Publications by authors named "L L Perkins"

Article Synopsis
  • Developed an automated electronic health record (EHR)-linked registry to assess risks in emergency general surgery (EGS) using modified scoring systems, aiming to improve efficiency and accuracy.
  • Analyzed data from 177 patients who underwent emergent surgeries between 2018-2023, finding an 18% mortality rate and 45% complication rate within 30 days post-surgery.
  • The new scores (mESS and mPOTTER) showed strong agreement with traditional risk calculators, indicating potential for better quality assessment in EGS.
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Vascular closure devices (VCDs) are a diverse class of cardiovascular devices intended to achieve hemostasis following arteriotomy in the common femoral artery for diagnostic and therapeutic interventional procedures. While the preclinical evaluation of VCDs parallel that of many other cardiovascular devices, there are device-specific nuances and model-specific technical considerations in assessing performance and handling, determining safety, and satisfying regulatory requirements. Despite the multi-decade use and continued development of novel VCD technologies, there is a paucity of published literature on their preclinical evaluation.

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Background: Insecure surgical knots can cause surgical complications ranging from wound dehiscence to massive exsanguination and death. Most surgeons tie half-hitch knots, of which some configurations are prone to slippage. We aim to characterize the securities of different half-hitch knot configurations.

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