2023
Changes in Older Adult Trauma Quality When Evaluated Using Longer-Term Outcomes vs In-Hospital Mortality
Zogg C, Cooper Z, Peduzzi P, Falvey J, Castillo-Angeles M, Kodadek L, Staudenmayer K, Davis K, Tinetti M, Lichtman J. Changes in Older Adult Trauma Quality When Evaluated Using Longer-Term Outcomes vs In-Hospital Mortality. JAMA Surgery 2023, 158: e234856. PMID: 37792354, PMCID: PMC10551815, DOI: 10.1001/jamasurg.2023.4856.Peer-Reviewed Original ResearchConceptsHospital-level factorsTraumatic brain injurySevere traumatic brain injuryHospital mortalityTrauma QualityOlder adultsHip fractureComposite scoreHigher risk-adjusted oddsLevel 1 trauma centerIn-Hospital MortalityRisk-adjusted oddsLong-term outcomesMultivariable logistic regressionNontrauma centersTrauma patientsTerm outcomesTrauma centerPrimary diagnosisBrain injuryTrauma systemMAIN OUTCOMEMedicare feeService claimsForms of traumaThe interaction between geriatric and neighborhood vulnerability: Delineating prehospital risk among older adult emergency general surgery patients
Zogg C, Falvey J, Kodadek L, Staudenmayer K, Davis K. The interaction between geriatric and neighborhood vulnerability: Delineating prehospital risk among older adult emergency general surgery patients. Journal Of Trauma And Acute Care Surgery 2023, 96: 400-408. PMID: 37962136, PMCID: PMC10922165, DOI: 10.1097/ta.0000000000004191.Peer-Reviewed Original ResearchGeriatric vulnerabilitiesOlder adultsEGS careAdverse outcomesHospital Frailty Risk ScoreEmergency general surgery patientsGreater riskFlorida State Inpatient DatabaseFrailty Risk ScoreGeneral surgery patientsState Inpatient DatabasesArea Deprivation IndexEthnic minority patientsNeighborhood vulnerabilityEGS outcomesHazard ratioOlder patientsSurgery patientsPatient ageEGS conditionsInpatient DatabaseVulnerable patientsPatient residesMinority patientsRisk scoreA Rationale and Systems Impact for Geriatric Trauma and Acute Care Surgery
Briggs A, Kodadek L. A Rationale and Systems Impact for Geriatric Trauma and Acute Care Surgery. 2023, 17-28. DOI: 10.1007/978-3-031-30651-8_3.ChaptersAcute care surgeryCare surgeryOlder adultsLonger hospital staySevere postoperative complicationsBaseline functional statusGoals of careHospital stayPostoperative complicationsGeriatric traumaGeriatric patientsFunctional statusSurgical conditionsHigh-risk operationsCare planningCare plansCare programInpatient operationsUS populationNumber of AmericansOptimal outcomesComplicationsPatientsSurgeryAdultsDiverticulitis in Older Adults: Is Cognitive Impairment Associated With Outcomes?
Kodadek L, Moore M, Canner J, Schneider E. Diverticulitis in Older Adults: Is Cognitive Impairment Associated With Outcomes? Journal Of Surgical Research 2023, 291: 359-366. PMID: 37506436, DOI: 10.1016/j.jss.2023.06.015.Peer-Reviewed Original ResearchConceptsColonic diverticulitisCognitive impairmentEmergency departmentOlder adultsHospital mortalityOperative interventionInpatient admissionsPrimary diagnosisMultivariable Poisson regression modelsNationwide Emergency Department SamplePrimary payer statusRetrospective cohort studyElixhauser Comorbidity IndexEmergency Department SampleComorbid cognitive impairmentPoisson regression modelsComorbidity indexComplicated diverticulitisCognitive impairment statusCohort studyED encountersPatient ageED carePayer statusRelative riskAn Evaluation of Sex-Based Differences in Surrogate Consent for Older Adults Undergoing Surgical Intervention
Nagarkatti N, Miller S, Ahuja V, Schneider E, Mohanty S, Kodadek L. An Evaluation of Sex-Based Differences in Surrogate Consent for Older Adults Undergoing Surgical Intervention. Journal Of Surgical Research 2023, 288: 246-251. PMID: 37030182, DOI: 10.1016/j.jss.2023.02.041.Peer-Reviewed Original ResearchConceptsPreoperative cognitive impairmentMale patientsCognitive impairmentSurrogate consentSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramPatients age 65Preoperative cognitive statusQuality Improvement ProgramHigh rateSex-based differencesFemale patientsPatient sexSurgical interventionStratified analysisFacets of medicineAge 75American CollegePatientsAge 65Cognitive statusDescriptive studyOlder adultsAge categories
2022
Reconceptualizing high-quality emergency general surgery care: Non–mortality-based quality metrics enable meaningful and consistent assessment
Zogg CK, Staudenmayer KL, Kodadek LM, Davis KA. Reconceptualizing high-quality emergency general surgery care: Non–mortality-based quality metrics enable meaningful and consistent assessment. Journal Of Trauma And Acute Care Surgery 2022, 94: 68-77. PMID: 36245079, PMCID: PMC9805506, DOI: 10.1097/ta.0000000000003818.Peer-Reviewed Original ResearchConceptsEmergency general surgeryHospital-level factorsEGS conditionsEmergency general surgery careOlder adultsNationwide Readmissions DatabaseComplex older adultsSurgery of TraumaGeneral surgery careQuality improvement initiativesOlder adult populationEGS careEGS hospitalsEGS patientsPatient frailtySurgery careGeneral surgeryHospitalLevel IIIAdult populationCohortPatientsComplex adultCareAdultsSurrogate consent for surgery among older adult patients
Miller SM, Nagarkatti N, Ahuja V, Schneider EB, Mohanty S, Rosenthal RA, Kodadek LM. Surrogate consent for surgery among older adult patients. Surgery 2022, 172: 1748-1752. PMID: 36123180, DOI: 10.1016/j.surg.2022.08.015.Peer-Reviewed Original ResearchConceptsHalf of patientsCognitive impairmentSurrogate consentHigher comorbidity burdenOlder adult patientsComorbidity burdenPreoperative disabilityAdult patientsOlder patientsFemale patientsSurgical interventionElective proceduresSurgical proceduresHealth characteristicsAmerican CollegeDaily livingOwn consentPatientsOlder adultsImpairmentSurgeryConsentDescriptive analysisFurther researchDiagnosis
2016
Never giving up: outcomes and presentation of emergency general surgery in geriatric octogenarian and nonagenarian patients
Shah AA, Zafar SN, Kodadek LM, Zogg CK, Chapital AB, Iqbal A, Greene WR, Cornwell EE, Havens J, Nitzschke S, Cooper Z, Salim A, Haider AH. Never giving up: outcomes and presentation of emergency general surgery in geriatric octogenarian and nonagenarian patients. The American Journal Of Surgery 2016, 212: 211-220.e3. PMID: 27086200, DOI: 10.1016/j.amjsurg.2016.01.021.Peer-Reviewed Original ResearchConceptsLength of stayNonagenarian patientsYoung adultsUtilization Project Nationwide Inpatient SampleLower total hospital costsEmergency general surgery patientsShorter LOSLower risk-adjusted oddsOlder adultsPrimary EGS diagnosesEmergency general surgeryGeneral surgery patientsRisk-adjusted oddsTotal hospital costsHigher mortality riskRisk-adjusted differencesGastrostomy careMajor morbidityOlder patientsSurgery patientsEGS diagnosesInpatient SampleHospital costsHigher oddsGeneral surgery