5 results match your criteria: "American College of Surgeons (A.B.N.)[Affiliation]"
Primary care follow-up improves outcomes in older adults following emergency general surgery admission.
J Trauma Acute Care Surg
October 2024
From the Sunnybrook Health Sciences Centre, Division of General Surgery (M.P.G.), Toronto Ontario, Canada; Institute of Health Policy, Management, and Evaluation (M.P.G., B.W.T., A.B.N., S.E.B., B.H.), Department of Surgery (M.P.G., A.B.N., B.H.), and Interdepartmental Division of Critical Care Medicine, Department of Medicine (B.W.T., B.H.), University of Toronto; Sunnybrook Research Institute (A.B.N., S.E.B., L.J., B.H., M.P.G.), Toronto, Ontario, Canada; Trauma Quality Improvement Program, American College of Surgeons (A.B.N.), Chicago, Illinois; and ICES (A.B.N., S.E.B., R.S., L.J., A.H., B.H.), Toronto, Ontario, Canada.
Background: While preoperative optimization improves outcomes for older adults undergoing major elective surgery, no such optimization is possible in the emergent setting. Surgeons must identify postoperative interventions to improve outcomes among older emergency general surgery (EGS) patients. The objective of this cohort study was to examine the association between early follow-up with a primary care physician (PCP) and the risk of nursing home acceptance or death in the year following EGS admission among older adults.
View Article and Find Full Text PDFA multidimensional approach to identifying high-performing trauma centers across the United States.
J Trauma Acute Care Surg
July 2024
From the Department of Surgery (D.M.H., M.P.G., B.H., A.B.N.), Sunnybrook Health Sciences Center and the University of Toronto; Institute of Health Policy, Management, and Evaluation (D.M.H., A.B.N.), University of Toronto, Toronto, Ontario, Canada; The Society of Thoracic Surgeons (H.S.), Chicago, Illinois; Medical College of Wisconsin (A.T.), Milwaukee, Wisconsin; Interdepartmental Division of Critical Care (B.W.T., B.H.), University of Toronto; Tory Trauma Program (B.W.T., A.B.N.), Sunnybrook Health Sciences Center; Department of Medicine (B.W.T.), Division of Respirology and Critical Care Medicine, University Health Network; Sunnybrook Research Institute (B.W.T., A.J., B.H., A.B.N.), Sunnybrook Health Sciences Centre; Department of Anesthesia (A.J.), Sunnybrook Health Sciences Center University of Toronto; Department of Critical Care Medicine (B.H.), Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; and American College of Surgeons (A.B.N.), Chicago, Illinois.
Introduction: The differentiators of centers performing at the highest level of quality and patient safety are likely both structural and cultural. We aimed to combine five indicators representing established domains of trauma quality and to identify and describe the structural characteristics of consistently performing centers.
Methods: Using American College of Surgeons Trauma Quality Improvement Program data from 2017 to 2020, we evaluated five quality measures across several care domains for adult patients in levels I and II trauma centers: (1) time to operating room for patients with abdominal gunshot wounds and shock, (2) proportion of patients receiving timely venous thromboembolism prophylaxis, (3) failure to rescue (death following a complication), (4) major hospital complications, and (5) mortality.
Not all is lost: Functional recovery in older adults following emergency general surgery.
J Trauma Acute Care Surg
July 2022
From the Institute of Health Policy, Management, and Evaluation (M.P.G., B.W.T., A.B.N., S.E.B., B.H.), Department of Surgery (M.P.G., A.B.N., B.H.), Interdepartmental Division of Critical Care Medicine, Department of Medicine (B.W.T., B.H.), University of Toronto, Toronto, Ontario, Canada; Sunnybrook Research Institute (A.B.N., S.E.B.), Toronto, Ontario, Canada; American College of Surgeons (A.B.N.), Chicago, Illinois; and ICES (A.B.N., S.E.B., R.S., A.H., B.H.), Toronto, Ontario, Canada.
Background: Although functional decline and death are common long-term outcomes among older adults following emergency general surgery (EGS), we hypothesized that patients' postdischarge function may wax and wane over time. Periods of fluctuation in function may represent opportunities to intervene to prevent further decline. Our objective was to describe the functional trajectories of older adults following EGS admission.
View Article and Find Full Text PDFLong-term survival in high-risk older adults following emergency general surgery admission.
J Trauma Acute Care Surg
October 2021
From the Sunnybrook Health Sciences Centre (M.P.G., BWT, ABN, BH); Institute of Health Policy, Management, and Evaluation (M.P.G., B.W.T., A.B.N., R.S., S.E.B., B.H.), Department of Surgery (M.P.G., A.B.N., B.H.), and Interdepartmental Division of Critical Care Medicine, Department of Medicine (B.W.T., B.H.), University of Toronto; Sunnybrook Research Institute (A.B.N., S.E.B., B.H.), Toronto, Ontario, Canada; American College of Surgeons (A.B.N.), Chicago, Illinois; and ICES (A.B.N., R.S., S.E.B., A.H., B.H.), Toronto, Ontario, Canada.
Background: Emergency general surgery (EGS) conditions are increasingly common among nursing home residents. While such patients have a high risk of in-hospital mortality, long-term outcomes in this group are not well described, which may have implications for goals of care discussions. In this study, we evaluate long-term survival among nursing home residents admitted for EGS conditions.
View Article and Find Full Text PDFTiming of tracheostomy placement among children with severe traumatic brain injury: A propensity-matched analysis.
J Trauma Acute Care Surg
October 2019
From the Division of Pediatric Surgery (C.M., D.D., D.W.B., J.S.U.), Children's Hospital Los Angeles, Los Angeles, California; Department of Surgery (D.W.B., J.S.U.), Keck School of Medicine of the University of Southern California, Los Angeles, California; Southern California Clinical and Translational Science Institute (SC-CTSI) (C.P., C.J.L., W.J.M.), Los Angeles, California; Department of Preventive Medicine (C.P., C.J.L., W.J.M.), Keck School of Medicine of the University of Southern California, Los Angeles, California; Division of Critical Care Medicine (A.B.), Children's Hospital Los Angeles, Los Angeles, California; Department of Pediatrics (A.B.), Keck School of Medicine of the University of Southern California, Los Angeles, California; American College of Surgeons (A.B.N.), Chicago, Illinois; Department of Surgery (A.B.N.), University of Toronto, Toronto, Ontario, Canada; Division of Burn and Trauma Surgery (R.S.B.), Children's National Medical Center, Washington, District of Columbia; and Division of Pediatric General Surgery (A.R.J.), UCSF Benioff Children's Hospital Oakland, Oakland, California.
Background: Early tracheostomy has been associated with shorter hospital stay and fewer complications in adult trauma patients. Guidelines for tracheostomy have not been established for children with severe traumatic brain injury (TBI). The purpose of this study was to (1) define nationwide trends in time to extubation and time to tracheostomy and (2) determine if early tracheostomy is associated with decreased length of stay and fewer complications in children with severe TBI.
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