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
Surrogate consent for surgery among older adult patients
Miller SM, Nagarkatti N, Ahuja V, Schneider EB, Mohanty S, Rosenthal RA, Kodadek LM. Surrogate consent for surgery among older adult patients. Surgery 2022, 172: 1748-1752. PMID: 36123180, DOI: 10.1016/j.surg.2022.08.015.Peer-Reviewed Original ResearchConceptsHalf of patientsCognitive impairmentSurrogate consentHigher comorbidity burdenOlder adult patientsComorbidity burdenPreoperative disabilityAdult patientsOlder patientsFemale patientsSurgical interventionElective proceduresSurgical proceduresHealth characteristicsAmerican CollegeDaily livingOwn consentPatientsOlder adultsImpairmentSurgeryConsentDescriptive analysisFurther researchDiagnosis
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
2015
Undertriage of older trauma patients: is this a national phenomenon?
Kodadek LM, Selvarajah S, Velopulos CG, Haut ER, Haider AH. Undertriage of older trauma patients: is this a national phenomenon? Journal Of Surgical Research 2015, 199: 220-229. PMID: 26070496, DOI: 10.1016/j.jss.2015.05.017.Peer-Reviewed Original ResearchConceptsNew Injury Severity ScoreLower level trauma centerLevel trauma centerMultivariable logistic regressionTrauma centerNontrauma centersLevel IOlder patientsEmergency departmentNationwide Emergency Department SampleLogistic regressionOlder trauma patientsCharacteristics of patientsInjury Severity ScoreEmergency Department SampleFall-related injuriesPatient ageTrauma patientsSeverity scoreSubgroup analysisDefinitive careHospital characteristicsFemale genderTrauma careInclusion criteriaDo trauma center levels matter in older isolated hip fracture patients?
Nelson-Williams H, Kodadek L, Canner J, Schneider E, Efron D, Haut E, Shafiq B, Haider A, Velopulos CG. Do trauma center levels matter in older isolated hip fracture patients? Journal Of Surgical Research 2015, 198: 468-474. PMID: 26038246, DOI: 10.1016/j.jss.2015.03.074.Peer-Reviewed Original ResearchConceptsHip fracture patientsLevel trauma centerTrauma center levelFracture patientsTrauma centerDischarge dispositionUnadjusted logistic regression analysisNationwide Emergency Department SampleHigh-level trauma centersLower level trauma centerIsolated hip fractureHospital-level factorsOdds of dischargeOdds of mortalityHospital-level variablesMulti-trauma patientsMultivariable logistic regressionEmergency Department SampleMain outcome measuresLogistic regression analysisCenter levelInhospital mortalityOlder patientsRetrospective cohortHip fracture