Browsing by Author "Belchos, Jessica"

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    Linking Data on Nonfatal Firearm Injuries in Youths to Assess Disease Burden
    (American Medical Association, 2024-09-03) Magee, Lauren A.; Ortiz, Damaris; Adams, Zachary W.; Raymond, Jodi L.; Marriott, Brigid R.; Landman, Matthew P.; O’Neill, Joseph; Davis, Tiffany L.; Williams, Jamie; Adams, Kendale; Belchos, Jessica; Fortenberry, J. Dennis; Jenkins, Peter C.; Ranney, Megan L.; School of Public and Environmental Affairs
    This cross-sectional study estimates the incidence of nonfatal firearm injuries among children and young adults after linking patient-level police and trauma registry data.
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    Postoperative Pancreatic Fistula Following Traumatic Splenectomy: A Morbid and Costly Complication
    (Elsevier, 2022-12) Arnold, Peter; Belchos, Jessica; Meagher, Ashley; Robbins, Christopher; Sparks Joplin, Tasha; Ortiz, Damaris; Ferries, Ian; Hartwell , Jennifer; Surgery, School of Medicine
    Introduction: Development of clinically relevant postoperative pancreatic fistula (CR-POPF) in adult splenectomies following trauma occur in 1%-3% of cases. We hypothesized that the use of sutures in splenic hilum ligation compared to staples was associated with a reduced rate of CR-POPF incidence. Methods: Adult trauma patients (age ≥17 y) that underwent nonelective splenectomy from 2010 to 2020 were retrospectively evaluated from the trauma registries of all three adult level 1 trauma centers in Indiana. Patients were excluded if they were pregnant, currently incarcerated, expired within 72 h of admission, or had a pancreatic injury diagnosed preoperatively or intraoperatively. A Firth logistic regression using a penalized-maximum likelihood estimate for rare events was used for univariate predictive modeling (SPSS 28.0) of surgical technique on CR-POPF development. Results: Four hundred nineteen adult splenectomies following trauma were conducted; 278 were included. CR-POPF developed in 14 cases (5.0%). Sutures alone were used in 200 cases: seven developed CR-POPF (3.5%). Staples alone or in combination with sutures were used in 74 cases: seven developed CR-POPF (9.5%). There was no statistically significant difference between the use of sutures alone compared to the use of staples alone (P = 0.123) or in combination (P = 0.100) in CR-POPF incidence. Conclusions: Our 10-y retrospective review of CR-POPF finds the complication to be rare but morbid. This study was underpowered to show any difference in surgical technique. However, we do propose a new institutional norm that CR-POPF develop in 5% of splenectomies after trauma and conclude that further study of optimal technique for emergent splenectomy is warranted.