Publications by authors named "J Watras"
Objective: This study aimed to determine whether lower extremity fracture fixation technique and timing (≤24 vs. >24 hours) impact neurologic outcomes in TBI patients.
Methods: A prospective observational study was conducted across 30 trauma centers.
Article Synopsis
- A study examined older adults (≥65 years) with isolated traumatic brain injuries (TBI) from 45 trauma centers, analyzing mortality and discharge outcomes following moderate/severe TBI.
- Out of 3081 participants, 339 had moderate/severe TBI with a significant 64% mortality rate. Key predictors of mortality included a Glasgow Coma Scale (GCS) score below 9 and worsening CT results.
- The research found that older adults' chances of favorable discharge were better for those with lower injury severity scores, highlighting the importance of injury severity in outcomes post-TBI.
Article Synopsis
- The study examined the use of intracranial pressure monitoring (ICPM) in older adults with severe traumatic brain injury (TBI) following the Brain Trauma Foundation (BTF) guidelines.
- Analyzing data from over 2,300 patients aged 60 and older, researchers found that only 2.9% underwent ICPM, with certain factors like lower Glasgow Coma Scale scores and specific types of hemorrhage significantly influencing its use.
- Despite the association between worsening conditions and ICPM, its utilization was notably low, particularly among those who met BTF guidelines, suggesting a need for greater understanding of adherence to these guidelines in elderly patients.
Background: Popliteal artery injury is associated with a high risk of limb loss; identifying factors associated with increased morbidity and mortality is hampered by its rare occurrence and confounding factors. Anecdotal observations suggest delay in diagnosis of obese patients may be associated with amputation. We aimed to determine whether there is an increased risk of early amputation and if diagnosis is delayed in obese patients with popliteal artery injuries.
View Article and Find Full Text PDFBackground: Management of small bowel obstruction (SBO) has become more conservative, especially in those patients with previous abdominal surgery (PAS). However, surgical dogma continues to recommend operative exploration for SBO with no PAS. With the increased use of computed tomography imaging resulting in more SBO diagnoses, it is important to reevaluate the role of mandatory operative exploration.
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