{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:01:28Z","timestamp":1787018488943,"version":"build-2736575974"},"reference-count":4,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T00:00:00Z","timestamp":1593388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We hypothesized that trauma surgeons can safely selectively manage traumatic craniomaxillofacial injuries (CMF) without specialist consult, thereby decreasing the overall cost burden to patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 4-year retrospective analysis of all CMF fractures diagnosed on facial CT scans. CMF consultation was compared with no-CMF consultation. Demographics, injury severity, and specialty consultation charges were recorded. Penetrating injuries, skull fractures, or patients completing inpatient craniofacial surgery were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>303 patients were studied (124 CMF consultation vs 179 no-CMF consultation), mean age was 47.8 years, with 70% males. Mean Glasgow Coma Scale and Injury Severity Score (ISS) was 14 \u00b1 3.4 and 10 \u00b1 9, respectively. Patients with CMF consults had higher ISS ( P &lt; .001) and needed surgery on admission ( P &lt; .001), while no-CMF consults had shorter length of stay ( P &lt; .002). No in-hospital mortality or 30-day readmission rates were related to no-CMF consult. Total patient charges saved with no-CMF consultation was $26 539.96.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Trauma surgeons can selectively manage acute CMF injuries without inpatient specialist consultation. Additional guidelines can be established to avoid tertiary transfers for specialty consultation and decrease patient charges.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003134820923329","type":"journal-article","created":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T14:16:56Z","timestamp":1593440216000},"page":"1836-1838","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Managing Craniomaxillofacial Injury Without Inpatient Consult: Outcomes and Patient Cost Savings"],"prefix":"10.1177","volume":"87","author":[{"given":"Patrick","family":"Melmer","sequence":"first","affiliation":[{"name":"Grand Strand Medical Center, Myrtle Beach, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Taylor","sequence":"additional","affiliation":[{"name":"Prisma Health, University of South Carolina, Columbia, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keely","family":"Muertos","sequence":"additional","affiliation":[{"name":"Grand Strand Medical Center, Myrtle Beach, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason D.","family":"Sciarretta","sequence":"additional","affiliation":[{"name":"Grand Strand Medical Center, Myrtle Beach, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,6,29]]},"reference":[{"key":"bibr1-0003134820923329","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2011.02.057"},{"key":"bibr2-0003134820923329","doi-asserted-by":"publisher","DOI":"10.1177\/000313480607201204"},{"key":"bibr3-0003134820923329","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.12.062"},{"key":"bibr4-0003134820923329","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2013.04.007"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003134820923329","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003134820923329","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003134820923329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:33:25Z","timestamp":1777379605000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003134820923329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,29]]},"references-count":4,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1177\/0003134820923329"],"URL":"https:\/\/doi.org\/10.1177\/0003134820923329","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,29]]}}}