2015
Quality 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 OUTCOME
2013
Predictors of outcome in acute encephalitis
Thakur K, Motta M, Asemota A, Kirsch H, Benavides D, Schneider E, McArthur J, Geocadin R, Venkatesan A. Predictors of outcome in acute encephalitis. Neurology 2013, 81: 793-800. PMID: 23892708, PMCID: PMC3908458, DOI: 10.1212/wnl.0b013e3182a2cc6d.Peer-Reviewed Original ResearchConceptsMultivariate logistic regression analysisPredictors of outcomeStatus epilepticusLogistic regression analysisCerebral edemaHospital dischargePoor outcomeJohns Hopkins Bayview Medical CenterPredictors of deathFurther prospective studiesIntensive care unitJohns Hopkins HospitalRegression analysisIntubation requirementAutoimmune etiologyAcute encephalitisAggressive managementVentilator supportMedian ageCare unitViral encephalitisProspective studyEncephalitis casesUnknown causeRetrospective analysisNational cost of trauma care by payer status
Velopulos C, Enwerem N, Obirieze A, Hui X, Hashmi Z, Scott V, Cornwell E, Schneider E, Haider A. National cost of trauma care by payer status. Journal Of Surgical Research 2013, 184: 444-449. PMID: 23800441, PMCID: PMC5995319, DOI: 10.1016/j.jss.2013.05.068.Peer-Reviewed Original ResearchConceptsPayer statusTrauma carePrivate insuranceNationwide Inpatient SamplePatient case mixUS dollar equivalentsPatient characteristicsNinth RevisionPresent studyInpatient costsHospital characteristicsInpatient SampleClinical ModificationTraumatic injuryPayer perspectiveRetrospective analysisSample patientsInternational ClassificationType of insuranceEconomic burdenCase mixPatientsNational population estimatesTrauma costTeaching statusCounting the lives lost: how many black trauma deaths are attributable to disparities?
Scott V, Hashmi Z, Schneider E, Hui X, Efron D, Cornwell E, Cooper L, Haider A. Counting the lives lost: how many black trauma deaths are attributable to disparities? Journal Of Surgical Research 2013, 184: 480-487. PMID: 23827793, PMCID: PMC5995316, DOI: 10.1016/j.jss.2013.04.080.Peer-Reviewed Original ResearchConceptsBlack patientsRisk of mortalityTrauma deathsRelative riskLevel IWhite patientsNational Trauma Data BankLevel II trauma centerRacial disparitiesTrauma center deathsTrauma Data BankWhite malesNumber of deathsTrauma centerExcess mortalityTrauma outcomesRetrospective analysisOutcome disparitiesPatientsExcess deathsMortalityDeathRiskInjuryBluntState-by-state variation in emergency versus elective colon resections: Room for improvement
Obirieze A, Kisat M, Hicks C, Oyetunji T, Schneider E, Gaskin D, Haut E, Efron D, Cornwell E, Haider A. State-by-state variation in emergency versus elective colon resections: Room for improvement. Journal Of Trauma And Acute Care Surgery 2013, 74: 1286. PMID: 23609280, PMCID: PMC3645918, DOI: 10.1097/ta.0b013e31828b8478.Peer-Reviewed Original ResearchConceptsElective colon resectionColon surgeryColon resectionOdds ratioElective colon surgeryEmergency colon surgeryNationwide Inpatient SampleFinal study cohortElective surgical proceduresDischarge-level weightsSubstantial state variationsElective colectomyEmergency colectomyHospital factorsAdult patientsStudy cohortEmergent proceduresInpatient SampleNational averageColon operationsUnadjusted proportionRetrospective analysisSurgical proceduresEmergency proceduresColectomyState-by-state variation in emergency versus elective colon resections: Room for improvement
Obirieze A, Kisat M, Hicks C, Oyetunji T, Schneider E, Gaskin D, Haut E, Efron D, Cornwell E, Haider A. State-by-state variation in emergency versus elective colon resections: Room for improvement. Journal Of Trauma And Acute Care Surgery 2013, 74: 1286-1291. DOI: 10.1097/01586154-201305000-00015.Peer-Reviewed Original ResearchElective colon resectionColon surgeryColon resectionOdds ratioElective colon surgeryEmergency colon surgeryNationwide Inpatient SampleFinal study cohortElective surgical proceduresDischarge-level weightsSubstantial state variationsElective colectomyEmergency colectomyAdult patientsHospital factorsStudy cohortEmergent proceduresNational averageInpatient SampleColon operationsUnadjusted proportionRetrospective analysisSurgical proceduresEpidemiologic studiesLevel IIIPredictors of Sepsis in Moderately Severely Injured Patients: An Analysis of the National Trauma Data Bank
Kisat M, Villegas C, Onguti S, Zafar S, Latif A, Efron D, Haut E, Schneider E, Lipsett P, Zafar H, Haider A. Predictors of Sepsis in Moderately Severely Injured Patients: An Analysis of the National Trauma Data Bank. Surgical Infections 2013, 14: 62-68. PMID: 23461696, PMCID: PMC3601717, DOI: 10.1089/sur.2012.009.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAccidents, TrafficAdolescentAdultAgedAged, 80 and overBlack or African AmericanDatabases, FactualFemaleHumansInjury Severity ScoreLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioRetrospective StudiesRisk FactorsSepsisSocioeconomic FactorsUnited StatesWounds and InjuriesConceptsPost-traumatic sepsisNational Trauma Data BankInjury Severity ScoreTrauma Data BankClinical characteristicsPredictor of sepsisLife-threatening complicationsEmergency department presentationsMechanism of injuryMultivariable logistic regressionAfrican American raceAssociated mortality rateAssociation of sepsisYears of ageMotor vehicle crashesHospital deathPatient groupStudy criteriaInjury factorsSeverity scoreMale genderRisk factorsRetrospective analysisSepsisInjury mechanism
2012
Should the IDC-9 Trauma Mortality Prediction Model become the new paradigm for benchmarking trauma outcomes?
Haider A, Villegas C, Saleem T, Efron D, Stevens K, Oyetunji T, Cornwell E, Bowman S, Haack S, Baker S, Schneider E. Should the IDC-9 Trauma Mortality Prediction Model become the new paradigm for benchmarking trauma outcomes? Journal Of Trauma And Acute Care Surgery 2012, 72: 1695-1701. PMID: 22695443, DOI: 10.1097/ta.0b013e318256a010.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBenchmarkingCohort StudiesDatabases, FactualFemaleHospital MortalityHumansInternational Classification of DiseasesMaleMiddle AgedModels, StatisticalPredictive Value of TestsRetrospective StudiesSensitivity and SpecificityTrauma Severity IndicesTreatment OutcomeUnited StatesWounds and InjuriesYoung AdultConceptsInjury Severity ScoreNew ISSMortality prediction modelTrauma Mortality Prediction ModelTrauma outcomesInjury typeInjury severityNational Trauma Data BankNew Injury Severity ScoreInjury severity indicesMortality prediction abilityTrauma Data BankTrauma registry dataCrude mortality rateReceiver operator characteristic curveDRG International ClassificationOperator characteristic curveHospital mortalitySeverity scoreSubgroup analysisRegistry dataRetrospective analysisOutcome measuresPrognostic studiesInternational Classification
2011
Differential Association of Race With Treatment and Outcomes in Medicare Patients Undergoing Diverticulitis Surgery
Schneider EB, Haider A, Sheer AJ, Hambridge HL, Chang DC, Segal JB, Wu AW, Lidor AO. Differential Association of Race With Treatment and Outcomes in Medicare Patients Undergoing Diverticulitis Surgery. JAMA Surgery 2011, 146: 1272-1276. PMID: 22106319, DOI: 10.1001/archsurg.2011.280.Peer-Reviewed Original ResearchConceptsMedical comorbiditiesInsurance statusUrgent/emergency surgeryGreater riskRacial disparitiesUrgent/emergencyMedicare Provider AnalysisHealth insurance statusObserved racial disparitiesHospital mortalityGreater comorbidityEmergency surgerySurgical treatmentEmergency admissionsStudy criteriaBlack raceWorse outcomesMedicare patientsProcedure typeRetrospective analysisInpatient dataComorbiditiesMortality riskMultivariable regressionOutcome data