Publications by authors named "R Torres-Fajardo"

Article Synopsis
  • The study outlines a 10-year quality improvement program for surgical stabilization of rib fractures (SSRF) at a Level 1 trauma center to improve patient outcomes and ensure safety.
  • The research involved a review of cases from 2022, focusing on various data points like patient demographics, complications, and rib fracture specifics for 82 identified patients, where 88% underwent SSRF.
  • Results indicated that SSRF patients had a 15% mortality rate, with notable complications linked to factors like the number of ribs stabilized and trauma severity, emphasizing the need for ongoing scrutiny in surgical practices.*
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Introduction: Identifying patients who can be safely managed in lower-level trauma centers is critical to avoid overburdening level I centers. This study examines the transfer patterns and outcomes of blunt splenic injury (BSI) patients cared for at 2 regional level III trauma centers as compared to an associated level I center.

Methods: A retrospective cohort study was conducted including all trauma patients with BSI admitted to 2 level III trauma centers (TC3) and a level I center (TC1) between 2012 and 2022.

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Article Synopsis
  • - The study examined unexpected ICU admissions among trauma patients at a level 1 trauma center from 2019 to 2021, categorizing them into "bounce-backs" (previous ICU patients) and "upgrades" (new ICU admissions).
  • - Out of 300 unplanned ICU transfers, 69% were bounce-backs and 31% were upgrades, with traumatic brain injuries and rib fractures being the most common injuries; respiratory distress was the leading cause for transfers.
  • - The results indicated that many transfers occurred shortly after initial admission, suggesting that under-triage may be a significant issue, highlighting areas for improvement in trauma care.
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We evaluated the effect of browsing experience, nutritional quality and secondary compounds of forage resources, and the interaction between these factors on the selection and intake of goats in a cafeteria trial. Twelve juvenile Criollo goats from 7 to 9 months of age, weighing 22 ± 3 kg, were divided into two groups: (a) browser goats group ( = 6, BG), and (b) naïve goats group ( = 6, NG), formed according to their previous browsing experience (with and without, respectively). Animals were housed in individual pens.

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