2022
Reconceptualizing high-quality emergency general surgery care: Non–mortality-based quality metrics enable meaningful and consistent assessment
Zogg CK, Staudenmayer KL, Kodadek LM, Davis KA. Reconceptualizing high-quality emergency general surgery care: Non–mortality-based quality metrics enable meaningful and consistent assessment. Journal Of Trauma And Acute Care Surgery 2022, 94: 68-77. PMID: 36245079, PMCID: PMC9805506, DOI: 10.1097/ta.0000000000003818.Peer-Reviewed Original ResearchConceptsEmergency general surgeryHospital-level factorsEGS conditionsEmergency general surgery careOlder adultsNationwide Readmissions DatabaseComplex older adultsSurgery of TraumaGeneral surgery careQuality improvement initiativesOlder adult populationEGS careEGS hospitalsEGS patientsPatient frailtySurgery careGeneral surgeryHospitalLevel IIIAdult populationCohortPatientsComplex adultCareAdults
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
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