Publications by authors named "Cory R Evans"
Background: Penetrating neck injuries can be fatal if not quickly identified; however, operative intervention is not always necessary. Prompt evaluation with imaging studies aids in identifying patients who need intervention.
Methods: A retrospective, single-center study of patients with PNI from 2017 to 2022 was performed.
Introduction: Management of penetrating neck injuries (PNIs) has evolved over time, more frequently relying on increased utilization of diagnostic imaging studies. Directed work-up with computed tomography imaging has resulted in increased use of angiography and decreased operative interventions. We sought to evaluate management strategies after directed work-up, hypothesizing increased use of non-operative therapeutic interventions and lower mortality after directed work-up.
View Article and Find Full Text PDFBackground: Need for Trauma Intervention (NFTI) score was proposed to help identify injured trauma patients while minimizing under (UT) and over triage (OT). Using a national database, we aimed to describe UT and OT of NFTI vs standard Cribari method (CM) and hypothesized triage sensitivity remains poor.
Methods: The 2021 Trauma Quality Improvement Program (TQIP) database was queried.
Article Synopsis
- The study investigates how to best manage extraperitoneal bladder injuries (EBIs) in patients who also have pelvic fractures, comparing surgical (cystorrhaphy) and non-operative treatments.
- Researchers reviewed data from 90 patients at a trauma center between 2017 and 2022, finding that 56% had EBIs and the rest had other types of bladder injuries.
- Results indicated that while patients who had surgery experienced more bladder leaks post-treatment, overall complications were similar between those treated operatively and non-operatively.
Background: An integral part of ventilator-associated pneumonia (VAP) therapy is the appropriate choice of empiric antibiotics. Our previous experience demonstrated adherence to an empiric therapy pathway was associated with only modest changes in organisms causing VAP. The purpose of the current study was to evaluate the impact of a restrictive antibiotic policy for VAP in trauma patients on the incidence and sensitivities of causative pathogens since the previous study.
View Article and Find Full Text PDFBackground: Optimal airway management following repair of cervical tracheal injuries is unknown. This study aimed to determine the optimal airway strategy following cervical tracheal injury repair.
Methods: Patients with cervical tracheal injuries admitted from January 2000 to January 2014 at seven US Level I trauma centers were identified.