Lillian S. Kao
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View article: Knowledge of CPR and Code Status Discussions in Traumatically Injured Older Adults: Does Health Literacy Matter?
Knowledge of CPR and Code Status Discussions in Traumatically Injured Older Adults: Does Health Literacy Matter? Open
Code Status Discussions (CSDs), CPR understanding, and health literacy is understudied in traumatically injured older adults. We hypothesized that traumatically injured older adults and their families would have limited understanding of CP…
View article: Video Conversation Aids to Assist in Goals-Of-Care Discussions With Older Adults in a Medical Setting: A Systematic Review
Video Conversation Aids to Assist in Goals-Of-Care Discussions With Older Adults in a Medical Setting: A Systematic Review Open
Background Goals-of-care (GOC) discussions align medical treatment with older adults’ preferences, yet are hindered by communication barriers, provider discomfort, and misinformation. Video-based decision aids improve understanding and red…
View article: Assessing the impact of a semi-structured intraoperative anaesthesia handoff cognitive aid on surgical patient outcomes: study protocol for a cluster randomised trial
Assessing the impact of a semi-structured intraoperative anaesthesia handoff cognitive aid on surgical patient outcomes: study protocol for a cluster randomised trial Open
Introduction Intraoperative anaesthesia handoffs represent a risk point in the care of surgical patients. Although often necessary to prevent fatigue, improve vigilance and optimise operational efficiency, critical information can be lost,…
View article: Protocol for the Houston Hospital-based violence intervention program
Protocol for the Houston Hospital-based violence intervention program Open
Firearm violence is a leading cause of injury and mortality in the United States. Hospital-based violence intervention programs (HVIPs) are a promising public health strategy designed to reduce recurrent violence by engaging patients durin…
View article: Polypore Mushroom Mycelia as an Adjunct to COVID-19 Vaccination: A Randomized Clinical Trial
Polypore Mushroom Mycelia as an Adjunct to COVID-19 Vaccination: A Randomized Clinical Trial Open
Use of fungal mycelium as a vaccination adjunct may constitute a novel antiviral strategy to address newly emerging viruses. In a randomized, double-blind, placebo-controlled clinical trial, we evaluated safety and feasibility of fungal my…
View article: Protocol for the Houston Hospital-Based Violence Intervention Program
Protocol for the Houston Hospital-Based Violence Intervention Program Open
Firearm violence is a leading cause of injury and mortality in the United States. Hospital-based violence intervention programs (HVIPs) are a promising public health strategy designed to reduce recurrent violence by engaging patients durin…
View article: Advancing Pharmacy Students’ Communication Skills through Real-Time Feedback in Innovative Simulations
Advancing Pharmacy Students’ Communication Skills through Real-Time Feedback in Innovative Simulations Open
The MSTM+RTF demonstrated superior outcomes in developing student pharmacists' telephone communication skills by combining immediate feedback with iterative practice. Embedding real-time feedback, repetition, and structured reflection into…
View article: Poor oral health is associated with social vulnerability in critically ill trauma patients
Poor oral health is associated with social vulnerability in critically ill trauma patients Open
Background Social factors affect oral health status, and poor oral health has been associated with worse health outcomes. Using the Oral Health Risk Assessment Value Index (OHRAVI), a bedside tool for non-dentists to assess oral health, we…
View article: Differentiating Urgent from Elective Cases Matters in Minority Populations: Developing an Ordinal "Desirability of Outcome Ranking" to Increase Granularity and Sensitivity of Surgical Outcomes Assessment.
Differentiating Urgent from Elective Cases Matters in Minority Populations: Developing an Ordinal "Desirability of Outcome Ranking" to Increase Granularity and Sensitivity of Surgical Outcomes Assessment. Open
BACKGROUND: Surgical analyses often focus on single or binary outcomes; we developed an ordinal Desirability of Outcome Ranking (DOOR) for surgery to increase granularity and sensitivity of surgical outcome assessments. Many studies also c…
View article: Synthetic Versus Biologic Mesh for Complex Open Ventral Hernia Repair: Three-Year Follow-Up of a Pilot Randomized Controlled Trial
Synthetic Versus Biologic Mesh for Complex Open Ventral Hernia Repair: Three-Year Follow-Up of a Pilot Randomized Controlled Trial Open
This study failed to find benefits with biologic mesh as opposed to synthetic mesh in complex OVHR at 3 years when comparing both clinical and patient-reported outcomes.
View article: Ten Steps for Setting Up an Online Journal Club
Ten Steps for Setting Up an Online Journal Club Open
Journal clubs have an extensive history that dates back to the time of Sir William Osler. They provide a venue to discuss the latest medical literature among groups of peers and are an innovative method for translating knowledge into pract…
View article: Social Determinants of Health and Surgical Desirability of Outcome Ranking in Older Veterans
Social Determinants of Health and Surgical Desirability of Outcome Ranking in Older Veterans Open
Importance Evaluating how social determinants of health (SDOH) influence veteran outcomes is crucial, particularly for quality improvement. Objective To measure associations between SDOH, care fragmentation, and surgical outcomes using a D…
View article: The Surgical Infection Society Guidelines on the Management of Intra-Abdominal Infection: 2024 Update
The Surgical Infection Society Guidelines on the Management of Intra-Abdominal Infection: 2024 Update Open
Background: The Surgical Infection Society (SIS) published evidence-based guidelines for the management of intra-abdominal infection (IAI) in 1992, 2002, 2010, and 2017. Here, we present the most recent guideline update based on a systemat…
View article: Breaking Down Academic Silos: Mentoring Across Medical Specialties Through Facilitated Peer Mentorship
Breaking Down Academic Silos: Mentoring Across Medical Specialties Through Facilitated Peer Mentorship Open
Background: Facilitated peer mentorship is an effective forum for professional development of faculty in academic medicine but has only been studied within single specialties. An interdisciplinary faculty development program was created to…
View article: Ketamine for acute pain after trauma: A pragmatic, randomized clinical trial
Ketamine for acute pain after trauma: A pragmatic, randomized clinical trial Open
BACKGROUND Non-narcotic intravenous medications may be a beneficial adjunct to oral multimodal pain regimens (MMPRs) which reduce but do not eliminate opioid exposure and prescribing after trauma. We hypothesized that the addition of a sub…
View article: Advancing Randomized Clinical Trials in Surgery: Role of Exception From Informed Consent, Central Institutional Review Board, and Bayesian Approaches
Advancing Randomized Clinical Trials in Surgery: Role of Exception From Informed Consent, Central Institutional Review Board, and Bayesian Approaches Open
Designing and completing randomized clinical trials (RCTs) in surgery is especially challenging due to unique barriers in study design, patient recruitment, and the administrative logistics of multicenter collaborative studies. 1 Diener M.…
View article: 726 Impact of Opioid-Minimizing Pain Protocols After Burn Injury: An Update of Previous Quality Improvement Project
726 Impact of Opioid-Minimizing Pain Protocols After Burn Injury: An Update of Previous Quality Improvement Project Open
Introduction In 2019, a single-burn center QI project resulted in a significant reduction in opioid prescribing at discharge. Such reductions were achieved through implementation of a pill-based, opioid-minimizing pain protocol. After comp…
View article: 83 Outcomes Using Autologous Epidermal Autograft for Wound Closure of Majority Deep Partial Thickness Burns
83 Outcomes Using Autologous Epidermal Autograft for Wound Closure of Majority Deep Partial Thickness Burns Open
Introduction Autologous epidermal autografting (AEAG) closes wounds with a significantly smaller donor site compared with traditional split thickness autograft (STAG). Theoretically, treatment of large burns with a smaller required donor s…
View article: Impact of COVID status and blood group on complications in patients in hemorrhagic shock
Impact of COVID status and blood group on complications in patients in hemorrhagic shock Open
Objective Among critically injured patients of various blood groups, we sought to compare survival and complication rates between COVID-19-positive and COVID-19-negative cohorts. Background SARS-CoV-2 infections have been shown to cause en…
View article: Response to Comment on: “Randomized Controlled Trial of Surgical Rib Fixation to Nonoperative Management in Severe Chest Wall Injury”
Response to Comment on: “Randomized Controlled Trial of Surgical Rib Fixation to Nonoperative Management in Severe Chest Wall Injury” Open
We very much appreciate Dr. Tomioka's interest in our recently published study: "Randomized Controlled Trial of Surgical Rib Fixation Versus Nonoperative Management in Severe Chest Wall Injury."1 We agree that existing protocols regarding …
View article: Presentation Acuity and Surgical Outcomes for Patients With Health Insurance Living in Highly Deprived Neighborhoods
Presentation Acuity and Surgical Outcomes for Patients With Health Insurance Living in Highly Deprived Neighborhoods Open
Importance Insurance coverage expansion has been proposed as a solution to improving health disparities, but insurance expansion alone may be insufficient to alleviate care access barriers. Objective To assess the association of Area Depri…
View article: Issue Information
Issue Information Open
No abstract is available for this article.
View article: Impact of Intra-Operative Shock and Resuscitation on Surgical Site Infections After Trauma Laparotomy
Impact of Intra-Operative Shock and Resuscitation on Surgical Site Infections After Trauma Laparotomy Open
Background: Patients undergoing trauma laparotomy experience high rates of surgical site infection (SSI). Although intra-operative shock is a likely contributor to SSI risk, little is known about the relation between shock, intra-operative…
View article: Sigh Ventilation in Patients With Trauma
Sigh Ventilation in Patients With Trauma Open
Importance Among patients receiving mechanical ventilation, tidal volumes with each breath are often constant or similar. This may lead to ventilator-induced lung injury by altering or depleting surfactant. The role of sigh breaths in redu…
View article: Appendiceal neoplasms in patients treated with antibiotics for acute appendicitis: secondary analysis of the CODA randomized clinical trial
Appendiceal neoplasms in patients treated with antibiotics for acute appendicitis: secondary analysis of the CODA randomized clinical trial Open
Journal Article Appendiceal neoplasms in patients treated with antibiotics for acute appendicitis: secondary analysis of the CODA randomized clinical trial Get access Writing Group for the CODA Collaborative Writing Group for the CODA Coll…