Publications by authors named "I Dandan"
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.
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 PDFArticle Synopsis
- 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.
Trauma resource designation: an innovative approach to improving trauma system overtriage.
Trauma Surg Acute Care Open
September 2017
Article Synopsis
- The study aimed to test a new triage model, introducing 'trauma resource' (TR) as a way to better manage resources in a trauma system amidst declining healthcare reimbursements.
- Over seven months at a Level II Trauma Center, patients classified as TR received expedited emergency evaluations, resulting in 52 of the 318 TR patients being admitted, showing no significant differences in outcomes compared to traditional trauma activation (TA) patients.
- TR patients had significantly reduced hospital charges, saving over $787,000, despite increased evaluation times, indicating that the model can maintain patient care quality while lowering costs.
Objective: To provide new information on properties of skateboarders who were hospital admitted with head injuries with details of the injuries including region of head impact.
Methods: Hospital records of patients aged 15 and older with a skateboard injury admitted to one Level II Trauma Centre during a 10-year period were reviewed. Data on demographic, exposure, severity, diagnostic and clinical factors for patients with head injury (HI) and without HI (N-HI) were compared analytically.