Publications by authors named "S Bhogadi"
Article Synopsis
- The study compares outcomes of hemodynamically stable trauma patients who underwent diagnostic laparoscopy (DL) versus nontherapeutic laparotomy (NL) over four years (2017-2020).
- Data from 3801 patients were analyzed, revealing that those who had DL experienced significantly lower odds of mortality and major complications, alongside shorter hospital stays.
- The findings suggest that DL is a more effective and safer option for stable trauma patients, reducing the need for unnecessary exploratory surgeries.
Article Synopsis
- The study investigates how frailty impacts the incidence of failure to rescue (FTR) among geriatric trauma patients who experienced ground-level falls (GLFs), providing insights into care quality in trauma centers.
- Data was analyzed from a large database (2017-2020), including 34,100 geriatric GLF patients, with frailty identified based on the 11-Factor Modified Frailty Index; FTR was measured by mortality after major complications.
- Results showed frail patients had higher rates of major complications (3.6% vs. 2%) and FTR (1.8% vs. 0.6%), and even among those with complications, frail patients had a significantly higher mortality
Background: Blunt aortic injury (BAI) is relatively uncommon in the pediatric population. The goal of this study was to examine the management of BAI in both children and adolescents, using a large national dataset.
Methods: Patients (1-19 years of age) with BAI were identified from the Trauma Quality Improvement Program (TQIP) database over 14-years.
Article Synopsis
- CT scans are beneficial for diagnosing injuries in pediatric trauma patients but pose a risk of radiation, making cautious use important, especially in children.
- This study analyzed over 10,000 trauma cases to explore how obesity affects the likelihood of undergoing abdominal CT imaging in kids between 7 and 17 years old.
- Results indicated that obese children (38% CT imaging rate) were more likely to receive scans compared to underweight children (25%), with other factors like age, sex, and type of injury also influencing CT usage.
Article Synopsis
- Most traumatic lung injuries are typically treated non-operatively, but this study focuses on understanding survival rates for patients needing surgery for lung injuries on a nationwide scale.
- The study analyzed data from 170,377 trauma patients, revealing that only 2,159 (about 1.3%) required surgical intervention, with various types of surgery performed, including wedge resections, lobectomies, and pneumonectomies.
- The overall mortality rate for these surgical patients was 30%, with higher rates for more extensive surgeries like pneumonectomy; predictors of mortality included hilar injuries, age, and existing head and abdominal injuries.