Patrick M. Reilly
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View article: Changes in payer mix of new and established trauma centers: the new trauma center money grab?
Changes in payer mix of new and established trauma centers: the new trauma center money grab? Open
Background Although timely access to trauma center (TC) care for injured patients is essential, the proliferation of new TCs does not always improve outcomes. Hospitals may seek TC accreditation for financial reasons, rather than to addres…
View article: Crossing the line: access to trauma care across state borders
Crossing the line: access to trauma care across state borders Open
Objective This study investigates the challenge posed by state borders by identifying the population, injury, and geographic scope of areas of the country where the closest trauma center is out-of-state, and by collating state emergency me…
View article: Conditional Effects of Race on Operative and Nonoperative Outcomes of Emergency General Surgery Conditions
Conditional Effects of Race on Operative and Nonoperative Outcomes of Emergency General Surgery Conditions Open
Introduction: Many emergency general surgery (EGS) conditions can be managed both operatively or nonoperatively; however, it is unknown whether the decision to operate affects Black and White patients differentially. Methods: We identified…
View article: The Conditional Effects of Multimorbidity on Operative Versus Nonoperative Management of Emergency General Surgery Conditions
The Conditional Effects of Multimorbidity on Operative Versus Nonoperative Management of Emergency General Surgery Conditions Open
Objective: To understand how multimorbidity impacts operative versus nonoperative management of emergency general surgery (EGS) conditions. Background: EGS is a heterogenous field, encompassing operative and nonoperative treatment options.…
View article: A survey of organizational structure and operational practices of elite youth football academies and national federations from around the world: A performance and medical perspective
A survey of organizational structure and operational practices of elite youth football academies and national federations from around the world: A performance and medical perspective Open
Aim Medical and performance units are integral components of player development programmes in elite football academies. Nevertheless, the nature of the operational processes implemented by practitioners within clubs and national federation…
View article: Rates of Surgical Consultations After Emergency Department Admission in Black and White Medicare Patients
Rates of Surgical Consultations After Emergency Department Admission in Black and White Medicare Patients Open
Importance A surgical consultation is a critical first step in the care of patients with emergency general surgery conditions. It is unknown if Black Medicare patients and White Medicare patients receive surgical consultations at similar r…
View article: Association Between Geospatial Access to Care and Firearm Injury Mortality in Philadelphia
Association Between Geospatial Access to Care and Firearm Injury Mortality in Philadelphia Open
Importance The burden of firearm violence in US cities continues to rise. The role of access to trauma center care as a trauma system measure with implications for firearm injury mortality has not been comprehensively evaluated. Objective …
View article: Operative and Nonoperative Outcomes of Emergency General Surgery Conditions
Operative and Nonoperative Outcomes of Emergency General Surgery Conditions Open
Objective: To determine the effect of operative versus nonoperative management of emergency general surgery conditions on short-term and long-term outcomes. Background: Many emergency general surgery conditions can be managed either operat…
View article: What happens after they survive? The role of anticoagulants and antiplatelets in IVC injuries
What happens after they survive? The role of anticoagulants and antiplatelets in IVC injuries Open
Background Venous thromboembolism (VTE) after an inferior vena cava (IVC) injury is a devastating complication. Current practice involves variable use of anticoagulation and antiplatelet (AC/AP) agents. We hypothesized that AC/AP can reduc…
View article: Association of Venous Thromboembolism Prophylaxis After Neurosurgical Intervention for Traumatic Brain Injury With Thromboembolic Complications, Repeated Neurosurgery, and Mortality
Association of Venous Thromboembolism Prophylaxis After Neurosurgical Intervention for Traumatic Brain Injury With Thromboembolic Complications, Repeated Neurosurgery, and Mortality Open
In this cohort study of patients who underwent urgent neurosurgical interventions for TBI, early pharmacologic VTE prophylaxis was associated with reduced risk of thromboembolism. However, earlier initiation of prophylaxis was associated w…
View article: Could saddle knee‐block design influence the kinematics of the equine thoracolumbar spine in elite sports horses?
Could saddle knee‐block design influence the kinematics of the equine thoracolumbar spine in elite sports horses? Open
partially positive DAs and 8-17mm for positive DAs.Two pelvic symmetry parameters showed small changes (2-3 mm, P = 0.05) indicative of contralateral compensation.All pelvic parameters were significantly affected (P<0.001) by hindlimb 'DA …
View article: Incidence, Burden on the Health Care System, and Factors Associated With Incisional Hernia After Trauma Laparotomy
Incidence, Burden on the Health Care System, and Factors Associated With Incisional Hernia After Trauma Laparotomy Open
Incisional hernia after TL mirrors the epidemiology and patient profile characteristics seen in the elective setting. We identified patient-level, perioperative, and novel postoperative factors associated with IH, with obesity, intestinal …
View article: Pain Interference and Decreased Physical Function After Emergency General Surgery: Measuring Patient‐Reported Outcomes
Pain Interference and Decreased Physical Function After Emergency General Surgery: Measuring Patient‐Reported Outcomes Open
Introduction There is increasing emphasis on patient‐reported outcomes (PROs) measures in healthcare, but this area remains largely unexplored in emergency general surgery (EGS) conditions. We hypothesized that postoperative patients in ou…
View article: Enhancing Patient Care: Value of Pharmaceutical Medical Information Services
Enhancing Patient Care: Value of Pharmaceutical Medical Information Services Open
Information concerning medications is a necessity for nurse practitioners and other clinicians. Pharmaceutical companies’ Medical Information services are an option for evidence-based, scientifically balanced information. This survey elici…
View article: How low can we go? Influence of sample rate on equine pelvic displacement calculated from inertial sensor data
How low can we go? Influence of sample rate on equine pelvic displacement calculated from inertial sensor data Open
Background Low‐cost sensor devices are often limited in terms of sample rate. Based on signal periodicity, the Nyquist theorem allows determining the minimum theoretical sample rate required to adequately capture cyclical events, such as p…
View article: Long-term Functional, Psychological, Emotional, and Social Outcomes in Survivors of Firearm Injuries
Long-term Functional, Psychological, Emotional, and Social Outcomes in Survivors of Firearm Injuries Open
This study's results suggest that the lasting effects of firearm injury reach far beyond mortality and economic burden. Survivors of GSWs may have negative outcomes for years after injury. These findings suggest that early identification a…
View article: The impact of interhospital transfer on mortality benchmarking at Level III and IV trauma centers: A step toward shared mortality attribution in a statewide system
The impact of interhospital transfer on mortality benchmarking at Level III and IV trauma centers: A step toward shared mortality attribution in a statewide system Open
BACKGROUND Many injured patients presenting to Level III/IV trauma centers will be transferred to Level I/II centers, but how these transfers influence benchmarking at Level III/IV centers has not been described. We hypothesized that the a…
View article: Effect of Low-Dose Supplementation of Arginine Vasopressin on Need for Blood Product Transfusions in Patients With Trauma and Hemorrhagic Shock
Effect of Low-Dose Supplementation of Arginine Vasopressin on Need for Blood Product Transfusions in Patients With Trauma and Hemorrhagic Shock Open
ClinicalTrials.gov identifier: NCT01611935.
View article: Contributors to Postinjury Mental Health in Urban Black Men With Serious Injuries
Contributors to Postinjury Mental Health in Urban Black Men With Serious Injuries Open
The intersection of prior trauma and adversity, prior exposure to neighborhood disadvantage, and poorer preinjury health and functioning are important, even in the midst of acute medical care for traumatic injury. These results support the…
View article: Whose Benchmark Is Right? Validating Venous Thromboembolism Events Between Trauma Registries and Hospital Administrative Databases
Whose Benchmark Is Right? Validating Venous Thromboembolism Events Between Trauma Registries and Hospital Administrative Databases Open
The trauma registry showed higher specificity and lower sensitivity compared with administrative data. The low false-positive rate of the trauma registry supports its validity in VTE outcomes research. Additional investigation is needed to…
View article: Emergency Laparotomy in the Critically Ill: Futility at the Bedside
Emergency Laparotomy in the Critically Ill: Futility at the Bedside Open
Background . Critically ill patients are often evaluated for an intra-abdominal catastrophe. In the absence of a preoperative diagnosis, abdominal exploration may be offered despite desperate circumstances. We hypothesize that (1) abdomina…