2018
Insurance Status Biases Trauma-system Utilization and Appropriate Interfacility Transfer
Zogg CK, Schuster KM, Maung AA, Davis KA. Insurance Status Biases Trauma-system Utilization and Appropriate Interfacility Transfer. Annals Of Surgery 2018, 268: 681-689. PMID: 30004929, DOI: 10.1097/sla.0000000000002954.Peer-Reviewed Original ResearchConceptsNTC patientsMajor injuriesOlder adult trauma patientsNationwide Emergency Department SampleOptimal trauma careAdult trauma patientsEmergency department admissionsEmergency Department SampleTrauma center careTransfer of patientsComplex traumatic injuriesMultilevel logistic regressionTrauma patientsDepartment admissionsHigh morbidityTC careDirect admissionInsurance statusInterfacility transferUninsured patientsTrauma careTraumatic injuryOutcome measuresTrauma systemCenter care
2016
Insurance status is associated with complex presentation among emergency general surgery patients
Scott JW, Havens JM, Wolf LL, Zogg CK, Rose JA, Salim A, Haider AH. Insurance status is associated with complex presentation among emergency general surgery patients. Surgery 2016, 161: 320-328. PMID: 27712875, DOI: 10.1016/j.surg.2016.08.038.Peer-Reviewed Original ResearchMeSH KeywordsAdultDatabases, FactualEmergency Service, HospitalEmergency TreatmentFemaleGeneral SurgeryHealth Services AccessibilityHumansInsurance CoverageLogistic ModelsMaleMedically UninsuredMiddle AgedOdds RatioOutcome Assessment, Health CarePatient Protection and Affordable Care ActPatient SafetyRetrospective StudiesRisk AssessmentSocioeconomic FactorsUnited StatesYoung AdultConceptsInsurance statusComplex presentationSurgical presentationUninsured patientsEmergency general surgical careEmergency general surgical conditionsEmergency general surgical patientsEmergency general surgery patientsNational Emergency Department SampleHospital-level covariatesOverall uninsured rateUninsured payer statusGeneral surgery patientsGeneral surgical patientsGeneral surgical conditionsIntra-abdominal abscessMultivariable logistic regressionEmergency Department SampleDisease-specific measuresSeverity of diseaseLack of insuranceGeneral surgical careIntestinal gangreneBowel obstructionGeneralized peritonitis“Halo effect” in trauma centers: does it extend to emergent colectomy?
Nagarajan N, Selvarajah S, Gani F, Alshaikh HN, Giuliano K, Zogg CK, Schneider EB, Haider AH. “Halo effect” in trauma centers: does it extend to emergent colectomy? Journal Of Surgical Research 2016, 203: 231-237. PMID: 27125867, DOI: 10.1016/j.jss.2016.01.037.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overColectomyDatabases, FactualDiverticulitis, ColonicEmergenciesFemaleHospital ChargesHospital MortalityHumansLength of StayLinear ModelsLogistic ModelsMaleMiddle AgedPoisson DistributionQuality Assurance, Health CareQuality Indicators, Health CareTrauma CentersTreatment OutcomeUnited StatesYoung AdultConceptsLength of stayNontrauma centersHospital-level characteristicsTrauma centerEmergent colectomyEmergency general surgery conditionsEmergency general surgery proceduresNationwide Emergency Department SampleEmergency surgical interventionOdds of mortalityEmergency Department SampleGeneral surgery proceduresNontrauma conditionsHospital mortalityMedian ageSurgical interventionSurgical conditionsImproved outcomesSex distributionSurgical careMedian chargePatientsSurgery proceduresSurgery conditionsCase mix