2020
Hospital Variation in Geriatric Surgical Safety for Emergency Operation
Becher RD, Sukumar N, DeWane MP, Stolar MJ, Gill TM, Schuster KM, Maung AA, Zogg CK, Davis KA. Hospital Variation in Geriatric Surgical Safety for Emergency Operation. Journal Of The American College Of Surgeons 2020, 230: 966-973.e10. PMID: 32032720, PMCID: PMC7409563, DOI: 10.1016/j.jamcollsurg.2019.10.018.Peer-Reviewed Original ResearchConceptsStandardized mortality ratioHospital-level characteristicsGeneral surgery operationsGeriatric patientsEmergency operationHospital variationEmergency general surgery operationsMean standardized mortality ratioCalifornia State Inpatient DatabaseHospital-based mortalitySignificant hospital variationPatients 65 yearsSubstantial excess mortalitySurgery operationsState Inpatient DatabasesMixed effects logistic regression modelsCommon general surgery operationsLow-mortality outliersLogistic regression modelsPostoperative mortalityHospital deathOlder patientsInpatient DatabaseMortality outcomesNonelective operations
2018
Comparison of Outcomes in Below-Knee Amputation between Vascular and General Surgeons
Pei KY, Zhang Y, Sarac T, Davis KA. Comparison of Outcomes in Below-Knee Amputation between Vascular and General Surgeons. Annals Of Vascular Surgery 2018, 50: 259-268. PMID: 29501591, DOI: 10.1016/j.avsg.2017.11.073.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmputation, SurgicalChi-Square DistributionClinical CompetenceDatabases, FactualEmergenciesFemaleGeneral SurgeryHospitals, TeachingHumansLength of StayLinear ModelsLogistic ModelsLower ExtremityMaleMiddle AgedMultivariate AnalysisOdds RatioPostoperative ComplicationsRetrospective StudiesRisk FactorsSpecializationSurgeonsTime FactorsTreatment OutcomeUnited StatesVascular Surgical ProceduresConceptsVascular surgeonsGeneral surgeonsKnee amputationInfectious indicationsNational Surgical Quality Improvement Project databaseSurgeons National Surgical Quality Improvement Project databaseUnconditional logistic regression modelsRisk of pneumoniaPeripheral vascular diseaseLower extremity amputationBelow knee amputationComparison of outcomesEffect of specialtyLogistic regression modelsOverall complicationsVascular consultationPostoperative complicationsPatient demographicsPostoperative outcomesPulmonary embolismComorbid conditionsRegression modelsExtremity amputationRetrospective studyVascular disease
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 surgeonsAssessing trends in laparoscopic colostomy reversal and evaluating outcomes when compared to open procedures
Pei KY, Davis KA, Zhang Y. Assessing trends in laparoscopic colostomy reversal and evaluating outcomes when compared to open procedures. Surgical Endoscopy 2017, 32: 695-701. PMID: 28726139, DOI: 10.1007/s00464-017-5725-4.Peer-Reviewed Original ResearchConceptsReversal surgeryLength of stayColostomy reversalComplication rateSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramUnconditional logistic regression modelsStudy periodTotal hospital lengthOverall complication rateProbability of morbidityShorter operation timeQuality Improvement ProgramLogistic regression modelsLaparoscopic colostomyLaparoscopic reversalMethodsAll patientsPostsurgical diagnosisHospital lengthPostoperative complicationsNSQIP databasePatient demographicsHartmann's reversalComorbid conditions
2011
Can Acute Care Surgeons Perform Emergency Colorectal Procedures With Good Outcomes?
Schuster KM, McGillicuddy EA, Maung AA, Kaplan LJ, Davis KA. Can Acute Care Surgeons Perform Emergency Colorectal Procedures With Good Outcomes? Journal Of Trauma And Acute Care Surgery 2011, 71: 94-101. PMID: 21818018, DOI: 10.1097/ta.0b013e31821e43d2.Peer-Reviewed Original ResearchConceptsAcute care surgeonsEmergency colorectal proceduresColorectal proceduresColorectal emergenciesPatient characteristicsExact testIntensive care unit lengthElective colorectal casesOpen abdominal techniquePerioperative risk factorsExtended care facilitiesLength of stayFisher's exact testLow case volumeChi-square testLogistic regression modelsACS mortalityAnesthesiology classColorectal casesPreoperative hypotensionColorectal operationsElective resectionVentilator daysElderly patientsSignificant comorbidities