2017
A Novel Risk Score to Predict the Need for Nutrition Support After Cardiac Surgery
Ohkuma R, Crawford T, Brown P, Grimm J, Magruder J, Kilic A, Suarez-Pierre A, Snyder S, Wood J, Schneider E, Sussman M, Whitman G. A Novel Risk Score to Predict the Need for Nutrition Support After Cardiac Surgery. The Annals Of Thoracic Surgery 2017, 104: 1306-1312. PMID: 28625392, DOI: 10.1016/j.athoracsur.2017.03.013.Peer-Reviewed Original ResearchConceptsPostoperative nutrition supportNutrition supportCardiac surgeryNS scoresAdult cardiac surgery patientsMultivariable logistic regression modelingEarly postoperative nutritionMalnutrition-related morbidityCardiac surgery patientsNovel risk scoreRelative odds ratioLogistic regression modelingTiming of initiationPostoperative nutritionSurgery patientsDerivation cohortIndependent predictorsPredictive screening toolMultivariable analysisValidation cohortC-statisticOdds ratioHigh riskRisk scorePatients
2016
Implementation of a Comprehensive Post-Discharge Venous Thromboembolism Prophylaxis Program for Abdominal and Pelvic Surgery Patients
Najjar PA, Madenci AL, Zogg CK, Schneider EB, Dankers CA, Pimentel MT, Chabria AS, Goldberg JE, Sharma G, Piazza G, Bleday R, Orgill DP, Kachalia A. Implementation of a Comprehensive Post-Discharge Venous Thromboembolism Prophylaxis Program for Abdominal and Pelvic Surgery Patients. Journal Of The American College Of Surgeons 2016, 223: 804-813. PMID: 27693288, PMCID: PMC6309555, DOI: 10.1016/j.jamcollsurg.2016.09.010.Peer-Reviewed Original ResearchConceptsPost-intervention cohortPre-intervention cohortInflammatory bowel diseaseVenous thromboembolismProphylaxis programAbdominal surgeryBowel diseasePost-discharge VTE ratesVenous thromboembolism prophylaxis programBedside medication deliveryInpatient venous thromboembolismInstitutional American CollegeSymptomatic venous thromboembolismPrimary end pointMajor abdominal surgeryVTE prevention programSingle-institution retrospectiveSurgeons NSQIP datasetPost-intervention analysisProphylactic anticoagulationVTE prophylaxisVTE ratesVTE eventsNSQIP datasetRisk patients
2014
Does relative value unit–based compensation shortchange the acute care surgeon?
Schwartz D, Hui X, Velopulos C, Schneider E, Selvarajah S, Lucas D, Haut E, McQuay N, Pawlik T, Efron D, Haider A. Does relative value unit–based compensation shortchange the acute care surgeon? Journal Of Trauma And Acute Care Surgery 2014, 76: 84-94. PMID: 24368361, PMCID: PMC5995323, DOI: 10.1097/ta.0b013e3182ab1ae3.Peer-Reviewed Original ResearchConceptsLength of stayAcute care surgeonsEmergent casesRelative value unitsPatient careNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramComorbidities of interestEmergent operative managementHigher mortality riskQuality Improvement ProgramCurrent Procedural TerminologyElective colectomyMinor complicationsComplication rateOperative timeEmergent proceduresMore complicationsOperative managementBiliary proceduresElective proceduresOpen techniqueElective patientsOdds ratioHernia repair
2013
A protocol-driven approach to early extubation after heart surgery
Fitch Z, Debesa O, Ohkuma R, Duquaine D, Steppan J, Schneider E, Whitman G. A protocol-driven approach to early extubation after heart surgery. Journal Of Thoracic And Cardiovascular Surgery 2013, 147: 1344-1350. PMID: 24269120, DOI: 10.1016/j.jtcvs.2013.10.032.Peer-Reviewed Original ResearchConceptsPatient shiveringRisk factorsVentilation timePostoperative mechanical ventilation timeLow body temperatureStandardized protocolMechanical ventilation timeRate of reintubationIndependent risk factorPercent of patientsPeriod 1 patientProtocol-driven approachBody temperatureReintubation rateEarly extubationProlonged ventilationCoronary bypassHeart surgeryReminder sheetsMultidisciplinary committeePatientsLogistic regressionPatient safetyExtubationBaseline practice