2020
Geographic Variation in the Utilization of and Mortality After Emergency General Surgery Operations in the Northeastern and Southeastern United States
Becher RD, Jin L, Warren JL, Gill TM, DeWane MP, Davis KA, Zhang Y. Geographic Variation in the Utilization of and Mortality After Emergency General Surgery Operations in the Northeastern and Southeastern United States. Annals Of Surgery 2020, 275: 340-347. PMID: 32516232, PMCID: PMC7726051, DOI: 10.1097/sla.0000000000003939.Peer-Reviewed Original ResearchConceptsHospital service areasSubsequent mortalityEmergency general surgery careEmergency general surgery operationsEGS operationsCommon EGS operationsAge-standardized ratesGeneral surgery careState Inpatient DatabasesGeneral surgery operationsRandom-effects modelWide geographic variationHospital mortalityInpatient DatabaseSurgery careKruskal-Wallis testMortality rateUnwarranted variationMortalityStandardized ratesLinear random effects modelSurgery operationsUnited StatesGeographic variationCare
2018
Risk of Surgical Site Infection (SSI) following Colorectal Resection Is Higher in Patients With Disseminated Cancer: An NCCN Member Cohort Study
Kamboj M, Childers T, Sugalski J, Antonelli D, Bingener-Casey J, Cannon J, Cluff K, Davis KA, Dellinger EP, Dowdy SC, Duncan K, Fedderson J, Glasgow R, Hall B, Hirsch M, Hutter M, Kimbro L, Kuvshinoff B, Makary M, Morris M, Nehring S, Ramamoorthy S, Scott R, Sovel M, Strong V, Webster A, Wick E, Aguilar JG, Carlson R, Sepkowitz K. Risk of Surgical Site Infection (SSI) following Colorectal Resection Is Higher in Patients With Disseminated Cancer: An NCCN Member Cohort Study. Infection Control And Hospital Epidemiology 2018, 39: 555-562. PMID: 29553001, PMCID: PMC6707075, DOI: 10.1017/ice.2018.40.Peer-Reviewed Original ResearchConceptsSurgical site infectionDisseminated cancerHealthcare-associated infectionsSSI ratesColorectal surgeryASA scoreSite infectionSSI riskColorectal proceduresRate of SSIRisk of SSIDevelopment of SSICommon healthcare-associated infectionsChronic obstructive pulmonary diseaseInfect Control Hosp EpidemiolBackgroundSurgical site infectionCurrent Procedural Technology codesPooled SSI rateNational Comprehensive Cancer Network (NCCN) member institutionsObstructive pulmonary diseaseClinical Modification codesLonger durationPotential risk factorsRisk-adjusted outcomesSurgical quality improvementProphylactic Ureteral Stent Placement vs No Ureteral Stent Placement During Open Colectomy
Merola J, Arnold B, Luks V, Ibarra C, Resio B, Davis KA, Pei KY. Prophylactic Ureteral Stent Placement vs No Ureteral Stent Placement During Open Colectomy. JAMA Surgery 2018, 153: 87-90. PMID: 28973647, PMCID: PMC5833617, DOI: 10.1001/jamasurg.2017.3477.Peer-Reviewed Original Research
2013
Repositioning endotracheal tubes in the intensive care unit
Wang ML, Schuster KM, Bhattacharya B, Maung AA, Kaplan LJ, Davis KA. Repositioning endotracheal tubes in the intensive care unit. Journal Of Trauma And Acute Care Surgery 2013, 75: 146-149. PMID: 23940860, DOI: 10.1097/ta.0b013e31829849cd.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedChi-Square DistributionCohort StudiesCritical CareCritical IllnessFemaleFollow-Up StudiesHumansIntensive Care UnitsIntubation, IntratrachealLinear ModelsMaleMiddle AgedMonitoring, PhysiologicMultivariate AnalysisPatient PositioningProspective StudiesRadiography, ThoracicRetreatmentRisk AssessmentTracheaConceptsEndotracheal tubeSurgical intensive care unit patientsIntensive care unit patientsChest X-ray studyRoutine chest radiographCare unit patientsProspective observational studyIntensive care unitInterquartile rangeUnit patientsCare unitWithdrawal groupRespiratory therapistsChest radiographsObservational studyInclusion criteriaMedian withdrawalET withdrawalMean differencePatientsSuboptimal positioningInterventionIncisorsMedianWithdrawal
2010
Factors Associated With Survival Following Blunt Chest Trauma in Older Patients: Results From a Large Regional Trauma Cooperative
Harrington DT, Phillips B, Machan J, Zacharias N, Velmahos GC, Rosenblatt MS, Winston E, Patterson L, Desjardins S, Winchell R, Brotman S, Churyla A, Schulz JT, Maung AA, Davis KA. Factors Associated With Survival Following Blunt Chest Trauma in Older Patients: Results From a Large Regional Trauma Cooperative. JAMA Surgery 2010, 145: 432-437. PMID: 20479340, DOI: 10.1001/archsurg.2010.71.Peer-Reviewed Original ResearchConceptsHigh-volume trauma centerInjury Severity ScoreCongestive heart failurePatient-controlled analgesiaRib fracturesTrauma centerSeverity scoreOlder patientsHeart failureMultivariable analysisTraumatic rib fracturesBlunt chest traumaPatient dataDevelopment of pneumoniaCoronary artery diseaseLevel I centersTraumatic chest injuriesStandard care practicesChest scoreChest traumaArtery diseaseImproved survivalIndependent predictorsPatient factorsUnivariable analysisManagement of the Most Severely Injured Spleen: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCONECT)
Velmahos GC, Zacharias N, Emhoff TA, Feeney JM, Hurst JM, Crookes BA, Harrington DT, Gregg SC, Brotman S, Burke PA, Davis KA, Gupta R, Winchell RJ, Desjardins S, Alouidor R, Gross RI, Rosenblatt MS, Schulz JT, Chang Y. Management of the Most Severely Injured Spleen: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCONECT). JAMA Surgery 2010, 145: 456-460. PMID: 20479344, DOI: 10.1001/archsurg.2010.58.Peer-Reviewed Original ResearchConceptsBlunt splenic injuryFailure of NOMNonoperative managementGrade IVF-NOMBrain injurySevere blunt splenic injuryTrial of NOMOverall high success rateMortality of patientsRetrospective case seriesSuccessful nonoperative managementPredictors of failureRequire surgerySplenic injuryAdult patientsIndependent predictorsCase seriesTrauma centerMulticenter studyHigh success ratePatientsMultivariate analysisInjurySuccess rate
2009
Factors Predicting Morbidity and Mortality in Emergency Colorectal Procedures in Elderly Patients
McGillicuddy EA, Schuster KM, Davis KA, Longo WE. Factors Predicting Morbidity and Mortality in Emergency Colorectal Procedures in Elderly Patients. JAMA Surgery 2009, 144: 1157-1162. PMID: 20026835, DOI: 10.1001/archsurg.2009.203.Peer-Reviewed Original ResearchConceptsEmergency colorectal proceduresEmergent colorectal proceduresColorectal proceduresHospital mortalityElderly patientsUniversity tertiary referral centerIntra-abdominal contaminationIntraoperative blood lossPatients 65 yearsAdvanced colorectal cancerCurrent Procedural Terminology codesModifiable risk factorsTertiary referral centerColorectal cancer screeningRecurrent respiratory failureProcedural Terminology codesPredicting MorbidityHospital morbidityPostoperative morbidityRenal insufficiencyRespiratory failureFrequent complicationReferral centerBlood lossRetrospective review
2004
Urgent Airways After Trauma: Who Gets Pneumonia?
Eckert MJ, Davis KA, Reed RL, Santaniello JM, Poulakidas S, Esposito TJ, Luchette FA. Urgent Airways After Trauma: Who Gets Pneumonia? Journal Of Trauma And Acute Care Surgery 2004, 57: 750-755. PMID: 15514528, DOI: 10.1097/01.ta.0000147499.73570.12.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge DistributionCohort StudiesEmergency TreatmentFemaleHumansIncidenceInjury Severity ScoreIntubation, IntratrachealMaleMiddle AgedPneumonia, BacterialPredictive Value of TestsProbabilityPrognosisRegression AnalysisRetrospective StudiesRisk AssessmentSex DistributionSurvival AnalysisTracheostomyTrauma CentersWounds and InjuriesConceptsIndependent risk factorDevelopment of pneumoniaRisk factorsEmergency departmentField intubationEmergent intubationLower Glasgow Coma Scale scoreGlasgow Coma Scale scoreMultiple logistic regression analysisPost-traumatic pneumoniaPre-hospital areaIncidence of pneumoniaLower GCS scoreSevere head injuryLogistic regression analysisSeverity of injuryAIS extremityAIS headED intubationHigher ISSHospital lengthGCS scoreRetrospective reviewTrauma patientsBlunt trauma