Browsing by Author "Rozycki, Grace S."

Now showing 1 - 4 of 4
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    Current State of Women in Academic Surgical Subspecialties: How a New Metric in Measuring Academic Productivity May Change the Equation
    (The Southeastern Surgical Congress, 2018-05-01) Fecher, Alison M.; Valsangkar, Nakul; Bell, Teresa M.; Lisy, Megan E.; Rozycki, Grace S.; Koniaris, Leonidas G.; Surgery, School of Medicine
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    A Legacy of Caring
    (Lippincott, Williams, and Wilkins, 2017-01) Rozycki, Grace S.; Department of Surgery, IU School of Medicine
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    To Sleep, Perchance to Dream: Acute and Chronic Sleep Deprivation in Acute Care Surgeons
    (Elsevier, 2019) Coleman, Jamie J.; Robinson, Caitlin K.; Zarzaur, Ben L.; Timsina, Lava; Rozycki, Grace S.; Feliciano, David V.; Surgery, School of Medicine
    Background Acute and chronic sleep deprivation are significantly associated with depressive symptoms and felt to be contributors to the development of burnout. In-house call (IHC) inherently includes frequent periods of disrupted sleep and is common amongst acute care surgeons (ACS). The relationship between IHC and sleep deprivation (SD) amongst ACS has not been previously studied. The goal of this study was to determine prevalence and patterns of SD in ACS. Study Design: A prospective study of ACS with IHC responsibilities from two Level I trauma centers was performed. Participants wore a sleep tracking device continuously over a 3-month period. Data collected included age, gender, schedule of IHC, hours and pattern of each sleep stage (light, slow wave (SWS), and REM), and total hours of sleep. Sleep patterns were analyzed for each night excluding IHC and categorized as normal (N), acute sleep deprivation (ASD), or chronic sleep deprivation (CSD). Results 1421 nights were recorded amongst 17 ACS. (35.3% female; ages 37-65, mean 45.5 years). Excluding IHC, average amount of sleep was 6.54 hours with 64.8% of sleep patterns categorized as ASD or CSD. Average amount of sleep was significantly higher on post-call day 1 (6.96 hours, p=0.0016), but decreased significantly on post-call day 2 (6.33 hours, p=0.0006). Sleep patterns with ASD and CSD peaked on post-call day 2, and returned to baseline on post-call day 3 (p=0.046). Conclusion Sleep patterns consistent with ASD and CSD are common amongst ACS and worsen on post-call day 2. Baseline sleep patterns were not recovered until post-call day 3. Future study is needed to identify factors which impact physiologic recovery after IHC and further elucidate the relationship between SD and burnout.
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    An update on nonoperative management of the spleen in adults
    (BMJ Publishing Group, 2017-06-09) Zarzaur, Ben L.; Rozycki, Grace S.; Surgery, School of Medicine
    Many patients with blunt splenic injury are considered for nonoperative management and, with proper selection, the success rate is high. This paper aims to provide an update on the treatments and dilemmas of nonoperative management of splenic injuries in adults and to offer suggestions that may improve both consensus and patient outcomes.