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Evaluation And Management Of Mild Traumatic Brain Injury: An Eastern Association For The Surgery Of Trauma Practice Management Guideline., Ronald J. Bross Md, Randeep Jawa, Jennifer M Watters, Jennifer C. Knight, Andrew J Kerwin, Eleanor S Winston, Robert D. Barraco Md, Brian Tucker, James M Bardes, Susan E Rowell Mar 2015

Evaluation And Management Of Mild Traumatic Brain Injury: An Eastern Association For The Surgery Of Trauma Practice Management Guideline., Ronald J. Bross Md, Randeep Jawa, Jennifer M Watters, Jennifer C. Knight, Andrew J Kerwin, Eleanor S Winston, Robert D. Barraco Md, Brian Tucker, James M Bardes, Susan E Rowell

Robert D Barraco MD, MPH

BACKGROUND: An estimated 1.1 million people sustain a mild traumatic brain injury (MTBI) annually in the United States. The natural history of MTBI remains poorly characterized, and its optimal clinical management is unclear. The Eastern Association for the Surgery of Trauma had previously published a set of practice management guidelines for MTBI in 2001. The purpose of this review was to update these guidelines to reflect the literature published since that time. METHODS: The PubMed and Cochrane Library databases were searched for articles related to MTBI published between 1998 and 2011. Selected older references were also examined. RESULTS: A total …


Evaluation And Management Of Mild Traumatic Brain Injury: An Eastern Association For The Surgery Of Trauma Practice Management Guideline., Ronald J. Bross Md, Randeep Jawa, Jennifer M Watters, Jennifer C. Knight, Andrew J Kerwin, Eleanor S Winston, Robert D. Barraco Md, Brian Tucker, James M Bardes, Susan E Rowell Mar 2015

Evaluation And Management Of Mild Traumatic Brain Injury: An Eastern Association For The Surgery Of Trauma Practice Management Guideline., Ronald J. Bross Md, Randeep Jawa, Jennifer M Watters, Jennifer C. Knight, Andrew J Kerwin, Eleanor S Winston, Robert D. Barraco Md, Brian Tucker, James M Bardes, Susan E Rowell

Robert D Barraco MD, MPH

BACKGROUND: An estimated 1.1 million people sustain a mild traumatic brain injury (MTBI) annually in the United States. The natural history of MTBI remains poorly characterized, and its optimal clinical management is unclear. The Eastern Association for the Surgery of Trauma had previously published a set of practice management guidelines for MTBI in 2001. The purpose of this review was to update these guidelines to reflect the literature published since that time. METHODS: The PubMed and Cochrane Library databases were searched for articles related to MTBI published between 1998 and 2011. Selected older references were also examined. RESULTS: A total …


Anal Sphincter Laceration At Vaginal Delivery: Is This Event Coded Accurately?, L. Brubaker, Catherine Bradley, V. Handa, H. Richter, A. Visco, M. Brown, A. Weber Apr 2013

Anal Sphincter Laceration At Vaginal Delivery: Is This Event Coded Accurately?, L. Brubaker, Catherine Bradley, V. Handa, H. Richter, A. Visco, M. Brown, A. Weber

Catherine S. Bradley

OBJECTIVE: To determine the error rate for discharge coding of anal sphincter laceration at vaginal delivery in a cohort of primiparous women. METHODS: As part of the Childbirth and Pelvic Symptoms study performed by the National Institutes of Health Pelvic Floor Disorders Network, we assessed the relationship between perineal lacerations and corresponding discharge codes in three groups of primiparous women: 393 women with anal sphincter laceration after vaginal delivery, 383 without anal sphincter laceration after vaginal delivery, and 107 after cesarean delivery before labor. Discharge codes for perineal lacerations were compared with data abstracted directly from the medical record shortly …


Differences In Discharge Medication After Acute Myocardial Infarction In Patients With Hmo And Fee-For-Service Medical Insurance, Danny Mccormick, Jerry Gurwitz, Judith Savageau, Jorge Yarzebski, Joel Gore, Robert Goldberg Jul 2010

Differences In Discharge Medication After Acute Myocardial Infarction In Patients With Hmo And Fee-For-Service Medical Insurance, Danny Mccormick, Jerry Gurwitz, Judith Savageau, Jorge Yarzebski, Joel Gore, Robert Goldberg

Jorge L. Yarzebski

OBJECTIVE: To assess the impact of fee-for-service (FFS) versus HMO medical insurance coverage on receipt of aspirin, beta-blockers, and calcium channel blockers at the time of hospital discharge following an acute myocardial infarction. DESIGN: Prospective, population-based study. SETTING: All 16 community and tertiary care hospitals in the metropolitan area of Worcester, Massachusetts. PATIENTS: The study population consisted of patients under 65 years of age hospitalized with a validated acute myocardial infarction in all hospitals in the Worcester (Massachusetts) Standard Metropolitan Statistical Area (1990 census estimate, 437,000) during 1986, 1988, 1990, 1991, and 1993. MEASUREMENTS AND MAIN RESULTS: After adjustment for …