2024
For whom the bell tolls: assessing the incremental costs associated with failure to rescue after elective colorectal surgery
Schultz K, Moore M, Pantel H, Mongiu A, Reddy V, Schneider E, Leeds I. For whom the bell tolls: assessing the incremental costs associated with failure to rescue after elective colorectal surgery. Journal Of Gastrointestinal Surgery 2024, 28: 1812-1818. PMID: 39181234, DOI: 10.1016/j.gassur.2024.08.019.Peer-Reviewed Original ResearchFailure-to-rescueMedian total hospital costTotal hospital costsColorectal surgeryNational Inpatient SampleUneventful recoveryRetrospective study of adult patientsFailure-to-rescue patientsAssociated with increased healthcare costsStudy of adult patientsElective colorectal resectionHospital costsElective colorectal surgeryNationally Representative CohortColorectal resectionElective colectomyPostoperative complicationsRetrospective studyAdult patientsRescue attemptsMedical futilityElective surgeryRepresentative cohortHealthcare costsPrimary outcomeUse of Early Ketamine Sedation and Association With Clinical and Cost Outcomes Among Mechanically Ventilated Patients With COVID-19: A Retrospective Cohort Study
Royce-Nagel G, Jarzebowski M, Wongsripuemtet P, Krishnamoorthy V, Fuller M, Ohnuma T, Treggiari M, Yaport M, Cobert J, Garrigan E, Bartz R, Raghunathan K. Use of Early Ketamine Sedation and Association With Clinical and Cost Outcomes Among Mechanically Ventilated Patients With COVID-19: A Retrospective Cohort Study. Critical Care Explorations 2024, 6: e1105. PMID: 38904975, PMCID: PMC11196078, DOI: 10.1097/cce.0000000000001105.Peer-Reviewed Original ResearchConceptsRenal replacement therapyLength of stayHospital length of stayHigher hospital mortalityKetamine infusionTotal hospital costsHospital mortalityVasopressor daysKetamine useVentilator daysSample of U.S. hospitalsRenal replacement therapy useAssociated with higher hospital mortalityDays of mechanical ventilationAssociated with in-hospital mortalityHospital costsManagement of critically ill patientsExtracorporeal membrane oxygenationPropensity Score Matching AnalysisRetrospective cohort studyPremier Healthcare DatabaseDays of hospitalizationDays of intubationMechanically Ventilated PatientsCritically ill patients
2022
Leveraging HFRS to assess how frailty affects healthcare resource utilization after elective ACDF for CSM
Elsamadicy AA, Koo AB, Sarkozy M, David WB, Reeves BC, Patel S, Hansen J, Sandhu MRS, Hengartner AC, Hersh A, Kolb L, Lo SL, Shin JH, Mendel E, Sciubba DM. Leveraging HFRS to assess how frailty affects healthcare resource utilization after elective ACDF for CSM. The Spine Journal 2022, 23: 124-135. PMID: 35988878, DOI: 10.1016/j.spinee.2022.08.004.Peer-Reviewed Original ResearchConceptsHighest Hospital Frailty Risk ScoresHospital Frailty Risk ScoreCervical spondylotic myelopathyNon-routine discharge dispositionDischarge dispositionElective ACDFFrail patientsExtended LOSHospital costsHealth care resource utilizationNationwide Inpatient Sample databaseMultivariate stepwise logistic regressionFrailty Risk ScorePeri-operative protocolSeverity of frailtyTotal admission costLonger hospital stayRetrospective cohort studyAnterior cervical discectomyCervical spine pathologyHealthcare resource utilizationNon-routine dischargeHigh complication rateTotal hospital costsSignificant independent predictorsHigher Hospital Frailty Risk Score is associated with increased complications and healthcare resource utilization after endovascular treatment of ruptured intracranial aneurysms
Koo AB, Elsamadicy AA, Renedo D, Sarkozy M, Sherman J, Reeves BC, Havlik J, Antonios J, Sujijantarat N, Hebert R, Malhotra A, Matouk C. Higher Hospital Frailty Risk Score is associated with increased complications and healthcare resource utilization after endovascular treatment of ruptured intracranial aneurysms. Journal Of NeuroInterventional Surgery 2022, 15: 255-261. PMID: 35292571, PMCID: PMC8931798, DOI: 10.1136/neurintsurg-2021-018484.Peer-Reviewed Original ResearchConceptsHospital Frailty Risk ScoreNon-routine dischargeLength of stayFrailty Risk ScoreHealthcare resource utilizationTotal hospital costsEndovascular treatmentIntracranial aneurysmsAdverse eventsHospital costsRisk scoreHighest Hospital Frailty Risk ScoresMean LOSNational Inpatient Sample databaseMean total hospital costMultivariate logistic regression analysisImpact of frailtyRetrospective cohort studyICD-10-CM codesLogistic regression analysisRegression analysisMultivariate regression analysisCohort studyDischarge dispositionPatient demographics464 Hospital Frailty Risk Score and Healthcare Resource Utilization After Surgery for Metastatic Spinal Column Tumors
Elsamadicy A, Koo A, Reeves B, Pennington Z, Yu J, Goodwin C, Kolb L, Laurans M, Lo S, Shin J, Sciubba D. 464 Hospital Frailty Risk Score and Healthcare Resource Utilization After Surgery for Metastatic Spinal Column Tumors. Neurosurgery 2022, 68: 113-113. DOI: 10.1227/neu.0000000000001880_464.Peer-Reviewed Original ResearchHospital Frailty Risk ScoreNon-routine dischargeFrailty Risk ScoreSpinal column tumorsPatient populationRisk scoreLarge national database studyNational Inpatient Sample databaseMultivariate logistic regression analysisICD-10 diagnostic codesProlonged hospital LOSImpact of frailtyNational database studyHealthcare resource utilizationRetrospective cohort studyTotal hospital costsProcedural Coding SystemLogistic regression analysisRegression analysisMultivariate regression analysisHospital LOSCohort studyHospital admissionIndependent predictorsLonger LOS307 The Hospital Frailty Risk Score Independently Predicts Increased Complication Rates and Healthcare Resource Utilization After Endovascular Treatment of Ruptured Aneurysms
Koo A, Elsamadicy A, Sarkozy M, Sherman J, Reeves B, Freedman I, Antonios J, Sujijantarat N, Renado D, Hebert R, Malhotra A, Matouk C. 307 The Hospital Frailty Risk Score Independently Predicts Increased Complication Rates and Healthcare Resource Utilization After Endovascular Treatment of Ruptured Aneurysms. Neurosurgery 2022, 68: 67-68. DOI: 10.1227/neu.0000000000001880_307.Peer-Reviewed Original ResearchHospital Frailty Risk ScoreNon-routine dischargeFrailty Risk ScoreEndovascular treatmentIntracranial aneurysmsPerioperative complicationsLower frailtyHospital costsRisk scoreNational Inpatient Sample databaseMean total hospital costMultivariate logistic regression analysisICD-10 diagnostic codesImpact of frailtyRetrospective cohort studyHealthcare resource utilizationEvaluation of patientsTotal hospital costsAdverse healthcare outcomesAdministrative hospital dataRuptured intracranial aneurysmLogistic regression analysisRegression analysisMultivariate regression analysisAdult patientsHospital Frailty Risk Score and healthcare resource utilization after surgery for metastatic spinal column tumors.
Elsamadicy AA, Koo AB, Reeves BC, Pennington Z, Yu J, Goodwin CR, Kolb L, Laurans M, Lo SL, Shin JH, Sciubba DM. Hospital Frailty Risk Score and healthcare resource utilization after surgery for metastatic spinal column tumors. Journal Of Neurosurgery Spine 2022, 37: 241-251. PMID: 35148505, DOI: 10.3171/2022.1.spine21987.Peer-Reviewed Original ResearchHospital Frailty Risk ScoreLength of staySpinal column tumorsFrailty Risk ScoreNonroutine dischargeHospital admissionHigh frailtyIntermediate frailtyDischarge dispositionSpinal tumorsLower frailtyDiagnostic codesRisk scoreHigher total hospital costsMean LOSNational Inpatient Sample databaseMultivariate logistic regression analysisICD-10 diagnostic codesImpact of frailtyRetrospective cohort studyHealthcare resource utilizationProportion of patientsTotal hospital costsProcedural Coding SystemLogistic regression analysis
2021
Laparoscopy is increasingly used for pediatric inguinal hernia repair
Shaughnessy MP, Maassel NL, Yung N, Solomon DG, Cowles RA. Laparoscopy is increasingly used for pediatric inguinal hernia repair. Journal Of Pediatric Surgery 2021, 56: 2016-2021. PMID: 33549307, DOI: 10.1016/j.jpedsurg.2021.01.032.Peer-Reviewed Original ResearchConceptsLaparoscopic inguinal hernia repairInguinal hernia repairHernia repairLaparoscopic repairCHA HospitalProcedure typePediatric Health Information SystemPediatric inguinal hernia repairStudy periodDefinitive prospective studiesLong-term outcomesTotal hospital costsUse of laparoscopyTen-year study periodIHR groupLaparoscopic groupYounger patientsProspective studyHospital costsOperative approachSurgeon preferencePediatric surgeonsHealth information systemsAbstractTextLaparoscopy
2020
Quantifying the Impact of Care Fragmentation on Outcomes After Transcatheter Aortic Valve Implantation
Hirji SA, Zogg CK, Vaduganathan M, Kiehm S, Percy ED, Yazdchi F, Pelletier M, Shah PB, Bhatt DL, O'Gara P, Kaneko T. Quantifying the Impact of Care Fragmentation on Outcomes After Transcatheter Aortic Valve Implantation. The American Journal Of Cardiology 2020, 128: 113-119. PMID: 32650903, DOI: 10.1016/j.amjcard.2020.05.005.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCardiac CatheterizationCenters for Medicare and Medicaid Services, U.S.ComorbidityContinuity of Patient CareCoronary AngiographyDiabetes MellitusFemaleHospital CostsHospital MortalityHospitalsHumansHypertensionLength of StayLung DiseasesMaleMultivariate AnalysisPacemaker, ArtificialPatient ReadmissionPericardiocentesisPostoperative ComplicationsProsthesis ImplantationStrokeTranscatheter Aortic Valve ReplacementUnited StatesConceptsNonindex hospitalNonindex readmissionsCare fragmentationTranscatheter aortic valve implantation outcomesTranscatheter aortic valve implantationHigher co-morbidity burdenNational Readmission DatabaseAortic valve implantationCo-morbidity burdenTotal hospital costsMajor cardiac proceduresUS adult patientsFuture health policyValue of careIndex readmissionTAVI patientsCause mortalityIndex hospitalNoncardiac causesAdult patientsPatient characteristicsReadmission ratesValve implantationReadmission lengthCardiac proceduresBenchmarking the value of care: Variability in hospital costs for common operations and its association with procedure volume.
Zogg CK, Bernard AC, Hirji SA, Minei JP, Staudenmayer KL, Davis KA. Benchmarking the value of care: Variability in hospital costs for common operations and its association with procedure volume. Journal Of Trauma And Acute Care Surgery 2020, 88: 619-628. PMID: 32039972, PMCID: PMC7802807, DOI: 10.1097/ta.0000000000002611.Peer-Reviewed Original ResearchConceptsLaparoscopic appendectomyLaparoscopic cholecystectomyHospital costsMeans of USMedian costProcedure volumeEmergency general surgeryTotal hospital costsMedian hospital costsNational Inpatient SampleAdults 18 yearsNational cost savingsAnnual procedure volumeValue of careHospital complicationsIndex hospitalHealth care valuePatient characteristicsAdverse outcomesInpatient SampleInclusion criteriaGeneral surgeryHospitalLevel IIICommon operation
2016
Never giving up: outcomes and presentation of emergency general surgery in geriatric octogenarian and nonagenarian patients
Shah AA, Zafar SN, Kodadek LM, Zogg CK, Chapital AB, Iqbal A, Greene WR, Cornwell EE, Havens J, Nitzschke S, Cooper Z, Salim A, Haider AH. Never giving up: outcomes and presentation of emergency general surgery in geriatric octogenarian and nonagenarian patients. The American Journal Of Surgery 2016, 212: 211-220.e3. PMID: 27086200, DOI: 10.1016/j.amjsurg.2016.01.021.Peer-Reviewed Original ResearchConceptsLength of stayNonagenarian patientsYoung adultsUtilization Project Nationwide Inpatient SampleLower total hospital costsEmergency general surgery patientsShorter LOSLower risk-adjusted oddsOlder adultsPrimary EGS diagnosesEmergency general surgeryGeneral surgery patientsRisk-adjusted oddsTotal hospital costsHigher mortality riskRisk-adjusted differencesGastrostomy careMajor morbidityOlder patientsSurgery patientsEGS diagnosesInpatient SampleHospital costsHigher oddsGeneral surgery
2014
Patient Factors Are Associated With Poor Short‐term Outcomes After Posterior Fusion for Adolescent Idiopathic Scoliosis
Basques BA, Bohl DD, Golinvaux NS, Smith BG, Grauer JN. Patient Factors Are Associated With Poor Short‐term Outcomes After Posterior Fusion for Adolescent Idiopathic Scoliosis. Clinical Orthopaedics And Related Research® 2014, 473: 286-294. PMID: 25201091, PMCID: PMC4390920, DOI: 10.1007/s11999-014-3911-4.Peer-Reviewed Original ResearchConceptsSevere adverse eventsLength of stayAdolescent idiopathic scoliosisAdverse eventsSurgical site infectionPerioperative morbiditySite infectionIdiopathic scoliosisSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramExtended LOSPoor short-term outcomeSurgical Quality Improvement ProgramInitial hospital stayResultsTwenty-seven patientsManagement of obesityIndividual adverse eventsShort-term outcomesTotal hospital costsMultivariate logistic regressionQuality Improvement ProgramHospital stayHospital readmissionNinety-fifth percentileOperative time
2013
Minimally invasive oesophagectomy more expensive than open despite shorter length of stay†
Dhamija A, Dhamija A, Hancock J, McCloskey B, Kim AW, Detterbeck FC, Boffa DJ. Minimally invasive oesophagectomy more expensive than open despite shorter length of stay†. European Journal Of Cardio-Thoracic Surgery 2013, 45: 904-909. PMID: 24092502, DOI: 10.1093/ejcts/ezt482.Peer-Reviewed Original ResearchConceptsOpen transthoracicInvasive oesophagectomyOesophageal cancerHigher surgical expenseShorter hospital stayDay of surgeryTotal hospital costsGreater overall costsMIO groupMIO patientsSurgical expensesHospital stayOperative mortalityEntire hospitalizationTranshiatal approachInpatient hospitalizationHealth care economyOpen groupHospital costsShorter lengthInvasive approachTheatre costsBaseline statusInvasive proceduresMedian cost
2008
Real money: Complications and hospital costs in trauma patients
Hemmila MR, Jakubus JL, Maggio PM, Wahl WL, Dimick JB, Campbell DA, Taheri PA. Real money: Complications and hospital costs in trauma patients. Surgery 2008, 144: 307-316. PMID: 18656640, PMCID: PMC2583342, DOI: 10.1016/j.surg.2008.05.003.Peer-Reviewed Original ResearchConceptsMajor complication groupMinor complication groupComplication groupHospital costsTrauma patientsDuration of stayMinor complicationsMajor complicationsHospital chargesNational Surgical Quality Improvement Program methodologyEmergency department systolic blood pressureQuality careMedian total hospital costLevel 1 trauma centerNew Injury Severity ScoreGeneral surgery populationMajor postoperative complicationsInjury Severity ScoreSystolic blood pressureTotal hospital chargesTotal hospital costsTypes of complicationsMedian hospital chargesImproved quality carePostoperative complications
2007
264: Preliminary Cost Estimation of Goal-Directed Protocol Treatment of Sepsis: What is the Role of the ED in Generating Costs Relative to Total Hospital Costs?
Venkatesh A, Schmidt M, Carney M, Bhayani R, Courtney D. 264: Preliminary Cost Estimation of Goal-Directed Protocol Treatment of Sepsis: What is the Role of the ED in Generating Costs Relative to Total Hospital Costs? Annals Of Emergency Medicine 2007, 50: s83. DOI: 10.1016/j.annemergmed.2007.06.250.Peer-Reviewed Original Research
2005
Risk stratification models fail to predict hospital costs of cardiac surgery patients
Hekmat K, Raabe A, Kroener A, Fischer U, Suedkamp M, Geissler H, Schwinger R, Kampe S, Mehlhorn U. Risk stratification models fail to predict hospital costs of cardiac surgery patients. Clinical Research In Cardiology 2005, 94: 748-753. PMID: 16258777, DOI: 10.1007/s00392-005-0300-8.Peer-Reviewed Original ResearchConceptsRisk stratification modelLength of stayTotal hospital costsCardiac surgical patientsHospital costsStratification modelSurgical patientsICU LOSCardiac surgery patientsConsecutive adult patientsPreoperative diagnostic testsICU staySurgery patientsAdult patientsCardiac surgeryRisk stratificationSpearman correlation coefficientProspective studyMean ageResultsA totalMethodsBetween OctoberMortality ratePatientsLinear regression analysisRoom costs
1998
Trends in costs of percutaneous transluminal coronary angioplasty.
Heiat A, Mattera JA, Henry GA, Chen YT, Krumholz HM. Trends in costs of percutaneous transluminal coronary angioplasty. The American Journal Of Managed Care 1998, 4: 1667-74. PMID: 10339099.Peer-Reviewed Original ResearchConceptsPercutaneous transluminal coronary angioplastyTransluminal coronary angioplastyCoronary angioplastyClinical outcomesElective percutaneous transluminal coronary angioplastyYale-New Haven HospitalCatheterization laboratory costsMedical chart reviewGroup of patientsTotal hospital costsLength of stayHospital cost accounting systemChart reviewClinical characteristicsConsecutive patientsAngiographic featuresHospital recordsContrast volumeRetrospective studyPatient populationHospital costsLesion characteristicsStent useCatheterization laboratoryPatient profiles
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