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  1. Article ; Online: The Effect of 4-Factor Prothrombin Complex Concentrate to Reverse Factor Xa Inhibitors in Patients With Traumatic Intracranial Hemorrhage.

    Rauh, Jessica L / Torosian, Taron / Thompson, Anothony / Evangelista, Meagan / Hoth, Jason

    The American surgeon

    2024  , Page(s) 31348241241726

    Abstract: The utility of 4-factor prothrombin complex concentrate (4F-PCC) for reversal in patients on factor Xa inhibitors (XaI) is unclear, specifically in mild traumatic brain injury (mTBI). This is a retrospective review over 6 years at a level 1 trauma center ...

    Abstract The utility of 4-factor prothrombin complex concentrate (4F-PCC) for reversal in patients on factor Xa inhibitors (XaI) is unclear, specifically in mild traumatic brain injury (mTBI). This is a retrospective review over 6 years at a level 1 trauma center of patients presenting with mTBI on XaI comparing outcomes for those that received 4F-PCC to those that did not. 140 patients were included, 103 (74%) of these patients received 4F-PCC while 37 (26%) did not. There was no significant difference in neurologic decline within 48 hours of admission or need for neurosurgical intervention. Interestingly, there was no difference in ICH progression (16% vs 14%,
    Language English
    Publishing date 2024-03-28
    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 10.1177/00031348241241726
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Rhabdomyolysis: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document.

    Kodadek, Lisa / Carmichael Ii, Samuel P / Seshadri, Anupamaa / Pathak, Abhijit / Hoth, Jason / Appelbaum, Rachel / Michetti, Christopher P / Gonzalez, Richard P

    Trauma surgery & acute care open

    2022  Volume 7, Issue 1, Page(s) e000836

    Abstract: Rhabdomyolysis is a clinical condition characterized by destruction of skeletal muscle with release of intracellular contents into the bloodstream. Intracellular contents released include electrolytes, enzymes, and myoglobin, resulting in systemic ... ...

    Abstract Rhabdomyolysis is a clinical condition characterized by destruction of skeletal muscle with release of intracellular contents into the bloodstream. Intracellular contents released include electrolytes, enzymes, and myoglobin, resulting in systemic complications. Muscle necrosis is the common factor for traumatic and non-traumatic rhabdomyolysis. The systemic impact of rhabdomyolysis ranges from asymptomatic elevations in bloodstream muscle enzymes to life-threatening acute kidney injury and electrolyte abnormalities. The purpose of this clinical consensus statement is to review the present-day diagnosis, management, and prognosis of patients who develop rhabdomyolysis.
    Language English
    Publishing date 2022-01-27
    Publishing country England
    Document type Journal Article
    ISSN 2397-5776
    ISSN (online) 2397-5776
    DOI 10.1136/tsaco-2021-000836
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Nonhelmeted motorcyclist: a burden to society? A study using the National Trauma Data Bank.

    Hoth, Jason

    The Journal of trauma

    2005  Volume 59, Issue 2, Page(s) 511; author reply 512

    MeSH term(s) Accidents, Traffic/economics ; Accidents, Traffic/statistics & numerical data ; Cost of Illness ; Databases as Topic ; Head Protective Devices/statistics & numerical data ; Humans ; United States/epidemiology
    Language English
    Publishing date 2005-08
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 219302-4
    ISSN 1529-8809 ; 0022-5282 ; 1079-6061
    ISSN (online) 1529-8809
    ISSN 0022-5282 ; 1079-6061
    DOI 10.1097/01.ta.0000180378.59712.46
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Management of Decompensated Cirrhosis in the Surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document.

    Seshadri, Anupamaa / Appelbaum, Rachel / Carmichael, Samuel P / Cuschieri, Joseph / Hoth, Jason / Kaups, Krista L / Kodadek, Lisa / Kutcher, Matthew E / Pathak, Abhijit / Rappold, Joseph / Rudnick, Sean R / Michetti, Christopher P

    Trauma surgery & acute care open

    2022  Volume 7, Issue 1, Page(s) e000936

    Abstract: Management of decompensated cirrhosis (DC) can be challenging for the surgical intensivist. Management of DC is often complicated by ascites, coagulopathy, hepatic encephalopathy, gastrointestinal bleeding, hepatorenal syndrome, and difficulty assessing ... ...

    Abstract Management of decompensated cirrhosis (DC) can be challenging for the surgical intensivist. Management of DC is often complicated by ascites, coagulopathy, hepatic encephalopathy, gastrointestinal bleeding, hepatorenal syndrome, and difficulty assessing volume status. This Clinical Consensus Document created by the American Association for the Surgery of Trauma Critical Care Committee reviews practical clinical questions about the critical care management of patients with DC to facilitate best practices by the bedside provider.
    Language English
    Publishing date 2022-08-01
    Publishing country England
    Document type Journal Article
    ISSN 2397-5776
    ISSN (online) 2397-5776
    DOI 10.1136/tsaco-2022-000936
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Sirtuins Link Inflammation and Metabolism.

    Vachharajani, Vidula T / Liu, Tiefu / Wang, Xianfeng / Hoth, Jason J / Yoza, Barbara K / McCall, Charles E

    Journal of immunology research

    2016  Volume 2016, Page(s) 8167273

    Abstract: Sirtuins (SIRT), first discovered in yeast as NAD+ dependent epigenetic and metabolic regulators, have comparable activities in human physiology and disease. Mounting evidence supports that the seven-member mammalian sirtuin family (SIRT1-7) guard ... ...

    Abstract Sirtuins (SIRT), first discovered in yeast as NAD+ dependent epigenetic and metabolic regulators, have comparable activities in human physiology and disease. Mounting evidence supports that the seven-member mammalian sirtuin family (SIRT1-7) guard homeostasis by sensing bioenergy needs and responding by making alterations in the cell nutrients. Sirtuins play a critical role in restoring homeostasis during stress responses. Inflammation is designed to "defend and mend" against the invading organisms. Emerging evidence supports that metabolism and bioenergy reprogramming direct the sequential course of inflammation; failure of homeostasis retrieval results in many chronic and acute inflammatory diseases. Anabolic glycolysis quickly induced (compared to oxidative phosphorylation) for ROS and ATP generation is needed for immune activation to "defend" against invading microorganisms. Lipolysis/fatty acid oxidation, essential for cellular protection/hibernation and cell survival in order to "mend," leads to immune repression. Acute/chronic inflammations are linked to altered glycolysis and fatty acid oxidation, at least in part, by NAD+ dependent function of sirtuins. Therapeutically targeting sirtuins may provide a new class of inflammation and immune regulators. This review discusses how sirtuins integrate metabolism, bioenergetics, and immunity during inflammation and how sirtuin-directed treatment improves outcome in chronic inflammatory diseases and in the extreme stress response of sepsis.
    MeSH term(s) Adenosine Triphosphate/biosynthesis ; Alzheimer Disease/genetics ; Alzheimer Disease/metabolism ; Alzheimer Disease/pathology ; Animals ; Cardiovascular Diseases/genetics ; Cardiovascular Diseases/metabolism ; Cardiovascular Diseases/pathology ; Energy Metabolism/genetics ; Gene Expression Regulation ; Homeostasis ; Humans ; Inflammation ; Metabolic Syndrome/genetics ; Metabolic Syndrome/metabolism ; Metabolic Syndrome/pathology ; NAD/metabolism ; Oxidative Stress ; Reactive Oxygen Species/metabolism ; Sepsis/genetics ; Sepsis/metabolism ; Sepsis/pathology ; Signal Transduction ; Sirtuins/genetics ; Sirtuins/metabolism
    Chemical Substances Reactive Oxygen Species ; NAD (0U46U6E8UK) ; Adenosine Triphosphate (8L70Q75FXE) ; Sirtuins (EC 3.5.1.-)
    Language English
    Publishing date 2016
    Publishing country Egypt
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 2817541-4
    ISSN 2314-7156 ; 2314-8861
    ISSN (online) 2314-7156
    ISSN 2314-8861
    DOI 10.1155/2016/8167273
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Clarification on angiography and embolization for blunt splenic injuries: in reply to Livingston and colleagues.

    Miller, Preston / Chang, Michael / Hoth, Jason / Mowery, Nathan / Hildreth, Amy / Martin, Shayn / Holmes, James / Meredith, Wayne / Requarth, Jay

    Journal of the American College of Surgeons

    2014  Volume 219, Issue 6, Page(s) 1194

    MeSH term(s) Embolization, Therapeutic/methods ; Female ; Humans ; Male ; Radiography, Interventional ; Spleen/injuries ; Splenic Artery/diagnostic imaging ; Wounds, Nonpenetrating/therapy
    Language English
    Publishing date 2014-12
    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.2014.08.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Prehospital use of inhaled steroids and incidence of acute lung injury among patients at risk.

    Festic, Emir / Ortiz-Diaz, Enrique / Lee, Augustine / Li, Guangxi / Kor, Daryl J / Adebola, Adesanya / Akca, Ozan / Hoth, Jason / Levitt, Joseph E / Carter, Rickey / Gajic, Ognjen

    Journal of critical care

    2013  Volume 28, Issue 6, Page(s) 985–991

    Abstract: Purpose: Inhaled corticosteroids (ICSs) attenuated lung injury in animal studies. We investigated the association between prehospital ICS and incidence of acute lung injury (ALI) among patients at risk.: Methods: In this ancillary analysis of the ... ...

    Abstract Purpose: Inhaled corticosteroids (ICSs) attenuated lung injury in animal studies. We investigated the association between prehospital ICS and incidence of acute lung injury (ALI) among patients at risk.
    Methods: In this ancillary analysis of the large multicenter Lung Injury Prediction Study cohort, we developed a propensity score for prehospital ICS use followed by matching, for all patients and for a subgroup of patients with at least 1 risk factor for direct pulmonary injury. The primary outcome was ALI; secondary outcomes included acute respiratory distress syndrome, need for invasive mechanical ventilation, and hospital mortality.
    Results: Of the 5126 patients, 401 (8%) were using ICS. Acute lung injury developed in 343 (7%). The unadjusted incidence of ALI was 4.7% vs 6.9% (P = .12) among those in ICS compared with non-ICS group. In the "direct" lung injury subgroup, the unadjusted incidence of ALI was 4.1% vs 10.6% (P = 0.006). After propensity matching, the estimated effect for ALI in the whole cohort was 0.69 (95% confidence interval, 0.39-1.2; P = .18), and that in the direct subgroup was 0.56 (95% confidence interval, 0.22-1.46; P = .24).
    Conclusions: Preadmission use of ICS in a hospitalized population of patients at risk for ALI was not significantly associated with a lower incidence of ALI once controlled by comprehensive propensity-matched analysis.
    MeSH term(s) APACHE ; Acute Lung Injury/chemically induced ; Acute Lung Injury/epidemiology ; Administration, Inhalation ; Adrenal Cortex Hormones/administration & dosage ; Adrenal Cortex Hormones/adverse effects ; Adult ; Aged ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Propensity Score ; Risk Factors ; United States/epidemiology
    Chemical Substances Adrenal Cortex Hormones
    Language English
    Publishing date 2013-09-24
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 632818-0
    ISSN 1557-8615 ; 0883-9441
    ISSN (online) 1557-8615
    ISSN 0883-9441
    DOI 10.1016/j.jcrc.2013.08.011
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  8. Article: National nosocomial infection surveillance system: from benchmark to bedside in trauma patients.

    Miller, Preston R / Johnson, James C / Karchmer, Tobi / Hoth, Jason J / Meredith, J Wayne / Chang, Michael C

    The Journal of trauma

    2006  Volume 60, Issue 1, Page(s) 98–103

    Abstract: Introduction: Ventilator-associated pneumonia (VAP) is an important cause of morbidity and mortality in the injured patient. Identification of those with VAP is important both in immediate clinical decision making as well as for the epidemiologic ... ...

    Abstract Introduction: Ventilator-associated pneumonia (VAP) is an important cause of morbidity and mortality in the injured patient. Identification of those with VAP is important both in immediate clinical decision making as well as for the epidemiologic evaluation of the disease and benchmarking of rates across institutions with variable practice patterns. Despite this, controversy exists over the optimal method of VAP diagnosis. Many centers currently use invasive culture methods such as bronchoalveolar lavage (BAL) for diagnosis. Another diagnostic method, and the most common epidemiologic tool used to track VAP, is the definition employed by the National Nosocomial Infections Surveillance (NNIS) system. This relies on a combination of clinical and culture data. Our goal was to evaluate the accuracy of the NNIS definition as compared with BAL diagnosis in trauma patients.
    Methods: Records of all ventilated patients admitted to the trauma intensive care unit at a Level I center who were evaluated for the presence of pneumonia over a 2.5-year period were reviewed. VAP diagnosis was established if > or =10 cfu/mL were cultured on BAL. VAP rates and time of onset were compared with the hospital infection control database, which defines VAP by NNIS criteria. Assuming BAL to be correct, sensitivity, specificity, and positive and negative predictive values were calculated for NNIS VAP.
    Results: From September 1, 2001, through December 31, 2003, 292 patients underwent BAL for suspected pneumonia. The pneumonia rate in this group was 34 per 1,000 ventilator days. The NNIS definition showed excellent overall agreement, with a rate of 36 per 1,000 ventilator days. The use of the NNIS definition for bedside decision making, however, is less accurate. Sensitivity and positive predictive value were reasonably good (84% and 83%, respectively), whereas specificity and negative predictive value suffer (69% and 69%, respectively). Most importantly, the use of NNIS would have led to no treatment in 16% of patients diagnosed with VAP by BAL.
    Conclusions: Compared with strict bacteriologic criteria for VAP, the NNIS definition has good overall agreement and seems to have utility as an epidemiologic benchmarking tool in trauma patients. However, the NNIS definition has less utility as a bedside decision-making tool in this population, leading to under-treatment in a significant number of patients.
    MeSH term(s) Adult ; Aged ; Algorithms ; Benchmarking ; Bronchoalveolar Lavage Fluid/microbiology ; Cross Infection/epidemiology ; Female ; Humans ; Male ; Middle Aged ; Pneumonia/diagnosis ; Pneumonia/etiology ; Point-of-Care Systems ; Population Surveillance ; Predictive Value of Tests ; Retrospective Studies ; United States/epidemiology ; Ventilators, Mechanical ; Wounds and Injuries/therapy
    Language English
    Publishing date 2006-01
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 219302-4
    ISSN 1529-8809 ; 0022-5282 ; 1079-6061
    ISSN (online) 1529-8809
    ISSN 0022-5282 ; 1079-6061
    DOI 10.1097/01.ta.0000196379.74305.e4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Surgical intensive care unit mobility is increased after institution of a computerized mobility order set and intensive care unit mobility protocol: a prospective cohort analysis.

    Hildreth, Amy N / Enniss, Toby / Martin, Robert S / Miller, Preston R / Mitten-Long, Donna / Gasaway, Janice / Ebert, Fran / Butcher, Wendy / Browder, Kevin / Chang, Michael C / Hoth, Jason J / Mowery, Nathan T / Meredith, J W

    The American surgeon

    2010  Volume 76, Issue 8, Page(s) 818–822

    Abstract: In some populations, intensive care unit (ICU) mobility has been shown to be safe and beneficial. We gathered data on 50 nonintubated surgical patients in a 10-bed surgical ICU (SICU) who met physiologic inclusion criteria beginning in May 2008 (A group). ...

    Abstract In some populations, intensive care unit (ICU) mobility has been shown to be safe and beneficial. We gathered data on 50 nonintubated surgical patients in a 10-bed surgical ICU (SICU) who met physiologic inclusion criteria beginning in May 2008 (A group). In January 2009, we began mandatory entry of computerized mobility orders as part of a standardized ICU order set. We also created a mobility protocol for nurses in this ICU. We then collected data on 50 patients in this postintervention cohort (B group). Both groups had similar baseline characteristics. A group patients had some form of mobility orders entered in 29 patients (58%) versus 47 patients (82%) in the B group, P < 0.05. In the A group, 11 patients (22%) were mobilized; in the B group, 40 patients (80%) were mobilized, P < 0.05. In our SICU patient population, mandatory entry of computerized mobility orders as part of a standard SICU order set and establishment of an ICU mobility nursing protocol was associated with an increase in number of mobility orders entered as well as an increase in SICU patient activity. Further studies should focus on measurement of the effect of mobility interventions on patient outcomes.
    MeSH term(s) Cohort Studies ; Computers ; Critical Care ; Early Ambulation/methods ; Electronic Health Records ; Female ; Humans ; Intensive Care Units ; Male ; Medical Order Entry Systems ; Middle Aged ; Prospective Studies
    Language English
    Publishing date 2010-08
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
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  10. Article: Thoracotomy for blunt trauma: traditional indications may not apply.

    Hoth, Jason J / Scott, Melanie J / Bullock, Timothy K / Stassen, Nicole A / Franklin, Glen A / Richardson, J David

    The American surgeon

    2003  Volume 69, Issue 12, Page(s) 1108–1111

    Abstract: The indications for performing as urgent thoractomy after trauma are based on the criteria used for penetrating injuries. However, few data are available on the use of these indications for patients with blunt injuries. In a retrospective study (June ... ...

    Abstract The indications for performing as urgent thoractomy after trauma are based on the criteria used for penetrating injuries. However, few data are available on the use of these indications for patients with blunt injuries. In a retrospective study (June 1996 to July 2001), we compared the indications of urgent thoracotomy after blunt injury and penetrating injury in patients who underwent thoracotomy within 24 hours of hospital admission at our institution. Patients with blunt aortic injuries or emergency department thoracotomies were excluded from evaluation. Fifty-nine patients were identified (37 penetrating injuries, 22 blunt injuries). Blunt trauma victims had a higher mortality rate than penetrating trauma victims (73% vs. 22%). Chest tube output was the indication for nontherapuetic thoracotomy in 5 patients with blunt injuries whereas this occurred in only 1 penetrating injury victim (P = 0.04). All 5 blunt injury patients underwent a prior procedure and were coagulopathic when thoracotomy was performed. In conclusion, thoracotomy following blunt trauma is associated with a high rate of mortality. The rate of nontherapeutic exploration is increased when chest tube output is the indication for thoracotomy after blunt trauma. Since the majority of such patients have multicavitary injuries that require prior operation and are commonly coagulopathic, caution should be exercised when deciding whether to proceed with thoracotomy based solely on chest tube output.
    MeSH term(s) Accidents, Traffic ; Adult ; Female ; Heart Injuries/surgery ; Humans ; Lung Injury ; Male ; Retrospective Studies ; Thoracotomy ; Wounds, Nonpenetrating/surgery
    Language English
    Publishing date 2003-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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