-Qawaqzeh, Khaled, Hosseinpour, Hamidreza, and Lynde, Jennifer

Subjects
education, medical, general surgery, practice patterns, physicians, stress disorders, post-traumatic
Abstract

Imposter syndrome is a psychological phenomenon where people doubt their achievements and have a persistent internalized fear of being exposed as a fraud, even when there is little evidence to support these thought processes. It typically occurs among high performers who are unable to internalize and accept their success. This phenomenon is not recognized as an official mental health diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition; however, mental health professionals recognize it as a form of intellectual self-doubt. It has been reported that imposter syndrome is predominant in the high-stakes and evaluative culture of medicine, where healthcare workers are frequently agonized by feelings of worthlessness and incompetence. Imposter syndrome can lead to a variety of negative effects. These can include difficulty concentrating, decreased confidence, burnout, anxiety, stress, depression, and feelings of inadequacy. This article will discuss the prevalence of imposter syndrome among surgeons, its associated contributing factors, the effects it can have, and potential strategies for managing it. The recommended strategies to address imposter syndrome are based on the authors opinions.

Published
2023

16. The impact of post-operative enteral nutrition on duodenal injury outcomes: A post hoc analysis of an EAST multicenter trial

Author

Choron, Rachel L., Rallo, Michael, Piplani, Charoo, Youssef, Sara, Teichman, Amanda L., Bargoud, Christopher G., Sciarretta, Jason D., Smith, Randi N., Hanos, Dustin S., Afif, Iman N., Beard, Jessica H., Dhillon, Navpreet K., Zhang, Ashling, Ghneim, Mira, Devasahayam, Rebekah J., Gunter, Oliver L., Smith, Alison A., Sun, Brandi L., Cao, Chloe, Reynolds, Jessica K., Hilt, Lauren A., Holena, Daniel, Chang, Grace, Jonikas, Meghan, Echeverria, Karla, Fung, Nathaniel, Anderson, Aaron, Dumas, Ryan P., Fitzgerald, Caitlin A., Levin, Jeremy, Trankiem, Christine, Yoon, JaeHee Jane, Blank, Jacqueline, Hazelton, Joshua, McLaughlin, Christopher J., Al-Aref, Rami, Kirsch, Jordan M., Howard, Daniel S., Scantling, Dane R., Dellonte, Kate, Vella, Michael, Hopkins, Brent, Shell, Chloe, Udekwu, Pascal O., Wong, Evan G., Joseph, Bellal A., Lieberman, Howard, Ramsey, Walter, Stewart, Collin, Alvarez, Claudia, Berne, John D., Nahmias, Jeffry, Puente, Ivan, Patton, J. Pat, Rakitin, Ilya, Perea, Lindsey L., Pulido, Odessa R., Ahmed, Hashim, Keating, Jane, Kodadek, Lisa, Wade, Jason, Henry, Reynold, Schreiber, Martin, Benjamin, Andrew, Khan, Abid, Mann, Laura K., Mentzer, Caleb, Mousafeiris, Vasileios, Mulita, Francesk, Reid-Gruner, Shari, Sais, Erica, Foote, Christopher, Palacio-Lascano, Carlos, Argandykov, Dias, Kaafarani, Haytham, Bover Manderski, Michelle, Narayan, Mayur, and Seamon, Mark J.

Published
2024
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17. The implications of poor nutritional status on outcomes of geriatric trauma patients

Author

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, Thomas, Jonathan, Hosseinpour, Hamidreza, Anand, Tanya, Bhogadi, Sai Krishna, Nelson, Adam, Hejazi, Omar, Castanon, Lourdes, Ghaedi, Arshin, Khurshid, Muhammad Haris, Magnotti, Louis J., and Joseph, Bellal

Published
2024
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20. The Synergy Factor: Trauma and Cancer

Author

Alexander, Hunter D., Bhogadi, Sai Krishna, Hejazi, Omar, Nelson, Adam, Khurshid, Muhammad Haris, Stewart, Collin, Hosseinpour, Hamidreza, Colosimo, Christina, Magnotti, Louis J., and Joseph, Bellal

Published
2024
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24. A comparison of outcomes including bile duct injury of subtotal cholecystectomy versus open total cholecystectomy as bailout procedures for severe cholecystitis: A multicenter real-world study

Author

Dhanasekara, Chathurika S., Shrestha, Kripa, Grossman, Holly, Garcia, Liza M., Maqbool, Baila, Luppens, Carolyn, Dumas, Ryan P., Taveras Morales, Luis R., Brahmbhatt, Tejal Sudhirkumar, Haqqani, Maha, Lunevicius, Raimundas, Nzenwa, Ikemsinachi C., Griffiths, Ewen, Almonib, Ahmed, Bradley, Nori L., Lerner, E. Paul, Mohseni, Shahin, Trivedi, Dhanisha, Joseph, Bellal A., Anand, Tanya, Plevin, Rebecca, Nahmias, Jeffry T., Lasso, Erika Tay, and Dissanaike, Sharmila

Published
2024
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43. Prehospital Time Following Traumatic Injury Is Independently Associated With the Need for In-Hospital Blood and Early Mortality for Specific Injury Types

Author

Zadorozny, Eva V., Lin, Hsing-Hua S., Luther, James, Wisniewski, Stephen R., Cotton, Brian A., Fox, Erin E., Harbrecht, Brian G., Joseph, Bellal A., Moore, Ernest E., Ostenmayer, Daniel G., Patel, Mayur B., Schreiber, Martin A., Tatebe, Leah C., Todd, Samual R., Wilson, Chad, Gruen, Danielle S., Sperry, Jason L., Martin-Gill, Christian, Brown, Joshua B., and Guyette, Francis X.

Published
2024
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50. Risk-stratified thromboprophylaxis effects of aspirin versus low-molecular-weight heparin in orthopedic trauma patients: A secondary analysis of the PREVENT CLOT trial

Author

OʼHara, Nathan N., OʼToole, Robert V., Frey, Katherine P., Castillo, Renan C., Cuschieri, Joseph, Haut, Elliott R., Slobogean, Gerard P., Firoozabadi, Reza, Christmas, A. Britton, Obremskey, William T., Carlini, Anthony R., Gaski, Greg E., Kutcher, Matthew E., Marvel, Debra, Stein, Deborah M., Levy, Joseph F., Wegener, Stephen T., Fowler, Brianna E., Taylor, Tara J., Weston-Farber, Elias, Herndon, Steven Craig, Jr., DeCoster, Thomas A., Jurkovich, Gregory J., Lee, Christopher, Malhotra, Ajai K., Riedel, Matthew D., Wells, Jeffrey L., Altman, Daniel T., Westrick, Edward R., Bosse, Michael J., Karunakar, Madhav A., Cunningham, Kyle W., Huynh, Toan, Jacobs, David G., Kempton, Laurence B., Phelps, Kevin D., Seymour, Rachel B., Sims, Stephen H., Churchill, Christine, Carroll, Eben A., Babcock, Sharon, Miller, Preston R., Pilson, Holly T., Goodman, James Brett, Weaver, Michael J., Esposito, John G., Goldhaber, Samuel Zachary, Heng, Marilyn, McGovern, Madeline M., Velmahos, George C., von Keudell, Arvind G., Rivera, Jessica C., Gitajn, Ida Leah, Schneider, Prism S., Buckley, Richard E., Johal, Herman S., Gallant, Jodi L., McKay, Paula, Kleweno, Conor P., Agel, Julie, Arif, Hikmatullah, McKinley, Todd O., Natoli, Roman M., Heincelman, Carrie L., Jang, Yohan, Lopas, Luke A., Mullis, Brian H., Richard, Raveesh D., Virkus, Walter, Hill, Lauren C., Hymes, Robert A., Holzman, Michael, Malekzadeh, A. Stephen, Panjshiri, Farhanaz, Schulman, Jeff E., Ramsey, Lolita, Ahn, James, Cuff, Jaslynn A. N., Gary, Joshua L., Warner, Stephen J., Cotton, Bryan A., Vallier, Heather A., Claridge, Jeffrey A., Breslin, Mary A., Cowley, R Adams, Connelly, Daniel, Eglseder, W. Andrew, Haac, Bryce E., Healey, Kathleen Marie, LeBrun, Christopher T., Manson, Theodore, McKibben, Natasha S., Mulliken, Alexandra, Nascone, Jason, Pensy, Raymond A., Pollak, Andrew N., Sciadini, Marcus F., Udogwu, Ugochukwu N., Zingas, Nicolas, Burke, Cynthia Elaine, DeLeon, Genaro A., Hannan, Zachary D., Howe, Andrea L., Marinos, Dimitrius P., McKegg, Phillip C., Evans, Andrew R., Askam, Brad M., Joseph, Bellal, Lowe, Jason, Weinlein, John C., Bergin, Patrick F., Bhanat, Eldrin L., Khanna, Rajinder, Morellato, John, Nehete, Priyanka V., Domes, Christopher, Whiting, Paul S., Goodspeed, David C., Kuhn, Gabrielle R., Guillamondegui, Oscar D., Moreno-Diaz, Andres Fidel, Stinner, Daniel J., Pritchett, Charles, Jr., and Trochez, Karen M.

Published
2024
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