DR. CHARLES F. RINKER, MD

BOZEMAN, MT

Research Active
Surgery NPI registered 21+ years 6 publications 1999 – 2006 NPI: 1568467744
Injury Severity ScoreLength of StayNeurologic ExaminationHospital MortalityCardiopulmonary BypassAnticoagulantsBrain InjuriesOutcome Assessment, Health CareBurnsInternational Normalized RatioPressure UlcerHeart Defects, CongenitalBedsBrain Hemorrhage, TraumaticGlasgow Coma Scale

Practice Location

925 HIGHLAND BLVD
BOZEMAN, MT 59715-6900

Phone: (406) 587-0704

What does CHARLES RINKER research?

Dr. Rinker focuses on how certain medical conditions and interventions affect patient outcomes, specifically in vulnerable populations like the elderly and children. His studies range from the effects of anticoagulant medications on elderly patients with traumatic brain injuries to understanding post-operative recovery in children who undergo heart surgery. He also examines how specialized mattresses can prevent pressure ulcers in burn patients and explores connections between autoimmune diseases and brain function in mice, which may inform future treatments for similar conditions in humans.

Key findings

  • Among elderly patients on anticoagulants who suffered traumatic brain injuries, those with a low consciousness level (GCS scores below 8) had a mortality rate of 91.5% with an INR of 6.0 or higher.
  • In children undergoing heart surgery, interleukin-6 levels peaked on the day of surgery and returned to normal by the fourth day, while procalcitonin levels remained elevated for at least four days.
  • In a study of 1,390 burn patients, none of the 186 patients placed on a Pegasus Renaissance mattress developed pressure ulcers, demonstrating its effectiveness.
  • In a comparative study of burn patients, a low air loss mattress also showed success, with zero instances of pressure ulcers among treated patients.
  • Cardiopulmonary bypass surgery in infants significantly disrupted surfactant activity, affecting lung function for several days post-surgery.

Frequently asked questions

Does Dr. Rinker study traumatic brain injury?
Yes, Dr. Rinker researches the effects of anticoagulant medications on the outcomes of elderly patients with traumatic brain injuries.
What treatments has Dr. Rinker researched?
Dr. Rinker has researched treatments related to heart surgery recovery, pressure ulcer prevention in burn patients, and managing complications from cardiopulmonary bypass.
Is Dr. Rinker's work relevant to children undergoing heart surgery?
Yes, his studies specifically focus on how procedures like cardiopulmonary bypass affect recovery in children with congenital heart disease.
What is the significance of Dr. Rinker's research on autoimmune diseases?
His work explores how changes in brain function are related to the progression of autoimmune diseases, providing insights that could influence future treatments.
How does Dr. Rinker's research help burn patients?
He examines effective methods, such as specialized mattresses, to prevent pressure ulcers, helping to improve recovery for vulnerable burn patients.

Publications in plain English

Traumatic brain injury in anticoagulated patients.

2006

The Journal of trauma

Cohen DB, Rinker C, Wilberger JE

Plain English
This study focused on how anticoagulants like Coumadin affect the outcomes for elderly patients who suffer traumatic brain injuries. It found that elderly patients with low consciousness (GCS scores below 8) had a very high mortality rate of 91.5% if their blood's clotting level (INR) was 6.0 or higher, while those with higher consciousness (GCS scores of 13 to 15) had an 80.6% mortality rate with an average INR of 4.4. This information is crucial because it emphasizes the need for immediate medical attention, including regular checks of clotting levels and CT scans, to improve survival chances after a brain injury in patients taking anticoagulants. Who this helps: This helps patients on anticoagulants, especially the elderly, as well as their doctors.

PubMed

Interleukin-6 and procalcitonin in serum of children undergoing cardiac surgery with cardiopulmonary bypass.

2004

Acta cardiologica

Hammer S, Fuchs AT, Rinker C, Daebritz S, Kozlik-Feldmann R +1 more

Plain English
This study looked at how two substances in the blood, interleukin-6 and procalcitonin, change in children with congenital heart disease after they have heart surgery involving cardiopulmonary bypass. Researchers found that interleukin-6 levels peaked on the day of surgery and returned to normal by the fourth day after surgery, while procalcitonin levels peaked on the first day after surgery and remained high for at least four days. These findings matter because they help doctors understand the body's response to surgery, which can inform post-operative care and recovery monitoring. Who this helps: This helps patients and healthcare providers by enhancing recovery monitoring after heart surgery.

PubMed

A retrospective study to determine the incidence of pressure ulcers in burn patients using a low air loss pressure relieving mattress.

2003

Burns : journal of the International Society for Burn Injuries

Still JM, Wilson J, Rinker C, Law E, Craft-Coffman B

Plain English
This study looked at how well a special mattress called the Pegasus Renaissance could prevent pressure ulcers in burn patients who needed to stay in bed for a long time. Out of 1,390 patients at risk, 186 were treated with this mattress, and none of them developed any pressure ulcers during the study period. This is important because it shows that using this type of mattress can significantly help protect vulnerable burn patients from developing painful skin sores. Who this helps: This helps burn patients who are at risk of developing pressure ulcers.

PubMed

A retrospective study to determine the incidence of pressure ulcers in burn patients using an alternating pressure mattress.

2003

Burns : journal of the International Society for Burn Injuries

Still JM, Wilson J, Rinker C, Law E, Craft-Coffman B

Plain English
This study looked at how well a special mattress called the Pegasus Renaissance helps prevent pressure ulcers in burn patients who are bedridden. Out of 1,390 burned patients, 186 were placed on this mattress, and none of them developed pressure ulcers during the study. This matters because it shows that using the Pegasus mattress can effectively protect vulnerable patients from painful skin sores, which can complicate their recovery. Who this helps: Burn patients at risk for developing pressure ulcers.

PubMed

Relationship between the development of autoimmunity and sensorimotor gating in MRL-lpr mice with reduced IL-2 production.

2002

Neuroscience letters

Petitto JM, Huang Z, Lo J, Beck RD, Rinker C +1 more

Plain English
Researchers studied MRL-lpr mice, which develop an autoimmune disease similar to lupus, to see how changes in their brain's sensorimotor gating (specifically, how they respond to sounds) were affected by a lack of a substance called interleukin-2 (IL-2). They found that younger MRL-lpr mice did not show changes in their responses, but as the disease progressed, older mice had increased sensitivity to sounds, indicating altered sensorimotor gating. This is important because it shows a connection between the progression of autoimmune disease and changes in brain function, which could help in understanding and treating similar conditions in humans. Who this helps: This helps patients with autoimmune diseases and the doctors treating them.

PubMed

Cardiopulmonary bypass reduces pulmonary surfactant activity in infants.

1999

The Journal of thoracic and cardiovascular surgery

Griese M, Wilnhammer C, Jansen S, Rinker C

Plain English
This study looked at how cardiopulmonary bypass surgery affects lung health in infants under one year old. Researchers found that after the surgery, key substances that help keep the lungs working properly (surfactants) were significantly disrupted. For example, certain proteins and fats needed for lung function increased right after surgery but then dropped, resulting in impaired lung function for the first few days post-surgery. This matters because correcting these surfactant issues could help improve recovery and reduce breathing problems in infants after such operations. Who this helps: This helps infants undergoing cardiopulmonary bypass surgery and their healthcare providers.

PubMed

Frequent Co-Authors

Joseph M Still Joan Wilson Edward Law Beretta Craft-Coffman David B Cohen Jack E Wilberger Stefanie Hammer Alexandra T Fuchs Sabine Daebritz Rainer Kozlik-Feldmann

Physician data sourced from the NPPES NPI Registry . Publication data from PubMed . Plain-English summaries generated by AI. Not medical advice.