2024
Patient 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
The interaction between geriatric and neighborhood vulnerability: Delineating prehospital risk among older adult emergency general surgery patients
Zogg C, Falvey J, Kodadek L, Staudenmayer K, Davis K. The interaction between geriatric and neighborhood vulnerability: Delineating prehospital risk among older adult emergency general surgery patients. Journal Of Trauma And Acute Care Surgery 2023, 96: 400-408. PMID: 37962136, PMCID: PMC10922165, DOI: 10.1097/ta.0000000000004191.Peer-Reviewed Original ResearchGeriatric vulnerabilitiesOlder adultsEGS careAdverse outcomesHospital Frailty Risk ScoreEmergency general surgery patientsGreater riskFlorida State Inpatient DatabaseFrailty Risk ScoreGeneral surgery patientsState Inpatient DatabasesArea Deprivation IndexEthnic minority patientsNeighborhood vulnerabilityEGS outcomesHazard ratioOlder patientsSurgery patientsPatient ageEGS conditionsInpatient DatabaseVulnerable patientsPatient residesMinority patientsRisk score
2022
Effect of Antibiotic Duration in Emergency General Surgery Patients with Intra-Abdominal Infection Managed with Open vs Closed Abdomen.
Diaz JJ, Zielinski MD, Chipman AM, O'Meara L, Schroeppel T, Cullinane D, Shoultz T, Barnes SL, May AK, Maung AA. Effect of Antibiotic Duration in Emergency General Surgery Patients with Intra-Abdominal Infection Managed with Open vs Closed Abdomen. Journal Of The American College Of Surgeons 2022, 234: 419-427. PMID: 35290260, DOI: 10.1097/xcs.0000000000000126.Peer-Reviewed Original ResearchConceptsIntra-abdominal infectionsOpen abdomenSecondary infectionAntibiotic durationClosed abdomenOA patientsExact testHigher Sequential Organ Failure AssessmentSequential Organ Failure AssessmentEmergency general surgery patientsChi-square/Fisher's exact testDuration of antibioticsAPACHE II scoreGeneral surgery patientsOrgan Failure AssessmentHigh rateAnesthesiologists physical statusFisher's exact testTwenty-one centersII scoreSurgery patientsOverall mortalityPrimary outcomeMean durationAntibiotic treatment
2019
Early 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 CollegeRethinking our definition of operative success: predicting early mortality after emergency general surgery colon resection
DeWane MP, Davis KA, Schuster KM, Maung AA, Becher RD. Rethinking our definition of operative success: predicting early mortality after emergency general surgery colon resection. Trauma Surgery & Acute Care Open 2019, 4: e000244. PMID: 31245613, PMCID: PMC6560481, DOI: 10.1136/tsaco-2018-000244.Peer-Reviewed Original ResearchPostoperative septic shockEarly deathSeptic shockEarly mortalityColon resectionSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseNew-onset renal failureEmergency general surgery patientsQuality Improvement Program databaseGeneral surgery patientsRetrospective cohort studyImprovement Program databasePostoperative day 5Overall mortality rateMultivariable logistic regressionImmediate perioperative complicationsSurgical Risk CalculatorKaplan-Meier modelEmergent colectomyLate deathsVentilator dependencePerioperative complicationsPostoperative complicationsPreoperative factors
2018
Racial/Ethnic Disparities in Longer-term Outcomes Among Emergency General Surgery Patients
Zogg CK, Jiang W, Ottesen TD, Shafi S, Schuster K, Becher R, Davis KA, Haider AH. Racial/Ethnic Disparities in Longer-term Outcomes Among Emergency General Surgery Patients. Annals Of Surgery 2018, 268: 968-979. PMID: 28742704, PMCID: PMC5783796, DOI: 10.1097/sla.0000000000002449.Peer-Reviewed Original ResearchConceptsEmergency general surgery patientsNon-Hispanic whitesGeneral surgery patientsLong-term outcomesNon-Hispanic blacksNon-Hispanic AsiansMinority patientsMajor morbidityUnplanned readmissionSurgery patientsOlder adultsRisk-adjusted Cox proportional hazards modelsEthnic disparitiesCox proportional hazards modelDiagnostic categoriesRacial/ethnic disparitiesUS population agesProportional hazards modelNHB patientsNonagenarian patientsNHW patientsBACKGROUND DATAHospital's percentageMortality differencesMedicare dataTransfer status
DeWane MP, Davis KA, Schuster KM, Erwin SP, Maung AA, Becher RD. Transfer status. Journal Of Trauma And Acute Care Surgery 2018, 85: 348-353. PMID: 29664889, DOI: 10.1097/ta.0000000000001939.Peer-Reviewed Original ResearchConceptsOutside emergency departmentHospital inpatient unitsEmergency departmentNursing homesInpatient unitTransfer statusSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseBackward multivariable logistic regressionOutside hospital emergency departmentEmergency general surgery patientsQuality Improvement Program databaseMultivariate Cox regression analysisEmergency colon surgeryGeneral surgery patientsThirty-day mortalityImprovement Program databaseChronic care facilitiesCox regression analysisRates of morbidityTransfer of patientsHospital emergency departmentHospital inpatient wardsEmergent colectomyPhysiologic decompensationVenous Thromboembolism-Related Readmission in Emergency General Surgery Patients: A Role for Prophylaxis on Discharge?
DeWane MP, Davis KA, Schuster KM, Maung AA, Becher RD. Venous Thromboembolism-Related Readmission in Emergency General Surgery Patients: A Role for Prophylaxis on Discharge? Journal Of The American College Of Surgeons 2018, 226: 1072-1077.e3. PMID: 29574180, DOI: 10.1016/j.jamcollsurg.2018.03.021.Peer-Reviewed Original ResearchConceptsVenous thromboembolismEmergency general surgery operationsPost-discharge venous thromboembolismEmergency general surgery patientsMultivariable logistic regression modelingCommon EGS operationsGeneral surgery patientsRate of readmissionUrinary tract infectionSurgeons NSQIP databaseHigh-risk groupGeneral surgery operationsLogistic regression modelingEGS operationsProphylactic anticoagulationVTE formationVTE prophylaxisVTE ratesEGS patientsPostoperative sepsisNSQIP databaseProlonged lengthSurgery patientsTract infectionsPredictive factors
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 surgeryDamage control operations in non-trauma patients: defining criteria for the staged rapid source control laparotomy in emergency general surgery
Becher RD, Peitzman AB, Sperry JL, Gallaher JR, Neff LP, Sun Y, Miller PR, Chang MC. Damage control operations in non-trauma patients: defining criteria for the staged rapid source control laparotomy in emergency general surgery. World Journal Of Emergency Surgery 2016, 11: 10. PMID: 26913055, PMCID: PMC4765073, DOI: 10.1186/s13017-016-0067-4.Peer-Reviewed Original ResearchSevere sepsis/septic shockSepsis/septic shockEGS patientsLethal triadEmergent laparotomyControl laparotomySeptic shockEmergency general surgery patientsPhysiologic parametersEmergency general surgeryGeneral surgery patientsPre-existing comorbiditiesNon-trauma patientsSimilar survival advantageMultivariable regression analysisDamage control operationLogistic regression modelsMultiple comorbiditiesPostoperative complicationsAcute indicationsPerioperative variablesSurgery patientsTrauma patientsOperative managementElevated lactate
2015
The “Hispanic Paradox” Exists in Emergent Conditions: Better or Equivalent Surgical Outcomes Among US Hispanic Emergency General Surgery Patients
Ordóñez C, Haider A, Zogg C, Herrera-Escobar J, Uribe-Leitz T, Bhulani N, Shafi S, Davis K. The “Hispanic Paradox” Exists in Emergent Conditions: Better or Equivalent Surgical Outcomes Among US Hispanic Emergency General Surgery Patients. Panamerican Journal Of Trauma Critical Care & Emergency Surgery 2015, 8: 36-51. DOI: 10.5005/jp-journals-10030-1235.Peer-Reviewed Original ResearchEmergency general surgery patientsGeneral surgery patientsEquivalent surgical outcomesSurgery patientsSurgical outcomesHispanic paradoxEmergent conditionsPatients
2013
When the ICU is the operating room
Piper GL, Maerz LL, Schuster KM, Maung AA, Luckianow GM, Davis KA, Kaplan LJ. When the ICU is the operating room. Journal Of Trauma And Acute Care Surgery 2013, 74: 871-875. PMID: 23425750, DOI: 10.1097/ta.0b013e31827e9c52.Peer-Reviewed Original ResearchConceptsSurgical intensive care unitOperating roomOperative locationICU casesEmergency general surgery patientsGeneral surgery patientsTotal operative casesType of anesthesiaIntensive care unitMode of ventilationT-testStudent's t-testSurgery patientsCare unitNeuromuscular blockadeAdverse outcomesDeep sedationProcedure typeOperative procedureSurgical proceduresEpidemiologic studiesICU databaseCase volumeLevel ITotal cases
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