المؤلفون: Rivera, Zoe Guzman, Bonte, Alexander, Kaul, Sanjeev, Dayal, Saraswati, Cohn, Stephen M.

المصدر: Journal of the American College of Surgeons ; volume 233, issue 5, page e195 ; ISSN 1072-7515

الإتاحة: https://doi.org/10.1016/j.jamcollsurg.2021.08.527Test
https://api.elsevier.com/content/article/PII:S1072751521017750?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S1072751521017750?httpAccept=text/plainTest

المؤلفون: Omer, Dana, Cohn, Stephen M., Blatt, Melissa, Zielonka CCRP, Tania, Kaul, Sanjeev, Kuo, Yen-Hong

المصدر: Journal of the American College of Surgeons ; volume 233, issue 5, page e34-e35 ; ISSN 1072-7515

الإتاحة: https://doi.org/10.1016/j.jamcollsurg.2021.08.094Test
https://api.elsevier.com/content/article/PII:S1072751521013429?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S1072751521013429?httpAccept=text/plainTest

المؤلفون: Cohn, Stephen M, Jimenez, Jean-Carlos, Khoury, Leen, Perez, Javier Martin, Panzo, Melissa

المصدر: Cureus ; ISSN 2168-8184

مصطلحات موضوعية: General Engineering

الإتاحة: https://doi.org/10.7759/cureus.3889Test
https://www.cureus.com/articles/16357-inability-to-reverse-aspirin-and-clopidogrel-induced-platelet-dysfunction-with-platelet-infusionTest

المؤلفون: Alarhayem, Abdul Q., Cohn, Stephen M., Cantu-Nunez, Oliver, Eastridge, Brian J., Rasmussen, Todd E.

المصدر: Journal of Vascular Surgery ; volume 69, issue 5, page 1519-1523 ; ISSN 0741-5214

مصطلحات موضوعية: Cardiology and Cardiovascular Medicine, Surgery

الإتاحة: https://doi.org/10.1016/j.jvs.2018.07.075Test
https://api.elsevier.com/content/article/PII:S0741521418322213?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0741521418322213?httpAccept=text/plainTest

المؤلفون: Isbell, Claire, Cohn, Stephen M, Inaba, Kenji, O'Keeffe, Terence, De Moya, Marc, Demissie, Seleshi, Ghneim, Mira, Davis, Matthew L

المساهمون: Univ Arizona, Med Ctr, Surg

المصدر: Cureus

مصطلحات موضوعية: acidemia, blood transfusion, cirrhosis, coagulopathy, exploratory laparotomy

الوصف: Background: In trauma patients with cirrhosis who require laparotomy, little data exists to establish clinical predictors of the outcome. We sought to determine the prognosticators of mortality in this population. Methods: We performed a 10-year review at four, busy Level I trauma centers of patients with cirrhosis identified during trauma laparotomy. We compared vital signs, laboratory values, and transfusion requirements for those who survived versus those who died. A linear regression was then conducted to determine the variables associated with death in this population. Results: A total of 66 patients were included and 47% (31/66) died. The model for end-stage liver disease (MELD) score was low (7.8 in Lived, 10.2 in Died). Packed red blood cell (PRBC) transfusion at six hours was greater in those who died; those receiving > 6 units of PRBCs at 6 hours had an increased likelihood of death (odds ratio OR 5.8 (95% CI 1.9, 17.4)). All patients receiving >= 17 units of PRBCs died. We found an association between lower preoperative platelets (PLTs), higher preoperative international normalized ratio (INR) and partial thromboplastin time (PTT), lower preoperative pH (presence of profound acidemia), increased intraoperative crystalloid use, and increased intraoperative blood product administration to be associated with death (p < 0.05). Conclusions: Cirrhotic trauma patients requiring laparotomy should be considered to have a high chance of mortality if they receive six or more PRBCs, are acidotic (pH <= 7.25) at the time of hospital arrival, or have coagulopathy at the time of admission (INR > 1.2, PTT > 40). ; Open access journal ; This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.

العلاقة: https://www.cureus.com/articles/13369-cirrhosis-operative-trauma-transfusion-and-mortality-a-multicenter-retrospective-observational-studyTest; Isbell C, Cohn S M, Inaba K, et al. (August 02, 2018) Cirrhosis, Operative Trauma, Transfusion, and Mortality: A Multicenter Retrospective Observational Study. Cureus 10(8): e3087. doi:10.7759/cureus.3087; http://hdl.handle.net/10150/632343Test; CUREUS

الإتاحة: https://doi.org/10.7759/cureus.3087Test
http://hdl.handle.net/10150/632343Test

المؤلفون: Fink, Mitchell P., Heismoortel, Cathleen M., Stein, Keith L., Lee, Patrick C., Cohn, Stephen M.

المساهمون: Department of Surgery

المصدر: Chest ; 97 ; 1 ; 132-7

مصطلحات موضوعية: Adolescent, Adult, Aged, Beds, Craniocerebral Trauma, Female, Humans, Immobilization, Injury Severity Score, Intensive Care Units, Length of Stay, Male, Middle Aged, Pneumonia, Posture, Prospective Studies, Random Allocation, Risk Factors, Wounds, Nonpenetrating, Life Sciences, Medicine and Health Sciences

الوصف: We tested the hypothesis that the incidence of LRTI in critically ill blunt trauma victims can be reduced by employing continuous postural oscillation. Within 24 h of admission to the SICU, 106 patients were prospectively randomized to either a conventional bed or a RRKTT. Seven patients who were discharged from the SICU in less than 24 h were excluded from the data analyses. Until discharge from the SICU, patients were monitored daily for development of LRTI or pneumonia. Among 48 patients in the control group, 28 met criteria for LRTI and 19 met criteria for pneumonia. Among 51 patients in the RRKTT group, 13 developed LRTI and 7 developed pneumonia. The differences between groups for all LRTI and pneumonia were both significant. We conclude that continuous postural oscillation decreases the risk of pulmonary sepsis in victims of major blunt trauma.

العلاقة: Link to article in PubMed; https://doi.org/10.1378/chest.97.1.132Test; Chest. 1990 Jan;97(1):132-7.; 0012-3692 (Print); 2295232; http://hdl.handle.net/20.500.14038/41628Test; https://escholarship.umassmed.edu/oapubs/442Test; 533155; oapubs/442

الإتاحة: https://doi.org/20.500.14038/41628Test
https://doi.org/10.1378/chest.97.1.132Test
https://hdl.handle.net/20.500.14038/41628Test
https://escholarship.umassmed.edu/oapubs/442Test

المؤلفون: Hawkins, Samuel, Blau, Steven, Zielonka, Tania, Blatt, Melissa, Kuo, Yen-Hong, Cohn, Stephen M.

المصدر: The American Surgeon™ ; volume 89, issue 6, page 2953-2954 ; ISSN 0003-1348 1555-9823

مصطلحات موضوعية: General Medicine

الإتاحة: https://doi.org/10.1177/00031348221086787Test

المؤلفون: Omer, Dana M., Hawkins, Samuel, Zielonka, Tania, Blatt, Melissa, Kuo, Yen-Hong, Cohn, Stephen M.

المصدر: The American Surgeon™ ; volume 89, issue 6, page 2939-2940 ; ISSN 0003-1348 1555-9823

مصطلحات موضوعية: General Medicine

الإتاحة: https://doi.org/10.1177/00031348221086785Test

المؤلفون: Dalal, Setu, Tucker, Scarlett, Zielonka, Tania, Kinney, JacqueLyn, Magdich, Andrew, Parr, David, Parulekar, Manisha, Blatt, Melissa, Hawkins, Samuel, Kuo, Yen-Hong, Cohn, Stephen M.

المصدر: The American Surgeon™ ; volume 89, issue 6, page 2890-2892 ; ISSN 0003-1348 1555-9823

مصطلحات موضوعية: General Medicine

الوصف: Sarcopenia and frailty have both emerged as risk factors for elderly falls. We investigated whether radiologic sarcopenia or frailty are associated with falls in a high-risk geriatric outpatient population. We reviewed 114 patients followed at the Center for Healthy Senior Living who had undergone a computerized tomography (CT) of the abdomen and pelvis for any reason from 2013 to 2019. Sarcopenia was determined by psoas muscle cross-sectional area at L3 on CT scan. Their individual frailty score was calculated. The primary outcome was admission to hospital for falls. There were no statistical differences in frailty score or sarcopenia between the 2 groups (left/right psoas muscle: no hospital admission = 6.8 ± 2.4/6.4 ± 2.5 vs falls requiring hospital admission 6.5 ± 2.3/6.5 ± 2.3 cm 2 ). We concluded that neither frailty score nor sarcopenia predicted the occurrence of falls in our high-risk geriatric outpatient population.

الإتاحة: https://doi.org/10.1177/00031348221075593Test

المؤلفون: Hawkins, Samuel, Miller, Mitchell, Zhu, Hongfa, Shi, Meiyi, Zielonka, Tania, Blatt, Melissa, Kuo, Yen-Hong, Cohn, Stephen M.

المصدر: British Journal of Surgery ; volume 109, issue 7, page 638-639 ; ISSN 0007-1323 1365-2168

مصطلحات موضوعية: Surgery

الإتاحة: https://doi.org/10.1093/bjs/znac118Test
https://academic.oup.com/bjs/article-pdf/109/7/638/50748565/znac118.pdfTest