New Research Projects

The studies below were initiated in 2020 & 2021 by Inova Trauma Center I. Prospective Data Collection IRB# U21-03-4413 Title: Compassion fatigue and burn out in trauma registry professionals: A mixed methods study by the American Trauma Society [Multi-center study; Inova coordinating] Aim: Determine whether CF or burnout can be identified in TRPs, linked to their work as registrars. PI: Newcomb Status: Enrolling/collecting data IRB# U21-05-4461 Title: The Community of Trauma Care - Partnering with Patients and Caregivers to Improve Injury Outcomes [Multi-center study; Coalition for National Trauma Research is coordinating] Aim: 1.Establish a stakeholder Injury Research Engagement Panel (I-REP) to partner with trauma researchers conducting CER and PCOR from conception to dissemination; 2. Identify patient caregiver preferred methods for CE and PCOR research engagement, including informed consent approaches and the collection of long-term outcomes (including PROs); 3. Assemble a sustainable panel of diverse trauma stakeholders to advise researchers on research proposals and active studies; 4. Provide ongoing education to researchers, sharing strategies to increase engagement and relevance for patients PI: Newcomb Status: Funded by PCORI grant; recruitment IRB# U19-09-3763 Title: Prospective comparison of a short versus long chest tube water seal trial for traumatic pneumothorax [Multi-center study; Inova is coordinating center] Aim: Compare a shorter versus a longer water seal trial regimen prior to chest tube removal in patients with a chest tube placed for traumatic pneumothorax PI: Michetti Status: Data collection IRB# U2004-3993 Title: Building Rapport and Earning the Surgical Patient’s Trust in the Era of Social Distancing: Teaching Patient Centered Communication with Video Conferencing to Medical Students Aim: Increase medical student and surgical resident comfort and skill communicating with patients during video consult; identify effective techniques for surgeons to build rapport and earn trust with patients during video consult. PI: Newcomb Status: Data collection, manuscript writing IRB# U20-06-4148 Title: A quantitative feasibility study that describes behavior norms, attitudes, and the perceived control providers assimilate regarding trauma patient transitions Aim: Characterize provider behavior during transitions of trauma patients from the ICU to the floor/ward. PI: Messing Status: Manuscript writing IRB# U20-05-4060 Title: Survey of ICU consultation practices: A survey of the AAST Critical Care Committee Aim: Understand current practices in surgical critical care (SCC), the degree of alignment between SCC training and real world practice, and identify gaps in contemporary SCC training and education. PI: Michetti Status: Data analysis IRB# U21-04-4442 Title: Unplanned-extubation in surgical ICU patients: Incidence, Determinants Complications, and Outcomes [Single-center study] Aim: Identify precursors, characteristics and outcomes of patients after unplanned extubation at Inova Fairfax Hospital Trauma ICU as well as determinants and risk factors. PI: Teicher Status: IRB review IRB# U21-03-4426 Title: Breaking Old Dogma: Continuation of Enteral Feeds up to the Time of Tracheostomy and PEG Placement [Multi-center study; Buffalo coordinating] Aim: Determine impact of continuation of enteral feeds up to the time of tracheostomy on nutritional status, risk of aspiration PI: Teicher Status: IRB review II. Chart review IRB# U20-10-4295 Title: Rapid Trauma Evaluation in the Emergency Department: A Nursing Initiative Aim: Describe the RTE initiative and report on initial findings from implementation of the process. PI: DiSalvo Status: Data collection IRB# U20-06-4114 Title: Short versus long duration of antimicrobial therapy after source control for necrotizing skin and soft tissue infections [Multi-center study; Cleveland Clinic coordinating] Aim: Evaluate effect of short-term course of antimicrobials on a) meeting all the criteria for the composite endpoint: Necrotizing Infection Clinical Composite Endpoint (NICCE) and b) clinical outcomes, including length of stay, 30-day readmissions, and in-hospital mortality. PI: Watras Status: Data collection IRB# U20-05-4090 Title: Complications of delayed presentation of emergency general surgery patients during the COVID-19 pandemic: a single institution study. Aim: Assess the timeliness of hospital presentation of EGS patients during the COVID-19 pandemic, as measured by the percentage of advanced disease states. PI: Michetti Status: Data analysis IRB# U20-07-4164 Title: A Retrospective Study on the Impact of Geriatric Medicine Consultation in Trauma Patients Aim: Compare health outcomes between trauma patients ≥ 80 years old who received a geriatric medicine consultation and trauma patients ≥ 80 years old who did not receive a geriatric medicine consultation; determine if a geriatric consultation is an independent predictor of better health outcomes in trauma patients PI: Mohess Status: Data collection IRB# U21-05-4468 Title: The incidence of falls among individuals 65 years and older in private residences in a large suburban EMS system Aim: Identify patients >65 years triggering a deployment of a Fairfax County Fire and Rescue Department team due to a fall in a private home in 2019; characterize the response, including transport to an ED, then disposition from the ED for those transported to our emergency department. PI: Avstreih Status: IRB review