Geographic Distribution of Trauma Burden, Mortality, and Services in the United States: Does Availability Correspond to Patient Need?
Rios-Diaz AJ, Metcalfe D, Olufajo OA, Zogg CK, Yorkgitis B, Singh M, Haider AH, Salim A. Geographic Distribution of Trauma Burden, Mortality, and Services in the United States: Does Availability Correspond to Patient Need? Journal Of The American College Of Surgeons 2016, 223: 764-773.e2. PMID: 28193322, DOI: 10.1016/j.jamcollsurg.2016.08.569.Peer-Reviewed Original ResearchConceptsLevel II trauma centerAge-adjusted mortality ratesTrauma admissionsTrauma centerTrauma serviceTrauma mortalityTrauma burdenMortality rateTrauma care provisionAge-adjusted mortalityCritical care providersTrauma patientsTrauma careCare providersLevel IPatient needsAdmissionProvider densitySurgeon availabilityQuality careMortalityCare provisionSCC fellowshipsAssociationCareImpact of ACA Insurance Coverage Expansion on Perforated Appendix Rates Among Young Adults
Scott JW, Rose JA, Tsai TC, Zogg CK, Shrime MG, Sommers BD, Salim A, Haider AH. Impact of ACA Insurance Coverage Expansion on Perforated Appendix Rates Among Young Adults. Medical Care 2016, 54: 818-826. PMID: 27367865, PMCID: PMC5468100, DOI: 10.1097/mlr.0000000000000586.Peer-Reviewed Original ResearchConceptsDependent coverage provisionAppendix ratePerforation rateYoung adultsHealth insurance plansComparator groupAcute conditionsUninsured rateYear oldsParents' health insurance plansSignificant reductionNational Inpatient SampleUrban teaching hospitalAge 26 yearsHealth care accessInsurance coverage expansionDifferences linear regressionCoverage expansionAcute appendicitisAffordable Care ActInpatient SampleTeaching hospitalCare accessRisk subpopulationsPostpolicy changeAccess to post-discharge inpatient care after lower limb trauma
Metcalfe D, Davis WA, Olufajo OA, Rios-Diaz AJ, Chaudhary MA, Harris MB, Zogg CK, Weaver MJ, Salim A. Access to post-discharge inpatient care after lower limb trauma. Journal Of Surgical Research 2016, 203: 140-144. PMID: 27338544, DOI: 10.1016/j.jss.2016.02.036.Peer-Reviewed Original ResearchConceptsLength of stayHospital LOSLower limb traumaLimb traumaInsurance statusUninsured patientsInpatient careLonger hospital LOSCalifornia State Inpatient DatabaseState Inpatient DatabasesLower limb injuriesNon-acute servicesAcute hospitalizationHospital dischargeInpatient DatabaseHospital characteristicsTrauma bedsClinical ModificationLimb injuriesObservational studyLower oddsEmergency careInternational ClassificationPatientsPrivate insurance“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