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  1. Article ; Online: Surgical Jacket and Bouffant Use and Surgical Site Infection Risk.

    Elkbuli, Adel / Shaikh, Saamia / Hai, Shaikh

    JAMA surgery

    2020  Volume 155, Issue 10, Page(s) 996–997

    MeSH term(s) Humans ; Operating Rooms ; Risk Factors ; Surgical Wound Infection/epidemiology
    Language English
    Publishing date 2020-07-22
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2020.2175
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  2. Article ; Online: Use of ShotSpotter detection technology decreases prehospital time for patients sustaining gunshot wounds.

    Hai, Shaikh / McKenney, Mark / Elkbuli, Adel

    The journal of trauma and acute care surgery

    2020  Volume 89, Issue 2, Page(s) e16–e17

    MeSH term(s) Emergency Medical Services ; Humans ; Wounds, Gunshot/therapy
    Language English
    Publishing date 2020-04-28
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2651070-4
    ISSN 2163-0763 ; 2163-0755
    ISSN (online) 2163-0763
    ISSN 2163-0755
    DOI 10.1097/TA.0000000000002725
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  3. Article ; Online: Challenges and Ethical Considerations for Trainees and Attending Physicians During the COVID-19 Pandemic.

    Hai, Shaikh / Baroutjian, Amanda / Elkbuli, Adel

    Journal of the American College of Surgeons

    2020  Volume 231, Issue 2, Page(s) 301–302

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-30
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1181115-8
    ISSN 1879-1190 ; 1072-7515
    ISSN (online) 1879-1190
    ISSN 1072-7515
    DOI 10.1016/j.jamcollsurg.2020.05.009
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  4. Article: Outcomes of Tracheostomy on Burn Inhalation Injury.

    Ruiz, Samuel / Puyana, Salomon / McKenney, Mark / Hai, Shaikh / Mir, Haaris

    Eplasty

    2023  Volume 23, Page(s) e43

    Abstract: Background: Tracheostomy has been proposed for patients with expected prolonged intubation. This study aims to determine the outcomes of tracheostomy on patients with burn inhalation injuries requiring mechanical ventilation.: Methods: This study is ... ...

    Abstract Background: Tracheostomy has been proposed for patients with expected prolonged intubation. This study aims to determine the outcomes of tracheostomy on patients with burn inhalation injuries requiring mechanical ventilation.
    Methods: This study is a retrospective review from 2011 to 2019. Inclusion criteria were recording of inhalation injury, ventilator support (at least 24 hours), and total body surface area of <15%. The patients were stratified into 2 groups: tracheostomy (group 1) versus no tracheostomy (group 2). The outcome measures were in-hospital mortality rate, hospital length of stay, intensive care unit length of stay, ventilator days, and ventilator- associated pneumonia (VAP).
    Results: A total of 33 burn patients met our inclusion criteria. Group 1 consisted of 10 patients and group 2 of 23 patients. There was no statistically significant difference in terms of percent total body surface area. There was a higher intensive care unit length of stay at 23.8 days in group 1 compared with 3.16 days in group 2, a higher hospital length of stay at 28.4 days in group 1 compared with 5.26 days in group 2, and higher ventilator days in group 1 with 20.8 days compared with 2.5 days in group 2. There was no statistically significant difference between the 2 groups in terms of mortality. The incidence of VAP was also significantly higher in group 1 than in group 2.
    Conclusions: The ideal timing and implementation of tracheostomy with inhalation injury has yet to be determined. In this study, tracheostomy was associated with much longer lengths of stay and pneumonia. The impact of the underlying lung injury versus the tracheostomy itself on these observations is unclear. The challenge of characterizing the severity of an inhalation injury based on early visual inspection remains.
    Language English
    Publishing date 2023-07-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2412803-X
    ISSN 1937-5719
    ISSN 1937-5719
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  5. Article ; Online: Current Trends of Women Surgeon Speakers at National Trauma Surgery Conferences: The Trauma House Is Improving.

    Shaikh, Saamia / Malik, Ameena / Boneva, Dessy / Hai, Shaikh / McKenney, Mark / Elkbuli, Adel

    The American surgeon

    2020  Volume 86, Issue 7, Page(s) 803–810

    Abstract: Background: An invitation to speak at a national meeting represents the advancement of one's career and indicates acceptance and the attention of the scientific community. Studies have revealed gender disparities across medical and surgical society ... ...

    Abstract Background: An invitation to speak at a national meeting represents the advancement of one's career and indicates acceptance and the attention of the scientific community. Studies have revealed gender disparities across medical and surgical society meetings. The purpose of our study was to assess the current trend of women surgeon speakers at major national trauma surgery conferences during the last 4 years (ie, 2016-2019).
    Methods: A retrospective analysis of conference programs of major trauma surgery association annual meetings including the American Association for the Surgery of Trauma (AAST), the Eastern Association for the Surgery of Trauma (EAST), and the Western Trauma Association (WTA) was conducted. Our primary outcome was the number and proportion of women surgeon speakers at each conference each year.
    Results: Twelve conference programs from three national trauma surgery association annual meetings were reviewed. A total of 2029 speakers were included; 608 (30%) of which were female and 1421 (70%) of which were male. The proportion of women speakers ranged from 22.3% to 41.4%. The number of women speakers increased each year from 2016 to 2019: (EAST: 25.2%-39.8%,
    Conclusion: The number of women surgeon speakers at national trauma surgery conferences significantly increased from 2016 to 2019. The increase in women trauma surgeon speakers is encouraging and should be celebrated, but organizational leadership should take this information into account while extending invitations to surgeons for speaking opportunities and continue to promote diversity and inclusivity.
    MeSH term(s) Congresses as Topic/statistics & numerical data ; Female ; Humans ; Male ; Physicians, Women/statistics & numerical data ; Retrospective Studies ; Societies, Medical ; Surgeons/statistics & numerical data ; Traumatology ; United States
    Language English
    Publishing date 2020-06-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/0003134820933555
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    Uk I Zs.106: Show issues Location:
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  6. Article ; Online: Anticoagulant chemoprophylaxis in patients with traumatic brain injuries: A systematic review.

    Spano, Paul J / Shaikh, Saamia / Boneva, Dessy / Hai, Shaikh / McKenney, Mark / Elkbuli, Adel

    The journal of trauma and acute care surgery

    2020  Volume 88, Issue 3, Page(s) 454–460

    Abstract: Background: Traumatic brain injury (TBI) continues to be a deadly injury. Universally accepted guidelines regarding the use of venous thromboembolism (VTE) chemoprophylaxis in trauma patients presenting with TBI have not been established. The purpose of ...

    Abstract Background: Traumatic brain injury (TBI) continues to be a deadly injury. Universally accepted guidelines regarding the use of venous thromboembolism (VTE) chemoprophylaxis in trauma patients presenting with TBI have not been established. The purpose of this review was to identify and review the current literature and present the evidence for anticoagulant chemoprophylaxis regimens in patients with TBI.
    Methods: A search of five databases including PubMed, Web of Science, Google Scholar, JAMA Network, and Cochrane Journals was conducted for studies evaluating the safety and efficacy of venous thromboembolism prophylaxis regimens according to the Preferred Reporting Items for Systematic reviews and Meta-analyses guidelines. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group criteria were used for quality of evidence assessment.
    Results: Seventeen studies were included in this review: 1 randomized controlled trial, 2 prospective observational studies, 10 retrospective reviews, and 5 systematic reviews. Most studies demonstrated that early chemoprophylactic administration is associated with a decreased incidence of VTE in patients with TBI without an increase in intracranial bleed.
    Conclusion: For patients with TBI resulting in intracranial hemorrhages, administration of VTE chemoprophylaxis is warranted for those patients with stable repeat computed tomography scans. Early chemoprophylaxis, at 24 to 72 hours is associated with reduced VTE incidence without a corresponding increase or exacerbation of intracranial hemorrhage in patients with TBI who have a stable repeat head computed tomography scan. More studies are needed to establish guidelines for the safety and efficacy of VTE prophylaxis protocols in adult patients with TBI.
    Level of evidence: Systematic review, level III.
    MeSH term(s) Anticoagulants/adverse effects ; Anticoagulants/therapeutic use ; Brain Injuries, Traumatic/complications ; Humans ; Intracranial Hemorrhages/chemically induced ; Time-to-Treatment ; Venous Thromboembolism/prevention & control
    Chemical Substances Anticoagulants
    Language English
    Publishing date 2020-01-09
    Publishing country United States
    Document type Journal Article ; Systematic Review
    ZDB-ID 2651070-4
    ISSN 2163-0763 ; 2163-0755
    ISSN (online) 2163-0763
    ISSN 2163-0755
    DOI 10.1097/TA.0000000000002580
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    Zs.A 127: Show issues Location:
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  7. Article ; Online: Mild and Moderate Traumatic Brain Injury and Gender-Based Critical Care Outcomes.

    Elkbuli, Adel / Smith, Zachary / Shaikh, Saamia / Hai, Shaikh / McKenney, Mark / Boneva, Dessy

    World journal of surgery

    2020  Volume 44, Issue 5, Page(s) 1492–1497

    Abstract: Background: Traumatic brain injury (TBI) is a major contributor to death and complications. Previous studies have identified gender disparities among trauma patients. This study aims to examine the association between gender and outcomes in TBI patients. ...

    Abstract Background: Traumatic brain injury (TBI) is a major contributor to death and complications. Previous studies have identified gender disparities among trauma patients. This study aims to examine the association between gender and outcomes in TBI patients.
    Study design and methods: Review of our trauma registry: Patients were classified into groups according to their gender. Demographics extracted from the registry included age, injury severity score (ISS), Glasgow Coma Score (GCS), head abbreviated injury score (AIS), and the presence of an epidural hematoma (EDH). The primary outcome was mortality; secondary outcomes included ICU length of stay (ICU-LOS), craniotomy rate, ventilator-associated pneumonia (VAP), and readmission rates. Significance was defined as p < 0.05.
    Results: Nine hundred and thirty-five patients with TBI were studied: 62.1% (n = 581) were male and 37.9% (n = 354) were female. There were no differences in GCS, ISS, and head AIS. Males were younger [53 (IQR 30-77) vs. 76 (IQR 49.25-84), p < 0.05] and were more likely to have an EDH (9.6% vs. 4.8%, p = 0.007). Males also had a longer median ICU-LOS [4 days (IQR 2-8) vs. 3 days (IQR 0-5), p < 0.05] and were significantly more likely to require a craniotomy (44.6% vs. 19.2%, p < 0.001). In addition, males were more likely to develop VAP (4.1% vs. 0.8%, p = 0.004). Predicted survival (79.2% vs. 72.9%) and actual mortality rates (4.5% vs. 4.5%) were similar in both genders (p > 0.05).
    Conclusion: In the context of our study, male patients with TBI were significantly younger, were more likely to sustain an EDH, and were also more likely to require a craniotomy, but mortality rates between both genders were similar. The male gender was also associated with a significantly increased ICU-LOS and VAP.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Brain Injuries, Traumatic/diagnosis ; Brain Injuries, Traumatic/mortality ; Brain Injuries, Traumatic/therapy ; Critical Care/statistics & numerical data ; Critical Care Outcomes ; Female ; Humans ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Registries ; Retrospective Studies ; Sex Factors ; Survival Analysis ; Trauma Severity Indices
    Language English
    Publishing date 2020-01-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-020-05381-w
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  8. Article ; Online: Traumatic abdominal wall hernia caused by a low fall.

    Azimi-Ghomi, Obteene / Ehrhardt, John D / Hai, Shaikh

    Trauma case reports

    2021  Volume 37, Page(s) 100572

    Abstract: Background: Traumatic abdominal wall hernias (TAWH) are uncommon injuries classically associated with high-energy blunt traumatic mechanisms. Motor vehicle collisions cause the highest proportion of all TAWH. Literature is currently limited, with some ... ...

    Abstract Background: Traumatic abdominal wall hernias (TAWH) are uncommon injuries classically associated with high-energy blunt traumatic mechanisms. Motor vehicle collisions cause the highest proportion of all TAWH. Literature is currently limited, with some debate existing over surgical management strategies.
    Case presentation: A 67-year-old man presented after falling from a short step stool while landscaping his yard. On exam, an exquisitely tender lateral flank mass was present with peristaltic movement. CT imaging revealed a TAWH with incarcerated large and small bowel. He was taken to the OR for exploratory laparotomy and mesh hernia repair. The patient was discharged on the third postoperative day with no untoward complications.
    Discussion: This patient's mechanism and injury pattern are together a rare combination. Exam findings and radiologic technologies are used to hone the clinical index of suspicion for TAWH. Traumatic abdominal wall defects can have unusual anatomic borders, not always obeying well-known hernia patterns. In this case, the potential space for visceral herniation was created by an 11th rib fracture with associated avulsion of the oblique musculature. Operative approach can be open or laparoscopic, however concomitant injuries directly influence surgical management. Evidence for mesh versus primary repair for TAWH is conflicted by the current literature.
    Conclusions: Nearly any amount of blunt abdominal force can cause TAWH. For wall defects with bowel herniation caused directly by trauma, the safest approach may involve exploratory laparotomy. Future multi-center studies may be able to distinguish TAWH repair strategies based on herniation through old defects versus newly-created abdominal wall injuries.
    Language English
    Publishing date 2021-12-09
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2835433-3
    ISSN 2352-6440 ; 2352-6440
    ISSN (online) 2352-6440
    ISSN 2352-6440
    DOI 10.1016/j.tcr.2021.100572
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  9. Article ; Online: In response to: A multicenter, prospective, controlled clinical trial of surgical stabilization of rib fractures in patients with severe, NONFLAIL fracture patterns (Chest Wall Injury Society NONFLAIL).

    Elkbuli, Adel / Baroutjian, Amanda / Hai, Shaikh

    The journal of trauma and acute care surgery

    2020  Volume 89, Issue 4, Page(s) e122–e123

    MeSH term(s) Flail Chest ; Humans ; Prospective Studies ; Rib Fractures/diagnostic imaging ; Rib Fractures/surgery ; Thoracic Injuries/surgery ; Thoracic Wall
    Language English
    Publishing date 2020-06-23
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2651070-4
    ISSN 2163-0763 ; 2163-0755
    ISSN (online) 2163-0763
    ISSN 2163-0755
    DOI 10.1097/TA.0000000000002845
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  10. Article ; Online: Letter Regarding: Gender Disparity Among Surgical Peer-Reviewed Literature: A Linear Regression and Subgroup Analysis.

    Shepherd, Aaron / Hai, Shaikh / McKenney, Mark / Elkbuli, Adel

    The Journal of surgical research

    2020  Volume 255, Page(s) 653–654

    MeSH term(s) Linear Models ; Publications
    Language English
    Publishing date 2020-05-04
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2020.01.031
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