2023
Emergency general surgery verification: Quality improvement and the case for optimal resources and process standards
Coleman J, Davis K, Savage S, Staudenmayer K, Coimbra R. Emergency general surgery verification: Quality improvement and the case for optimal resources and process standards. Journal Of Trauma And Acute Care Surgery 2023, 96: e1-e4. PMID: 37678150, DOI: 10.1097/ta.0000000000004135.Peer-Reviewed Original ResearchConceptsEmergency general surgeryEmergency surgical interventionDay of surgeryAcute care surgeryPublic health burdenQuality Improvement ProgramPostoperative complicationsCare surgeryHospital admissionIll patientsSurgical interventionFormal quality improvement programHealth burdenGeneral surgeryPatient careCare deliverySurgeryPrograms/servicesField of traumaOutcomes researchPatientsAdmissionHospitalNational databankPractice standards
2020
Virtual interviews for surgical critical care fellowships and acute care fellowships amid the COVID-19 pandemic: The show must still go on
Asmar S, Kulvatunyou N, Davis K, Joseph B. Virtual interviews for surgical critical care fellowships and acute care fellowships amid the COVID-19 pandemic: The show must still go on. Journal Of Trauma And Acute Care Surgery 2020, 89: e92-e94. PMID: 32618965, PMCID: PMC7586855, DOI: 10.1097/ta.0000000000002831.Peer-Reviewed Original ResearchGeographic Variation in the Utilization of and Mortality After Emergency General Surgery Operations in the Northeastern and Southeastern United States
Becher RD, Jin L, Warren JL, Gill TM, DeWane MP, Davis KA, Zhang Y. Geographic Variation in the Utilization of and Mortality After Emergency General Surgery Operations in the Northeastern and Southeastern United States. Annals Of Surgery 2020, 275: 340-347. PMID: 32516232, PMCID: PMC7726051, DOI: 10.1097/sla.0000000000003939.Peer-Reviewed Original ResearchConceptsHospital service areasSubsequent mortalityEmergency general surgery careEmergency general surgery operationsEGS operationsCommon EGS operationsAge-standardized ratesGeneral surgery careState Inpatient DatabasesGeneral surgery operationsRandom-effects modelWide geographic variationHospital mortalityInpatient DatabaseSurgery careKruskal-Wallis testMortality rateUnwarranted variationMortalityStandardized ratesLinear random effects modelSurgery operationsUnited StatesGeographic variationCareCurrent opinion on emergency general surgery transfer and triage criteria.
McCrum ML, Davis KA, Kaafarani HM, Santry HP, Shafi S, Crandall ML. Current opinion on emergency general surgery transfer and triage criteria. Journal Of Trauma And Acute Care Surgery 2020, 89: e71-e77. PMID: 32467469, DOI: 10.1097/ta.0000000000002806.Peer-Reviewed Original ResearchMapping the increasing interest in acute care surgery-Who, why and which fellowship?
Gayed BN, Zarzaur BL, Livingston DH, Chiu WC, Davis KA, Tisherman SA, Alam HB, Spain DA. Mapping the increasing interest in acute care surgery-Who, why and which fellowship? Journal Of Trauma And Acute Care Surgery 2020, 88: 629-635. PMID: 32320176, DOI: 10.1097/ta.0000000000002585.Peer-Reviewed Original ResearchConceptsAcute care surgerySurgery of TraumaPractice patternsCare surgeryFellowship typeClinical interestSurgical critical careFellowship yearDifferent fellowshipPrimary clinical interestAmerican AssociationFisher's exactCritical careLevel IVPearson χFellowship program directorsTrauma surgeryResponse rateSurgeryOperative experienceFellowship pathwaysTrauma trainingMost fellowsRecent traineesFellowship choicesHospital 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
2019
Hospital Operative Volume and Quality Indication for General Surgery Operations Performed Emergently in Geriatric Patients
Becher RD, DeWane MP, Sukumar N, Stolar MJ, Gill TM, Becher RM, Maung AA, Schuster KM, Davis KA. Hospital Operative Volume and Quality Indication for General Surgery Operations Performed Emergently in Geriatric Patients. Journal Of The American College Of Surgeons 2019, 228: 910-923. PMID: 31005629, PMCID: PMC6582986, DOI: 10.1016/j.jamcollsurg.2019.02.053.Peer-Reviewed Original ResearchConceptsHospital operative volumeGeneral surgery operationsGeriatric patientsOperative volumeEmergency operationHospital volumeProbability of survivalEmergency general surgery operationsCalifornia State Inpatient DatabaseRetrospective cohort studySurgery operationsState Inpatient DatabasesHigher operative volumesAverage mortality riskOlder patientsCohort studyInpatient DatabaseGeriatric populationSurgical careSurgical qualityAmerican CollegeMortality riskOptimizing outcomesStandardized increasePatientsThe Economic Footprint of Acute Care Surgery in the United States
Knowlton LM, Minei J, Tennakoon L, Davis KA, Doucet J, Bernard A, Haider A, Scherer L, Spain DA, Staudenmayer KL. The Economic Footprint of Acute Care Surgery in the United States. Journal Of Trauma And Acute Care Surgery 2019, Publish Ahead of Print: &na;. PMID: 30589750, PMCID: PMC6433481, DOI: 10.1097/ta.0000000000002181.Peer-Reviewed Original ResearchConceptsAcute care surgeryEmergency general surgeryACS patientsClinical Modification diagnosisInpatient populationInternational ClassificationAdult ACS patientsNon-surgical patientsHealth care utilizationHigher mean costSurgical critical careNonoperative conditionsACS diagnosisAdult patientsPatient characteristicsCare surgeryCare utilizationAdult admissionsEGS conditionsInpatient costsInpatient hospitalizationCritical careGeneral surgeryMean costPatients
2018
Racial/Ethnic Disparities in Longer-term Outcomes Among Emergency General Surgery Patients
Zogg CK, Jiang W, Ottesen TD, Shafi S, Schuster K, Becher R, Davis KA, Haider AH. Racial/Ethnic Disparities in Longer-term Outcomes Among Emergency General Surgery Patients. Annals Of Surgery 2018, 268: 968-979. PMID: 28742704, PMCID: PMC5783796, DOI: 10.1097/sla.0000000000002449.Peer-Reviewed Original ResearchConceptsEmergency general surgery patientsNon-Hispanic whitesGeneral surgery patientsLong-term outcomesNon-Hispanic blacksNon-Hispanic AsiansMinority patientsMajor morbidityUnplanned readmissionSurgery patientsOlder adultsRisk-adjusted Cox proportional hazards modelsEthnic disparitiesCox proportional hazards modelDiagnostic categoriesRacial/Ethnic DisparitiesUS population agesProportional hazards modelNHB patientsNonagenarian patientsNHW patientsBACKGROUND DATAHospital's percentageMortality differencesMedicare dataTransfer status
DeWane MP, Davis KA, Schuster KM, Erwin SP, Maung AA, Becher RD. Transfer status. Journal Of Trauma And Acute Care Surgery 2018, 85: 348-353. PMID: 29664889, DOI: 10.1097/ta.0000000000001939.Peer-Reviewed Original ResearchConceptsOutside emergency departmentHospital inpatient unitsEmergency departmentNursing homesInpatient unitTransfer statusSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseBackward multivariable logistic regressionOutside hospital emergency departmentEmergency general surgery patientsQuality Improvement Program databaseMultivariate Cox regression analysisEmergency colon surgeryGeneral surgery patientsThirty-day mortalityImprovement Program databaseChronic care facilitiesCox regression analysisRates of morbidityTransfer of patientsHospital emergency departmentHospital inpatient wardsEmergent colectomyPhysiologic decompensationComparison 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 diseaseComparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurgical Complications in Surgically Complex Patients
Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurgical Complications in Surgically Complex Patients. JAMA Surgery 2018, 153: 203-207. PMID: 29049425, PMCID: PMC5885933, DOI: 10.1001/jamasurg.2017.3936.Peer-Reviewed Original ResearchConceptsInternal medicine residentsComplex patientsGeneral surgery residentsPostsurgical complicationsMedicine residentsGeneral surgeryInternal medicineSurgery residentsSurgical site infectionSmall bowel resectionInguinal hernia repairInternal medicine serviceRisk-adjusted outcomesRisk-adjusted modelsDuodenal ulcer repairGeneral surgery practiceComplex clinical scenariosGeneral surgery traineesRisk of interventionCardiac complicationsComplex patient scenariosPostoperative complicationsSurgical complicationsSite infectionSurgical risk
2017
Ongoing Evolution of Emergency General Surgery as a Surgical Subspecialty
Becher RD, Davis KA, Rotondo MF, Coimbra R. Ongoing Evolution of Emergency General Surgery as a Surgical Subspecialty. Journal Of The American College Of Surgeons 2017, 226: 194-200. PMID: 29111417, DOI: 10.1016/j.jamcollsurg.2017.10.014.Commentaries, Editorials and LettersPaying it forward
Zakrison TL, Polk TM, Dixon R, Ekeh AP, Gross KR, Davis KA, Kurek SJ, Stassen NA, Patel MB. Paying it forward. Journal Of Trauma And Acute Care Surgery 2017, 83: 165-169. PMID: 28452871, PMCID: PMC5488724, DOI: 10.1097/ta.0000000000001493.Peer-Reviewed Original ResearchAcute care surgery: An evolving paradigm
Jurkovich GJ, Davis KA, Burlew CC, Dente CJ, Galante JM, Goodwin JS, Joseph B, de Moya M, Becher RD, Pandit V. Acute care surgery: An evolving paradigm. Current Problems In Surgery 2017, 54: 364-395. PMID: 28756821, DOI: 10.1067/j.cpsurg.2017.05.001.Commentaries, Editorials and LettersAcute care surgery fellowship graduates' practice patterns
Burlew CC, Davis KA, Fildes JJ, Esposito TJ, Dente CJ, Jurkovich GJ. Acute care surgery fellowship graduates' practice patterns. Journal Of Trauma And Acute Care Surgery 2017, 82: 208-210. PMID: 27779596, DOI: 10.1097/ta.0000000000001309.Peer-Reviewed Original ResearchConceptsEmergency general surgeryGeneral surgeryPractice patternsLevel IACS fellowshipFellowship trainingAcademic Level IElective general surgeryCurrent practice patternsSurgery of TraumaSurgical critical careHospital-based groupScope of practiceFellowship programsAmerican AssociationTrauma designationElective casesThoracic surgeryTeaching hospitalCritical careSurgeryTrauma surgeryCase mixVascular casesPractice demographicsInternational rotations
Ferrada P, Ivatury RR, Spain DA, Davis KA, Aboutanos M, Fildes JJ, Scalea TM. International rotations. Journal Of Trauma And Acute Care Surgery 2017, 82: 51-57. PMID: 27779594, DOI: 10.1097/ta.0000000000001307.Peer-Reviewed Original ResearchConceptsAcute care surgerySurgical critical careMajority of PDsOperative casesEmergent general surgeryProgram directorsOperative exposureCritical careTrauma systemGeneral surgeryResponse rateMost program directorsSCC fellowshipsCase loadREDCap toolInternational rotationsMost fellowsTraumaCase exposureSurgeryFellow educationMost fellowships
2016
Can residents detect errors in technique while observing central line insertions?
Pei K, Merola J, Davis KA, Longo WE. Can residents detect errors in technique while observing central line insertions? The American Journal Of Surgery 2016, 213: 1166-1170.e1. PMID: 27863720, DOI: 10.1016/j.amjsurg.2016.08.026.Peer-Reviewed Original Research
2015
Defining the acute care surgery curriculum
Duane TM, Dente CJ, Fildes JJ, Davis KA, Jurkovich GJ, Meredith JW, Britt LD. Defining the acute care surgery curriculum. Journal Of Trauma And Acute Care Surgery 2015, 78: 259-264. PMID: 25757109, DOI: 10.1097/ta.0000000000000522.Peer-Reviewed Original ResearchConceptsCurrent Procedural Terminology codesProcedural Terminology codesTerminology codesElective neck dissectionInguinal hernia repairHead/neckHead/faceNeck dissectionSurgery curriculumGastrostomy tubePediatric experienceVascular traumaHernia repairLateral canthotomyCase volumeObstruction treatmentBody regionsNeckTraumaTotalYearsInstitutional exposureTracheostomyTraineesCanthotomy
2010
Challenging Issues in Surgical Critical Care, Trauma, and Acute Care Surgery: A Report From the Critical Care Committee of the American Association for the Surgery of Trauma
Napolitano LM, Fulda GJ, Davis KA, Ashley DW, Friese R, Van Way CW, Meredith JW, Fabian TC, Jurkovich GJ, Peitzman AB. Challenging Issues in Surgical Critical Care, Trauma, and Acute Care Surgery: A Report From the Critical Care Committee of the American Association for the Surgery of Trauma. Journal Of Trauma And Acute Care Surgery 2010, 69: 1619-1633. PMID: 21150539, DOI: 10.1097/ta.0b013e3182011089.Peer-Reviewed Original ResearchConceptsSurgical critical careAcute care surgeryCritical care servicesCritical Care CommitteeCritical careCare surgeryCare CommitteeCare servicesAcute care surgery fellowshipAdult critical care servicesSurgery of TraumaCritical care fellowsShortage of intensivistsCritical care traineesSurgical intensivistsSurgeryTrauma fellowshipInternal medicineSurgery fellowshipIntensivistsCareTraumaHealthcare systemNational dataSurgeons