2020
Hospital Variation in Geriatric Surgical Safety for Emergency Operation
Becher RD, Sukumar N, DeWane MP, Stolar MJ, Gill TM, Schuster KM, Maung AA, Zogg CK, Davis KA. Hospital Variation in Geriatric Surgical Safety for Emergency Operation. Journal Of The American College Of Surgeons 2020, 230: 966-973.e10. PMID: 32032720, PMCID: PMC7409563, DOI: 10.1016/j.jamcollsurg.2019.10.018.Peer-Reviewed Original ResearchConceptsStandardized mortality ratioHospital-level characteristicsGeneral surgery operationsGeriatric patientsEmergency operationHospital variationEmergency general surgery operationsMean standardized mortality ratioCalifornia State Inpatient DatabaseHospital-based mortalitySignificant hospital variationPatients 65 yearsSubstantial excess mortalitySurgery operationsState Inpatient DatabasesMixed effects logistic regression modelsCommon general surgery operationsLow-mortality outliersLogistic regression modelsPostoperative mortalityHospital deathOlder patientsInpatient DatabaseMortality outcomesNonelective operations
2011
Creation and Implementation of an Emergency General Surgery Registry Modeled after the National Trauma Data Bank
Becher RD, Meredith JW, Chang MC, Hoth JJ, Beard HR, Miller PR. Creation and Implementation of an Emergency General Surgery Registry Modeled after the National Trauma Data Bank. Journal Of The American College Of Surgeons 2011, 214: 156-163. PMID: 22153352, DOI: 10.1016/j.jamcollsurg.2011.11.001.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankTrauma Data BankEGS patientsInclusion criteriaEGS serviceICD-9 diagnostic codesICD-9 diagnosis codesEGS patient outcomesAcute care surgeryICD-9 codesEGS admissionsCare surgeryRetrospective reviewProspective populationDiagnosis codesProspective dataDiagnostic codesPatient outcomesPatientsSurgery evolvesPatient identificationMulti-institutional collaborationAdmissionMonthsOutcomesA Critical Assessment of Outcomes in Emergency versus Nonemergency General Surgery Using the American College of Surgeons National Surgical Quality Improvement Program Database
Becher RD, Hoth JJ, Miller PR, Mowery NT, Chang MC, Meredith JW. A Critical Assessment of Outcomes in Emergency versus Nonemergency General Surgery Using the American College of Surgeons National Surgical Quality Improvement Program Database. The American Surgeon 2011, 77: 951-959. PMID: 21944366, DOI: 10.1177/000313481107700738.Peer-Reviewed Original ResearchConceptsEmergent operationPostoperative morbidityAmerican CollegeNonemergent casesSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseGeneral surgery inpatientsGeneral surgery patientsImprovement Program databaseDeep vein thrombosisSpecific outcome dataGeneral surgery operationsGeneral surgery proceduresHigh mortality rateSystems of carePostoperative complicationsRenal failureSurgery patientsVein thrombosisNonemergent patientsHigh morbidityPoor outcomeUnique ClinicalInflammatory response