Sangami Pugazenthi, Anja I Srienc, Luke Cantu, Anna L Huguenard, Emad Eskandar, William J Mack, Sepideh Amin-Hanjani, Ananth K Vellimana, Joshua W Osbun, Gregory J Zipfel
Federal and foundational research funding trends for cerebrovascular neurosurgeons: the decline of the cerebrovascular surgeon-scientist?
Journal of neurosurgery
impact trauma team dynamics outcomes injured patients completely understood sought evaluate association trauma team function measured modified trauma nontechnical skills assessment cardiac arrest hypotensive trauma patients hypothesized better team function associated decreased probability developing cardiac arrest trauma video review used collect data resuscitations adult hypotensive trauma patients 19 centers hypotension emergency department presentation defined initial systolic blood pressure 90 mm hg initial systolic blood pressure 90 mm hg followed systolic blood pressure 90 mm hg within first 5 minutes team dynamics scored using modified trauma nontechnical skills assessment composed 5 domains combined scores ranging 5 best 15 worst scores compared cardiac arrestnoncardiac arrest cases trauma bay logistic regression used evaluate independent association trauma nontechnical skills assessment cardiac arrest total 430 patients included median age 43 years interquartile range 2961 718 male 36 penetrating mechanism median injury severity score 20 1033 11 experienced cardiac arrest trauma bay median total trauma nontechnical skills assessment score 7 69 higher patients experienced cardiac arrest trauma bay 9 610 vs 7 69 p 016 association persisted controlling age sex mechanism injury severity initial systolic blood pressure initial glasgow coma scale score adjusted odds ratio 128 95 confidence interval111148 p 001 indicating 3 higher predicted probability cardiac arrest per trauma nontechnical skills point better team function independently associated decreased probability cardiac arrest trauma patients presenting hypotension suggests trauma team training may improve outcomes periarrest patients