2024
Step-by-step roadmap to building a robotic acute care surgery program (RACSP) in a level I trauma center: outcomes and lessons learned after 1-year implementation
Jose A, Rafieezadeh A, Zangbar B, Klein J, Kirsch J, Shnaydman I, Bronstein M, Con J, Policastro A, Prabhakaran K. Step-by-step roadmap to building a robotic acute care surgery program (RACSP) in a level I trauma center: outcomes and lessons learned after 1-year implementation. Trauma Surgery & Acute Care Open 2024, 9: e001449. PMID: 39077748, PMCID: PMC11284907, DOI: 10.1136/tsaco-2024-001449.Peer-Reviewed Original ResearchLevel I trauma centerLaparoscopic surgeryAcute care surgery programsRobotic surgeryGeneral surgerySurgery programsMinimally invasive surgical techniquesInvasive surgical techniquesStandard of careEmergency general surgeryAcute care programsHigh-volume level I trauma centerAcute appendicitisPostoperative outcomesLaparoscopic operationsSurgical techniqueSurgeryElective proceduresSurgical teamCare programIncreased uptakeIntensive trainingPatient reported outcomes of emergency general surgery procedures
Mathew P, Ali Y, O'Connor R, Levinson R, Khan A, Schuster K. Patient reported outcomes of emergency general surgery procedures. The American Journal Of Surgery 2024, 232: 118-125. PMID: 38413350, DOI: 10.1016/j.amjsurg.2024.01.021.Peer-Reviewed Original ResearchEmergency general surgeryEmergency general surgery patientsMixed methods studyEmergency general surgery proceduresSemi-structured interviewsPatient experienceHealthcare systemMethods studyOutcome measuresInterpretation - PatientsPatient outcomesGeneral surgery proceduresDecision-makingCommunication issuesSeverity of complicationsCareFindings to clinical characteristicsPROMGeneral surgeryEmergency surgeryClinical characteristicsExpeditious treatmentOutcomesTeamSurgery procedures
2023
Emergency general surgery verification: Quality improvement and the case for optimal resources and process standards
Coleman J, Davis K, Savage S, Staudenmayer K, Coimbra R. Emergency general surgery verification: Quality improvement and the case for optimal resources and process standards. Journal Of Trauma And Acute Care Surgery 2023, 96: e1-e4. PMID: 37678150, DOI: 10.1097/ta.0000000000004135.Peer-Reviewed Original ResearchConceptsEmergency general surgeryEmergency surgical interventionDay of surgeryAcute care surgeryPublic health burdenQuality Improvement ProgramPostoperative complicationsCare surgeryHospital admissionIll patientsSurgical interventionFormal quality improvement programHealth burdenGeneral surgeryPatient careCare deliverySurgeryPrograms/servicesField of traumaOutcomes researchPatientsAdmissionHospitalNational databankPractice standardsEnhanced Recovery After Surgery (ERAS®) Society Consensus Guidelines for Emergency Laparotomy Part 3: Organizational Aspects and General Considerations for Management of the Emergency Laparotomy Patient
Peden C, Aggarwal G, Aitken R, Anderson I, Balfour A, Foss N, Cooper Z, Dhesi J, French W, Grant M, Hammarqvist F, Hare S, Havens J, Holena D, Hübner M, Johnston C, Kim J, Lees N, Ljungqvist O, Lobo D, Mohseni S, Ordoñez C, Quiney N, Sharoky C, Urman R, Wick E, Wu C, Young-Fadok T, Scott M. Enhanced Recovery After Surgery (ERAS®) Society Consensus Guidelines for Emergency Laparotomy Part 3: Organizational Aspects and General Considerations for Management of the Emergency Laparotomy Patient. World Journal Of Surgery 2023, 47: 1881-1898. PMID: 37277506, PMCID: PMC10241556, DOI: 10.1007/s00268-023-07039-9.Peer-Reviewed Original ResearchConceptsOrganizational aspects of careAspects of careEnd-of-life issuesEmergency general surgical patientsComponents of careEnd-of-lifeModified Delphi processGrading of RecommendationsCare of patientsEnhanced recoveryOptimal care of patientsModified Delphi MethodEmergency general surgeryEmergency laparotomy patientsLevel of evidenceEmergency laparotomyOrganizational aspectsSurgical patientsDelphi processOptimal careERAS elementsCohort studyHigh-risk patient populationSystematic reviewCareConsensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS®) Society Recommendations Part 2—Emergency Laparotomy: Intra‐ and Postoperative Care
Scott M, Aggarwal G, Aitken R, Anderson I, Balfour A, Foss N, Cooper Z, Dhesi J, French W, Grant M, Hammarqvist F, Hare S, Havens J, Holena D, Hübner M, Johnston C, Kim J, Lees N, Ljungqvist O, Lobo D, Mohseni S, Ordoñez C, Quiney N, Sharoky C, Urman R, Wick E, Wu C, Young-Fadok T, Peden C. Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS®) Society Recommendations Part 2—Emergency Laparotomy: Intra‐ and Postoperative Care. World Journal Of Surgery 2023, 47: 1850-1880. PMID: 37277507, PMCID: PMC10241558, DOI: 10.1007/s00268-023-07020-6.Peer-Reviewed Original ResearchConceptsEmergency laparotomyEmergency general surgical patientsComponents of careModified Delphi processGrading of RecommendationsCare of patientsOptimal care of patientsModified Delphi MethodEmergency general surgeryConsensus guidelinesLevel of evidencePostoperative careHigh-risk patient populationDelphi processOptimal careERAS elementsManagement of high-riskCareCohort studyApproach to patientsGeneral surgical patientsSystematic reviewMEDLINE database searchMeta-analysesRandomized clinical trials
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
2021
Association of Acute Care Surgeon Experience With Emergency Surgery Patient Outcomes and Mortality
Schuster KM, Hazelton JP, Rattigan D, Perez JM, Bhattacharya B. Association of Acute Care Surgeon Experience With Emergency Surgery Patient Outcomes and Mortality. JAMA Surgery 2021, 156: 472-478. PMID: 33688932, PMCID: PMC7948108, DOI: 10.1001/jamasurg.2021.0041.Peer-Reviewed Original ResearchMeSH KeywordsAcute Kidney InjuryAdultAgedBlood TransfusionClinical CompetenceEmergenciesFemaleHumansLength of StayMaleMiddle AgedPostoperative HemorrhagePostoperative PeriodReoperationRisk FactorsShock, SepticSurgeonsSurgical Wound InfectionSurvival RateTime FactorsTrauma CentersTreatment OutcomeUnited StatesWounds and InjuriesYoung AdultConceptsEmergency surgery outcomesEmergency Surgery ScoreMore septic shockEmergency surgical proceduresLength of staySurgeon experienceUnplanned returnOlder patientsSeptic shockSurgery scoreKidney failureSurgery outcomesOperating roomSurgical proceduresSurgeon groupAcademic level 1 trauma centerOrgan space surgical site infectionEmergency general surgical careLevel 1 trauma centerYears of experienceGeneral surgical interventionEmergency general surgeryAcute care surgeonsAcute kidney failureSurgical site infectionGuidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations: Part 1—Preoperative: Diagnosis, Rapid Assessment and Optimization
Peden C, Aggarwal G, Aitken R, Anderson I, Foss N, Cooper Z, Dhesi J, French W, Grant M, Hammarqvist F, Hare S, Havens J, Holena D, Hübner M, Kim J, Lees N, Ljungqvist O, Lobo D, Mohseni S, Ordoñez C, Quiney N, Urman R, Wick E, Wu C, Young-Fadok T, Scott M. Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations: Part 1—Preoperative: Diagnosis, Rapid Assessment and Optimization. World Journal Of Surgery 2021, 45: 1272-1290. PMID: 33677649, PMCID: PMC8026421, DOI: 10.1007/s00268-021-05994-9.Peer-Reviewed Original ResearchConceptsEmergency laparotomyERAS approachEmergency general surgical patientsFirst consensus guidelinesSurgery (ERAS) Society RecommendationsEmergency general surgeryGeneral surgical patientsGrading of RecommendationsHigh-risk patientsLength of stayElective surgical proceduresLarge cohort studyBest available evidenceMEDLINE database searchNon-emergency patientsEnglish-language publicationsERAS elementsCohort studyInitial managementSurgery protocolSurgical patientsPerioperative carePhysiological derangementsPreoperative carePostoperative management
2020
Emergency General Surgery in the Elderly
Con J, Gogna S, Latifi R. Emergency General Surgery in the Elderly. 2020, 205-210. DOI: 10.1007/978-3-030-47963-3_15.Peer-Reviewed Original ResearchBenchmarking 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 operationTransfusion rates in emergency general surgery: high but modifiable
Medvecz A, Bernard A, Hamilton C, Schuster KM, Guillamondegui O, Davenport D. Transfusion rates in emergency general surgery: high but modifiable. Trauma Surgery & Acute Care Open 2020, 5: e000371. PMID: 32154373, PMCID: PMC7046949, DOI: 10.1136/tsaco-2019-000371.Peer-Reviewed Original ResearchNational Surgical Quality Improvement Program dataTransfusion rateRed blood cellsRBC transfusionSurgeons National Surgical Quality Improvement Program dataEmergency general surgery casesQuality Improvement Program dataBlood conservation technologiesNon-emergent casesCurrent Procedural Terminology codesEmergency general surgeryGeneral surgery casesProcedural Terminology codesAcademic medical centerComposite morbidityNSQIP complicationsRetrospective reviewSurgery casesGeneral surgeonsMedical CenterAmerican CollegeGeneral surgeryTerminology codesTransfusionPatient acuity
2019
Regionalization of emergency general surgery operations: A simulation study.
Becher RD, Sukumar N, DeWane MP, Gill TM, Maung AA, Schuster KM, Stolar MJ, Davis KA. Regionalization of emergency general surgery operations: A simulation study. Journal Of Trauma And Acute Care Surgery 2019, 88: 366-371. PMID: 31804419, PMCID: PMC7472889, DOI: 10.1097/ta.0000000000002543.Peer-Reviewed Original ResearchConceptsEmergency general surgeryHigh-volume hospitalsEGS careEmergency general surgery operationsCalifornia inpatient databaseCommon EGS operationsRisk-adjusted deathsSignificant survival benefitLow-volume hospitalsUmbilical hernia repairSmall bowel resectionHigh-mortality hospitalsGeneral surgery operationsRegional trauma systemEGS operationsBowel resectionAdult patientsPrimary outcomeSurvival benefitInpatient DatabaseHernia repairTrauma systemLevel IVGeneral surgeryCare managementHigh-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient.
DeWane MP, Sukumar N, Stolar MJ, Gill TM, Maung AA, Schuster KM, Davis KA, Becher RD. High-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient. Journal Of Trauma And Acute Care Surgery 2019, 87: 140-146. PMID: 31259872, PMCID: PMC7656193, DOI: 10.1097/ta.0000000000002273.Peer-Reviewed Original ResearchConceptsCommon EGS operationsEmergency general surgeryOlder patientsGeriatric patientsEmergency general surgery operationsEGS operationsCalifornia State Inpatient DatabaseGeneral surgery hospitalsPatients 65 yearsRisk-adjusted mortalitySurvival rates 1State Inpatient DatabasesGeneral surgery operationsClusters of hospitalsOperation typeHospital performanceEGS patientsSurgery HospitalInpatient DatabaseGroup of hospitalsGeriatric populationGeneral surgeryPatientsHospitalLevel IIIEarly postoperative death in extreme-risk patients: A perspective on surgical futility
Chiu A, Jean R, Resio B, Pei K. Early postoperative death in extreme-risk patients: A perspective on surgical futility. Surgery 2019, 166: 380-385. PMID: 31208864, DOI: 10.1016/j.surg.2019.05.002.Peer-Reviewed Original ResearchConceptsExtreme-risk patientsFutile careSurgical futilityFutile surgeryExtreme-riskEmergency general surgery patientsEstimate mortality riskAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseEmergency general surgery operationsEarly deathEmergency general surgeryQuality Improvement Program databaseDependent functional statusEarly postoperative deathLysis of adhesionsSmall bowel resectionGeneral surgery patientsHigher oddsGeneral surgery operationsMortality riskFunctional statusCareAmerican CollegeAmerican Association for the Surgery of Trauma (AAST) emergency general surgery guidelines gap analysis
Schuster K, Davis K, Hernandez M, Holena D, Salim A, Crandall M. American Association for the Surgery of Trauma (AAST) emergency general surgery guidelines gap analysis. Journal Of Trauma And Acute Care Surgery 2019, Publish Ahead of Print: &na;. PMID: 30768554, DOI: 10.1097/ta.0000000000002226.Peer-Reviewed Original ResearchConceptsEmergency general surgeryEGS diseasesSmall bowel obstructionAcute care surgeryCommon disease statesAAST gradeAmerican AssociationBowel obstructionAcute cholecystitisTrauma gradeCare surgeryAcute pancreatitisAdditional researchGeneral surgeryDisease processPatient careSurgeryLiterature searchDiseaseDisease statesAdditional literature reviewLow-quality researchDiagnosisInitial gap analysisThorough assessmentMacroeconomic trends and practice models impacting acute care surgery
Bernard A, Staudenmayer K, Minei JP, Doucet J, Haider A, Scherer T, Davis KA. Macroeconomic trends and practice models impacting acute care surgery. Trauma Surgery & Acute Care Open 2019, 4: e000295. PMID: 31058241, PMCID: PMC6461137, DOI: 10.1136/tsaco-2018-000295.Peer-Reviewed Original ResearchEmergency general surgeryElective surgeryCritical careCritical care codesAcute care surgeonsAcute care surgeryCare delivery modelsOperative case volumeSignificant healthcare needsCare surgerySurgeon satisfactionInpatient carePractice modelTrauma surgeonsGeneral surgeryCase volumeSurgeryCare codesACS surgeonsHealthcare needsPopulation agesSurgeonsAvailable surgeonsCareProfessional revenueThe Economic Footprint of Acute Care Surgery in the United States
Knowlton LM, Minei J, Tennakoon L, Davis KA, Doucet J, Bernard A, Haider A, Scherer L, Spain DA, Staudenmayer KL. The Economic Footprint of Acute Care Surgery in the United States. Journal Of Trauma And Acute Care Surgery 2019, Publish Ahead of Print: &na;. PMID: 30589750, PMCID: PMC6433481, DOI: 10.1097/ta.0000000000002181.Peer-Reviewed Original ResearchConceptsAcute care surgeryEmergency general surgeryACS patientsClinical Modification diagnosisInpatient populationInternational ClassificationAdult ACS patientsNon-surgical patientsHealth care utilizationHigher mean costSurgical critical careNonoperative conditionsACS diagnosisAdult patientsPatient characteristicsCare surgeryCare utilizationAdult admissionsEGS conditionsInpatient costsInpatient hospitalizationCritical careGeneral surgeryMean costPatientsAmerican Association for the Surgery of Trauma emergency general surgery guideline summaries 2018: acute appendicitis, acute cholecystitis, acute diverticulitis, acute pancreatitis, and small bowel obstruction
Schuster KM, Holena DN, Salim A, Savage S, Crandall M. American Association for the Surgery of Trauma emergency general surgery guideline summaries 2018: acute appendicitis, acute cholecystitis, acute diverticulitis, acute pancreatitis, and small bowel obstruction. Trauma Surgery & Acute Care Open 2019, 4: e000281. PMID: 31058240, PMCID: PMC6461136, DOI: 10.1136/tsaco-2018-000281.Peer-Reviewed Original ResearchEmergency general surgerySmall bowel obstructionAcute diverticulitisAcute cholecystitisBowel obstructionAcute appendicitisAcute pancreatitisClinical practice guidelinesSurgery of TraumaSolid evidence baseAmerican AssociationEGS diseasesGuideline recommendationsEGS conditionsConsensus guidelinesSeverity scorePractice guidelinesGeneral surgeryLiterature searchSurgeryEvidence baseDisease statesFurther researchDiverticulitisCholecystitisEvaluating mortality outlier hospitals to improve the quality of care in emergency general surgery.
Becher RD, DeWane MP, Sukumar N, Stolar MJ, Gill TM, Maung AA, Schuster KM, Davis KA. Evaluating mortality outlier hospitals to improve the quality of care in emergency general surgery. Journal Of Trauma And Acute Care Surgery 2019, 87: 297-306. PMID: 30908450, PMCID: PMC6660354, DOI: 10.1097/ta.0000000000002271.Peer-Reviewed Original ResearchConceptsStandardized mortality ratioOutlier hospitalsHospital variationMortality ratioStandardized mortalityEmergency general surgery operationsCalifornia State Inpatient DatabaseEGS operationsCommon EGS operationsSignificant hospital variationEmergency general surgeryHospital-level characteristicsHospital-level variablesSignificant excess mortalityGeneral surgery operationsState Inpatient DatabasesQuality improvement initiativesQuality of careHospital quality indicatorsNational Quality ForumEGS outcomesInpatient DatabaseExcess mortalityOnly hospitalEpidemiologic studiesSymptomatic human immunodeficiency virus–infected patients have poorer outcomes following emergency general surgery
Sandler BJ, Davis KA, Schuster KM. Symptomatic human immunodeficiency virus–infected patients have poorer outcomes following emergency general surgery. Journal Of Trauma And Acute Care Surgery 2019, 86: 479-488. PMID: 30531208, DOI: 10.1097/ta.0000000000002161.Peer-Reviewed Original ResearchConceptsHIV/AIDS patientsHIV-negative patientsAsymptomatic HIV-positive patientsHIV-positive patientsActive antiretroviral therapyAIDS patientsAntiretroviral therapyHospital stayPostoperative complicationsHuman immunodeficiency virus-infected patientsEmergency general surgery proceduresHigher median total chargesImmune deficiency syndrome (AIDS) patientsHuman immunodeficiency virus (HIV) infectionEmergency general surgeryLonger hospital stayRetrospective cohort studyAcute renal failureHIV-negative controlsImmunodeficiency virus infectionVirus-infected patientsRecords of patientsUrinary tract infectionMedian total chargesNationwide Inpatient Sample
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