2023
Changes in Older Adult Trauma Quality When Evaluated Using Longer-Term Outcomes vs In-Hospital Mortality
Zogg C, Cooper Z, Peduzzi P, Falvey J, Castillo-Angeles M, Kodadek L, Staudenmayer K, Davis K, Tinetti M, Lichtman J. Changes in Older Adult Trauma Quality When Evaluated Using Longer-Term Outcomes vs In-Hospital Mortality. JAMA Surgery 2023, 158: e234856. PMID: 37792354, PMCID: PMC10551815, DOI: 10.1001/jamasurg.2023.4856.Peer-Reviewed Original ResearchConceptsHospital-level factorsTraumatic brain injurySevere traumatic brain injuryHospital mortalityTrauma QualityOlder adultsHip fractureComposite scoreHigher risk-adjusted oddsLevel 1 trauma centerIn-Hospital MortalityRisk-adjusted oddsLong-term outcomesMultivariable logistic regressionNontrauma centersTrauma patientsTerm outcomesTrauma centerPrimary diagnosisBrain injuryTrauma systemMAIN OUTCOMEMedicare feeService claimsForms of traumaDiverticulitis in Older Adults: Is Cognitive Impairment Associated With Outcomes?
Kodadek L, Moore M, Canner J, Schneider E. Diverticulitis in Older Adults: Is Cognitive Impairment Associated With Outcomes? Journal Of Surgical Research 2023, 291: 359-366. PMID: 37506436, DOI: 10.1016/j.jss.2023.06.015.Peer-Reviewed Original ResearchConceptsColonic diverticulitisCognitive impairmentEmergency departmentOlder adultsHospital mortalityOperative interventionInpatient admissionsPrimary diagnosisMultivariable Poisson regression modelsNationwide Emergency Department SamplePrimary payer statusRetrospective cohort studyElixhauser Comorbidity IndexEmergency Department SampleComorbid cognitive impairmentPoisson regression modelsComorbidity indexComplicated diverticulitisCognitive impairment statusCohort studyED encountersPatient ageED carePayer statusRelative riskAn Evaluation of Sex-Based Differences in Surrogate Consent for Older Adults Undergoing Surgical Intervention
Nagarkatti N, Miller S, Ahuja V, Schneider E, Mohanty S, Kodadek L. An Evaluation of Sex-Based Differences in Surrogate Consent for Older Adults Undergoing Surgical Intervention. Journal Of Surgical Research 2023, 288: 246-251. PMID: 37030182, DOI: 10.1016/j.jss.2023.02.041.Peer-Reviewed Original ResearchConceptsPreoperative cognitive impairmentMale patientsCognitive impairmentSurrogate consentSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramPatients age 65Preoperative cognitive statusQuality Improvement ProgramHigh rateSex-based differencesFemale patientsPatient sexSurgical interventionStratified analysisFacets of medicineAge 75American CollegePatientsAge 65Cognitive statusDescriptive studyOlder adultsAge categories
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 adultCareAdultsSurrogate 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
Rural risk: Geographic disparities in trauma mortality
Jarman MP, Castillo RC, Carlini AR, Kodadek LM, Haider AH. Rural risk: Geographic disparities in trauma mortality. Surgery 2016, 160: 1551-1559. PMID: 27506860, PMCID: PMC5118091, DOI: 10.1016/j.surg.2016.06.020.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolEmergency Service, HospitalFemaleHealth Services AccessibilityHealthcare DisparitiesHumansInfantInfant, NewbornInjury Severity ScoreLogistic ModelsMaleMiddle AgedRetrospective StudiesRural Health ServicesUnited StatesWounds and InjuriesYoung AdultConceptsOdds of deathTraumatic injuryNonrural residentsInjury mortalityNationwide Emergency Department SampleMultiple logistic regression analysisTrauma system organizationInjury Severity ScoreEmergency Department SampleTrauma center designationLogistic regression analysisRural residentsCensus regionNontrauma centersTrauma mortalityTrauma designationCenter designationInjury typeSeverity scoreUS census regionPrehospital careLevel IInjury severityInjuryInjury outcomesNever 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
Development of a trauma-specific quality-of-life measurement
Wanner JP, deRoon-Cassini T, Kodadek L, Brasel K. Development of a trauma-specific quality-of-life measurement. Journal Of Trauma And Acute Care Surgery 2015, 79: 275-281. PMID: 26218697, PMCID: PMC4875755, DOI: 10.1097/ta.0000000000000749.Peer-Reviewed Original ResearchConceptsPTSD Checklist-Civilian VersionTrauma patientsQOL questionnaireClinical careSF-36v2 physical component scoreForm Health Survey version 2Short Form Health Survey version 2Trauma-specific qualityAdult trauma patientsPhysical component scoreMedical Outcomes StudyMental component scoreDisease-specific factorsLikelihood of PTSDComponent scoresCronbach's α scoreTrauma populationSF-36v2Prognostic studiesGeneral populationOutcome studiesQOL measuresTrauma victimsLevel IIInformal caregiversUndertriage 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
2010
The Memory Art Project: medical students and older adults.
Kodadek LM, Bettendorf BA, Uihlein JA, Derse AR. The Memory Art Project: medical students and older adults. WMJ 2010, 109: 311-6. PMID: 21287881.Peer-Reviewed Original Research