2019
Association of Medicaid Expansion With Access to Rehabilitative Care in Adult Trauma Patients
Zogg CK, Scott JW, Metcalfe D, Gluck AR, Curfman GD, Davis KA, Dimick JB, Haider AH. Association of Medicaid Expansion With Access to Rehabilitative Care in Adult Trauma Patients. JAMA Surgery 2019, 154: 402-411. PMID: 30601888, PMCID: PMC6537775, DOI: 10.1001/jamasurg.2018.5177.Peer-Reviewed Original ResearchConceptsAdult trauma patientsTrauma patientsMedicaid expansionNonexpansion statesInsurance coverageAffordable Care ActExpansion statesPatient ProtectionInpatient rehabilitation facilityCare ActSkilled nursing facilitiesMedicaid expansion statesSex-based disparitiesHome health agenciesRace/ethnicityPostdischarge careTrauma populationFunctional outcomeRehabilitation gainsLeading causeRehabilitative careTrauma outcomesMAIN OUTCOMENursing facilitiesRehabilitation facilityAssociation 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
2018
Impact of Affordable Care Act Insurance Expansion on Pre-Hospital Access to Care: Changes in Adult Perforated Appendix Admission Rates after Medicaid Expansion and the Dependent Coverage Provision
Zogg CK, Scott JW, Bhulani N, Gluck AR, Curfman GD, Davis KA, Dimick JB, Haider AH. Impact of Affordable Care Act Insurance Expansion on Pre-Hospital Access to Care: Changes in Adult Perforated Appendix Admission Rates after Medicaid Expansion and the Dependent Coverage Provision. Journal Of The American College Of Surgeons 2018, 228: 29-43.e1. PMID: 30359835, DOI: 10.1016/j.jamcollsurg.2018.09.022.Peer-Reviewed Original ResearchConceptsMedicaid expansionAffordable Care ActAdmission ratesPerforation rateInsurance coverageAffordable Care Act's insurance expansionInsurance expansionYoung adultsAcute surgical careDependent coverage provisionBetter patient outcomesFederal poverty levelRace/ethnicityAcute appendicitisHospitalized adultsAcute careParents' insuranceInpatient claimsPatient outcomesACA's impactSurgical careRisk populationsNonexpansion statesPrivileged patientsAge 26
2016
Implications of the Patient Protection and Affordable Care Act on Insurance Coverage and Rehabilitation Use Among Young Adult Trauma Patients.
Zogg CK, Payró Chew F, Scott JW, Wolf LL, Tsai TC, Najjar P, Olufajo OA, Schneider EB, Haut ER, Haider AH, Canner JK. Implications of the Patient Protection and Affordable Care Act on Insurance Coverage and Rehabilitation Use Among Young Adult Trauma Patients. JAMA Surgery 2016, 151: e163609. PMID: 27760245, DOI: 10.1001/jamasurg.2016.3609.Peer-Reviewed Original ResearchConceptsYoung adult trauma patientsDependent coverage provisionAdult trauma patientsAffordable Care ActTrauma patientsRehabilitation useInsurance coverageClinical end pointsPatient ProtectionCare ActCause of deathComplete patient recordsHigh-quality careEmergency departmentMean ageOutpatient settingUninsured patientsPatient outcomesRisk groupsPatientsRehabilitation accessACA implementationRescue ratesPatient recordsLongitudinal assessment
2015
Morbidity or mortality? Variations in trauma centres in the rescue of older injured patients
Zafar SN, Shah AA, Zogg CK, Hashmi ZG, Greene WR, Haut ER, Cornwell EE, Haider AH. Morbidity or mortality? Variations in trauma centres in the rescue of older injured patients. Injury 2015, 47: 1091-1097. PMID: 26724172, DOI: 10.1016/j.injury.2015.11.044.Peer-Reviewed Original ResearchMeSH KeywordsAcute Kidney InjuryAgedAged, 80 and overComorbidityDatabases, FactualFailure to Rescue, Health CareFemaleGeriatric AssessmentHospital MortalityHumansInjury Severity ScoreLength of StayMaleMedicaidPneumoniaPostoperative ComplicationsRespiratory Distress SyndromeRisk AssessmentTrauma CentersUnited StatesWounds and InjuriesConceptsOlder trauma patientsMajor complicationsTrauma centerOld traumaRisk-adjusted ratesOlder patientsTrauma patientsNational Trauma Data BankFacility-level covariatesRisk-adjusted incidenceTrauma Data BankProcess of careType of injuryLogistic regression analysisPatient demographicsGeriatric traumaComorbid conditionsGeriatric patientsHigher proportionSerious complicationsInclusion criteriaInjury severityPatientsRescue ratesVital signs