2017
Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States
Alshaikh H, Katz N, Gani F, Nagarajan N, Canner J, Kacker S, Najjar P, Higgins R, Schneider E. Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States. The Annals Of Thoracic Surgery 2017, 105: 469-475. PMID: 29275828, DOI: 10.1016/j.athoracsur.2017.10.053.Peer-Reviewed Original ResearchConceptsAcute kidney injuryIndex hospitalization costsTotal index hospitalization costsIndex hospital costsCardiac operationsHospitalization costsKidney injuryDevelopment of AKISubstantial health care cost savingsClinical Modification diagnosis codesHealth care cost savingsMajor cardiac operationsCoronary artery bypassChronic renal failureNationwide Inpatient SampleMajor cardiac proceduresLong-term treatmentArtery bypassRenal failureValve replacementReplacement patientsAvoidable complicationsCardiac proceduresPatient morbidityDiagnosis codes
2016
Epidemiology of Sports-Related Eye Injuries in the United States
Haring R, Sheffield I, Canner J, Schneider E. Epidemiology of Sports-Related Eye Injuries in the United States. JAMA Ophthalmology 2016, 134: 1382-1390. PMID: 27812702, DOI: 10.1001/jamaophthalmol.2016.4253.Peer-Reviewed Original ResearchConceptsSports-related ocular traumaOcular traumaEye injuriesPrimary diagnosisSports-related eye injuriesSports-related ocular injuriesNationwide Emergency Department SampleEmergency Department BurdenEpidemiology of SportOdds of presentationFootball-related injuriesMechanism of injuryLong-term outcomesEmergency Department SampleCross-sectional studyType of injuryAir gun injuriesED visitsOcular injuriesAnnual incidenceLifelong sequelaeMAIN OUTCOMEGun injuriesImpaired visionInjuryEmergency department visits for attempted suicide and self harm in the USA: 2006–2013
Canner J, Giuliano K, Selvarajah S, Hammond E, Schneider E. Emergency department visits for attempted suicide and self harm in the USA: 2006–2013. Epidemiology And Psychiatric Sciences 2016, 27: 94-102. PMID: 27852333, PMCID: PMC6999001, DOI: 10.1017/s2045796016000871.Peer-Reviewed Original ResearchConceptsNationwide Emergency Department SampleSelf-inflicted injuryED visitsPopulation-based ratesSuicide attemptsInjury severityNational databaseEmergency department visitsMechanism of injuryEmergency Department SampleAlcohol-related disordersLarge national databasePrevious smaller studiesSubstance-related disordersWilcoxon rank sum testConcurrent mental disordersChi-square testRank sum testDepartment visitsAnnual incidenceEmergency departmentMean ageUS census regionMood disordersAge 35Epidemiologic Trends of Chemical Ocular Burns in the United States
Haring R, Sheffield I, Channa R, Canner J, Schneider E. Epidemiologic Trends of Chemical Ocular Burns in the United States. JAMA Ophthalmology 2016, 134: 1119-1124. PMID: 27490908, DOI: 10.1001/jamaophthalmol.2016.2645.Peer-Reviewed Original ResearchConceptsChemical ocular burnsEmergency departmentOcular burnsEpidemiologic trendsAcid injuryHealth care insuranceChemical burnsNationwide Emergency Department SampleChemical eye injuriesEmergency department chargesTotal emergency departmentOcular chemical burnsOcular chemical injuryEmergency Department SampleHigh-risk groupSingle high-risk groupAge-specific ratesPrivate health care insuranceCare insuranceAlkali injuryED presentationsEye injuriesMedian agePatient ageFemale patientsOutcomes of abdominoperineal resection for management of anal cancer in HIV-positive patients: a national case review
Leeds IL, Alturki H, Canner JK, Schneider EB, Efron JE, Wick EC, Gearhart SL, Safar B, Fang SH. Outcomes of abdominoperineal resection for management of anal cancer in HIV-positive patients: a national case review. World Journal Of Surgical Oncology 2016, 14: 208. PMID: 27495294, PMCID: PMC4974747, DOI: 10.1186/s12957-016-0970-x.Peer-Reviewed Original ResearchMeSH KeywordsAbdomenAdultAge FactorsAgedAnus NeoplasmsCarcinoma, Squamous CellComorbidityFemaleFollow-Up StudiesHealth Status DisparitiesHIV InfectionsHospital MortalityHumansIncidenceLength of StayMaleMiddle AgedNeoplasm Recurrence, LocalPerineumPostoperative ComplicationsRetrospective StudiesRisk FactorsSalvage TherapyTreatment OutcomeConceptsHIV-positive patientsLength of stayHIV-negative patientsAnal cancerNational Inpatient SampleAbdominoperineal resectionHospitalization costsHIV infectionAnal squamous cell cancerAnal squamous cell carcinomaUtilization Project National Inpatient SampleGreater hospitalization costsWorse postoperative recoveryHIV-positive groupMethodsA retrospective reviewAnal cancer patientsSquamous cell cancerHuman immunodeficiency virusMultivariable logistic regressionSquamous cell carcinomaHospital mortalityHospital stayPerioperative complicationsPostoperative hemorrhagePostoperative outcomesEpidemiology of Eye-Related Emergency Department Visits
Channa R, Zafar SN, Canner JK, Haring RS, Schneider EB, Friedman DS. Epidemiology of Eye-Related Emergency Department Visits. JAMA Ophthalmology 2016, 134: 312. PMID: 26821577, DOI: 10.1001/jamaophthalmol.2015.5778.Peer-Reviewed Original ResearchConceptsNationwide Emergency Department SampleED visitsEmergency departmentIncidence rateUS Nationwide Emergency Department SampleAge groupsPopulation-based incidence ratesEmergency Department SampleInflation-adjusted chargesHighest income quartileDifferent age groupsEmergent visitsCorneal abrasionOlder patientsEye injuriesSubconjunctival hemorrhageNonemergent conditionsOcular problemsOcular conditionsNonemergent visitsExternal eyeEye problemsForeign bodyMAIN OUTCOMEIndependent factorsA novel score to estimate the risk of pneumonia after cardiac surgery
Kilic A, Ohkuma R, Grimm J, Magruder J, Sussman M, Schneider E, Whitman G. A novel score to estimate the risk of pneumonia after cardiac surgery. Journal Of Thoracic And Cardiovascular Surgery 2016, 151: 1415-1421. PMID: 27085620, DOI: 10.1016/j.jtcvs.2015.12.049.Peer-Reviewed Original ResearchMeSH KeywordsAge DistributionAgedCardiac Surgical ProceduresCardiopulmonary BypassCohort StudiesFemaleHumansIncidenceMaleMiddle AgedMultivariate AnalysisPneumoniaPostoperative ComplicationsRegression AnalysisRetrospective StudiesRisk FactorsSeverity of Illness IndexSex DistributionSurvival RateUnited StatesConceptsCardiac surgeryPostoperative pneumoniaRisk scoreValidation cohortRisk factorsMultivariable modelRate of pneumoniaRisk of pneumoniaSingle-institution databaseSignificant risk factorsComposite scoreIntraoperative predictorsPerioperative managementPrimary outcomeTraining cohortPneumoniaSurgeryNovel scorePreventative interventionsCohortOverall rateScoresPatientsSignificant correlationRegression analysis
2015
Understanding Variation in 30-Day Surgical Readmission in the Era of Accountable Care: Effect of the Patient, Surgeon, and Surgical Subspecialties
Gani F, Lucas D, Kim Y, Schneider E, Pawlik T. Understanding Variation in 30-Day Surgical Readmission in the Era of Accountable Care: Effect of the Patient, Surgeon, and Surgical Subspecialties. JAMA Surgery 2015, 150: 1042-1049. PMID: 26244543, DOI: 10.1001/jamasurg.2015.2215.Peer-Reviewed Original ResearchMeSH KeywordsAccountable Care OrganizationsAdultAge FactorsAgedClinical CompetenceComprehensionDatabases, FactualDelivery of Health CareFemaleHumansIncidenceLogistic ModelsMaleMiddle AgedMultivariate AnalysisPatient ReadmissionPhysician's RolePostoperative ComplicationsRetrospective StudiesSex FactorsSocioeconomic FactorsSpecialties, SurgicalSurgical Procedures, OperativeTime FactorsConceptsMajor surgical proceduresSurgical proceduresSurgical subspecialtiesRace/ethnicityPostoperative complicationsEndocrine surgeryAfrican American race/ethnicitySurgeon-level factorsPatient-level factorsTertiary care centerLarge academic medical centerPatient-related factorsSubspecialty levelAdministrative claims dataAcademic medical centerIndividual surgeon levelDifferent surgical subspecialtiesPreoperative comorbiditiesHospital morbidityPatient ageSurgical readmissionsCardiac surgeryTransplant surgeryPayer typeCare centerQuality Improvement Targets for Regional Variation in Surgical End-Stage Renal Disease Care
Zarkowsky DS, Hicks CW, Arhuidese I, Canner JK, Obeid T, Qazi U, Schneider E, Abularrage CJ, Black JH, Freischlag JA, Malas MB. Quality Improvement Targets for Regional Variation in Surgical End-Stage Renal Disease Care. JAMA Surgery 2015, 150: 764-770. PMID: 26107005, DOI: 10.1001/jamasurg.2015.1126.Peer-Reviewed Original ResearchConceptsEnd-stage renal diseaseUS Renal Data SystemFirst hemodialysisNephrology careAVF accessMortality hazardEnd-stage renal disease careLogistic regressionCongestive heart failureRenal replacement therapyMultivariable logistic regressionArteriovenous fistula accessQuality improvement targetsPatient comorbiditiesHeart failurePatient characteristicsRenal diseaseDisease careESRD mortalityReplacement therapyFistula accessUnivariate analysisRetrospective analysisBest practice guidelinesMAIN OUTCOMEElevated relative risk of aneurysmal subarachnoid hemorrhage with colder weather in the mid-Atlantic region
Rivera-Lara L, Kowalski R, Schneider E, Tamargo R, Nyquist P. Elevated relative risk of aneurysmal subarachnoid hemorrhage with colder weather in the mid-Atlantic region. Journal Of Clinical Neuroscience 2015, 22: 1582-1587. PMID: 26149403, DOI: 10.1016/j.jocn.2015.03.033.Peer-Reviewed Original ResearchEffect of Mandatory Centers of Excellence Designation on Demographic Characteristics of Patients Who Undergo Bariatric Surgery
Bae J, Shade J, Abraham A, Abraham B, Peterson L, Schneider EB, Magnuson TH, Schweitzer MA, Steele KE. Effect of Mandatory Centers of Excellence Designation on Demographic Characteristics of Patients Who Undergo Bariatric Surgery. JAMA Surgery 2015, 150: 644-648. PMID: 25993654, DOI: 10.1001/jamasurg.2015.74.Peer-Reviewed Original ResearchConceptsProportion of patientsPercentage of patientsBariatric surgerySociodemographic characteristicsIncome quartilePatients' sociodemographic characteristicsBariatric surgical patientsBariatric surgical proceduresNational Inpatient SampleHighest income quartileCenters of excellenceLowest income quartileSurgical patientsFemale patientsInpatient SampleSurgical proceduresMAIN OUTCOMEPatientsSurgeryPatient accessLogistic regressionPrivate insurancePatient safetyMedicaid ServicesExcellence designationTrends in incidence and severity of sports-related traumatic brain injury (TBI) in the emergency department, 2006–2011
Haring R, Canner J, Asemota A, George B, Selvarajah S, Haider A, Schneider E. Trends in incidence and severity of sports-related traumatic brain injury (TBI) in the emergency department, 2006–2011. Brain Injury 2015, 29: 989-992. PMID: 25962926, DOI: 10.3109/02699052.2015.1033014.Peer-Reviewed Original ResearchConceptsSports-related traumatic brain injuryTraumatic brain injuryEmergency departmentHospitalization ratesAbbreviated Injury Severity ScoreNationwide Emergency Department SampleInjury Severity ScoreEmergency Department SampleHigh school age groupsAbsolute annual numberSchool age groupED visitsPayer statusInpatient admissionsSeverity scoreBrain injuryMedical attentionInjury severityAge 65Age groupsYoung athletesAge 15Beyond incidence: Costs of complications in trauma and what it means for those who pay
Haider AH, Gupta S, Zogg CK, Kisat MT, Schupper A, Efron DT, Haut ER, Obirieze AC, Schneider EB, Pronvost PJ, MacKenzie EJ, Cornwell EE. Beyond incidence: Costs of complications in trauma and what it means for those who pay. Surgery 2015, 158: 96-103. PMID: 25900034, DOI: 10.1016/j.surg.2015.02.015.Peer-Reviewed Original ResearchConceptsTrauma patientsAttributable costsPrimary ICD-9-CM diagnosis codesAcute respiratory distress syndromeICD-9-CM diagnosis codesTrauma-related complicationsGeneral surgery patientsRespiratory distress syndromeUrinary tract infectionInfluence of complicationsNational Inpatient SampleCost of complicationsIsolated complicationHospital stayAdult patientsSurgery patientsTract infectionsDistress syndromePatient factorsTrauma admissionsDiagnosis codesInpatient SampleMyocardial infarctionComparable cohortsHospital characteristicsNational estimates of predictors of outcomes for emergency general surgery
Shah AA, Haider AH, Zogg CK, Schwartz DA, Haut ER, Zafar SN, Schneider EB, Velopulos CG, Shafi S, Zafar H, Efron DT. National estimates of predictors of outcomes for emergency general surgery. Journal Of Trauma And Acute Care Surgery 2015, 78: 482-491. PMID: 25710417, DOI: 10.1097/ta.0000000000000555.Peer-Reviewed Original ResearchConceptsEmergency general surgeryEGS patientsMajor complicationsGeneral surgeryMultivariate logistic regression analysisOverall complication ratePredictors of mortalityClinical Modification codesOverall mortality rateNationwide Inpatient SampleSeparate multivariate logistic regression analysesSurgery of TraumaDRG International ClassificationLogistic regression analysisHighest income quartileHospital complicationsHospital mortalityComplication ratePatient demographicsSurgical complicationsIndependent predictorsPrimary outcomeEGS conditionsMean ageInpatient Sample
2014
Variation in Readmission by Hospital After Colorectal Cancer Surgery
Lucas D, Ejaz A, Bischof D, Schneider E, Pawlik T. Variation in Readmission by Hospital After Colorectal Cancer Surgery. JAMA Surgery 2014, 149: 1272-1277. PMID: 25337956, DOI: 10.1001/jamasurg.2014.988.Peer-Reviewed Original ResearchConceptsReadmission ratesColorectal surgeryAppropriate risk adjustmentHierarchical multivariable logistic regression analysisMultivariable logistic regression analysisRisk-adjusted readmission ratesRisk adjustmentRepresentative cancer registryColorectal cancer surgeryEnd Results-MedicareHospital readmission ratesHospital quality metricsRisk-adjusted variationLogistic regression analysisColorectal resectionStudy patientsHospital readmissionMedian agePatient characteristicsCancer surgeryCancer RegistryMAIN OUTCOMEReadmissionUS hospitalsHospitalNo Association Between Hospital-Reported Perioperative Venous Thromboembolism Prophylaxis and Outcome Rates in Publicly Reported Data
JohnBull E, Lau B, Schneider E, Streiff M, Haut E. No Association Between Hospital-Reported Perioperative Venous Thromboembolism Prophylaxis and Outcome Rates in Publicly Reported Data. JAMA Surgery 2014, 149: 400-401. PMID: 24500768, DOI: 10.1001/jamasurg.2013.4935.Peer-Reviewed Original ResearchThe Burden of Acute Traumatic Spinal Cord Injury among Adults in the United States: An Update
Selvarajah S, Hammond E, Haider A, Abularrage C, Becker D, Dhiman N, Hyder O, Gupta D, Black J, Schneider E. The Burden of Acute Traumatic Spinal Cord Injury among Adults in the United States: An Update. Journal Of Neurotrauma 2014, 31: 228-238. PMID: 24138672, DOI: 10.1089/neu.2013.3098.Peer-Reviewed Original ResearchConceptsTraumatic spinal cord injuryNationwide Emergency Department SampleSpinal cord injuryCumulative incidenceOlder adultsCord injuryYoung adultsCause of TSCIIncidence of TSCIAcute traumatic spinal cord injuryAge-specific risk factorsCurrent incidence estimatesAdult ED visitsOdds of mortalityEmergency Department SampleEmergency Department DatabasesDischarge dispositionED visitsED chargesHospital chargesU.S adultsPrincipal diagnosisRisk factorsWorse outcomesChronic care
2013
Venous Thromboembolism After Trauma: When Do Children Become Adults?
Van Arendonk K, Schneider E, Haider A, Colombani P, Stewart F, Haut E. Venous Thromboembolism After Trauma: When Do Children Become Adults? JAMA Surgery 2013, 148: 1123-1130. PMID: 24173244, DOI: 10.1001/jamasurg.2013.3558.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAge FactorsChildChild, PreschoolCohort StudiesConfidence IntervalsDatabases, FactualFemaleHospitalizationHumansIncidenceInfantMaleOdds RatioPrognosisRetrospective StudiesRisk AssessmentTrauma CentersTrauma Severity IndicesTreatment OutcomeUnited StatesVenous ThromboembolismWounds and InjuriesYoung AdultConceptsRisk of VTEVenous thromboembolismPediatric traumaTrauma centerStandardized guidelinesNational Trauma Data BankMultivariable logistic regression modelDiagnosis of VTENational standardized guidelinesOdds of VTEPatients 16 yearsPatients 21 yearsVenous thromboembolism prophylaxisVTE risk factorsPatients 12 yearsTrauma Data BankUS trauma centersAge 16 yearsCentral line placementAge 13 yearsLogistic regression modelsThromboembolism prophylaxisVTE prophylaxisPatient ageYounger patientsCauses and Trends in Traumatic Brain Injury for United States Adolescents
Asemota A, George B, Bowman S, Haider A, Schneider E. Causes and Trends in Traumatic Brain Injury for United States Adolescents. Journal Of Neurotrauma 2013, 30: 67-75. PMID: 22989254, DOI: 10.1089/neu.2012.2605.Peer-Reviewed Original ResearchConceptsTraumatic brain injuryAdolescent traumatic brain injuryYears age groupAge groupsUnited States adolescentsBrain injuryMost traumatic brain injuriesMotor vehicle occupant injuriesSevere traumatic brain injuryTBI-related hospitalizationOverall annual incidenceNationwide Inpatient SampleCause of injuryMotor vehicle accidentsYears old groupVehicle occupant injuriesMotor vehicle occupantsHospital mortalityTBI hospitalizationsAnnual incidenceInpatient SampleLeading causeCommon causeHospitalization dataHospitalizationMuscular effects of statins in the elderly female: a review
Bhardwaj S, Selvarajah S, Schneider E. Muscular effects of statins in the elderly female: a review. Clinical Interventions In Aging 2013, Volume 8: 47-59. PMID: 23355775, PMCID: PMC3552608, DOI: 10.2147/cia.s29686.Peer-Reviewed Original ResearchConceptsMuscle disordersElderly femalesMuscular effectsMuscle-related side effectsIncidence of statinLong-term outcomesOverall patient complianceOlder adult womenOverall incidenceCardiovascular healthElderly womenPatient complianceStatinsSide effectsAdult womenOlder individualsYoung individualsAppropriate useDisordersSignificant reductionVulnerable groupsIncidenceWomenFemalesPatients