Research Topics
| Therese M DuaneSummaryAffiliation: Virginia Commonwealth University Country: USA Publications
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Publications
Bladder pressure measurements and urinary tract infection in trauma patientsTherese M Duane
Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
Surg Infect (Larchmt) 13:85-7. 2012....- Clinical examination and its reliability in identifying cervical spine fracturesTherese M Duane
Virginia Commonwealth University Medical Center, VA, USA
J Trauma 62:1405-8; discussion 1408-10. 2007..The purpose of this study was to compare the reliability of the clinical examination (CE) with that of computed tomography in identifying the presence of c-spine fractures... - A central venous line protocol decreases bloodstream infections and length of stay in a trauma intensive care unit populationTherese M Duane
Virginia Commonwealth University, Richmond, Virginia, USA
Am Surg 75:1166-70. 2009..050) and a lack of CVL protocol (P = 0.01; OR, 0.31; CI, 0.13-0.76) to be independent predictors of BSI. CVL protocols decrease both BSI and LOS in trauma patients. Strict enforcement by a nurse preserves the integrity of the protocol... - Blood glucose levels at 24 hours after trauma fails to predict outcomesTherese M Duane
Division of Trauma Critical Care and Emergency General Surgery, Virginia Commonwealth University Medical Center, Virginia, USA
J Trauma 64:1184-7. 2008..Blood glucose (BG) at admission correlates with lactate and outcomes. The purpose of this study was to determine whether this correlation continues at 24 hours... - The effect of anemia and blood transfusions on mortality in closed head injury patientsTherese M Duane
Division of Trauma, Critical Care, and Emergency General Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298, USA
J Surg Res 147:163-7. 2008..The purpose of this study was to determine if anemia in isolated head trauma patients results in a higher mortality rate that would justify a more liberal use of blood transfusions... - Is the lateral cervical spine plain film obsolete?Therese M Duane
Division of Trauma, Critical Care, and Emergency General Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298, USA
J Surg Res 147:267-9. 2008..The objective of this study was to determine the utility of a lateral cervical spine plain film in the evaluation of blunt trauma patients... - Clinical examination is superior to plain films to diagnose pelvic fractures compared to CTTherese M Duane
Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
Am Surg 74:476-9; discussion 479-80. 2008..CE is a reliable way to diagnose pelvic fractures and PXR is a poor screening tool for these injuries compared with CT. Because the majority of patients undergo CT after blunt trauma, routine screening radiographs should be eliminated... - Does HIV infection influence outcomes after trauma?Therese M Duane
Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
J Trauma 65:63-5. 2008..Our goal was to analyze whether the presence of human immunodeficiency virus (HIV) infection effects outcome after trauma... - Alcohol's role on the reliability of clinical examination to rule out pelvic fracturesTherese M Duane
Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
Am Surg 75:257-9. 2009..Clinical examination was not compromised by intoxication. Routine pelvic x-rays are not needed in the alert, intoxicated patient sustaining blunt trauma... - Flexion-extension cervical spine plain films compared with MRI in the diagnosis of ligamentous injuryTherese M Duane
Virginia Commonwealth University, Richmond, Virginia, USA
Am Surg 76:595-8. 2010..FE should no longer be used to diagnose LI. Given the rare incidence of these injuries, MRI should be used when there is high clinical suspicion of injury... - Bladder pressure measurements are an independent predictor of urinary tract infection in trauma patientsTherese M Duane
Department of Surgery, Virginia Commonwealth University Medical Center, 1200 E Broad Street, Richmond, VA 23298, USA
Surg Infect (Larchmt) 12:39-42. 2011..To determine the risk factors for urinary tract infections (UTIs) specific to trauma patients in order to assist in the development of infection control protocols... - Do flexion extension plain films facilitate treatment after trauma?Therese M Duane
Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
Am Surg 76:1351-4. 2010..00 to obtain. FEs are often incomplete and unreliable making it difficult to use them to base management decisions. They do not facilitate treatment and may lead to increased cost and prolonged cervical collars... - Thoracic outlet syndrome resulting from first rib fractureTherese M Duane
Medical College of Virginia, Richmond, Virginia 23298, USA
J Trauma 62:231-3. 2007 - Obesity and outcomes after blunt traumaTherese M Duane
Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
J Trauma 61:1218-21. 2006..The purpose of this study was to determine whether the detrimental effect of obesity extend to morbidity as well as mortality in the intensive and nonintensive care blunt trauma patients... - National Emergency X-Radiography Utilization Study criteria is inadequate to rule out fracture after significant blunt trauma compared with computed tomographyTherese M Duane
Division of Trauma, Critical Care, and Emergency General Surgery, Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
J Trauma 70:829-31. 2011..NC are based on patients with both minor and severe (trauma team activation [TTA]) trauma. The purpose of this study was to evaluate the NC using CT as the gold standard in TTA patients... - Canadian Cervical Spine rule compared with computed tomography: a prospective analysisTherese M Duane
Division of Trauma, Critical Care, and Emergency General Surgery, Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
J Trauma 71:352-5; discussion 355-7. 2011..Previously, it has been validated only through clinical follow-up or selective use of X-rays. The purpose of this study was to validate it using computed tomography (CT) as the gold standard to identify fractures... - Geriatric education for surgical residents: identifying a major needTherese M Duane
Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, USA
Am Surg 77:826-31. 2011..35, P = 0.036). Performance was poor and did not correlate with better patient care by simulation. Other options for geriatric education need to be considered and evaluated... - Reevaluating the management and outcomes of severe blunt liver injuryTherese M Duane
Department of Surgery, Division of Trauma Critical Care, West Hospital, Medical College of Virginia Virginia Commonwealth University, Richmond, Virginia, USA
J Trauma 57:494-500. 2004..We also sought to determine the impact of interventional angiography (Ang) in the treatment and outcomes of these patients... - Bronchoalveolar lavage in the diagnosis of ventilator-associated pneumonia: to quantitate or not, that is the questionOmer J Riaz
Department of Surgery, Division of Trauma Critical Care Emergency General Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia, USA
Am Surg 77:297-303. 2011..It however has poor Sp and PPV and using this method will lead to unnecessary antimicrobial use with its attendant complications of toxicity, cost, and resistance... - Predictive value of broncho-alveolar lavage fluid Gram's stain in the diagnosis of ventilator-associated pneumonia: a prospective studyAaron E Goldberg
Department of Surgery, Division of Trauma Critical Care Emergency General Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia, USA
J Trauma 65:871-6; discussion 876-8. 2008..The current study prospectively evaluates the accuracy of broncho-alveolar lavage fluid Gram's stain (GS) in predicting both the presence of VAP and the class of causative microorganism in patients suspected of VAP... - Elderly patients with pelvic fracture: interventions and outcomesTracey A Dechert
Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
Am Surg 75:291-5. 2009..21.9% [seven of 32] 65 years or older; P < 0.05). Elderly patients with pelvic fracture have worse outcomes than their younger counterparts despite aggressive management at a Level I trauma center... - Lactate in trauma: a poor predictor of mortality in the setting of alcohol ingestionHadley K Herbert
Department of General Surgery, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA, USA
Am Surg 77:1576-9. 2011..Additionally, because BD, and not lactate, was shown to be an independent predictor of mortality, lactate may not be a reliable marker of end point resuscitation in this patient population... - Anticoagulation and the elderly head trauma patientRamesh Grandhi
Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
Am Surg 74:802-5. 2008..The AC group experienced greater morbidity after trauma and had higher mortality rates than their NAC counterparts. Prevention of injury and more selective use of warfarin in this patient population are essential to decrease mortality... - Predictors of fetal outcome in pregnant trauma patients: a five-year institutional reviewSharline Z Aboutanos
Virginia Commonwealth University Medical Center, Richmond, Virginia 23298 0454, USA
Am Surg 73:824-7. 2007..044, P = 0.0173, P = 0.0001, and P = 0.0001, respectively). Specific parameters (ISS, lactate, maternal age, and gestational age) may be helpful in predicting poor fetal outcome and directing patient management... - Significance of motor vehicle crashes and pelvic injury on fetal mortality: a five-year institutional reviewMichel B Aboutanos
Virginia Commonwealth University Medical Center, Richmond, Virginia 23298 0454, USA
J Trauma 65:616-20. 2008..Motor vehicle crashes (MVC) are the leading cause of maternal injury during pregnancy. It is estimated that 1,300 to 13,000 fetal deaths/yr result from maternal MVC... - Subthreshold quantitative bronchoalveolar lavage: clinical and therapeutic implicationsAjai K Malhotra
Department of Surgery, Division of Trauma Critical Care Emergency General Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia 23298, USA
J Trauma 65:580-8. 2008..Quantitative bronchoalveolar lavage (qBAL) is used for accurate diagnosis of ventilator-associated pneumonia (VAP). The current study aims at defining the incidence, outcomes and therapeutic implications of false-negative (FN) qBAL... - What are we missing: results of a 13-month active follow-up program at a level I trauma centerAjai K Malhotra
Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
J Trauma 66:1696-702; discussion 1702-3. 2009..Poor follow-up by patients with trauma results in a lack of knowledge of postdischarge health-related issues. This study reports on postdischarge health-related issues discovered by a program of active postdischarge contact or follow-up... - Trauma education and care in the jungle of Ecuador, where there is no advanced trauma life supportMichel B Aboutanos
Department of Surgery, Division of Trauma and Critical Care, International Trauma System Development Program, Virginia Commonwealth University Medical Center, VA 23298, USA
J Trauma 62:714-9. 2007..The advanced trauma life support course is not available or affordable to rural areas in low-income countries. A trauma continuing education course was created to educate physicians of rural hospitals in the jungles of Ecuador... - Computed tomographic angiography for the diagnosis of blunt carotid/vertebral artery injury: a note of cautionAjai K Malhotra
Department of Surgery, Division of Trauma, Critical Care and Emergency General Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA 23298, USA
Ann Surg 246:632-42; discussion 642-3. 2007..The current prospective parallel comparative study aims at validating this high accuracy and examining the rates of evaluability of CTA performed with a 16-detector scanner with image reconstruction by modern imaging software... - Practice management guidelines for selective nonoperative management of penetrating abdominal traumaJohn J Como
Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA
J Trauma 68:721-33. 2010..A secondary goal of this committee was to find which diagnostic adjuncts are useful in the determination of the need for surgical exploration... - Preservation of splenic immunocompetence after splenic artery angioembolization for blunt splenic injuryAjai K Malhotra
Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, USA
J Trauma 69:1126-30; discussion 1130-1. 2010..However, little is known about splenic immunocompetence after SAE. This study aims at assessing splenic immunocompetence after SAE for BSI... - Thin chest wall is an independent risk factor for the development of pneumothorax after chest tube removalRahul J Anand
Virginia Commonwealth University, Department of Surgery, Division of Trauma, Critical Care, and Emergency Surgery, Richmond, Virginia, USA
Am Surg 78:478-80. 2012..Chest Abbreviated Injury Scale score was similar in both groups. Logistic regression showed only chest wall thickness to be an independent risk factor for development of PPP... - Human polymerized hemoglobin for the treatment of hemorrhagic shock when blood is unavailable: the USA multicenter trialErnest E Moore
Department of Surgery, Denver Health Medical Center, University of Colorado, Denver, CO, USA
J Am Coll Surg 208:1-13. 2009..This multicenter phase III trial was the first US study to assess survival of patients resuscitated with a hemoglobin-based oxygen carrier starting at the scene of injury... - Hyperacute abdominal compartment syndrome: an unrecognized complication of massive intraoperative resuscitation for extra-abdominal injuriesEdgar B Rodas
Virginia Commonwealth University Medical Center, Division of Trauma/Critical Care, Department of Surgery, Richmond, VA 23298, USA
Am Surg 71:977-81. 2005..Prompt AD is life saving. Early abdominal closure is usually possible. Vigilance for compartment syndromes elsewhere in the body is warranted in any patient with HACS.).. - Management of a pregnant patient with an open abdomenSharline Z Aboutanos
Division of Trauma and Critical Care, Virginia Commonwealth University Medical Center, Richmond, Virgina 23298, USA
J Trauma 59:1052-6. 2005 - Trial of universal gloving with emollient-impregnated gloves to promote skin health and prevent the transmission of multidrug-resistant organisms in a surgical intensive care unitGonzalo Bearman
Division of Infectious Diseases, Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia 23298 0019, USA
Infect Control Hosp Epidemiol 31:491-7. 2010.... - Practice management guidelines for identification of cervical spine injuries following trauma: update from the eastern association for the surgery of trauma practice management guidelines committeeJohn J Como
Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA
J Trauma 67:651-9. 2009..Since that time a large volume of literature has been published. As a result, the Practice Management Guidelines Committee set out to develop updated guidelines for the identification of CS injury... - Are trauma patients better off in a trauma ICU?Therese M Duane
Department of Surgery, Division of Trauma, Critical Care and Emergency General Surgery, Virginia Commonwealth University Medical Center, VA 23298
J Emerg Trauma Shock 1:74-7. 2008..All patients, regardless of location, do well when their management is guided by a surgical critical care team... - Protocol-driven ventilator management in a trauma intensive care unit populationTherese M Duane
Department of Surgery, Eastern Virginia Medical School, Norfolk, VA 23507, USA
Arch Surg 137:1223-7. 2002..The use of weaning and sedation protocols affects the intensive care unit (ICU) course of a trauma population... - Prospective evaluation of an extubation protocol in a trauma intensive care unit populationSharline Z Aboutanos
Virginia Commonwealth University Health System, Medical College of Virginia Hospital and Physicians, Richmond, Virginia, USA
Am Surg 72:393-6. 2006..A rigorously enforced extubation protocol significantly decreased ventilator days in STICU patients. Continued education of health care providers is key to the success of the protocol...