9 results match your criteria: "DC ‡Crozer Chester Medical Center[Affiliation]"
To close or not to close? Wound management in emergent colorectal surgery, an EAST multicenter prospective cohort study.
J Trauma Acute Care Surg
July 2024
From the Anne Arundel Medical Center and Doctors Community Medical Center (C.B.F., S.R., R.A., J.R.K., J.T.), Luminis Health, Annapolis, Maryland; Cooper University Hospital (N.B., E.M.K.), Camden, New Jersey; Maine Medical Center (D.C.C., C.R.F.), Portland, Maine; Yale New Haven Hospital (B.B., A.A.M.), New Haven, Connecticut; Crozer Chester Medical Center (S.S., A.R.), Upland; Hospital of the University of Pennsylvania (G.A.B., J.L.P.), Philadelphia, Pennsylvania; University of Texas Southwestern Medical Center (D.B.), Dallas, Texas; Loma Linda University Medical Center (D.S., N.W.), Loma Linda, California; Jackson Memorial Hospital (J.L., B.N.), University of Miami, Miami, Florida; St. Mary's Medical Center (F.A., L.A.T.), Florida Atlantic University, West Palm Beach, Florida; University of California at Irvine Health (J.N., M.M.), Orange; Zuckerberg San Francisco General Hospital (R.T., S.B.K.), UCSF, San Francisco, California; Medical City Plano (M.C.), Envision Health, Plano, Texas; OhioHealth Grant Medical Center (M.K., K.S.), Columbus, Ohio; and Texas Tech University Health Science Center (A.P.S.), Lubbock, Texas.
Background: This study aimed to determine the clinical impact of wound management technique on surgical site infection (SSI), hospital length of stay (LOS), and mortality in emergent colorectal surgery.
Methods: A prospective observational study (2021-2023) of urgent or emergent colorectal surgery patients at 15 institutions was conducted. Pediatric patients and traumatic colorectal injuries were excluded.
Early VTE prophylaxis in severe traumatic brain injury: A propensity score weighted EAST multicenter study.
J Trauma Acute Care Surg
July 2023
From the Division of Trauma and Surgical Critical Care, Department of Surgery (A.M.R.), Drexel College of Medicine, Philadelphia; Department of Surgery (D.K., S.S.S.), Crozer Health, Upland; Department of Surgery (C.J., E.J.K.), University of Pennsylvania, Philadelphia PA, Pennsylvania; Department of Surgery (H.M.S., M.B.A.), Virginia Commonwealth University, Richmond, Virginia; Department of Surgery (L.L.P.), Penn Medicine Lancaster General Health, Lancaster; Department of Surgery (C.M.), Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania; Department of Surgery (I.S.), Surgical Intensive Care Unit, New York Medical College, Department of Surgery (A.J.), West Chester Medical Center, Valhalla, New York; Department of Surgery (V.S., A.M.), St. Joseph Mercy Ann Arbor, Ypsilanti, Michigan; Department of Surgery (E.T., M.R.), Loma Linda University Medical Center, Loma Linda, California; Department of Surgery (L.L., W.Z.), St. Mary's Medical Center, West Palm Beach; Florida Atlantic University (L.L., W.Z.), Boca Raton, Florida; Department of Surgery (A.K., M.H.), Trinity Health Oakland, Pontiac, Michigan; Department of Surgery (J.C., C.B.), Prisma Health Upstate, Greenville, South Carolina; Department of Surgery (T.E., A.M.), Cooper University Hospital, Camden New Jersey; Department of Surgery (M.K., S.D.), Ohio Health Grant Medical Center, Columbus; Department of Surgery (R.C.), Department of Research (S.S.), Promedica Toledo Hospital, Toledo Ohio; Department of Surgery (L.E.J., J.W.), Ascension St. Vincent Hospital, Indianapolis, Indiana; Department of Trauma and Acute Care Surgery (M.W., B.P.), Kettering Health Main Campus, Kettering Ohio; Department of Surgery (C.M., N.T.), Spartanburg Medical Center, Spartanburg South Carolina; Department of Surgery (T.H., T.D.), Memorial Healthcare System, Hollywood, Florida; Department of Surgery (S.M.), Conemaugh Memorial Medical Center, Johnstown, Pennsylvania; Department of Surgery (L.D.-S., A.R.), University Hospitals Cleveland Medical Center, Cleveland, Ohio; Department of Surgery (L.C.T., T.J.N.), Cook County Hospital, Chicago, Illinois; Department of Surgery (D.H., D.R.), Penrose Hospital, Colorado Springs, Colorado; Department of Surgery (D.C.C., C.F.), Maine Medical Center, Portland, Maine; Department of Surgery (M.M., C.D.), St. Anthony Hospital, Lakewood, Colorado; Department of Surgery (J.D., S.B.), University of California, San Francisco-Fresno, San Francisco, California; Department of Surgery (K.S.), Yale School of Medicine, New Haven, Connecticut; Department of Surgery (P.F.), INOVA Fairfax Health System, Fairfax, Virginia.
Background: Patients with traumatic brain injury (TBI) are at high risk of venous thromboembolism events (VTE). We hypothesized that early chemical VTE prophylaxis initiation (≤24 hours of a stable head CT) in severe TBI would reduce VTE without increasing risk of intracranial hemorrhage expansion (ICHE).
Methods: A retrospective review of adult patients 18 years or older with isolated severe TBI (Abbreviated Injury Scale score, ≥ 3) who were admitted to 24 Level I and Level II trauma centers from January 1, 2014 to December 31 2020 was conducted.
The Impact of Winter Months on Venous Thromboembolism (VTE) Patients: A Retrospective Analysis of Hospital Outcomes in the United States.
Cureus
September 2022
Department of Hematology/Oncology, George Washington University, Washington DC, USA.
Objective: We aimed to analyze the Health Care Utilization Project's (HCUP) Nationwide Inpatient Sample (NIS) and compare mortality rates in hospitals by month to determine if there is seasonal variability in outcomes associated with venous thromboembolism (VTE).
Methods: The Nationwide Inpatient Sample database was queried from 1998 to 2011. Inclusion criteria were a diagnosis of deep vein thrombosis (DVT) (ICD-9 {International Classification of Diseases, Ninth Revision, Clinical Modification} 453.
What is the value of preoperative prophylactic heparin in reducing venous thromboembolism in major non-cardiac thoracic surgery?
Am J Surg
October 2022
Harvard Medical School, Boston, MA, USA; Massachusetts General Hospital, Cardiac Surgery, Cox 6, 55 Fruit Street, Boston, MA, 02114, USA. Electronic address:
Background: Studies have investigated the utility of preoperative heparin to mitigate venous thromboembolism risk after surgery. However, whether heparin reduces the risk of VTE following major thoracic surgery is undetermined. A national heparin shortage beginning in September 2019 provided the opportunity for a natural experiment to explore this question.
View Article and Find Full Text PDFParkinson's Disease Medication Administration During a Care Transition: The Impact of Interprofessional Team Simulation on Student Competency, Comfort, and Knowledge.
Nurs Educ Perspect
May 2022
About the Authors Diane M. Ellis, MSN, RN CCRN, is an interprofessional education (IPE) consultant and assistant professor of the practice (Ret), Villanova University M. Louise Fitzpatrick College of Nursing, Villanova, Pennsylvania. Shelley Hickey, MSN, RN, is a nurse educator, surgical services, Penn State Health St. Joseph Medical Center, Reading, Pennsylvania. Patricia Prieto, MBA, RN, CHSE, is assistant director, Simulation & Learning Resource Center, Villanova University M. Louise Fitzpatrick College of Nursing. Carlene McLaughlin, PhD, CRNA, CHSE, is director, DNP projects and nurse anesthesia simulation, Crozer-Chester Medical Center, Villanova University M. Louise Fitzpatrick College of Nursing. Stephanie H. Felgoise, PhD, ABPP, is associate dean for academic integration, professor, and chair, School of Professional & Applied Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania. Michael Becker, DO, MS, FACOFP, is associate dean of clinical education and professor, family medicine, Philadelphia College of Osteopathic Medicine. Melissa O'Connor, PhD, MBA, RN, FGSA, is a professor and fellow, Betty Irene Moore Fellowships for Nurse Leaders and Innovators, Villanova University M. Louise Fitzpatrick College of Nursing. Madison Puleo, BSN, RN, is a clinical nurse 2, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware. Tara Reddy, BSN, RN, is a clinical nurse 1, Medstar Washington Hospital Center, Washington, DC. Danielle Markey, BSN, RN, is a clinical nurse 1, NYU Langone Health, New York, New York. Lydia Kim, BSN, RN, is a clinical nurse 2, Penn Presbyterian Medical Center, Philadelphia, Pennsylvania. Paul W. Bernhardt, PhD, is an associate professor of statistics, Villanova University College of Liberal Arts and Sciences. The authors acknowledge Dr. Hugh M. Davis, chief operating officer and president, Biosion USA, Inc., for his invaluable support and expertise both as a researcher and an educator in editing this article. For more information, contact Diane M. Ellis at
Aim: This study investigated the impact of an interprofessional mock code on students' comfort and competency related to Parkinson's disease (PD) medication administration during care transitions.
Backgroud: Patients with PD are at increased risk for medication errors during hospitalization. Individualization of PD medication creates vulnerability during care transitions.
Outcomes after ultramassive transfusion in the modern era: An Eastern Association for the Surgery of Trauma multicenter study.
J Trauma Acute Care Surg
July 2021
From the Department of Surgery at Zuckerberg San Francisco General Hospital, University of California San Francisco (Z.A.M., Z.J.H., R.A.C., B.N.-G., L.Z.K., E.E.R., J.J.P., B.R., M.K.A., A.T.F.), San Francisco, California; Department of Epidemiology and Biostatistics, University of California San Francisco (E.C.M), San Francisco, California; Department of Laboratory Medicine, University of California, San Francisco (J.H.E., A.N., J.M.), San Francisco, California; Department of Surgery, University of California Irvine (W.D., J.N.), Irvine, Orange, California; Department of Surgery, Ohio Health Grant Medical Center (A.K.L., M.C.S.), Columbus, Ohio; Department of Surgery, University of Kentucky (S.S.D., J.K.R.), Lexington, Kentucky; Department of Surgery, Miami Valley Hospital (H.L., Y.W., C.H.), Dayton, Ohio; Department of Surgery, R Adams Cowley Shock Trauma Center (A.M.C., R.A.K., P.T.), University of Maryland School of Medicine, Baltimore, Maryland; Department of Surgery, Loma Linda Medical Center (L.P., K.M., X.L.-O.), Loma Linda, California; Department of Surgery, University of Kansas Medical Center (K.T., C.A.G.), Kansas City, Kansas; Department of Surgery, Crozer-Chester Medical Center (S.S.S., A.R.), Upland, Pennsylvania; Department of Surgery, WakeMed Health and Hospitals (A.M., P.U., A.S., B.P., K.T.), Raleigh, North Carolina; Department of Surgery, University of New Mexico School of Medicine (K.M., S.A.M.), Albuquerque, New Mexico; Department of Surgery, Wellspan York Hospital (J.G.), York, Pennsylvania; Department of Surgery, Ascension Via Christi Hospitals St. Francis (J.K., J.H., K.L.), Wichita, Kansas; Department of Surgery, Maine Medical Center (J.B.O., D.C.C.), Portland, Maine; Department of Surgery, South Shore Hospital/Brigham and Women's Hospital (S.A.S., J.C.K.), Boston, Massachusetts; Department of Surgery, Penn State Hershey Medical Center (J.G., J.P.H.), Hershey, Pennsylvania; Department of Surgery, Northwestern University Feinberg School of Medicine (A.Z.B., J.A.P.), Chicago, Illinois; Department of Surgery, University of California (R.A.C.), UC Davis, Sacramento, California; Department of Surgery, Ryder Trauma Center (K.A.J., G.R.), University of Miami Miller School of Medicine, Miami, Florida; and Washington University School of Medicine St. Louis (J.K.), Missouri.
Background: Despite the widespread institution of modern massive transfusion protocols with balanced blood product ratios, survival for patients with traumatic hemorrhage receiving ultramassive transfusion (UMT) (defined as ≥20 U of packed red blood cells [RBCs]) in 24 hours) remains low and resource consumption remains high. Therefore, we aimed to identify factors associated with mortality in trauma patients receiving UMT in the modern resuscitation era.
Methods: An Eastern Association for the Surgery of Trauma multicenter retrospective study of 461 trauma patients from 17 trauma centers who received ≥20 U of RBCs in 24 hours was performed (2014-2019).
The impact of COVID-19 infection on outcomes after injury in a state trauma system.
J Trauma Acute Care Surg
September 2021
From the Division of Traumatology, Surgical Critical Care, and Emergency Surgery (E.J.K.), University of Pennsylvania, Philadelphia; Department of Surgery (A.W.O.), Reading Hospital and Medical Center, Reading; Division of Trauma and Acute Care Surgery (M.D.C.), Lehigh Valley Health Network, Allentown; Department of Surgery (G.W.), University of Pennsylvania, Philadelphia; Department of Surgery (A.R.), Crozer-Chester Medical Center Upland; Department of Research & Innovation (S.P.S.), St. Luke's University Health Network, Bethlehem; and Division of Traumatology, Surgical Critical Care, and Emergency Surgery (N.D.M.), University of Pennsylvania, Philadelphia, Pennsylvania.
Background: The COVID-19 pandemic reshaped the health care system in 2020. COVID-19 infection has been associated with poor outcomes after orthopedic surgery and elective, general surgery, but the impact of COVID-19 on outcomes after trauma is unknown.
Methods: We conducted a retrospective cohort study of patients admitted to Pennsylvania trauma centers from March 21 to July 31, 2020.
Hospital-Acquired Hyponatremia in Children Following Hypotonic versus Isotonic Intravenous Fluids Infusion.
Children (Basel)
October 2018
Division of Emergency Medicine, Children's National Medical Center, George Washington University School of Medicine and Health Sciences, Washington, DC 20010, USA.
Hypotonic solutions have been used in pediatrics for maintenance of intravenous (IV) hydration. However, recent randomized control trials and cohort studies have raised significant concerns for association with hospital-acquired hyponatremia (HAH). The study aimed to assess whether the use of hypotonic parenteral solutions (PS) compared with isotonic PS is associated with increased HAH risk in children with common pediatric conditions.
View Article and Find Full Text PDFResults of a pilot multicenter genotype-based randomized placebo-controlled trial of propranolol to reduce pain after major thermal burn injury.
Clin J Pain
January 2015
*Department of Surgery, University of North Carolina, Chapel Hill §Wake Forest Baptist Medical Center, Winston-Salem, NC †Washington Hospital Center, Washington, DC ‡Crozer Chester Medical Center, Upland, PA.
Background: Results of previous studies suggest that β-adrenoreceptor activation may augment pain, and that β-adrenoreceptor antagonists may be effective in reducing pain, particularly in individuals not homozygous for the catechol-O-methyltransferase (COMT) high-activity haplotype.
Materials And Methods: Consenting patients admitted for thermal burn injury at participating burn centers were genotyped; those who were not high-activity COMT homozygotes were randomized to propranolol 240 mg/d or placebo. Primary outcomes were study feasibility (consent rate, protocol completion rate) and pain scores on study days 5 to 19.