Publications by authors named "Eva Y Yuan"
Article Synopsis
- This study analyzes the time to surgery for patients with complete traumatic cervical spinal cord injuries in North America from 2010 to 2020, using data from trauma centers and focusing on the period post-hospital arrival.
- Over the decade, the median time to spine surgery decreased by an average of 0.6 hours per year, indicating a trend towards quicker surgical intervention.
- The research involved 6855 patients and showed a significant annual reduction of 5% in time to surgery, emphasizing the improvement in response time across accredited trauma centers.
Article Synopsis
- * Using health and tax data from 2007 to 2017 on 18,050 TBI patients, the research found significant income reductions—averaging CAD $7,635 in the first year and CAD $5,000 by the third year after injury—compared to uninjured individuals.
- * Additionally, 7.8% of TBI survivors became newly unemployed each year after their injury, highlighting the ongoing socioeconomic challenges faced by these individuals.
Article Synopsis
- The study aims to validate "days at home" (DAH) as an outcome measure for assessing recovery after moderate to severe traumatic brain injury (TBI) using administrative health data in Ontario, Canada.
- It analyzed data from 6,340 patients between 2009 and 2021, finding that the median DAH was 70 days and 34.1% of patients died within 90 days of injury.
- The research identifies factors significantly associated with fewer DAH, including older age, higher injury severity, and greater health resource utilization before the injury.
Importance: Identifying disparities in health outcomes related to modifiable patient factors can improve patient care.
Objective: To compare likelihood of withdrawal of life-supporting treatment (WLST) and mortality in patients with complete cervical spinal cord injury (SCI) with different types of insurance.
Design, Setting, And Participants: This retrospective cohort study collected data between 2013 and 2020 from 498 trauma centers participating in the Trauma Quality Improvement Program.
Background: Healthcare inequities for patients with traumatic brain injury (TBI) represent a major priority area for trauma quality improvement. We hypothesized a relationship between health insurance status and timing of withdrawal of life sustaining treatment (WLST) for adults with severe TBI.
Methods: This multicenter retrospective observational cohort study utilized data collected between 2017 and 2020.
Background And Objectives: Recent evidence suggests earlier tracheostomy is associated with fewer complications in patients with complete cervical spinal cord injury (SCI). This study aims to evaluate the influence of spine surgical approach on the association between tracheostomy timing and in-hospital adverse events treating patients with complete cervical SCI.
Methods: This retrospective cohort study was performed using Trauma Quality Improvement Program data from 2017 to 2020.
Background: Traumatic spinal cord injury (SCI) leads to profound neurologic sequelae, and the provision of life-supporting treatment serves great importance among this patient population. The decision for withdrawal of life-supporting treatment (WLST) in complete traumatic SCI is complex with the lack of guidelines and limited understanding of practice patterns. We aimed to evaluate the individual and contextual factors associated with the decision for WLST and assess between-center differences in practice patterns across North American trauma centers for patients with complete cervical SCI.
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