Publications by authors named "D G Tuggle"
Background: This study analyzed the overall incidence of delirium, comorbid conditions, injury patterns, and pharmacological risk factors for the development of delirium in an alert, geriatric trauma population.
Methods: IRB-approved, prospective, consecutive cohort series at two Southeastern Level 1 trauma centers from June 11 to August 15, 2023. Delirium was assessed using the Confusion Assessment Method (CAM) score.
Article Synopsis
- Recent studies have highlighted the use of laparoscopy in pediatric trauma, especially for bowel and pancreatic injuries within the first day or two after injury.
- A multicenter trial involving 10 pediatric trauma centers analyzed the selective application of laparoscopy in children with blunt liver or spleen injuries (BLSI).
- Out of 1008 children with BLSI, 16% underwent laparoscopic surgeries, primarily for liver injuries, with procedures including diagnostic laparoscopy and drain placements, occurring a median of 42 hours post-injury.
Background: Focused Abdominal Sonography for Trauma (FAST) examination has long been proven useful in the management of adult trauma patients, however, its utility in pediatric trauma patients is not as proven. Our goal was to evaluate the utility of a FAST examination in predicting the success or failure of nonoperative management (NOM) of blunt liver and/or spleen (BLSI) in the pediatric trauma population.
Methods: A retrospective analysis of a prospective observational study of patients younger than 18 years presenting with BLSI to one of ten Level I pediatric trauma centers between April 2013 and January 2016.
Background: APSA guidelines do not recommend routine reimaging for pediatric blunt liver or spleen injury (BLSI). This study characterizes the symptoms, reimaging, and outcomes associated with a selective reimaging strategy for pediatric BLSI patients.
Methods: A planned secondary analysis of reimaging in a 3-year multi-site prospective study of BLSI patients was completed.
Background: After NOM for BLSI, APSA guidelines recommend activity restriction for grade of injury +2 in weeks. This study evaluates activity restriction adherence and 60 day outcomes.
Methods: Non-parametric tests and logistic regression were utilized to assess difference between adherent and non-adherent patients from a 3-year prospective study of NOM for BLSI (≤18 years).