2024
To close or not to close? Wound management in emergent colorectal surgery, an EAST multicenter prospective cohort study
Feather C, Rehrig S, Allen R, Barth N, Kugler E, Cullinane D, Falank C, Bhattacharya B, Maung A, Seng S, Ratnasekera A, Bass G, Butler D, Pascual J, Srikureja D, Winicki N, Lynde J, Nowak B, Azar F, Thompson L, Nahmias J, Manasa M, Tesoriero R, Kumar S, Collom M, Kincaid M, Sperwer K, Santos A, Klune J, Turcotte J. To close or not to close? Wound management in emergent colorectal surgery, an EAST multicenter prospective cohort study. Journal Of Trauma And Acute Care Surgery 2024, 97: 73-81. PMID: 38523130, DOI: 10.1097/ta.0000000000004321.Peer-Reviewed Original ResearchSurgical site infectionLength of stayHospital length of stayWound classColorectal surgeryICU admissionProcedural detailsMulticenter prospective cohort studyTraumatic colorectal injuriesIn-hospital mortality rateAssociated with increased risk of mortalityAssociated with increased riskMortality rateRates of in-hospital mortalityEmergency colorectal surgeryColorectal surgery patientsProspective observational studyIn-hospital mortalityProspective cohort studyWound closure techniquesAverage length of stayRisk of mortalityStatistically significant differenceVasopressor therapyASA score
2023
Duration of antimicrobial treatment for complicated intra-abdominal infections after definitive source control: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma
H. J, Rattan R, Patel N, Bhattacharya B, Butts C, Gupta S, Asfaw S, Como J, Sahr S, Bugaev N. Duration of antimicrobial treatment for complicated intra-abdominal infections after definitive source control: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. Journal Of Trauma And Acute Care Surgery 2023, 95: 603-612. PMID: 37316989, DOI: 10.1097/ta.0000000000003998.Peer-Reviewed Original ResearchConceptsComplicated intra-abdominal infectionsDefinitive source controlIntra-abdominal infectionsSurgery of TraumaAntimicrobial treatmentSystematic reviewAdult patientsLonger durationEastern AssociationDuration of antibioticsShorter antibiotic coursesPractice management guidelinesSurgical site infectionLevel of evidenceTerms of mortalitySource controlAntibiotic coursesRecurrent abscessesAntibiotic regimensHospital lengthRecommendations AssessmentSite infectionAntimicrobial durationLevel IIIMeta-Analysis
2022
Academic Medical Centers Experienced Higher Rates of Post-Operative Health-Care–Associated Infections during the COVID-19 Pandemic: A Post Hoc Analysis of an Eastern Association for the Surgery of Trauma Multicenter Trial
Tracy BM, Valdez CL, Crowley B, Seng S, Ratnasekera A, Collins CM, Bhattacharya B, O'Connor R, Sharp V, Gelbard RB. Academic Medical Centers Experienced Higher Rates of Post-Operative Health-Care–Associated Infections during the COVID-19 Pandemic: A Post Hoc Analysis of an Eastern Association for the Surgery of Trauma Multicenter Trial. Surgical Infections 2022, 23: 538-544. PMID: 35917388, DOI: 10.1089/sur.2022.148.Peer-Reviewed Original ResearchConceptsAcademic medical centerRisk factorsMedical CenterConcomitant COVID-19 infectionPost-operative healthTrauma multicenter trialIndependent risk factorSurgical site infectionInfection prevention effortsImportance of adherenceMulti-center studyCOVID-19 infectionCoronavirus disease 2019COVID-19 pandemicPost Hoc AnalysisHigh rateAppendicitis severityAcute appendicitisMulticenter trialPrimary outcomeSite infectionCommon HAIHoc AnalysisHospital typeDisease 2019
2021
Improved outcomes using laparoscopy for emergency colectomy after mitigating bias by negative control exposure analysis
Linderman GC, Lin W, Sanghvi MR, Becher RD, Maung AA, Bhattacharya B, Davis KA, Schuster KM. Improved outcomes using laparoscopy for emergency colectomy after mitigating bias by negative control exposure analysis. Surgery 2021, 171: 305-311. PMID: 34332782, DOI: 10.1016/j.surg.2021.06.048.Peer-Reviewed Original ResearchConceptsOpen surgeryEmergency colectomyNational Surgical Quality Improvement Program dataQuality Improvement Program dataPostoperative septic shockLow-risk patientsSurgical site infectionPatients meeting criteriaColorectal emergenciesElective colectomyUnderwent laparoscopyHospital stayOverall morbidityNationwide registryAnastomotic leakColectomy casesConverted groupSeptic shockSite infectionPatient selectionBaseline variablesImproved outcomesLaparoscopic surgeryTreatment weightingColectomyAssociation of Acute Care Surgeon Experience With Emergency Surgery Patient Outcomes and Mortality
Schuster KM, Hazelton JP, Rattigan D, Perez JM, Bhattacharya B. Association of Acute Care Surgeon Experience With Emergency Surgery Patient Outcomes and Mortality. JAMA Surgery 2021, 156: 472-478. PMID: 33688932, PMCID: PMC7948108, DOI: 10.1001/jamasurg.2021.0041.Peer-Reviewed Original ResearchMeSH KeywordsAcute Kidney InjuryAdultAgedBlood TransfusionClinical CompetenceEmergenciesFemaleHumansLength of StayMaleMiddle AgedPostoperative HemorrhagePostoperative PeriodReoperationRisk FactorsShock, SepticSurgeonsSurgical Wound InfectionSurvival RateTime FactorsTrauma CentersTreatment OutcomeUnited StatesWounds and InjuriesYoung AdultConceptsEmergency surgery outcomesEmergency Surgery ScoreMore septic shockEmergency surgical proceduresLength of staySurgeon experienceUnplanned returnOlder patientsSeptic shockSurgery scoreKidney failureSurgery outcomesOperating roomSurgical proceduresSurgeon groupAcademic level 1 trauma centerOrgan space surgical site infectionEmergency general surgical careLevel 1 trauma centerYears of experienceGeneral surgical interventionEmergency general surgeryAcute care surgeonsAcute kidney failureSurgical site infection