Publications by authors named "A Hambrecht"

Article Synopsis
  • The American College of Surgeons updated trauma guidelines in 2021 to enhance care for geriatric trauma patients, particularly in resource-limited settings.
  • Two safety net hospitals in Los Angeles implemented a strategy to meet these guidelines despite a shortage of geriatricians, enrolling all trauma patients aged 60 and above from August 2022 to April 2023 and focusing on frailty screening.
  • The study revealed no standardized methods for identifying high-risk geriatric patients initially, but by the end of the research, compliance for frailty screening improved dramatically from 37% to 81%, leading to a robust process for ensuring high-risk patients receive appropriate care.
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Introduction: An increasing proportion of the population identifies as non-binary. This marginalized group may be at differential risk for trauma compared to those who identify as male or female, but physical trauma among non-binary patients has not yet been examined at a national level.

Methods: All patients aged ≥ 16 years in the National Trauma Data Bank were included (2021-2022).

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Background: With each succession along the surgical career pathway, from medical school to faculty, the percentage of those who identify as underrepresented in medicine (URiM) decreases. We sought to evaluate the demographic trend of surgical fellowship applicants, matriculants, and graduates over time.

Study Design: The Electronic Residency Application Service and the Graduate Medical Education Survey for general surgery fellowships in colorectal surgery, surgical oncology, pediatric surgery, thoracic surgery, and vascular surgery were retrospectively analyzed (2005 to 2020).

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Introduction: Tracheostomy in patients with COVID-19 is a controversial and difficult clinical decision. We hypothesized that a recently validated COVID-19 Severity Score (CSS) would be associated with survival in patients considered for tracheostomy.

Methods: We reviewed 77 mechanically ventilated COVID-19 patients evaluated for decision for percutaneous dilational tracheostomy (PDT) from March to June 2020 at a public tertiary care center.

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Background: Underrepresented minorities in medicine (URiMs) are disproportionally represented in surgery training programs. Rates of URiMs applying to and completing General Surgery residency remain low. We hypothesized that the patterns of URiMs disparities would persist into surgical critical care (SCC) fellowship applicants, matriculants, and graduates.

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