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21 results on '"Sandhu, Rovinder S."'

1. Does treatment delay for blunt cerebrovascular injury affect stroke rate?: An EAST multicenter study

Author

Appelbaum, Rachel D, Esposito, Emily, Spaulding, M Chance, Simpson, Joshua P, Dunn, Julie, Zier, Linda B, Burruss, Sigrid, Kim, Paul P, Jacobson, Lewis E, Williams, Jamie M, Nahmias, Jeffry, Grigorian, Areg, Harmon, Laura, Gergen, Anna K, Chatoor, Matthew, Rattan, Rishi, Young, Andrew J, Pascual, Jose L, Murry, Jason, Ong, Adrian W, Muller, Alison, Sandhu, Rovinder S, Bugaev, Nikolay, Tatar, Antony, Zreik, Khaled, Lieser, Mark J, Stein, Deborah M, Scalea, Thomas M, and Lauerman, Margaret H

Published
2022
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2. Factors Associated with Stroke Formation in Blunt Cerebrovascular Injury: An EAST Multicenter Study

Author

Esposito, Emily, Kufera, Joseph A., Wolff, Timothy W., Spalding, M. Chance, Simpson, Joshua, Dunn, Julie A., Zier, Linda, Burruss, Sigrid, Kim, Paul, Jacobson, Lewis E., Williams, Jamie, Nahmias, Jeffry, Grigorian, Areg, Harmon, Laura, Gergen, Anna, Chatoor, Matthew, Rattan, Rishi, Young, Andrew J., Pascual, Jose L., Murry, Jason, Ong, Adrian W., Muller, Alison, Sandhu, Rovinder S., Appelbaum, Rachel, Bugaev, Nikolay, Tatar, Antony, Zreik, Khaled, Hustad, Leah, Lieser, Mark J., Stein, Deborah M., Scalea, Thomas M., and Lauerman, Margaret H.

Published
2021
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3. Modifying Post-operative Opioid Stewardship Through a System of Educational Feedback

Author

Beauchamp, Gillian, Deol, Pavit, Sipko, Joseph, Yazdanyar, Ali, Rosentel, Joshua, Kuehler, Daniel, Sandhu, Rovinder S., and McCambridge, Matthew

Abstract

Background:The opioid overdose epidemic remains one of the leading focuses of the United States’ public health agenda. Current literature has suggested that many surgical procedures are associated with an increased risk of chronic opioid use in the post-operative period of opioid-naïve patients. We aimed to assess whether providing feedback on the average morphine milligram equivalents (MMED) and opioid utilization by selected post-operative patients would impact the provider opioid prescribing patterns.Methods:An opioid stewardship educational intervention provided didactic and email feedback to general surgeons about their prescribing patterns and summary feedback on opioid usage among post-operative patients from the pre-intervention period. We used descriptive statistics, Chi Square, Fisher’s Exact test, Wilcoxon Rank Sum, two sample t test, and Spearman’s rho to analyze the data gathered.Results:A total of 5142 patients with an average age of 43.9 years were included in the study period. Women accounted for 3096 (60.2%) and 2046 (39.8%) were men. The surgeries during the study period included 1928 (37.5%) appendectomies and 3214 (62.5%) cholecystectomies. The predominant surgical approach was laparoscopic 5028 (97.8%). In both groups, the total MMED and total number of pills prescribed decreased significantly after the intervention was implemented. There were no refill prescriptions nor 30-day readmissions among those discharged with an opioid prescription in either study phase.Discussion:An intervention that provided general surgeons with feedback about their post-operative prescription patterns and data on post-operative opioid utilization by patients decreased prescribed MMED.

Published
2023
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5. Grade 1 Internal Carotid Artery Blunt Cerebrovascular Injury Persistence Risks Stroke With Current Management: An EAST Multicenter Study

Author

Yang, Sarah, primary, Esposito, Emily, additional, Spalding, Chance, additional, Simpson, Joshua, additional, Dunn, Julie A., additional, Zier, Linda, additional, Burruss, Sigrid, additional, Kim, Paul, additional, Jacobson, Lewis E., additional, Williams, Jamie, additional, Nahmias, Jeffry, additional, Grigorian, Areg, additional, Harmon, Laura, additional, Gergen, Anna, additional, Chatoor, Matthew, additional, Rattan, Rishi, additional, Young, Andrew J., additional, Pascual, Jose L., additional, Murry, Jason, additional, Ong, Adrian W., additional, Muller, Alison, additional, Sandhu, Rovinder S., additional, Appelbaum, Rachel, additional, Bugaev, Nikolay, additional, Tatar, Antony, additional, Zreik, Khaled, additional, Lieser, Mark J., additional, Scalea, Thomas M., additional, Stein, Deborah M., additional, and Lauerman, Margaret, additional

Published
2022
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6. Endovascular Intervention in Internal Carotid Artery Blunt Cerebrovascular Injury: An EAST Multicenter Study

Author

Lauerman, Margaret, primary, Esposito, Emily, additional, Spalding, Chance, additional, Simpson, Joshua, additional, Dunn, Julie A., additional, Zier, Linda, additional, Burruss, Sigrid, additional, Kim, Paul, additional, Jacobson, Lewis E., additional, Williams, Jamie, additional, Nahmias, Jeffry, additional, Grigorian, Areg, additional, Harmon, Laura, additional, Gergen, Anna, additional, Chatoor, Matthew, additional, Rattan, Rishi, additional, Young, Andrew J., additional, Pascual, Jose L., additional, Murry, Jason, additional, Ong, Adrian W., additional, Muller, Alison, additional, Sandhu, Rovinder S., additional, Appelbaum, Rachel, additional, Bugaev, Nikolay, additional, Tatar, Antony, additional, Zreik, Khaled, additional, Lieser, Mark J., additional, Scalea, Thomas M., additional, and Stein, Deborah M., additional

Published
2022
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7. sj-pdf-1-asu-10.1177_00031348221082277 – Supplemental Material for Grade 1 Internal Carotid Artery Blunt Cerebrovascular Injury Persistence Risks Stroke With Current Management: An EAST Multicenter Study

Author

Yang, Sarah, Esposito, Emily, Spalding, Chance, Simpson, Joshua, Dunn, Julie A., Zier, Linda, Burruss, Sigrid, Kim, Paul, Jacobson, Lewis E., Williams, Jamie, Nahmias, Jeffry, Grigorian, Areg, Harmon, Laura, Gergen, Anna, Chatoor, Matthew, Rattan, Rishi, Young, Andrew J., Pascual, Jose L., Murry, Jason, Ong, Adrian W., Muller, Alison, Sandhu, Rovinder S., Appelbaum, Rachel, Bugaev, Nikolay, Tatar, Antony, Zreik, Khaled, Lieser, Mark J., Scalea, Thomas M., Stein, Deborah M., and Lauerman, Margaret

Subjects
FOS: Clinical medicine, 110323 Surgery
Abstract

Supplemental Material, sj-pdf-1-asu-10.1177_00031348221082277 for Grade 1 Internal Carotid Artery Blunt Cerebrovascular Injury Persistence Risks Stroke With Current Management: An EAST Multicenter Study by Sarah Yang, Emily Esposito, Chance Spalding, Joshua Simpson, Julie A. Dunn, Linda Zier, Sigrid Burruss, Paul Kim, Lewis E. Jacobson, Jamie Williams, Jeffry Nahmias, Areg Grigorian, Laura Harmon, Anna Gergen, Matthew Chatoor, Rishi Rattan, Andrew J. Young, Jose L. Pascual, Jason Murry, Adrian W. Ong, Alison Muller, Rovinder S. Sandhu, Rachel Appelbaum, Nikolay Bugaev, Antony Tatar, Khaled Zreik, Mark J. Lieser, Thomas M. Scalea, Deborah M. Stein and Margaret Lauerman in The American Surgeon

Published
2022
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8. Grade 1 Internal Carotid Artery Blunt Cerebrovascular Injury Persistence Risks Stroke With Current Management: An EAST Multicenter Study

Author

Yang, Sarah, Esposito, Emily, Spalding, Chance, Simpson, Joshua, Dunn, Julie A., Zier, Linda, Burruss, Sigrid, Kim, Paul, Jacobson, Lewis E., Williams, Jamie, Nahmias, Jeffry, Grigorian, Areg, Harmon, Laura, Gergen, Anna, Chatoor, Matthew, Rattan, Rishi, Young, Andrew J., Pascual, Jose L., Murry, Jason, Ong, Adrian W., Muller, Alison, Sandhu, Rovinder S., Appelbaum, Rachel, Bugaev, Nikolay, Tatar, Antony, Zreik, Khaled, Lieser, Mark J., Scalea, Thomas M., Stein, Deborah M., and Lauerman, Margaret

Abstract

Background Higher blunt cerebrovascular injury (BCVI) grade and lack of medical therapy are associated with stroke. Knowledge of stroke risk factors specific to individual grades may help tailor BCVI therapy to specific injury characteristics.Methods A post-hoc analysis of a 16 center, prospective, observational trial (2018-2020) was performed including grade 1 internal carotid artery (ICA) BCVI. Repeat imaging was considered the second imaging occurrence only.Results From 145 grade 1 ICA BCVI included, 8 (5.5%) suffered a stroke. Grade 1 ICA BCVI with stroke were more commonly treated with mixed anticoagulation and antiplatelet therapy (75.0% vs 9.6%, P <.001) and less commonly antiplatelet therapy (25.0% vs 82.5%, P = .001) compared to injuries without stroke. Of the 8 grade 1 ICA BCVI with stroke, 4 (50.0%) had stroke after medical therapy was started. In comparing injuries with resolution at repeat imaging to those without, stroke occurred in 7 (15.9%) injuries without resolution and 0 (0%) injuries with resolution (P = .005). At repeat imaging in grade 1 ICA BCVI with stroke, grade of injury was grade 1 in 2 injuries, grade 2 in 3 injuries, grade 3 in 1 injury, and grade 5 in one injury.Discussion While the stroke rate for grade 1 ICA BCVI is low overall, injury persistence appears to heighten stroke risk. Some strokes occurred despite initiation of medical therapy. Repeat imaging is needed in grade 1 ICA BCVI to evaluate for injury progression or resolution.

Published
2023
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10. Factors associated with stroke formation in blunt cerebrovascular injury: An EAST multicenter study

Author

Esposito, Emily C., Kufera, Joseph A., Wolff, Timothy W., Spalding, M. Chance, Simpson, Joshua, Dunn, Julie A., Zier, Linda, Burruss, Sigrid, Kim, Paul, Jacobson, Lewis E., Williams, Jamie, Nahmias, Jeffry, Grigorian, Areg, Harmon, Laura, Gergen, Anna, Chatoor, Matthew, Rattan, Rishi, Young, Andrew J., Pascual, Jose L., Murry, Jason, Ong, Adrian W., Muller, Alison, Sandhu, Rovinder S., Appelbaum, Rachel, Bugaev, Nikolay, Tatar, Antony, Zreik, Khaled, Hustad, Leah, Lieser, Mark J., Stein, Deborah M., Scalea, Thomas M., and Lauerman, Margaret H.

Published
2022
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13. Child Passenger Safety: An Evidence-Based Review

Author

Barraco, Robert D., primary, Cheng, Julius D., additional, Bromberg, William J., additional, Falcone, Richard A., additional, Hammond, Jeffrey S., additional, Lui, Felix Y., additional, Sandhu, Rovinder S., additional, and Scaff, David W., additional

Published
2010
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21. Contributors

Author

Abularrage, Christopher J., Adams, Reid B., Allen, Mark S., Altman, Stephen L., Amin, Rupen, Badillo, Andrea, Bertram, Catherine, Bhanot, Parag, Blansfield, Joseph A., Bloom, Kenneth J., Bloom, Sara A., Braslow, Benjamin, Bruno, David A., Buell, Joseph F., Byrne, John, Chahine, A. Alfred, Chang, David C., Cheng, Zandra, Cipolle, Mark D., Clary, Bryan M., Cornwell, Edward E., Cox, Derrick D., Crago, Aimee M., Dangleben, Dale A., Darling, R. Clement, David, Elizabeth A., Davies, James E., Deaton, David, Demetriades, Demetrios, Dhanireddy, Kiran K., Doherty, Gerard M., Donington, Jessica S., Duffy, Brian J., Duh, Quan-Yang, Efron, David T., Eichelberger, Martin R., Evangelista, Rebecca, Evans, Stephen R.T., Faherty, Eleanor, Feldman, Elizabeth D., Fernandez, Felix G., Fine, Richard E., Fishbein, Thomas M., FitzGerald, James, Foley, Eugene F., Foy, Hugh M., Friel, Charles M., Garrett, Kelly, Gosalia, Ankur, Gracias, Vicente H., Graham, Jay A., Guzzetta, Philip C., Jr., Haider, Adil H., Haut, Elliott R., Hawn, Mary, Heitmiller, Richard F., Hodin, Earl, Islam, Arsalla, Itani, Kamal M.F., Jackson, Patrick G., Johnson, Lynt B., Kim, Benjamin, Kim, Lawrence T., Kreisel, Daniel, Kucharczuk, John C., Kuo, Paul C., Laredo, James, Larson, David W., Lee, Edward C., Loeb, Stacy, Lu, Amy D., Lukish, Jeffrey, Macsata, Robyn A., Manasseh, Donna-Marie, Marroquin, Carlos E., Marshall, M. Blair, Massey, Marga F., Mathur, Aarti, Silva, Fabio May da, McLeod, Michael, Merchant, Aziz, Mislowsky, Angela M., Molino, Bruno, Munene, Gitonga, Nauta, Russell J., Nelson, Edward W., Neville, Richard F., Newman, Kurt D., Northup, C. Joe, Nwariaku, Fiemu, Pasquale, Michael D., Pingpank, James F., Jr., Plummer, Dahlia, Ponsky, Todd A., Powell, David M., Reuben, Brian, Rothenbach, T.A., Safford, Shawn D., Salim, Ali, Sandhu, Rovinder S., Sarani, Babak, Scarborough, John E., Schirmer, Bruce, Shrager, Joseph B., Sidawy, Anton N., Singh, Niten, Snyder, William H., Swanson, Scott J., Tafra, Lorraine, Tevar, Amit D., Thomas, Mark J., Upham, Trevor, Vargo, Daniel, Weber, Diana M., Weiser, Todd S., White, Tamica, Willey, Shawna C., Wohler, Alexander, and Yang, James C.

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