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High-grade liver injury: outcomes with a trauma surgery-liver surgery collaborative approach.
Trauma Surg Acute Care Open
January 2025
Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Background: Operative mortality for high-grade liver injury (HGLI) remains 42% to 66%, with near-universal mortality after retrohepatic caval injury. The objective of this study was to evaluate mortality and complications of operative and nonoperative management (OM and NOM) of HGLI at our institution, characterized by a trauma surgery-liver surgery collaborative approach to trauma care.
Methods: This was an observational cohort study of adult patients (age ≥16) with HGLI (The American Association for Surgery of Trauma (AAST) grades IV and V) admitted to an urban level I trauma center from January 2010 to November 2021.
Developing a novel tonsillitis pathway to reduce pressures on front-door services: A multi-phase quality improvement project in a large UK teaching hospital.
Surg Pract Sci
September 2023
Polytrauma Unit, University Hospital Wales, Cardiff UK.
Background: Tonsillitis places a significant strain on healthcare services, with rising admission rates over recent years. There is an urgent need for strategies to alleviate unprecedented demand on secondary care via safe alternatives to hospital admission. This quality improvement project demonstrates development of an early discharge pathway in combination with an ENT-led Surgical Same Day Emergency Care (SDEC) unit.
View Article and Find Full Text PDFDevelopment of a statewide network hub for screening, referral, and enrollment into food as medicine programs across Kentucky.
Front Public Health
January 2025
Department of Dietetics and Human Nutrition, College of Agriculture, Food and Environment, University of Kentucky, Lexington, KY, United States.
Unlabelled: Widespread recognition of food as medicine interventions' role in reducing food insecurity and improving health outcomes has recently emerged. Several states have released In Lieu of Services, state-approved alternative services that may be offered by managed care organizations in place of covered benefits, or 1,115 Medicaid waivers, which may allow for expanded nutrition services to reduce food insecurity and improve health outcomes. However, there are significant gaps in understanding how to create a statewide system for delivering "healthcare by food" interventions.
View Article and Find Full Text PDFERAS failure and major complications in elective colon surgery: Common risk factors.
Surg Pract Sci
September 2022
Department of Anaesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Jorvi Hospital, Espoo, Finland.
Background: Proper implementation and practice of an Enhanced Recovery After Surgery (ERAS) protocol streamlines perioperative management to its optimum, resulting in fewer complications and lower costs. This study aims to identify potential risk factors for the failure of ERAS and for major postoperative complications in patients with elective colon resection.
Materials And Methods: This was a single center retrospective analysis including all consecutive patients for elective colon resection during June 2017 - June 2019.
The impact of minor trauma during pregnancy on maternal and neonatal outcomes: A tertiary centre experience.
Surg Pract Sci
June 2023
Faculty of Medicine, Department of Cardiothoracic Surgery, Hebrew University of Jerusalem, Shaare Zedek Medical Center, Jerusalem, Israel.
Introduction: The aim of this study was to evaluate the impact of minor trauma during pregnancy on maternal and fetal outcomes in patients managed in a tertiary setting.
Materials And Methods: A retrospective single centre case-controlled study was performed between 2005 and 2017 in a university affiliated tertiary obstetric and trauma centre. All pregnant women of 13-36 weeks gestation that presented to the department of emergency medicine with an Injury Severity Score of <9 were identified.
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