Publications by authors named "Dunya Bayat"
Article Synopsis
- The study examines the impact of illicit substance use during pregnancy, noting a 4-fold increase over two decades and its negative effects on mothers and fetuses.
- A multicenter retrospective analysis from 2016 to 2021 included 852 pregnant trauma patients (PTPs), with 9.8% testing positive for substances, primarily THC and methamphetamine.
- Findings showed that PTPs with positive urine toxicology had higher rates of blunt head injuries, extremity injuries, domestic violence incidents, and uterine contractions, but similar maternal complication rates compared to those who tested negative.
Article Synopsis
- Current guidelines suggest that patients with isolated sternal fractures (ISFs) and minor heart-related issues should undergo 24-hour telemetry monitoring, despite a single study indicating they might not need it.
- A study conducted across 8 trauma centers reviewed ISF patients with minor ECG changes or troponin elevation and found that very few (1.6%) experienced significant blunt cardiac injury (BCI), and none had BCI diagnosed via echocardiogram.
- The results imply that routine monitoring and echocardiography may not be necessary for ISF patients displaying minor ECG abnormalities and challenge existing medical protocols.
Article Synopsis
- Almost 10% of pregnant women experience serious injuries, but how serious injuries affect them and their babies isn’t well understood.
- A study looked at 950 pregnant women with injuries and found that about 3.4% had severe injuries, which led to more complications and higher risks for both the mother and baby.
- Severely injured women had more surgeries and a higher chance of losing their baby, so doctors need to be very careful when taking care of them.
Article Synopsis
- Doctors often use CT scans to check for injuries after car accidents, but for pregnant women, these scans can be risky for the baby.
- A study looked at how often pregnant women involved in car crashes got CT scans at 12 different hospitals from 2016 to 2021.
- The results showed a big difference in the number of scans given at each hospital, suggesting there should be clearer rules to keep both moms and babies safe while still finding any injuries.
Background: The role of endovascular interventions (EI) for blunt carotid and vertebral artery injuries (BCI and BVI) is poorly defined. The purpose of this study was to assess the efficacy of EI compared with antithrombotic therapy (AT) to inform future prospective study.
Methods: Retrospective review (2017-2022) of records at a Level I trauma center to determine injury, treatment, and outcome information.
Predictors of fetal delivery in pregnant trauma patients: A multicenter study.
J Trauma Acute Care Surg
January 2024
Background: Pregnant trauma patients (PTPs) undergo observation and fetal monitoring following trauma due to possible fetal delivery (FD) or adverse outcome. There is a paucity of data on PTP outcomes, especially related to risk factors for FD. We aimed to identify predictors of posttraumatic FD in potentially viable pregnancies.
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- The study looked at the effects of pregnancy in older moms (35 years and older) who had trauma and compared them to younger pregnant moms.
- It found that older moms had more injuries to certain organs like the pancreas and stomach, but there was no difference in the chance of delivering the baby after trauma.
- Because of this, they decided that older moms don’t need extra monitoring compared to younger moms after a trauma.
Pain management on a trauma service: a crisis reveals opportunities.
Trauma Surg Acute Care Open
March 2022
Objectives: The opioid crisis has forced an examination of opioid prescribing and usage patterns. Multimodal pain management and limited, procedure-specific prescribing guidelines have been proposed in general surgery but are less well studied in trauma, where multisystem injuries and multispecialty caregivers are the norm. We hypothesized that opioid requirements would differ by primary type of injury and by age, and we sought to identify factors affecting opioid prescribing at discharge (DC).
View Article and Find Full Text PDFIntroduction: The Bowel Injury Prediction Score (BIPS) is a tool for identifying patients at risk for blunt bowel and mesenteric injury (BBMI) requiring surgery. BIPS is calculated by assigning one point for each of the following: (1) WBC ≥ 17,000, (2) abdominal tenderness, and (3) injury grade ≥ 4 (mesenteric contusion or hematoma with bowel wall thickening or adjacent interloop fluid collection) on CT scan. A total score ≥ 2 is associated with BBMI requiring surgery.
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- The study introduced a 'pit stop' evaluation in a low-tier trauma triage protocol, aiming to speed up patient assessment and reduce costs in the emergency department (ED).
- A retrospective analysis showed that while the time to physician evaluation remained similar, the time to CT scan significantly decreased, indicating improved efficiency for trauma patients not meeting activation criteria.
- The implementation was deemed safe, with the majority of patients released from the ED without needing a full trauma activation, and it successfully minimized overtriage without overburdening trauma resources.
Article Synopsis
- Trauma systems need to adapt to changing populations to provide adequate care for severely injured individuals, particularly focusing on vulnerable groups like the elderly and homeless.
- A study of trauma patients over five years at a Level II trauma center in Southern California found that 30% were elderly, 3% were homeless, and other categories made up the rest, with significant differences in how these groups were triaged and treated.
- Both homeless and geriatric patients faced higher complications and longer hospital stays compared to other patients, highlighting the need for better case management and resources to handle their complex health issues and discharge planning challenges.