Publications by authors named "M G McKenney"

Previous work identified a sub-group of trauma patients at risk for bacteremia who presented with signs of infection, including fever. A majority were older adult falls who had early onset bacteremia. Fever in the trauma bay is associated with a greater risk of adverse outcomes and identifies patients who might benefit from early initiation of interventions for sepsis.

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Article Synopsis
  • Trauma and pre-existing conditions (PECs) significantly influence the hospital and ICU length of stay (LOS) for older patients aged 55 and above, highlighting the need for focused care in this demographic.
  • In a study of 5,168 trauma patients, certain PECs like congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and chronic renal failure (CRF) were found to increase H-LOS and ICU-LOS by several days.
  • The findings suggest that recognizing and managing PECs in older trauma patients is crucial, as it can lead to more effective care and potentially shorter hospital stays.*
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The American College of Surgeons (ACS) recommends that special considerations be made during triage of trauma patients aged ≥55 due to an observed increase in morbidity and mortality in this population. The geriatric population aged ≥65 represents 30% of all trauma patients. Our objective was to assess which pre-existing conditions (PECs) are associated with worse outcomes in trauma patients aged ≥55.

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Background: Tracheostomy has been proposed for patients with expected prolonged intubation. This study aims to determine the outcomes of tracheostomy on patients with burn inhalation injuries requiring mechanical ventilation.

Methods: This study is a retrospective review from 2011 to 2019.

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Venous thromboembolic (VTE) prophylaxis in acute traumatic brain injury (TBI) is a controversial topic with wide practice variations. This study examined the association of VTE chemoprophylaxis with inpatient mortality and VTE events among isolated TBI patients. This was a retrospective cohort study of 87 trauma centers within a large hospital system in the United States analyzing 23,548 patients with isolated TBI, 7977 of whom had moderate-to-severe TBI.

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