2019
Top-tier emergency general surgery hospitals: Good at one operation, good at them all.
DeWane MP, Sukumar N, Stolar MJ, Gill TM, Maung AA, Schuster KM, Davis KA, Becher RD. Top-tier emergency general surgery hospitals: Good at one operation, good at them all. Journal Of Trauma And Acute Care Surgery 2019, 87: 289-296. PMID: 31349347, PMCID: PMC6771423, DOI: 10.1097/ta.0000000000002367.Peer-Reviewed Original ResearchConceptsRisk-adjusted mortalityEGS hospitalsHospital risk-adjusted mortalityOperation typeEGS operationsCalifornia State Inpatient DatabaseGeneral surgery hospitalsHospital-level factorsAcute care hospitalsState Inpatient DatabasesAmerican Hospital Association databasePoor-performing hospitalsSystems of careLow-risk operationAssessment of mortalityAdult patientsCare hospitalSurgery HospitalInpatient DatabaseHospital characteristicsMultinomial logistic regressionMortality rateHospitalLevel IIIZ-scoreThe 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 costPatients
2018
Impact of Affordable Care Act Insurance Expansion on Pre-Hospital Access to Care: Changes in Adult Perforated Appendix Admission Rates after Medicaid Expansion and the Dependent Coverage Provision
Zogg CK, Scott JW, Bhulani N, Gluck AR, Curfman GD, Davis KA, Dimick JB, Haider AH. Impact of Affordable Care Act Insurance Expansion on Pre-Hospital Access to Care: Changes in Adult Perforated Appendix Admission Rates after Medicaid Expansion and the Dependent Coverage Provision. Journal Of The American College Of Surgeons 2018, 228: 29-43.e1. PMID: 30359835, DOI: 10.1016/j.jamcollsurg.2018.09.022.Peer-Reviewed Original ResearchConceptsMedicaid expansionAffordable Care ActAdmission ratesPerforation rateInsurance coverageAffordable Care Act's insurance expansionInsurance expansionYoung adultsAcute surgical careDependent coverage provisionBetter patient outcomesFederal poverty levelRace/ethnicityAcute appendicitisHospitalized adultsAcute careParents' insuranceInpatient claimsPatient outcomesACA's impactSurgical careRisk populationsNonexpansion statesPrivileged patientsAge 26Insurance Status Biases Trauma-system Utilization and Appropriate Interfacility Transfer
Zogg CK, Schuster KM, Maung AA, Davis KA. Insurance Status Biases Trauma-system Utilization and Appropriate Interfacility Transfer. Annals Of Surgery 2018, 268: 681-689. PMID: 30004929, DOI: 10.1097/sla.0000000000002954.Peer-Reviewed Original ResearchConceptsNTC patientsMajor injuriesOlder adult trauma patientsNationwide Emergency Department SampleOptimal trauma careAdult trauma patientsEmergency department admissionsEmergency Department SampleTrauma center careTransfer of patientsComplex traumatic injuriesMultilevel logistic regressionTrauma patientsDepartment admissionsHigh morbidityTC careDirect admissionInsurance statusInterfacility transferUninsured patientsTrauma careTraumatic injuryOutcome measuresTrauma systemCenter careTotal bilirubin trend as a predictor of common bile duct stones in acute cholecystitis and symptomatic cholelithiasis
Gillaspie DB, Davis KA, Schuster KM. Total bilirubin trend as a predictor of common bile duct stones in acute cholecystitis and symptomatic cholelithiasis. The American Journal Of Surgery 2018, 217: 98-102. PMID: 29929909, DOI: 10.1016/j.amjsurg.2018.06.011.Peer-Reviewed Original ResearchConceptsCommon bile duct stonesBile duct stonesAcute cholecystitisSymptomatic cholelithiasisDuct stonesBilirubin levelsProcedural interventionTotal bilirubinPresence of CBDSElevated total bilirubinTotal bilirubin levelsElevated serum bilirubinBiliary colicAdult patientsSerum bilirubinSerum makersImmediate imagingCholecystitisBilirubinCholelithiasisPatientsInterventionColicLevels
2017
Impact of Race on the Surgical Management of Adhesive Small Bowel Obstruction
Chiu AS, Jean RA, Davis KA, Pei KY. Impact of Race on the Surgical Management of Adhesive Small Bowel Obstruction. Journal Of The American College Of Surgeons 2017, 226: 968-976.e1. PMID: 29170020, DOI: 10.1016/j.jamcollsurg.2017.11.006.Peer-Reviewed Original ResearchConceptsSmall bowel obstructionManagement of SBOAdhesive small bowel obstructionBowel obstructionWhite patientsOpen surgeryPatient raceNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramSurgical decision-making processSmall bowel resectionQuality Improvement ProgramLogistic regression modelsAnesthesiologists classPostoperative complicationsBowel resectionPatient comorbiditiesHospital admissionNonsurgical managementBlack patientsHispanic patientsSurgical managementOpen procedureProvider judgmentGeneral surgeonsTrends of ureteral stent usage in surgery for diverticulitis
Chiu AS, Jean RA, Gorecka J, Davis KA, Pei KY. Trends of ureteral stent usage in surgery for diverticulitis. Journal Of Surgical Research 2017, 222: 203-211.e3. PMID: 29100586, DOI: 10.1016/j.jss.2017.09.050.Peer-Reviewed Original ResearchImpact of hospital volume on outcomes for laparoscopic adhesiolysis for small bowel obstruction
Jean RA, O'Neill KM, Pei KY, Davis KA. Impact of hospital volume on outcomes for laparoscopic adhesiolysis for small bowel obstruction. Journal Of Surgical Research 2017, 214: 23-31. PMID: 28624050, DOI: 10.1016/j.jss.2017.02.045.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overDatabases, FactualFemaleHospital CostsHospitals, High-VolumeHospitals, Low-VolumeHumansIntestinal ObstructionIntestine, SmallLaparoscopyLength of StayLinear ModelsMaleMiddle AgedMultivariate AnalysisTissue AdhesionsTreatment OutcomeUnited StatesYoung AdultConceptsSmall bowel obstructionLength of stayHigh-volume hospitalsBowel obstructionHospital volumeVolume statusProcedural volumeSurgical proceduresDiagnosis of SBODecreased LOSShorter LOSNationwide Inpatient Sample dataHigh-volume statusHospital volume statusInstitutional procedural volumeIntra-abdominal malignanciesHigher hospital volumeLow-volume hospitalsHigh-volume centersMajor surgical proceduresSmall bowel resectionLow volume statusComplex surgical proceduresLaparoscopic lysisAdult patients
2006
Trauma Surgeons Practice What They Preach: The NTDB Story on Solid Organ Injury Management
Hurtuk M, Reed RL, Esposito TJ, Davis KA, Luchette FA. Trauma Surgeons Practice What They Preach: The NTDB Story on Solid Organ Injury Management. Journal Of Trauma And Acute Care Surgery 2006, 61: 243-255. PMID: 16917435, DOI: 10.1097/01.ta.0000231353.06095.8d.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankSplenic traumaRenal injurySplenic injuryOverall mortalitySurgeons National Trauma Data BankSolid abdominal organ injuriesStudy periodNonoperative management ratesRenal trauma managementAbdominal organ injuriesTrauma Data BankICD-9 codesStandard of careOrgan injuryHepatic injuryNonoperative approachAdmission dateInjury managementImproved outcomesTrauma careTrauma surgeonsAmerican CollegeChi analysisSurgical practicePredictors of the Need for Nephrectomy After Renal Trauma
Davis KA, Reed RL, Santaniello J, Abodeely A, Esposito TJ, Poulakidas SJ, Luchette FA. Predictors of the Need for Nephrectomy After Renal Trauma. Journal Of Trauma And Acute Care Surgery 2006, 60: 164-170. PMID: 16456451, DOI: 10.1097/01.ta.0000199924.39736.36.Peer-Reviewed Original ResearchConceptsRenal injury gradeGlasgow Coma Scale scoreTransfusion requirementsInjury gradeIntraabdominal injuriesRenal injuryInjury severityScale scoreLevel I trauma centerMultiple logistic regression analysisGrade 4 injuriesGrade 5 injuriesHigher nephrectomy rateModerate renal injuryBlunt trauma patientsI trauma centerSolid organ injuryInjury Severity ScoreMechanism of injuryHigher injury severityLogistic regression analysisRenal lacerationsUrgent nephrectomyHemodynamic instabilityKidney injuryVentilator-Associated Pneumonia, Like Real Estate: Location Really Matters
Eckert MJ, Davis KA, Reed RL, Esposito TJ, Santaniello JM, Poulakidas S, Gamelli RL, Luchette FA. Ventilator-Associated Pneumonia, Like Real Estate: Location Really Matters. Journal Of Trauma And Acute Care Surgery 2006, 60: 104-110. PMID: 16456443, DOI: 10.1097/01.ta.0000197376.98296.7c.Peer-Reviewed Original ResearchConceptsVentilator-associated pneumoniaLogistic regression analysisLower injury severityField intubationTrauma patientsInjury severityDevelopment of VAPHigher Glasgow Coma Scale scoreLower Injury Severity ScoreGlasgow Coma Scale scoreEmergency department intubationInjury Severity ScoreRegression analysisED intubationRetrospective reviewPrehospital intubationSeverity scoreTrauma ScoreInpatient rateIntubationHigh incidencePneumoniaPatientsED groupScale score
2005
Reasons to Omit Digital Rectal Exam in Trauma Patients: No Fingers, No Rectum, No Useful Additional Information
Esposito TJ, Ingraham A, Luchette FA, Sears BW, Santaniello JM, Davis KA, Poulakidas SJ, Gamelli RL. Reasons to Omit Digital Rectal Exam in Trauma Patients: No Fingers, No Rectum, No Useful Additional Information. Journal Of Trauma And Acute Care Surgery 2005, 59: 1314-1319. PMID: 16394903, DOI: 10.1097/01.ta.0000198375.83830.62.Peer-Reviewed Original ResearchConceptsDigital rectal examinationSpinal cord injuryGlasgow Coma Scale scoreIndex injuryDRE findingsTrauma patientsGastrointestinal bleedingUrethral disruptionInjury casesPredictive valueSecondary surveyRoutine digital rectal examinationLevel I trauma centerI trauma centerDigital rectal examNegative predictive valuePositive predictive valueAdvanced Trauma Life Support (ATLS) courseInitial evaluation processLife support courseProspective studyRectal examRectal examinationTrauma centerCord injuryOld Fashion Clinical Judgment in the Era of Protocols: Is Mandatory Chest X-Ray Necessary in Injured Patients?
Sears BW, Luchette FA, Esposito TJ, Dickson EL, Grant M, Santaniello JM, Jodlowski CR, Davis KA, Poulakidas SJ, Gamelli RL. Old Fashion Clinical Judgment in the Era of Protocols: Is Mandatory Chest X-Ray Necessary in Injured Patients? Journal Of Trauma And Acute Care Surgery 2005, 59: 324-332. PMID: 16294071, DOI: 10.1097/01.ta.0000179450.01434.90.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAdolescentAdultAgedAged, 80 and overChild, PreschoolClinical CompetenceClinical ProtocolsDecision MakingFemaleHumansInfantJudgmentMaleMediastinumMiddle AgedProspective StudiesRadiography, ThoracicRib FracturesSensitivity and SpecificityThoracic InjuriesWounds and InjuriesConceptsChest X-rayClinical indicatorsTrauma surgeonsTwelve-month study periodNegative predictive valueSelective policyAbnormal findingsCXR abnormalitiesCXR resultsTrauma patientsThoracic injuriesHistory suggestiveClinical indicationsLevel IPatientsClinician judgmentPredictive valueClinical judgmentBlunt forceSurgical judgmentStudy periodATLS coursePotential injuryConfidence intervalsInjury
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 traumaTen Year Experience of Burn, Trauma, and Combined Burn/Trauma Injuries Comparing Outcomes
Santaniello JM, Luchette FA, Esposito TJ, Gunawan H, Reed RL, Davis KA, Gamelli RL. Ten Year Experience of Burn, Trauma, and Combined Burn/Trauma Injuries Comparing Outcomes. Journal Of Trauma And Acute Care Surgery 2004, 57: 696-701. PMID: 15514521, DOI: 10.1097/01.ta.0000140480.50079.a8.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge DistributionAgedBurn UnitsBurnsBurns, InhalationCause of DeathChildCombined Modality TherapyCritical CareFemaleFollow-Up StudiesHumansInjury Severity ScoreLogistic ModelsMaleMiddle AgedMultiple TraumaMultivariate AnalysisPredictive Value of TestsRegistriesRetrospective StudiesRisk AssessmentSex DistributionSurvival AnalysisTrauma CentersTreatment OutcomeConceptsInjury Severity ScoreNational Trauma Data BankLength of stayNational Burn RepositoryInhalation injuryIndependent predictorsMultiple logistic regressionInjury patternsPercent total body surface area burnsTotal body surface area burnsBody surface area burnsLogistic regressionT patientsBurn/traumaRare injury patternSurface area burnsTrauma Data BankT-testStudent's t-testTrauma patientsRetrospective reviewTrauma registryPatient populationComparing outcomesSeverity scoreUse of Presumptive Antibiotics following Tube Thoracostomy for Traumatic Hemopneumothorax in the Prevention of Empyema and Pneumonia—A Multi-Center Trial
Maxwell RA, Campbell DJ, Fabian TC, Croce MA, Luchette FA, Kerwin AJ, Davis KA, Nagy K, Tisherman S. Use of Presumptive Antibiotics following Tube Thoracostomy for Traumatic Hemopneumothorax in the Prevention of Empyema and Pneumonia—A Multi-Center Trial. Journal Of Trauma And Acute Care Surgery 2004, 57: 742-749. PMID: 15514527, DOI: 10.1097/01.ta.0000147481.42186.42.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAntibiotic ProphylaxisCefazolinChest TubesDevice RemovalDouble-Blind MethodEmpyema, PleuralFemaleFollow-Up StudiesHemopneumothoraxHumansInjury Severity ScoreLogistic ModelsMaleMiddle AgedMultivariate AnalysisPneumonia, BacterialProspective StudiesReference ValuesRisk AssessmentThoracic InjuriesThoracostomyTrauma CentersTreatment OutcomeConceptsIncidence of empyemaRisk of empyemaPresumptive antibioticsTube thoracostomyTraumatic hemopneumothoraxDouble-blind trialUse of cefazolinLogistic regression analysisTube thoracostomy placementCenter trialTube placementInjury scoreAntibiotic useGroup A.EmpyemaThoracostomy placementChi analysisPneumoniaThoracostomyHemopneumothoraxPatientsRegression analysisAntibioticsInjuryIncidence
2002
Handsewn versus Stapled Anastomosis in Penetrating Colon Injuries Requiring Resection: A Multicenter Study
Demetriades D, Murray JA, Chan LS, Ordoñez C, Bowley D, Nagy KK, Cornwell EE, Velmahos GC, Muñoz N, Hatzitheofilou C, Schwab CW, Rodriguez A, Cornejo C, Davis KA, Namias N, Wisner DH, Ivatury RR, Moore EE, Acosta JA, Maull KI, Thomason MH, Spain DA. Handsewn versus Stapled Anastomosis in Penetrating Colon Injuries Requiring Resection: A Multicenter Study. Journal Of Trauma And Acute Care Surgery 2002, 52: 117-121. PMID: 11791061, DOI: 10.1097/00005373-200201000-00020.Peer-Reviewed Original ResearchConceptsAbdominal complicationsStapled groupColon resectionBlood transfusionMulticenter studyOdds ratioMultivariate analysisPenetrating Abdominal Trauma IndexMultivariate logistic regression analysisAbdominal trauma indexElective colon surgeryEmergency trauma surgeryIndependent risk factorProspective multicenter studySecond multivariate analysisLogistic regression analysisMethod of anastomosisHandsewn groupAntibiotic prophylaxisPrimary anastomosisAnastomotic leakColon surgeryOverall incidencePreoperative delayRisk factors
2001
Multiinstitutional experience with the management of superior mesenteric artery injuries1 1No competing interests declared.
Asensio J, Britt L, Borzotta A, Peitzman A, Miller F, Mackersie R, Pasquale M, Pachter H, Hoyt D, Rodriguez J, Falcone R, Davis K, Anderson J, Ali J, Chan L. Multiinstitutional experience with the management of superior mesenteric artery injuries1 1No competing interests declared. Journal Of The American College Of Surgeons 2001, 193: 354-365. PMID: 11584962, DOI: 10.1016/s1072-7515(01)01044-4.Peer-Reviewed Original ResearchConceptsAbdominal vascular injuriesIndependent risk factorIschemia gradeInjury Severity ScoreVascular injuryRisk factorsSMA injuryAnatomic zonesSurgical managementMultiinstitutional experienceGrade IVHigher intraoperative transfusion requirementsMean Injury Severity ScoreSuperior mesenteric artery injuryTrauma Organ Injury ScalePresence of acidosisRetrospective multiinstitutional studyMultisystem organ failureLogistic regression analysisStepwise logistic regressionSubsequent multivariate analysisAAST-OISIntraoperative acidosisTransfusion requirementsArtery injury
1999
Secondary Abdominal Compartment Syndrome: An Underappreciated Manifestation of Severe Hemorrhagic Shock
Maxwell R, Fabian T, Croce M, Davis K. Secondary Abdominal Compartment Syndrome: An Underappreciated Manifestation of Severe Hemorrhagic Shock. Journal Of Trauma And Acute Care Surgery 1999, 47: 995. PMID: 10608523, DOI: 10.1097/00005373-199912000-00001.Peer-Reviewed Original ResearchMeSH KeywordsAbdomenAcute DiseaseAdolescentAdultBlood Gas AnalysisBlood TransfusionCause of DeathCompartment SyndromesCrystalloid SolutionsDecompression, SurgicalFemaleHemodynamicsHumansIsotonic SolutionsMaleMiddle AgedMultiple TraumaPlasma SubstitutesRegistriesResuscitationShock, HemorrhagicSurvival AnalysisTime FactorsTrauma CentersTreatment OutcomeConceptsAbdominal compartment syndromeSecondary abdominal compartment syndromeSevere hemorrhagic shockAbdominal injuriesHemorrhagic shockResuscitation volumeCompartment syndromeBladder pressureTrauma intensive care unit patientsIntensive care unit admissionIntensive care unit patientsLevel I trauma centerPacked red blood cellsCare unit admissionIntra-abdominal injuriesExtremity compartment syndromeI trauma centerCare unit patientsPeak inspiratory pressurePacked red cellsAbdominal decompressionUnit admissionRed blood cellsUnit patientsBase deficitEarly and Late Acute Respiratory Distress Syndrome
Croce M, Fabian T, Davis K, Gavin T. Early and Late Acute Respiratory Distress Syndrome. Journal Of Trauma And Acute Care Surgery 1999, 46: 361-367.. PMID: 10088834, DOI: 10.1097/00005373-199903000-00001.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge DistributionAgedAged, 80 and overBlood Gas AnalysisCapillary Leak SyndromeCause of DeathFemaleHumansInjury Severity ScoreMaleMiddle AgedMultiple Organ FailureOxygenPneumoniaRespiratory Distress SyndromeRetrospective StudiesShock, HemorrhagicTime FactorsWounds and InjuriesConceptsAcute respiratory distress syndromeLate acute respiratory distress syndromePosttraumatic acute respiratory distress syndromePaO2/FiO2Injury Severity ScoreRespiratory distress syndromeHemorrhagic shockLate groupDistress syndromeSeverity scoreFluid balanceForms of ARDSEarly acute respiratory distress syndromeInitial PaO2/FiO2Progressive multiple organ failureMean Injury Severity ScoreProfound hemorrhagic shockMultiple organ failureAdmission base deficitCongestive heart failureMultiple system injuriesDiffuse bilateral infiltratesPresence of pneumoniaSurgical critical careARDS diagnosis