Publications by authors named "Nathan Kreykes"

Article Synopsis
  • The study aimed to evaluate the impact of American College of Surgeons (ACS) level I trauma verification on children with moderate to severe traumatic brain injuries (TBI), focusing on surgical interventions and resource use before and after this verification.
  • Findings showed a significant increase in surgical interventions and the need for procedures like intracranial pressure monitoring and endotracheal intubation after the ACS verification, while the time to operating room remained unaffected.
  • The study also noted a notable decrease in time to head CT scans and a reduction in repeat head CT scans post-ACS verification, indicating improved efficiency in treatment.
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Objective: Examine the association of American College of Surgeons Level I pediatric trauma center designation with outcomes of pediatric motor vehicle collision-related injuries.

Methods: Observational study of the 2009-2012 National Trauma Data Bank, including n=28,145 patients <18years directly transported to a Level I trauma center. Generalized estimating equations estimated odds ratios (ORs) for injury outcomes, comparing freestanding pediatric trauma centers (PTCs) with adult centers having added Level I pediatric qualifications (ATC+PTC) and general adult trauma centers (ATC).

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Background: Injured children undergo radiologic studies as part of trauma evaluations. Children are more sensitive than adult patients to the effects of ionizing radiation. Few studies have described the radiation exposure to pediatric patients during trauma evaluations.

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