Full Text Journal Articles by
Author Christopher J Dente

Advertisement

Find full text journal articles






Superior Mesenteric Artery and Vein Injuries: Operative Strategies and Outcomes.

Patrick D Melmer, Brant Clatterbuck, Virginia Parker, Christine A Castater, Nathan J Klingensmith, Christopher R Ramos, Stephanie Busby, Stuart D Hurst, Deepika Koganti, Keneesha N Williams, April A Grant, Randi N Smith, Jaime Benarroch-Gampel, Christopher J Dente, Ravi R Rajani, Samual R Todd, Jason D Sciarretta,

Traumatic injuries to the mesenteric vessels are rare and often lethal. Visceral vessels, such as the superior mesenteric artery (SMA) and vein (SMV), supply blood to the small and large bowel by a rich system of collaterals. Because fewer than 100 such injuries have been described in the literature, they ... Read more >>

Vasc Endovascular Surg (Vascular and endovascular surgery)
[2022, 56(1):40-48]

Cited: 0 times

View full text PDF listing >>



Viral Micro-RNAs Are Detected in the Early Systemic Response to Injury and Are Associated With Outcomes in Polytrauma Patients.

Diego Vicente, Seth A Schobel, Simone Anfossi, Hannah Hensman, Felipe Lisboa, Henry Robertson, Vivek Khatri, Matthew J Bradley, Masayoshi Shimizu, Timothy G Buchman, Thomas A Davis, Christopher J Dente, Allan D Kirk, George A Calin, Eric A Elster,

<h4>Objectives</h4>To evaluate early activation of latent viruses in polytrauma patients and consider prognostic value of viral micro-RNAs in these patients.<h4>Design</h4>This was a subset analysis from a prospectively collected multicenter trauma database. Blood samples were obtained upon admission to the trauma bay (T0), and trauma metrics and recovery data were collected.<h4>Setting</h4>Two ... Read more >>

Crit Care Med (Critical care medicine)
[2021, :]

Cited: 0 times

View full text PDF listing >>



Advertisement

An integrative model using flow cytometry identifies nosocomial infection after trauma.

Rondi B Gelbard, Hannah Hensman, Seth Schobel, Linda L Stempora, Dimitrios Moris, Christopher J Dente, Timothy G Buchman, Allan D Kirk, Eric Elster,

<h4>Background</h4>Flow cytometry (FCM) is a rapid diagnostic tool for monitoring immune cell function. We sought to determine if assessment of cell phenotypes using standardized FCM could be used to identify nosocomial infection after trauma.<h4>Methods</h4>Prospective study of trauma patients at a Level I center from 2014 to 2018. Clinical and FCM ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2021, 91(1):47-53]

Cited: 0 times

View full text PDF listing >>



Bleeding From a Hepatic Artery-Portal Vein Fistula After Repair of a Stab Wound to the Liver.

Matthew C Perez, Steven C Kim, Adekemi Egunsola, Alexandra Reitz, Krystal Archer-Arroyo, Randi N Smith, Keneeshia N Williams, Kahdi Udobi, Richard Sola, Christopher J Dente, Mircea M Cristescu, April Grant, Jonathan Nguyen,

Am Surg (The American surgeon)
[2021, :31348211029847]

Cited: 0 times

View full text PDF listing >>



Predicting the need for massive transfusion: Prospective validation of a smartphone-based clinical decision support tool.

Christopher J Dente, Michael J Mina, Bryan C Morse, Hannah Hensman, Seth Schobel, Rondi B Gelbard, Arnaud Belard, Timothy G Buchman, Allan D Kirk, Eric A Elster,

<h4>Background</h4>Improper or delayed activation of a massive transfusion protocol may have consequences to individuals and institutions. We designed a complex predictive algorithm that was packaged within a smartphone application. We hypothesized it would accurately assess the need for massive transfusion protocol activation and assist clinicians in that decision.<h4>Methods</h4>We prospectively enrolled ... Read more >>

Surgery (Surgery)
[2021, 170(5):1574-1580]

Cited: 0 times

View full text PDF listing >>



Intra-abdominal Inferior Vena Cava Injuries: Operative Strategies and Outcomes.

Christine A Castater, Margo Carlin, Virginia D Parker, Chris Sciarretta, Deepika Koganti, Jonathan Nguyen, April A Grant, Randi N Smith, Christopher R Ramos, Jason D Sciarretta, Christopher J Dente, Ravi Rajani, Samual R Todd,

Visceral vascular injuries are relatively uncommon even in busy urban trauma centers. The inferior vena cava (IVC) is the most frequently injured visceral vein and can be a complex operative challenge. Despite advances in early volume resuscitation, improved transport times, prompt operative intervention, and hemorrhage control, mortality rates have remained ... Read more >>

Am Surg (The American surgeon)
[2021, 87(8):1316-1326]

Cited: 0 times

View full text PDF listing >>



An Interhospital Transfer for ECMO From a Level 1 Trauma Center to a Level 2 Within the Georgia Trauma System.

Nicolas Major, Allison Dupont, Bryan C Morse, Christopher J Dente, Jesse Gibson, Charles Richart, Elizabeth V Atkins, Ali Ghodsizad, Jonathan Nguyen, April A Grant,

Am Surg (The American surgeon)
[2020, :3134820940270]

Cited: 0 times

View full text PDF listing >>



Clinical risk factors and inflammatory biomarkers of post-traumatic acute kidney injury in combat patients.

Beau Muñoz, Seth A Schobel, Felipe A Lisboa, Vivek Khatri, Scott F Grey, Christopher J Dente, Allan D Kirk, Timothy Buchman, Eric A Elster,

<h4>Background</h4>Post-traumatic acute kidney injury has occurred in every major military conflict since its initial description during World War II. To ensure the proper treatment of combat casualties, early detection is critical. This study therefore aimed to investigate combat-related post-traumatic acute kidney injury in recent military conflicts, used machine learning algorithms ... Read more >>

Surgery (Surgery)
[2020, 168(4):662-670]

Cited: 0 times

View full text PDF listing >>



The role of diagnostic laparoscopy for trauma at a high-volume level one center.

Deepika Koganti, Benjamin J Hazen, Christopher J Dente, Jonathan Nguyen, Rondi B Gelbard,

<h4>Background</h4>The role of minimally invasive surgery in trauma has continued to evolve over the past 20 years. Diagnostic laparoscopy (DL) has become increasingly utilized for the diagnosis and management of both blunt and penetrating injuries.<h4>Objective</h4>While the safety and feasibility of laparoscopy has been established for penetrating thoracoabdominal trauma, it remains a ... Read more >>

Surg Endosc (Surgical endoscopy)
[2021, 35(6):2667-2670]

Cited: 0 times

View full text PDF listing >>



Mass Casualty Shootings and Emergency Preparedness: A Multidisciplinary Approach for an Unpredictable Event.

Patrick Melmer, Margo Carlin, Christine A Castater, Deepika Koganti, Stuart D Hurst, Brett M Tracy, April A Grant, Keneeshia Williams, Randi N Smith, Christopher J Dente, Jason D Sciarretta,

Mass casualty events (MCE) are an infrequent occurrence to most daily healthcare systems however these incidents are the causation for new hospital preparedness and the development of coordinated emergency services. The broad support and operational plans outside the hospital include emergency medical services, local law enforcement, government agencies, and city ... Read more >>

J Multidiscip Healthc (Journal of multidisciplinary healthcare)
[2019, 12:1013-1021]

Cited: 4 times

View full text PDF listing >>



Random forest modeling can predict infectious complications following trauma laparotomy.

Rondi B Gelbard, Hannah Hensman, Seth Schobel, Vivek Khatri, Brett M Tracy, Christopher J Dente, Timothy Buchman, Allan Kirk, Eric Elster,

<h4>Background</h4>Identifying clinical and biomarker profiles of trauma patients may facilitate the creation of models that predict postoperative complications. We sought to determine the utility of modeling for predicting severe sepsis (SS) and organ space infections (OSI) following laparotomy for abdominal trauma.<h4>Methods</h4>Clinical and molecular biomarker data were collected prospectively from patients ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(5):1125-1132]

Cited: 3 times

View full text PDF listing >>



Utilizing Precision Medicine to Estimate Timing for Surgical Closure of Traumatic Extremity Wounds.

Felipe A Lisboa, Christopher J Dente, Seth A Schobel, Vivek Khatri, Benjamin K Potter, Allan D Kirk, Eric A Elster,

<h4>Background</h4>Both the frequency and high complication rates associated with extremity wounds in recent military conflicts have highlighted the need for clinical decision support tools (CDST) to decrease time to wound closure and wound failure rates.<h4>Methods</h4>Machine learning was used to estimate both successful wound closure (based on penultimate debridement biomarker data) ... Read more >>

Ann Surg (Annals of surgery)
[2019, 270(3):535-543]

Cited: 2 times

View full text PDF listing >>



How much green does it take to be orange? Determining the cost associated with trauma center readiness.

Dennis W Ashley, Robert F Mullins, Christopher J Dente, Tracy J Johns, Laura E Garlow, Regina S Medeiros, Elizabeth V Atkins, Gina Solomon, Dena Abston, Colville H Ferdinand, ,

<h4>Background</h4>Readiness costs are real expenses incurred by trauma centers to maintain essential infrastructure to provide emergent services on a 24/7 basis. Although the components for readiness are well described in the American College of Surgeons' Resources for Optimal Care of the Injured Patient, the cost associated with each component is ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 86(5):765-773]

Cited: 2 times

View full text PDF listing >>



Evaluation of the Georgia trauma system using the American College of Surgeons Needs Based Assessment of Trauma Systems tool.

Dennis W Ashley, Etienne E Pracht, Laura E Garlow, Regina S Medeiros, Elizabeth V Atkins, Tracy J Johns, Colville H Ferdinand, Christopher J Dente, James R Dunne, Jeffrey M Nicholas,

<h4>Background</h4>The American College of Surgeons Needs Based Assessment of Trauma Systems (NBATS) tool was developed to help determine the optimal regional distribution of designated trauma centers (DTC). The objectives of our current study were to compare the current distribution of DTCs in Georgia with the recommended allocation as calculated by ... Read more >>

Trauma Surg Acute Care Open (Trauma surgery & acute care open)
[2018, 3(1):e000188]

Cited: 4 times

View full text PDF listing >>



Preclosure spectroscopic differences between healed and dehisced traumatic wounds.

Jason S Radowsky, Romon Neely, Jonathan A Forsberg, Felipe A Lisboa, Christopher J Dente, Eric A Elster, Nicole J Crane,

<h4>Background</h4>The complexity and severity of traumatic wounds in military and civilian trauma demands improved wound assessment, before, during, and after treatment. Here, we explore the potential of 3 charge-coupled device (3CCD) imaging values to distinguish between traumatic wounds that heal following closure and those that fail. Previous studies demonstrate that ... Read more >>

PLoS One (PloS one)
[2018, 13(9):e0204453]

Cited: 0 times

View full text PDF listing >>



Management of extremity fasciotomy sites prospective randomized evaluation of two techniques.

Laura S Johnson, Mitchell Chaar, Chad G Ball, Sebastian Perez, Jeffrey M Nicholas, Amy D Wyrzykowski, Grace S Rozycki, David V Feliciano, Christopher J Dente,

<h4>Introduction</h4>Morbidity from the treatment of extremity compartment syndrome is underappreciated. Closure technique effectiveness has yet to be definitively established.<h4>Methods</h4>A randomized non-blinded prospective study was performed involving patients who underwent an extremity fasciotomy following trauma. Shoelace wounds were strapped with vessel loops under tension and VAC wounds were treated with a ... Read more >>

Am J Surg (American journal of surgery)
[2018, 216(4):736-739]

Cited: 3 times

View full text PDF listing >>



An Update on the Use of Temporary Intravascular Shunting in the Era of Balanced Blood Product Resuscitation.

Caitlin A Fitzgerald, Dipan C Patel, Christopher J Dente, Anuradha Subramanian,

Am Surg (The American surgeon)
[2018, 84(7):e239-e241]

Cited: 0 times

View full text PDF listing >>



Retroperitoneal Necrotizing Soft Tissue Infection Presenting as a Concern for Missed Hollow Viscus Injury.

James G Malcolm, Elizabeth D Fox, Christopher J Dente, Dipan C Patel,

Am Surg (The American surgeon)
[2018, 84(3):465-466]

Cited: 1 time

View full text PDF listing >>



The Uniformed Services University's Surgical Critical Care Initiative (SC2i): Bringing Precision Medicine to the Critically Ill.

Arnaud Belard, Timothy Buchman, Christopher J Dente, Benjamin K Potter, Allan Kirk, Eric Elster,

Precision medicine endeavors to leverage all available medical data in pursuit of individualized diagnostic and therapeutic plans to improve patient outcomes in a cost-effective manner. Its promise in the field of critical care remains incompletely realized. The Department of Defense has a vested interest in advancing precision medicine for those ... Read more >>

Mil Med (Military medicine)
[2018, 183(suppl_1):487-495]

Cited: 2 times

View full text PDF listing >>



Descriptive Analysis of Venous Thromboembolism in Georgia Trauma Centers Compared with National Trauma Centers Participating in the Trauma Quality Improvement Program.

Randi L Lassiter, Dennis W Ashley, Regina S Medeiros, Bao-Ling Adam, Elizabeth G NeSmith, Tracy J Johns, Elizabeth V Atkins, Christopher J Dente, Colville H Ferdinand,

This study was designed to compare the incidence of venous thromboembolism (VTE) in Georgia trauma centers with other national trauma centers participating in the Trauma Quality Improvement Program (TQIP). The use of chemoprophylaxis and characteristics of patients who developed VTE were also examined. We conducted a retrospective observational study of ... Read more >>

Am Surg (The American surgeon)
[2017, 83(11):1283-1288]

Cited: 1 time

View full text PDF listing >>



Towards precision medicine: Accurate predictive modeling of infectious complications in combat casualties.

Christopher J Dente, Matthew Bradley, Seth Schobel, Beverly Gaucher, Timothy Buchman, Allan D Kirk, Eric Elster,

BACKGROUND:The biomarker profile of trauma patients may allow for the creation of models to assist bedside decision making and prediction of complications. We sought to determine the utility of modeling in the prediction of bacteremia and pneumonia in combat casualties. METHODS:This is a prospective, observational trial of patients with complex ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2017, 83(4):609-616]

Cited: 6 times

View full text PDF listing >>



What Are the Costs of Trauma Center Readiness? Defining and Standardizing Readiness Costs for Trauma Centers Statewide.

Dennis W Ashley, Robert F Mullins, Christopher J Dente, Laura Garlow, Regina S Medeiros, Elizabeth V Atkins, Gina Solomon, Dena Abston, Colville H Ferdinand,

Trauma center readiness costs are incurred to maintain essential infrastructure and capacity to provide emergent services on a 24/7 basis. These costs are not captured by traditional hospital cost accounting, and no national consensus exists on appropriate definitions for each cost. Therefore, in 2010, stakeholders from all Level I and ... Read more >>

Am Surg (The American surgeon)
[2017, 83(9):979-990]

Cited: 5 times

View full text PDF listing >>



Reassessing the cardiac box: A comprehensive evaluation of the relationship between thoracic gunshot wounds and cardiac injury.

Rashi Jhunjhunwala, Michael J Mina, Elizabeth I Roger, Christopher J Dente, Michael Heninger, Jacquelyn S Carr, Stacy D Dougherty, Rondi B Gelbard, Jeffrey M Nicholas, Amy D Wyrzykowski, David V Feliciano, Bryan C Morse,

<h4>Background</h4>High-energy missiles can cause cardiac injury regardless of entrance site. This study assesses the adequacy of the anatomic borders of the current "cardiac box" to predict cardiac injury.<h4>Methods</h4>Retrospective autopsy review was performed to identify patients with penetrating torso gunshot wounds (GSWs) 2011 to 2013. Using a circumferential grid system around ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2017, 83(3):349-355]

Cited: 2 times

View full text PDF listing >>



Successful Incorporation of Performance Based Payments for Trauma Center Readiness Costs into the Georgia Trauma System.

Dennis W Ashley, Jeffrey M Nicholas, Christopher J Dente, Tracy J Johns, Laura E Garlow, Gina Solomon, Dena Abston, Colville H Ferdinand,

As quality and outcomes have moved to the fore front of medicine in this era of healthcare reform, a state trauma system Performance Based Payments (PBP) program has been incorporated into trauma center readiness funding. The purpose of this study was to evaluate the impact of a PBP on trauma ... Read more >>

Am Surg (The American surgeon)
[2017, 83(9):966-971]

Cited: 0 times

View full text PDF listing >>



The Role of Diverting Colostomy in Traumatic Blunt Open Pelvic Fractures.

Caitlin A Fitzgerald, Thomas J Moore, Bryan C Morse, Anuradha Subramanian, Christopher J Dente, Dipan C Patel, William M Reisman, Mara L Schenker, Rondi B Gelbard,

Am Surg (The American surgeon)
[2017, 83(8):e280-282]

Cited: 2 times

View full text PDF listing >>



Advertisement


Disclaimer

1.9883 s