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Healthcare
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Acute Care Surgery
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Acute Care Surgery

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Critical Care".

Deadline for manuscript submissions: 31 May 2024 | Viewed by 2203

Special Issue Editors

Dr. Nathaniel McQuay

E-Mail Website
Guest Editor
Department of Surgery, Division of Acute Care Surgery, University Hospitals Cleveland, 11100 Euclid Avenue, 3700 Bolwell, Cleveland, OH 44106, USA
Interests: trauma; ventilator-associated pneumonia; emergency general surgery
Dr. Glen Tinkoff

E-Mail Website
Guest Editor
Department of Surgery, Division of Acute Care Surgery, University Hospitals Cleveland, 11100 Euclid Avenue, 3700 Bolwell, Cleveland, OH 44106, USA
Interests: trauma systems; Injury prevention

Special Issue Information

Dear Colleagues,

Healthcare is inviting authors to submit research manuscripts for a Special Issue dedicated to the acute care surgery model of care. For this Special Issue, guest editors Dr. Nathaniel McQuay, Jr. and Dr. Glen Tinkoff are seeking original research and topic-specific reviews in the areas related to but not limited to the three pillars of acute care surgery:  trauma, surgical critical care, and emergency general surgery. The focus of this Special Issue is on reviewing the components and scope of acute care surgery encompassing research, education, training, and the clinical care of patients with time-sensitive surgical diseases. The research fields of interest include but are not limited to the following:

Acute trauma care:

  • Assessment and early diagnosis;
  • Damage control principles;
  • Laboratory and diagnostic procedures;
  • Radiologic imaging and interventions;
  • Injury prevention;
  • Comprehensive injury management strategies;
  • Clinical outcomes;
  • Scoring systems and outcome prediction;
  • Socio-economic burden of disease;

Surgical critical care:

  • Perioperative critical care;
  • Organ failure management and support;
  • Resuscitation strategies;
  • Antibiotics;
  • Management of special populations (geriatric);
  • Socio-economic burden of disease;
  • Clinical outcomes;
  • Palliative care;

Emergency general surgical care:

  • Imaging and diagnosis;
  • Perioperative management;
  • Operative approaches;
  • Antibiotics;
  • Comprehensive organ-specific management strategies;
  • Socio-economic burden of disease;
  • Management of the open abdomen;
  • Clinical outcomes.

Please indicate in the cover letter to the Editor that the manuscript is being submitted for the Special Issue. All submitted research will be peer-reviewed and must follow the instructions for preparations of manuscripts.  Your contribution to this Special Issue will assist in the continued dissemination of the benefits of this model of care to healthcare systems, providers, and patients who require access to timely surgical care.

Respectfully,
Dr. Nathaniel McQuay
Dr. Glen Tinkoff
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • trauma
  • surgical critical care
  • emergency general surgery

Published Papers (3 papers)

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Research

14 pages, 833 KiB  
Article
Impact of a Rounding Checklist Implementation in the Trauma Intensive Care Unit on Clinical Outcomes
by Dongmin Seo, Inhae Heo, Jonghwan Moon, Junsik Kwon, Yo Huh, Byunghee Kang, Seoyoung Song, Sora Kim and Kyoungwon Jung
Healthcare 2024, 12(9), 871; https://doi.org/10.3390/healthcare12090871 - 23 Apr 2024
Viewed by 214
Abstract
We aimed to evaluate the effectiveness of an intensive care unit (ICU) round checklist, FAST HUGS BID (Feeding, Analgesia, Sedation, Thromboembolic prophylaxis, Head-of-bed elevation, Ulcer prophylaxis, Glycemic control, Spontaneous breathing trial, Bowel regimen, Indwelling catheter removal, and De-escalation of antibiotics—abbreviated as FD hereafter), [...] Read more.
We aimed to evaluate the effectiveness of an intensive care unit (ICU) round checklist, FAST HUGS BID (Feeding, Analgesia, Sedation, Thromboembolic prophylaxis, Head-of-bed elevation, Ulcer prophylaxis, Glycemic control, Spontaneous breathing trial, Bowel regimen, Indwelling catheter removal, and De-escalation of antibiotics—abbreviated as FD hereafter), in improving clinical outcomes in patients with severe trauma. We included patients admitted to our trauma ICU from 2016 to 2020 and divided them into two groups: before (before-FD, 2016–2017) and after (after-FD, 2019–2020) implementation of the checklist. We compared patient characteristics and clinical outcomes, including ICU and hospital length of stay (LOS) and in-hospital mortality. Survival analysis was performed using Kaplan–Meier curves and multivariable logistic regression models; furthermore, multiple linear regression analysis was used to identify independent factors associated with ICU and hospital LOS. Compared with the before-FD group, the after-FD group had significantly lower in-hospital mortality and complication rates, shorter ICU and hospital LOS, and reduced duration of mechanical ventilation. Moreover, implementation of the checklist was a significant independent factor in reducing ICU and hospital LOS and in-hospital mortality. Implementation of the FD checklist is associated with decreased ICU and hospital LOS and in-hospital mortality. Full article
(This article belongs to the Special Issue Acute Care Surgery)
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11 pages, 487 KiB  
Article
National Assessment of Opportunities for Improvement in Preventable Trauma Deaths: A Mixed-Methods Study
by Junsik Kwon, Myeonggyun Lee and Kyoungwon Jung
Healthcare 2023, 11(16), 2291; https://doi.org/10.3390/healthcare11162291 - 14 Aug 2023
Viewed by 688
Abstract
Trauma is a significant public health issue worldwide, particularly affecting economically active age groups. Quality management of trauma care at the national level is crucial to improve outcomes of major trauma. In Korea, a biennial nationwide survey on preventable trauma death rate is [...] Read more.
Trauma is a significant public health issue worldwide, particularly affecting economically active age groups. Quality management of trauma care at the national level is crucial to improve outcomes of major trauma. In Korea, a biennial nationwide survey on preventable trauma death rate is conducted. Based on the survey results, we analyzed opportunities for improving the trauma treatment process. Expert panels reviewed records of 8282 and 8482 trauma-related deaths in 2017 and 2019, respectively, identifying 258 and 160 cases in each year as preventable deaths. Opportunities for improvement were categorized into prehospital, interhospital, and hospital stages. Hemorrhage was the primary cause of death, followed by sepsis/multiorgan failure and central nervous system injury. Delayed hemostatic procedures and transfusions were common areas for improvement in hospital stage. Interhospital transfers experienced significant delays in arrival time. This study emphasizes the need to enhance trauma care by refining treatment techniques, centralizing patients in specialized facilities, and implementing comprehensive reviews and performance improvements throughout the patient transfer system. The findings offer valuable insights for addressing trauma care improvement from both clinical and systemic perspectives. Full article
(This article belongs to the Special Issue Acute Care Surgery)
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13 pages, 1787 KiB  
Article
Preperitoneal Pelvic Packing versus Angioembolization for Patients with Hemodynamically Unstable Pelvic Fractures with Pelvic Bleeding: A Single-Centered Retrospective Study
by Seong Chan Gong, Ji Eun Park, Sooyeon Kang, Sanghyun An, Myoung Jun Kim, Kwangmin Kim and In Sik Shin
Healthcare 2023, 11(12), 1784; https://doi.org/10.3390/healthcare11121784 - 16 Jun 2023
Cited by 1 | Viewed by 944
Abstract
The aim of this study was to compare the outcomes of preperitoneal pelvic packing (PPP) and angioembolization (AE) for patients with equivocal vital signs after initial resuscitation. This single-centered retrospective study included information from the database of a regional trauma center from April [...] Read more.
The aim of this study was to compare the outcomes of preperitoneal pelvic packing (PPP) and angioembolization (AE) for patients with equivocal vital signs after initial resuscitation. This single-centered retrospective study included information from the database of a regional trauma center from April 2014 to December 2022 for patients with pelvic fractures with a systolic blood pressure of 80–100 mmHg after initial fluid resuscitation. The patients’ characteristics, outcomes, and details of AE after resuscitative endovascular balloon occlusion of the aorta (REBOA) placed in zone III were collected. The follow-up duration was from hospital admission to discharge. A total of 65 patients were enrolled in this study. Their mean age was 59.2 ± 18.1 years, and 40 were males. We divided the enrolled patients into PPP (n = 43) and AE (n = 22) groups. The median time from emergency department (ED) to procedure and the median duration of ED stay were significantly longer in the AE group than in the PPP group (p ≤ 0.001 for both). The median mechanical ventilation (MV) duration was significantly shorter (p = 0.046) in the AE group. The number of patients with complications, overall mortality, and mortality due to hemorrhage did not differ between the two groups. Three patients (13.6%) were successfully treated with AE after REBOA. AE may be beneficial for patients with hemodynamically unstable pelvic fractures who show equivocal vital signs after initial fluid resuscitation in terms of reducing the MV duration and incidence of infectious complications. Full article
(This article belongs to the Special Issue Acute Care Surgery)
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