Mortality and readmission of outcomes after discharge from the surgical intensive care unit to long-term, acute-care hospitals
Nguyen MC, Strosberg DS, Jones TS, Bhakta A, Jones EL, Lyaker MR, Byrd CA, Sobol C, Eiferman DS. Mortality and readmission of outcomes after discharge from the surgical intensive care unit to long-term, acute-care hospitals. Surgery 2016, 161: 1367-1375. PMID: 28027819, DOI: 10.1016/j.surg.2016.11.007.Peer-Reviewed Original ResearchMeSH KeywordsAgedFemaleHumansIntensive Care UnitsLength of StayLong-Term CareMaleMiddle AgedPatient ReadmissionPostoperative ComplicationsRetrospective StudiesSurvival RateConceptsSurgical intensive care unitIntensive care unitAcute care hospitalsIntensive care unit hospitalizationCare unitGreater oddsReadmission ratesMortality ratePost-intensive care unit recoveryEnd-stage renal diseaseTertiary care medical centerMultiple logistic regression analysisVascular surgery patientsAcute renal failureHigh complication rateHistory of cancerEnteral feeding accessLogistic regression analysisOngoing medical needsHigher readmissionComplication rateFrequent complicationRenal failureSurgery patientsPrimary outcomeAgency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care
Nguyen MC, Moffatt-Bruce SD, Strosberg DS, Puttmann KT, Pan YL, Eiferman DS. Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. Surgery 2016, 160: 858-868. PMID: 27528212, DOI: 10.1016/j.surg.2016.05.032.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedFemaleHealth Services ResearchHospital MortalityHumansMaleMiddle AgedPatient SafetyPostoperative ComplicationsQuality Indicators, Health CareRespiratory InsufficiencyRetrospective StudiesRisk AssessmentSafety ManagementSeverity of Illness IndexSurgical Procedures, OperativeSurvival RateUnited StatesUnited States Agency for Healthcare Research and QualityConceptsPostoperative respiratory failureRespiratory failureUnsafe carePositive predictive valueHealthcare ResearchClinical factorsPredictive valueQuality Patient Safety IndicatorsDiseases-9 codesPatient safety indicatorsElectronic medical recordsPatient safety eventsTrue positive casesInpatient electronic medical recordHospital performance measuresClinical characteristicsMedical recordsOperative procedureExclusion criteriaInternational ClassificationSafety eventsCareDocumentation errorsPatientsIndependent reviewPreventing anastomotic complications: early results of laparoscopic gastric devascularization two weeks prior to minimally invasive esophagectomy
Strosberg DS, Merritt RE, Perry KA. Preventing anastomotic complications: early results of laparoscopic gastric devascularization two weeks prior to minimally invasive esophagectomy. Surgical Endoscopy 2016, 31: 1371-1375. PMID: 27495339, DOI: 10.1007/s00464-016-5122-4.Peer-Reviewed Original ResearchConceptsLaparoscopic gastric devascularizationInvasive Ivor Lewis esophagectomyIvor Lewis esophagectomyNeoadjuvant chemoradiationAnastomotic leakAnastomotic complicationsAnastomotic strictureAnastomotic healingGastric conduit perfusionPost-operative nauseaMedian operative timeDay of surgeryLarge academic medical centerShort gastric vesselsAcademic medical centerConduit perfusionMediastinal inflammationHospital stayGastric arteryPatient demographicsEsophageal resectionPerioperative eventsRetrospective reviewComorbid conditionsOperative timeA retrospective comparison of robotic cholecystectomy versus laparoscopic cholecystectomy: operative outcomes and cost analysis
Strosberg DS, Nguyen MC, Muscarella P, Narula VK. A retrospective comparison of robotic cholecystectomy versus laparoscopic cholecystectomy: operative outcomes and cost analysis. Surgical Endoscopy 2016, 31: 1436-1441. PMID: 27495346, DOI: 10.1007/s00464-016-5134-0.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBile Duct DiseasesCholangiographyCholangitisCholecystectomy, LaparoscopicCholecystitisCholedocholithiasisCholelithiasisChronic DiseaseConversion to Open SurgeryCosts and Cost AnalysisFemaleGallbladder DiseasesHumansMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesRobotic Surgical ProceduresTreatment OutcomeYoung AdultConceptsLaparoscopic cholecystectomyRobotic cholecystectomyIntraoperative cholangiographyOperative outcomesHigher body mass indexBile leak rateBile duct injuryCoronary artery diseaseLarge academic medical centerLonger operative timeBody mass indexAcademic medical centerHigher total chargesLower ratesHealth care systemDuct injuryPostoperative complicationsPerioperative variablesArtery diseaseChronic cholecystitisOperative timeRetrospective reviewSingle surgeonMass indexPatient group