2020
Chest Trauma Outcomes: Public Versus Private Level I Trauma Centers
Orlas CP, Herrera‐Escobar J, Zogg CK, Serna JJ, Meléndez JJ, Gómez A, Martínez D, Parra MW, García AF, Rosso F, Pino LF, Gonzalez A, Ordoñez CA. Chest Trauma Outcomes: Public Versus Private Level I Trauma Centers. World Journal Of Surgery 2020, 44: 1824-1834. PMID: 31993723, PMCID: PMC7380545, DOI: 10.1007/s00268-020-05400-w.Peer-Reviewed Original ResearchConceptsTrauma centerMedian Injury Severity ScoreLogistic regressionInjury Severity ScorePost-operative complicationsMultivariable logistic regressionRetained hemothoraxHospital mortalityChest traumaClinical characteristicsMedian ageClinical outcomesThoracic traumaUnstable hemodynamicsEmergency roomSeverity scoreHigher oddsLevel IPatientsTraumaSignificant differencesMortalityHemothoraxMediastinitisEmpyema
2019
Association of Medicaid Expansion Policy with Outcomes in Homeless Patients Requiring Emergency General Surgery
Manzano‐Nunez R, Zogg CK, Bhulani N, McCarty JC, Herrera‐Escobar J, Lu K, Andriotti T, Uribe‐Leitz T, de Jager E, Jarman MP, Haider AH, Ortega G. Association of Medicaid Expansion Policy with Outcomes in Homeless Patients Requiring Emergency General Surgery. World Journal Of Surgery 2019, 43: 1483-1489. PMID: 30706104, DOI: 10.1007/s00268-019-04932-0.Peer-Reviewed Original ResearchConceptsEmergency general surgeryNon-expansion statesMedical adviceHomeless patientsSurgical complicationsMedicaid expansionHospital chargesGeneral surgeryLower oddsPrimary EGS diagnosesHome healthcareMultivariable logistic regressionExpansion statesLength of stayNon-Medicaid expansion statesState Inpatient DatabasesMedicaid expansion statesMultivariable quantile regressionEGS proceduresClinical eventsEGS diagnosesInpatient DatabaseHomeless individualsHigher oddsNon-significant difference
2016
Factors associated with health-related quality of life (HRQOL) in adults with short stature skeletal dysplasias
Dhiman N, Albaghdadi A, Zogg CK, Sharma M, Hoover-Fong JE, Ain MC, Haider AH. Factors associated with health-related quality of life (HRQOL) in adults with short stature skeletal dysplasias. Quality Of Life Research 2016, 26: 1337-1348. PMID: 27866314, DOI: 10.1007/s11136-016-1455-7.Peer-Reviewed Original ResearchConceptsShort stature skeletal dysplasiasHealth-related qualitySpondyloepiphyseal dysplasia congenitaSkeletal dysplasiaHRQoL of adultsMultivariable logistic regressionDecade of ageHealth care providersSF-12 componentsLower scoresHealth insurance coverageMedian PCSPain prevalenceHRQoL scoresPain specialistsLower HRQoLResultsA totalLower PCSSF-12High prevalenceCare providersHealth disparitiesHRQoLLogistic regressionDysplasiaInsurance 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 peritonitisPredictors of emergency ventral hernia repair: Targets to improve patient access and guide patient selection for elective repair
Wolf LL, Scott JW, Zogg CK, Havens JM, Schneider EB, Smink DS, Salim A, Haider AH. Predictors of emergency ventral hernia repair: Targets to improve patient access and guide patient selection for elective repair. Surgery 2016, 160: 1379-1391. PMID: 27542434, DOI: 10.1016/j.surg.2016.06.027.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAged, 80 and overConfidence IntervalsDatabases, FactualElective Surgical ProceduresEmergenciesFemaleFollow-Up StudiesHealth Services AccessibilityHernia, VentralHerniorrhaphyHospital MortalityHumansInsurance CoverageLogistic ModelsMaleMiddle AgedOdds RatioPatient SelectionPredictive Value of TestsQuality ImprovementRetrospective StudiesRisk AssessmentSeverity of Illness IndexSex FactorsTime FactorsTreatment OutcomeConceptsVentral hernia repairEmergency ventral hernia repairHospital-level factorsHernia repairIndependent predictorsPatient selectionElective operationsWorse outcomesEmergency repairLonger hospital stayNationwide Inpatient SampleMultivariable logistic regressionUnited States populationRace/ethnicityHospital deathHospital staySecondary outcomesElective repairPrimary outcomePayer statusInpatient SamplePatient outcomesVentral herniasElective careGreater oddsSurvival outcomes after prolonged intensive care unit length of stay among trauma patients: The evidence for never giving up
Kisat MT, Latif A, Zogg CK, Haut ER, Zafar SN, Hashmi ZG, Oyetunji TA, Cornwell EE, Zafar H, Haider AH. Survival outcomes after prolonged intensive care unit length of stay among trauma patients: The evidence for never giving up. Surgery 2016, 160: 771-780. PMID: 27267552, DOI: 10.1016/j.surg.2016.04.024.Peer-Reviewed Original ResearchConceptsIntensive care unit lengthICU LOSInjury Severity ScoreGlasgow Coma ScaleTrauma patientsRace/ethnicityComa ScaleSeverity scoreNon-Hispanic black race/ethnicityHigh mortalityNational Trauma Data BankBlack race/ethnicityCritical care supportProlonged ICU LOSAdult ICU patientsAdult trauma patientsEmergency department dispositionMultivariable logistic regressionTrauma Data BankClustering of patientsHospital complicationsICU stayVentilator dependencyOverall survivalRenal failure
2015
Incremental Cost of Emergency Versus Elective Surgery
Haider AH, Obirieze A, Velopulos CG, Richard P, Latif A, Scott VK, Zogg CK, Haut ER, Efron DT, Cornwell EE, MacKenzie EJ, Gaskin DJ. Incremental Cost of Emergency Versus Elective Surgery. Annals Of Surgery 2015, 262: 260-266. PMID: 25521669, DOI: 10.1097/sla.0000000000001080.Peer-Reviewed Original ResearchConceptsAbdominal aortic aneurysm repairCoronary artery bypass graftAortic aneurysm repairArtery bypass graftEmergency surgeryElective surgeryAneurysm repairBypass graftColon resectionAdjusted oddsNationwide Inpatient Sample dataMean cost differenceElective surgery patientsMultivariable logistic regressionDischarge-level weightsAdjusted riskSurgery patientsEmergent proceduresCare coordinationElective admissionsWorse outcomesHospital costsCost differencesEmergent casesElective careRacial disparities in surgical outcomes: Does the level of resident surgeon play a role?
Changoor NR, Ortega G, Ekladios M, Zogg CK, Cornwell EE, Haider AH. Racial disparities in surgical outcomes: Does the level of resident surgeon play a role? Surgery 2015, 158: 547-555. PMID: 26003906, DOI: 10.1016/j.surg.2015.03.046.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAppendectomyCholecystectomy, LaparoscopicClinical CompetenceDatabases, FactualEthnicityFemaleHealthcare DisparitiesHerniorrhaphyHumansInternship and ResidencyLogistic ModelsMaleMiddle AgedOutcome Assessment, Health CarePostoperative ComplicationsRetrospective StudiesUnited StatesWhite PeopleConceptsBlack patientsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseGreater risk-adjusted oddsQuality Improvement Program databaseImprovement Program databaseRisk-adjusted oddsMultivariable logistic regressionOpen hernia repairSurgical residentsHigher likelihoodLevels of providersJunior residentsSenior residentsPresence/levelLaparoscopic appendectomyMinor complicationsPatient demographicsPostoperative outcomesSurgical disparitiesHispanic patientsLaparoscopic cholecystectomySurgical outcomesWorse outcomesProgram databaseDoes obesity affect the outcomes of pulmonary resections for lung cancer? A National Surgical Quality Improvement Program analysis
Mungo B, Zogg CK, Hooker CM, Yang SC, Battafarano RJ, Brock MV, Molena D. Does obesity affect the outcomes of pulmonary resections for lung cancer? A National Surgical Quality Improvement Program analysis. Surgery 2015, 157: 792-800. PMID: 25666333, DOI: 10.1016/j.surg.2014.10.016.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBody Mass IndexDatabases, FactualFemaleHumansLength of StayLogistic ModelsLung NeoplasmsMaleMiddle AgedObesityOperative TimePneumonectomyPostoperative ComplicationsQuality ImprovementRetrospective StudiesRisk FactorsTreatment OutcomeUnited StatesYoung AdultConceptsLength of stayBody mass indexRisk-adjusted LOSNormal weight patientsObese patientsPulmonary resectionLung cancerWeight patientsUnderweight patientsOperative timeNational Surgical Quality Improvement Program analysisNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseNormal body mass indexWorld Health Organization classificationPrevious cardiac surgeryImprovement Program databaseGreater operative timeMultivariable logistic regressionMajor health issuePreoperative comorbiditiesOverall morbidityPostoperative complicationsLung resectionNSQIP databaseRacial/ethnic disparities in emergency general surgery: explained by hospital-level characteristics?
Hall EC, Hashmi ZG, Zafar SN, Zogg CK, Cornwell EE, Haider AH. Racial/ethnic disparities in emergency general surgery: explained by hospital-level characteristics? The American Journal Of Surgery 2015, 209: 604-609. PMID: 25683233, DOI: 10.1016/j.amjsurg.2014.11.005.Peer-Reviewed Original ResearchConceptsEmergency general surgeryHospital-level factorsEGS patientsHigher oddsGeneral surgeryEthnic disparitiesHospital-level characteristicsOdds of deathMultivariable logistic regressionNationwide Inpatient SampleAfrican AmericansHospital admissionAA patientsCaucasian patientsInpatient SamplePatientsLogistic regressionEthnic differencesDeathSurgeryOddsHospitalOverall disparityOutcomesDisparities