2017
Variability in Gastrostomy Tube Placement for Intracerebral Hemorrhage Patients at US Hospitals
Hwang DY, George BP, Kelly AG, Schneider EB, Sheth KN, Holloway RG. Variability in Gastrostomy Tube Placement for Intracerebral Hemorrhage Patients at US Hospitals. Journal Of Stroke And Cerebrovascular Diseases 2017, 27: 978-987. PMID: 29221969, DOI: 10.1016/j.jstrokecerebrovasdis.2017.11.001.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCerebral HemorrhageClinical Decision-MakingDatabases, FactualFemaleGastrostomyHealthcare DisparitiesHospitalsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioPractice Patterns, Physicians'Process Assessment, Health CareRetrospective StudiesTime FactorsUnited StatesYoung AdultConceptsGastrostomy tube placementTube placementGastrostomy tubeICH patientsIntracerebral hemorrhageUS hospitalsMultilevel multivariable regression modelsHospital random effectsNationwide Inpatient SampleIntracerebral hemorrhage patientsMultivariable regression modelsLocal practice patternsMedian odds ratioICH hospitalizationsHospital factorsHospital covariatesRegression modelsHemorrhage patientsICH admissionsInpatient SampleOdds ratioPlacement ratesPractice patternsMedian increasePatientsImpact of the insurance type of head and neck cancer patients on their hospitalization utilization patterns
Gupta A, Sonis S, Schneider E, Villa A. Impact of the insurance type of head and neck cancer patients on their hospitalization utilization patterns. Cancer 2017, 124: 760-768. PMID: 29112234, DOI: 10.1002/cncr.31095.Peer-Reviewed Original ResearchConceptsHNC patientsHospital typeUninsured patientsInsurance typeMortality riskInsurance-related disparitiesInferior survival outcomesNationwide Inpatient SampleNeck cancer patientsLogistic regression modelsOptimum treatment outcomesMultinomial logistic regression modelsPatient agePoor outcomeSurvival outcomesPrimary exposureCancer patientsInpatient SampleHNC outcomesInpatient careTreatment outcomesHospital settingProvider typePatientsGovernment hospitalsLength of Stay and Cost in Patients Undergoing Orthognathic Surgery: Does Surgeon Volume Matter?
Gupta A, Chowdhury R, Haring R, Leinbach L, Petrone J, Spitzer M, Schneider E. Length of Stay and Cost in Patients Undergoing Orthognathic Surgery: Does Surgeon Volume Matter? Journal Of Oral And Maxillofacial Surgery 2017, 75: 1948-1957. PMID: 28576668, DOI: 10.1016/j.joms.2017.04.041.Peer-Reviewed Original ResearchConceptsHigh-volume surgeonsAnnual surgeon volumeSurgeon volumeHospital costsHospital-level factorsNationwide Inpatient SampleMultivariable logistic regressionLow-volume surgeonsLength of stayOrthognathic surgical proceduresType of procedureSurgeon volume matterOpen osteoplastyHospital lengthIndex hospitalizationPatients 8Extended LOSMean ageVital statusPotential confoundersInpatient SamplePatient LOSSurgical proceduresLower oddsSurgeon group
2016
A comparison of trends in operative approach and postoperative outcomes for colorectal cancer surgery
Addae J, Gani F, Fang S, Wick E, Althumairi A, Efron J, Canner J, Euhus D, Schneider E. A comparison of trends in operative approach and postoperative outcomes for colorectal cancer surgery. Journal Of Surgical Research 2016, 208: 111-120. PMID: 27993198, DOI: 10.1016/j.jss.2016.09.019.Peer-Reviewed Original ResearchConceptsLength of stayShorter LOSColorectal cancer surgerySurgical approachColorectal surgeryPostoperative morbidityPostoperative outcomesCancer surgeryOpen surgeryInvasive surgeryOpen colorectal surgeryInvasive colorectal surgeryTime of surgeryCochrane-Armitage testNationwide Inpatient SampleRobotic colorectal surgeryHigher mean costCRC surgeryPerioperative outcomesPostoperative complicationsInpatient SampleOpen procedureOperative approachMean costSurgeryPredictors of emergency ventral hernia repair: Targets to improve patient access and guide patient selection for elective repair
Wolf LL, Scott JW, Zogg CK, Havens JM, Schneider EB, Smink DS, Salim A, Haider AH. Predictors of emergency ventral hernia repair: Targets to improve patient access and guide patient selection for elective repair. Surgery 2016, 160: 1379-1391. PMID: 27542434, DOI: 10.1016/j.surg.2016.06.027.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAged, 80 and overConfidence IntervalsDatabases, FactualElective Surgical ProceduresEmergenciesFemaleFollow-Up StudiesHealth Services AccessibilityHernia, VentralHerniorrhaphyHospital MortalityHumansInsurance CoverageLogistic ModelsMaleMiddle AgedOdds RatioPatient SelectionPredictive Value of TestsQuality ImprovementRetrospective StudiesRisk AssessmentSeverity of Illness IndexSex FactorsTime FactorsTreatment OutcomeConceptsVentral hernia repairEmergency ventral hernia repairHospital-level factorsHernia repairIndependent predictorsPatient selectionElective operationsWorse outcomesEmergency repairLonger hospital stayNationwide Inpatient SampleMultivariable logistic regressionUnited States populationRace/ethnicityHospital deathHospital staySecondary outcomesElective repairPrimary outcomePayer statusInpatient SamplePatient outcomesVentral herniasElective careGreater odds
2015
Differences in the Prevalence of Obesity, Smoking and Alcohol in the United States Nationwide Inpatient Sample and the Behavioral Risk Factor Surveillance System
Al Kazzi E, Lau B, Li T, Schneider E, Makary M, Hutfless S. Differences in the Prevalence of Obesity, Smoking and Alcohol in the United States Nationwide Inpatient Sample and the Behavioral Risk Factor Surveillance System. PLOS ONE 2015, 10: e0140165. PMID: 26536469, PMCID: PMC4633065, DOI: 10.1371/journal.pone.0140165.Peer-Reviewed Original ResearchConceptsBehavioral Risk Factor Surveillance SystemNationwide Inpatient SamplePrevalence of obesityUnited States Nationwide Inpatient SampleRisk Factor Surveillance SystemRisk factorsAlcohol abuseTobacco useInpatient SampleAdministrative databasesMedical record codesRisk-adjusted outcomesLarge administrative databaseSurveillance systemTobacco smokingNinth RevisionMedical recordsClinical ModificationLow prevalenceInternational ClassificationOverweightObesityHealthcare reform policiesMorbidityPrevalenceUnited States trends in thrombolysis for older adults with acute ischemic stroke
George B, Asemota A, Dorsey E, Haider A, Smart B, Urrutia V, Schneider E. United States trends in thrombolysis for older adults with acute ischemic stroke. Clinical Neurology And Neurosurgery 2015, 139: 16-23. PMID: 26363362, DOI: 10.1016/j.clineuro.2015.08.031.Peer-Reviewed Original ResearchConceptsNationwide Inpatient SampleAcute ischemic strokeIschemic strokeOlder adultsStudy periodHospital mortality rateAdult stroke patientsHigh-volume hospitalsLength of stayRate of thrombolysisHigh-volume facilitiesPopulation-based ratesCochran-Armitage testThrombolysis groupVolume hospitalsUrban patientsThrombolysis useIntracerebral hemorrhageStroke patientsPrimary diagnosisInpatient SampleOdds ratioHospitalization dataThrombolysisAge subgroupsEffect 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 designationExplaining the Paradoxical Age-based Racial Disparities in Survival After Trauma
Hicks C, Hashmi Z, Hui X, Velopulos C, Efron D, Schneider E, Cooper L, Haut E, Cornwell E, Haider A. Explaining the Paradoxical Age-based Racial Disparities in Survival After Trauma. Annals Of Surgery 2015, 262: 179-183. PMID: 24979610, DOI: 10.1097/sla.0000000000000809.Peer-Reviewed Original ResearchConceptsOlder black patientsYoung black patientsYoung white patientsBlack patientsWhite patientsBlack trauma patientsRacial disparitiesTrauma patientsInjury severityClinical Modification diagnosis codesOlder white patientsPatients 65 yearsOverall injury severityMechanism of injuryNationwide Inpatient SampleHead injury severityOlder patientsIncreased oddsComorbid conditionsSurvival outcomesNinth RevisionInsurance statusAdjusted oddsDiagnosis codesInpatient SampleBeyond 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 SampleTraumatic brain injury in the elderly: morbidity and mortality trends and risk factors
Haring R, Narang K, Canner J, Asemota A, George B, Selvarajah S, Haider A, Schneider E. Traumatic brain injury in the elderly: morbidity and mortality trends and risk factors. Journal Of Surgical Research 2015, 195: 1-9. PMID: 25724764, DOI: 10.1016/j.jss.2015.01.017.Peer-Reviewed Original ResearchConceptsTraumatic brain injuryMechanism of injuryBrain injuryTBI-related deathsTBI-related hospitalizationOdds of deathMultivariable logistic regressionNationwide Inpatient SampleLogistic regression analysisOlder age groupsMore comorbiditiesMale patientsPayer statusTBI patientsInpatient SampleRisk factorsHigher oddsInjury severityPatientsMortality trendsAge groupsInjuryLogistic regressionTBI dataComorbiditiesOutcomes after emergency general surgery at teaching versus nonteaching hospitals
Zafar S, Shah A, Hashmi Z, Efron D, Haut E, Schneider E, Schwartz D, Velopulos C, Cornwell E, Haider A. Outcomes after emergency general surgery at teaching versus nonteaching hospitals. Journal Of Trauma And Acute Care Surgery 2015, 78: 69-77. PMID: 25539205, DOI: 10.1097/ta.0000000000000493.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdolescentAdultAgedAged, 80 and overComorbidityEmergency TreatmentFemaleGeneral SurgeryHospital CostsHospital MortalityHospitals, TeachingHumansLength of StayMaleMiddle AgedOutcome and Process Assessment, Health CarePostoperative ComplicationsPropensity ScoreQuality of Health CareRetrospective StudiesSeverity of Illness IndexUnited StatesConceptsLength of stayHospital costsMajor complicationsQuality of careTeaching hospitalEGS conditionsNonteaching hospitalsEmergency general surgery conditionsEffect estimatesEmergency general surgeryHospital-level factorsMajority of patientsNationwide Inpatient SampleHigher hospital costsSurgery of TraumaEmergency surgical conditionsStandardized differenceMultivariate regression analysisEGS volumeHospital mortalityOperative managementInpatient SampleSurgical conditionsWorse outcomesGeneral surgery
2014
Encephalitis Hospitalization Rates and Inpatient Mortality in the United States, 2000-2010
George B, Schneider E, Venkatesan A. Encephalitis Hospitalization Rates and Inpatient Mortality in the United States, 2000-2010. PLOS ONE 2014, 9: e104169. PMID: 25192177, PMCID: PMC4156306, DOI: 10.1371/journal.pone.0104169.Peer-Reviewed Original ResearchConceptsNationwide Inpatient SampleHospitalization ratesEncephalitis hospitalizationsInpatient mortalitySpecified causeComorbid HIV/AIDSAcute phase outcomesComorbid HIV infectionDiagnosis of encephalitisOdds of mortalityRetrospective observational studyCommon infectious agentsAcute care hospitalsYears of ageHerpes simplex virusHIV/AIDSAutoimmune conditionsCare hospitalHIV infectionWest Nile virusCause-specific ratesEncephalitis patientsViral causeAdjusted oddsInpatient SampleCurrent practices in feeding tube placement for US acute ischemic stroke inpatients
George B, Kelly A, Schneider E, Holloway R. Current practices in feeding tube placement for US acute ischemic stroke inpatients. Neurology 2014, 83: 874-882. PMID: 25098538, PMCID: PMC4153849, DOI: 10.1212/wnl.0000000000000764.Peer-Reviewed Original ResearchConceptsTube insertion ratesTube placementStroke admissionsFeeding tubeMultilevel multivariable regression modelsHospital random effectsIschemic stroke inpatientsHospital-level factorsIschemic stroke admissionsRetrospective observational studyNationwide Inpatient SampleLength of stayPatient-centered decisionMultivariable regression modelsHospital factorsIschemic strokePatient demographicsRace/ethnicity dataStroke inpatientsStroke hospitalizationsInpatient SampleStroke volumeObservational studyHospital practiceHospitalRace-based differences in length of stay among patients undergoing pancreatoduodenectomy
Schneider EB, Calkins KL, Weiss MJ, Herman JM, Wolfgang CL, Makary MA, Ahuja N, Haider AH, Pawlik TM. Race-based differences in length of stay among patients undergoing pancreatoduodenectomy. Surgery 2014, 156: 528-537. PMID: 24973128, DOI: 10.1016/j.surg.2014.04.004.Peer-Reviewed Original ResearchMeSH KeywordsAgedBlack or African AmericanCross-Sectional StudiesFemaleGeneral SurgeryHealthcare DisparitiesHispanic or LatinoHospital MortalityHospitalsHumansLength of StayLogistic ModelsMaleMiddle AgedPancreaticoduodenectomyPostoperative ComplicationsRacial GroupsRetrospective StudiesUnited StatesWhite PeopleConceptsHigh-volume hospitalsHigh-volume surgeonsHispanic patientsRace-based differencesWhite patientsMedian annual surgeon volumeAnnual hospital volumeAnnual surgeon volumeOverall median LOSNationwide Inpatient SampleMultivariable logistic regressionLength of stayHospital mortalityHospital lengthMedian LOSHospital volumeOperative morbidityProvider volumeSurgeon volumeMedian lengthPD patientsInpatient SamplePatient racePancreatoduodenectomyEligible individualsInpatient survival after gastrectomy for gastric cancer in the 21st century
Wang H, Pawlik TM, Duncan MD, Hui X, Selvarajah S, Canner JK, Haider AH, Ahuja N, Schneider EB. Inpatient survival after gastrectomy for gastric cancer in the 21st century. Journal Of Surgical Research 2014, 190: 72-78. PMID: 24725677, DOI: 10.1016/j.jss.2014.03.015.Peer-Reviewed Original ResearchConceptsLength of stayHospital-level factorsHospital mortalityGastric cancerNonelective admissionsLonger LOSBetter patient selectionNationwide Inpatient SampleMultivariable regression modelingRegionalization of careType of procedureInpatient survivalSurgery typeSurgical treatmentMultivariable analysisPatient selectionInpatient SamplePrimary diagnosisMale genderPrimary procedureProcedure typeTeaching hospitalLower oddsGastrectomyPatients
2013
Race and Insurance Disparities in Discharge to Rehabilitation for Patients with Traumatic Brain Injury
Asemota A, George B, Cumpsty-Fowler C, Haider A, Schneider E. Race and Insurance Disparities in Discharge to Rehabilitation for Patients with Traumatic Brain Injury. Journal Of Neurotrauma 2013, 30: 2057-2065. PMID: 23972035, PMCID: PMC3868359, DOI: 10.1089/neu.2013.3091.Peer-Reviewed Original ResearchConceptsTraumatic brain injuryBrain injurySevere traumatic brain injuryAdult TBI survivorsInsurance-based differencesOdds of dischargeHospital-level variablesImproved functional outcomesMeeting study criteriaMultivariable logistic regressionNationwide Inpatient SampleInpatient rehabilitation servicesInsurance-based disparitiesStandard descriptive methodsUninsured blacksUninsured HispanicsInpatient rehabilitationFunctional outcomeStudy criteriaInpatient SampleInsurance statusInpatient careTBI survivorsRehabilitation servicesLogistic regressionSocioeconomic disparity in inpatient mortality after traumatic injury in adults
Ali M, Hui X, Hashmi Z, Dhiman N, Scott V, Efron D, Schneider E, Haider A. Socioeconomic disparity in inpatient mortality after traumatic injury in adults. Surgery 2013, 154: 461-467. PMID: 23972652, PMCID: PMC3989530, DOI: 10.1016/j.surg.2013.05.036.Peer-Reviewed Original ResearchConceptsInjury Severity ScoreInpatient mortalityMedian household incomeSocioeconomic statusTrauma mortalityInsurance statusMultiple logistic regression analysisUnadjusted inpatient mortalityNationwide Inpatient SampleType of injuryLogistic regression analysisLower wealth quartilesWealthiest quartileTrauma disparitiesPatient demographicsIndependent predictorsTrauma patientsSeverity scoreAdjusted oddsInpatient SampleTraumatic injuryInclusion criteriaAdult traumaComorbiditiesMortalityIncreased complications after appendectomy in patients with cerebral palsy: Are special needs patients at risk for disparities in outcomes?
Dhiman N, Chi A, Pawlik T, Efron D, Haut E, Schneider E, Hashmi Z, Scott V, Hui X, Ali M, Haider A. Increased complications after appendectomy in patients with cerebral palsy: Are special needs patients at risk for disparities in outcomes? Surgery 2013, 154: 479-485. PMID: 23972654, DOI: 10.1016/j.surg.2013.05.038.Peer-Reviewed Original ResearchConceptsCerebral palsyHospital stayPostoperative complicationsLaparoscopic appendectomyAcute respiratory distress syndromeNon-CP patientsOperation-related infectionOdds of complicationsRespiratory distress syndromeUrinary tract infectionNationwide Inpatient SampleHospital discharge dataSpecial needs patientsCommon operative procedureMultiple logistic regressionRecognition of symptomsCP patientsInpatient mortalityPostoperative outcomesTract infectionsDistress syndromeOrgan failureAdjusted analysisPatient assessmentInpatient Sample