Publications by authors named "William R Fry"
Background: Research has shown that uninsured patients receive fewer radiographic studies during trauma care, but less is known as to whether differences in care are present among other insurance groups or across different time points during hospitalization. Our objective was to examine the number of radiographic studies administered to a cohort of trauma patients over the entire hospital stay as well as during the first 24-hours of care.
Methods: Patient data were obtained from an American College of Surgeons (ACS) verified Level I Trauma Center between January 1, 2011 and December 31, 2012.
Background: Loss of glucose homeostasis occurs frequently in injured patients. Glucagon-like peptide-1 (GLP-1) is a gut-derived incretin hormone that stimulates insulin and decreases glucagon secretion. The impact of the incretin system on glycemic control in injured patients has not been extensively studied.
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- Rib fractures affect 10% of injured patients and can lead to serious complications, requiring ICU care, highlighting the need for a scoring system to identify those at high risk for respiratory failure.
- A retrospective study developed a scoring system based on factors like age, number of fractures, and pulmonary contusion severity, applying it to 649 patients to evaluate its effectiveness.
- Results showed that lower scores (≤ 7) were associated with lower mortality rates, reduced ICU admissions, and less need for intubation, indicating the scoring system's potential to improve patient outcomes.
Purpose: The risk of inferior vena cava (IVC) filter tilt during placement is significant and may limit filter retrieval. The purpose of the study was to determine if tilting of IVC filters on deployment is able to be reduced when using a femoral approach.
Methods: Under fluoroscopic guidance, Cook Celect IVC filters that are not in axis with the IVC prior to full deployment were straightened in the long IVC axis using a stiff guidewire prior to release.