Research Topics
| Nathan T MowerySummaryAffiliation: Wake Forest University School of Medicine Country: USA Publications
| Collaborators
|
Detail Information
Publications
Duration of time on intensive insulin therapy predicts severe hypoglycemia in the surgically critically ill populationNathan T Mowery
Department of Surgery, Wake Forest University Medical Center, Medical Center Boulevard, Winston Salem, NC 27101, USA
World J Surg 36:270-7. 2012..We sought to determine the incidence, independent predictors, and effect on outcome of severe hypoglycemia (? 40 mg/dl) in a surgical population...- Emergency department length of stay is an independent predictor of hospital mortality in trauma activation patientsNathan T Mowery
Department of Surgery, Wake Forest Baptist Medical Center, Winston Salem, North Carolina 27157, USA
J Trauma 70:1317-25. 2011..Our hypothesis is that increased ED length of stay (LOS) leads to increased hospital mortality in patients not undergoing immediate surgical intervention... - Core temperature variation is associated with heart rate variability independent of cardiac index: a study of 278 trauma patientsNathan T Mowery
Department of Surgery, Wake Forest University, Winston Salem, NC 27157, USA
J Crit Care 26:534.e9-534.e17. 2011..The purpose of this study is to determine if temperature extremes are associated with reduced heart rate variability (HRV) and "cardiac uncoupling.".. - Glucose metabolism, not obesity, predicts mortality in critically ill surgical patientsNathan T Mowery
Department of Surgery, Wake Forest Baptist Medical Center, Winston Salem, North Carolina 27157, USA
Am Surg 76:1377-83. 2010..Obesity is not an independent risk factor for mortality in the surgical critical care population. Insulin resistance and subsequent hyperglycemia are increased in obesity and are independent predictors of mortality... - Failure to achieve euglycemia despite aggressive insulin control signals abnormal physiologic response to traumaNathan T Mowery
Wake Forest Baptist Medical Center, Winston Salem, NC 27157, USA
J Crit Care 26:295-302. 2011..We hypothesize that a failure to normalize a patient's glucose on an automated euglycemia protocol signals an adverse response after trauma and that this response can identify patients with an increased mortality... - Severe hypoglycemia while on intensive insulin therapy is not an independent predictor of death after traumaNathan T Mowery
Department of Surgery, Wake Forest Baptist Medical Center, Winston Salem, North Carolina, USA
J Trauma 68:342-7. 2010..We hypothesized that severe hypoglycemia (SH; <or=40 mg/dL) was not an independent predictor of mortality in the trauma population... - Insulin resistance heralds positive cultures after severe injuryNathan T Mowery
Department of Surgery, Vanderbilt University, Nashville, Tennessee, USA
Surg Infect (Larchmt) 10:503-9. 2009..We hypothesized that measures of IR during tight glycemic control protocols are associated with infection and may be more predictive than the serum glucose concentration... - Insulin resistance despite tight glucose control is associated with mortality in critically ill surgical patientsNathan T Mowery
Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
J Intensive Care Med 24:242-51. 2009..The hyperglycemic state following trauma and surgery is related partially to insulin resistance (IR). The objective is to determine if critically ill surgical patients vary in their extent of IR and is IR associated with mortality... - Stress insulin resistance is a marker for mortality in traumatic brain injuryNathan T Mowery
Department of Surgery, Wake Forest University, Winston Salem, North Carolina 27157, USA
J Trauma 66:145-51; discussion 151-3. 2009..Both hyper- and hypoglycemia have been associated with poor outcome in traumatic brain injury (TBI). Neither the risks nor benefit of tight glucose control (goal range, 80-110 mg/dL) have been documented in the TBI population... - Intensive insulin therapy in practice: can we do it?Lesly A Dossett
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, TN 37212, USA
JPEN J Parenter Enteral Nutr 33:14-20. 2009..The authors' objective was to quantify adherence to an IIT protocol in a practice setting, and to describe how adherence impacts overall blood glucose (BG) control... - Blood glucose variability is associated with mortality in the surgical intensive care unitLesly A Dossett
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
Am Surg 74:679-85; discussion 685. 2008..Further studies should focus on the demographic, clinical, and genetic factors responsible for this observation and identify strategies to minimize BG variability... - A computerized insulin infusion titration protocol improves glucose control with less hypoglycemia compared to a manual titration protocol in a trauma intensive care unitMarcus J Dortch
Department of Pharmaceutical Services, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA
JPEN J Parenter Enteral Nutr 32:18-27. 2008..Unfortunately, implementation of such protocols has proved challenging. This study evaluated the degree of glucose control using manual paper-based vs computer-based insulin protocols in a trauma intensive care unit... - Optimizing outcomes in damage control resuscitation: identifying blood product ratios associated with improved survivalOliver L Gunter
Department of General Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA
J Trauma 65:527-34. 2008..The purpose of this study was to evaluate whether suggested blood product ratios yield superior survival rates... - Surgical intensive care unit mobility is increased after institution of a computerized mobility order set and intensive care unit mobility protocol: a prospective cohort analysisAmy N Hildreth
Department of Surgery, Wake Forest University, Winston Salem, North Carolina 27157, USA
Am Surg 76:818-22. 2010..Further studies should focus on measurement of the effect of mobility interventions on patient outcomes... - A critical assessment of outcomes in emergency versus nonemergency general surgery using the American College of Surgeons National Surgical Quality Improvement Program databaseRobert D Becher
Acute Care Surgery Service, Department of General Surgery, Wake Forest University School of Medicine, Winston Salem, North Carolina, USA
Am Surg 77:951-9. 2011..This data suggests that there is a need for improvement in both methods and systems of care for the emergent population... - Guidelines for prehospital fluid resuscitation in the injured patientBryan A Cotton
Department of Surgery, University of Texas Health Science Center, Houston, Texas 77030, USA
J Trauma 67:389-402. 2009..for access? (3) if access is achieved, should intravenous fluids be administered? (4) if fluids are to be administered, which solution is preferred? and (5) if fluids are to be administered, what volume and rate should be infused?.. - Guidelines for management of small bowel obstructionJose J Diaz
Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee, USA
J Trauma 64:1651-64. 2008