Search

Your search keyword '"Poulakidas, Stathis J"' showing total 14 results
Start Over Author "Poulakidas, Stathis J"
14 results on '"Poulakidas, Stathis J"'

1. Initial Laboratory Values Can Predict Mortality in Burn Patients

Author

Jaber, Camaleigh A., primary, Bryan, Francesca E., additional, Toor, Rubinder S., additional, Quereshi, Asma M., additional, Messer, Thomas A., additional, Schlanser, Victoria L., additional, Tatebe, Leah C., additional, Poulakidas, Stathis J., additional, and Bokhari, Faran, additional

Published
2022
Full Text
View/download PDF

3. Initial Laboratory Values Can Predict Mortality in Burn Patients

Author

Jaber, Camaleigh A., Bryan, Francesca E., Toor, Rubinder S., Quereshi, Asma M., Messer, Thomas A., Schlanser, Victoria L., Tatebe, Leah C., Poulakidas, Stathis J., and Bokhari, Faran

Abstract

Background There are several burn scores used to predict mortality in burn patients. However, minimal data exists on the role of laboratory values in risk stratification. We hypothesized that laboratory derangements seen on admission can predict mortality in burn patients.Materials and Methods A retrospective chart review was conducted on burn patients admitted to a busy Level 1 Trauma and Burn Center from 2013 to 2019. Data analysis included patients with partial or full thickness burns and a total body surface area (TBSA) burn greater than 15%. Exclusion criteria included patients presenting with electrical burns, non-thermal conditions (Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis, or soft tissue infections) or patients with significant polytrauma.Results 112 patients were included in the analysis. Admission phosphate, creatinine, albumin, and glucose levels were associated with mortality. There was a difference in serum phosphate (3.48 and 6.04 mg/dL), creatinine (0.85 and 1.13 mg/dL), albumin (3.26 and 2.3 mg/dL), and glucose (138 and 233 mmol/L) levels for survivors and non-survivors; respectively. There were increased mortality rates seen in patients presenting with abnormal serum levels compared to normal serum levels (Phosphate: 7.5% vs. 53.3%, creatinine: 13.5% vs. 38.9%, albumin: 38.5% vs. 8.10% and glucose: 10.1% vs. 31.6% (normal vs. abnormal; respectively)). Serum sodium, potassium, and hemoglobin levels had no association with mortality.Discussion Specific laboratory derangements seen on admission are associated with an increased risk for mortality. This can be used as a framework for future studies in risk stratification of burn victims.

Published
2023
Full Text
View/download PDF

11. EFFICACY OF ROUTINE CHEST X-RAY AS A SCREENING TOOL FOR TRAUMA PATIENTS

Author

Luchette, Fred A., primary, Esposito, Thomas J., additional, Sears, Benjamin W., additional, Dickson, Elizabeth L., additional, Grant, Mark, additional, Santaniello, John M., additional, Jodlowski, Christopher R., additional, Davis, Kimberly A., additional, Poulakidas, Stathis J., additional, and Gamelli, Richard L., additional

Published
2004
Full Text
View/download PDF

13. Contributors

Author

Abern, Michael R., Bines, Steven D., Boggio, Lisa N., Butsch, John, Byrne, Richard W., Chan, Edie Y., Christein, John D., Christopoulos, Niki A., Cologne, Kyle G., Colombo, James A., Croley, W. Christopher, Daly, Shaun, Derman, Gordon H., Deziel, Daniel J., Durham, Joseph R., Floyd, Nadine D., Fusco, Crea, Gill, Kiranjeet, Graczyk, Matthew J., Growney, Alicia, Guirguis, Alfred S., Hieken, Tina J., Higgins, Robert S.D., Hollinger, Edward F., Holterman, Ai-Xuan L., Hooper, Elizabeth A., Idrees, Kamran, Jacobs, Chad E., Jones, Jamie Elizabeth, Khan, Muhammad Asad, Kim, Anthony W., Kominiarek, Michelle A., Kopkash, Katherine, Krishnamurthy, Vikram D., Latchamsetty, Kalyan C., Lind, Benjamin, LoSavio, Phillip S., Luu, Minh B., Madrigrano, Andrea, Maurice, Samuel M., McCarthy, Walter J., McLeod, Bruce C., Messer, Thomas A., Millikan, Janet Deselich, Millikan, Keith W., Moo-Young, Tricia, Myers, Jonathan A., Nagy, Ferenc P., Okum, Eric J., Perez-Tamayo, R. Anthony, Perry, Kyle A., Pittman, Troy, Polimenakos, Anastasios C., Poulakidas, Stathis J., Prinz, Richard A., Quiros, Roderick M., Ritter, Lane A., Saclarides, Theodore J., Savage, Edward B., Shersher, David D., Smith, Adam P., Tareen, Mona, Turner, Jacquelyn, Twaddle, Martha L., Valentino, Leonard A., Velasco, José M., Witt, Thomas R., and Wool, Norman

Full Text
View/download PDF

14. Reasons to omit digital rectal exam in trauma patients: no fingers, no rectum, no useful additional information.

Author

Esposito TJ, Ingraham A, Luchette FA, Sears BW, Santaniello JM, Davis KA, Poulakidas SJ, and Gamelli RL

Subjects
Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Female, Gastrointestinal Hemorrhage etiology, Health Status Indicators, Humans, Infant, Male, Middle Aged, Physician's Role, Predictive Value of Tests, Prospective Studies, Spinal Cord Injuries etiology, Urethral Obstruction etiology, Digital Rectal Examination, Gastrointestinal Hemorrhage diagnosis, Spinal Cord Injuries diagnosis, Urethral Obstruction diagnosis, Wounds and Injuries complications
Abstract

Background: Performance of digital rectal examination (DRE) on all trauma patients during the secondary survey has been advocated by the Advanced Trauma Life Support course. However, there is no clear evidence of its efficacy as a diagnostic test for traumatic injury. The purpose of this study is to analyze the value of a policy mandating DRE on all trauma patients as part of the initial evaluation process and to discern whether it can routinely be omitted., Methods: Prospective study of patients treated at a Level I trauma center. Clinical indicators other than DRE (OCI) denoting gastrointestinal bleeding (GIB), urethral disruption (UD), or spinal cord injury (SCI) were sought and correlated with DRE findings suggesting the same. Impression of the examining physician as to the need and value of DRE was also studied. Patients with a Glasgow Coma Scale Score (GCS) of 3 and pharmacologically paralyzed were excluded from the SCI analyses. UD analysis included only males., Results: In all, 512 cases were studied (72% male, 28% female) ranging in age from 2 months to 102 years. Thirty index injuries were identified in 29 patients (6%), 17 SCI (3%), 11 GIB (2%), and 2 UD (0.4%). DRE findings agreed positively or negatively with one or more OCI of index injuries in 93% of all cases (92% seeking SCI, 90% seeking GIB, 96% seeking UD). Overall, negative predictive value of DRE was the same as that of OCI, 99% (SCI 98% versus 99%, GIB, 97% versus 99%, UD both 100%). Positive predictive value for DRE was 27% and for OCI 24% (SCI 47% versus 44%, GIB 15% versus 18%, UD 33% versus 6%). Efficiency of DRE was 94% and OCI was 93%. For confirmed index injuries, indicative DRE findings were associated with 41% and OCI 73% (SCI 36% versus 79%, GIB 36% versus 73%, UD 50% versus 100%). OCIs were present in 81% of index injury cases. In all index injury cases where OCIs were absent, positive DRE findings were also absent. DRE was felt to give additional information in 5% of all cases and change management in 4%. In cases where the clinician felt DRE was definitely indicated (29%) it reportedly gave no additional information in 85% and changed management in 11%., Conclusion: DRE is equivalent to OCI for confirming or excluding the presence of index injuries. When index injuries are demonstrated, OCI is more likely to be associated with their presence. DRE rarely provides additional accurate or useful information that changes management. Omission of DRE in virtually all trauma patients appears permissible, safe, and advantageous. Elimination of routine DRE from the secondary survey will presumably conserve time and resources, minimize unpleasant encounters, and protect patients and staff from the potential for further harm without any significant negative impact on care and outcome.

Published
2005
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results