2020
Spirometry not pain level predicts outcomes in geriatric patients with isolated rib fractures.
Schuster KM, Sanghvi M, O'Connor R, Becher R, Maung AA, Davis KA. Spirometry not pain level predicts outcomes in geriatric patients with isolated rib fractures. Journal Of Trauma And Acute Care Surgery 2020, 89: 947-954. PMID: 32467465, DOI: 10.1097/ta.0000000000002795.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overEmergency Service, HospitalFemaleHand StrengthHospitals, RehabilitationHumansIntensive Care UnitsLength of StayMalePainPain ManagementPain MeasurementPatient DischargePatient TransferPredictive Value of TestsProspective StudiesRib FracturesSpirometryTrauma CentersTreatment OutcomeConceptsLength of stayIsolated rib fracturesNegative inspiratory forceUnplanned ICU admissionRib fracturesPain levelsDay 1ICU admissionInspiratory forceGrip strengthMedian LOSHospital day 1Expiratory volume 1Complete spirometryPain controlDischarge dispositionPulmonary functionEarly dischargeGeriatric patientsVital capacityMean ageSpirometry measuresPulmonary capacityLevel IVFEV1Authors' Response to the Letter to the Editor.
Schuster KM, Crandall M. Authors' Response to the Letter to the Editor. Journal Of Trauma And Acute Care Surgery 2020, 88: e137. PMID: 32317580, DOI: 10.1097/ta.0000000000002596.Peer-Reviewed Original ResearchEmergency Service, HospitalUnited StatesHospital 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
Regionalization of emergency general surgery operations: A simulation study.
Becher RD, Sukumar N, DeWane MP, Gill TM, Maung AA, Schuster KM, Stolar MJ, Davis KA. Regionalization of emergency general surgery operations: A simulation study. Journal Of Trauma And Acute Care Surgery 2019, 88: 366-371. PMID: 31804419, PMCID: PMC7472889, DOI: 10.1097/ta.0000000000002543.Peer-Reviewed Original ResearchConceptsEmergency general surgeryHigh-volume hospitalsEGS careEmergency general surgery operationsCalifornia inpatient databaseCommon EGS operationsRisk-adjusted deathsSignificant survival benefitLow-volume hospitalsUmbilical hernia repairSmall bowel resectionHigh-mortality hospitalsGeneral surgery operationsRegional trauma systemEGS operationsBowel resectionAdult patientsPrimary outcomeSurvival benefitInpatient DatabaseHernia repairTrauma systemLevel IVGeneral surgeryCare management
2017
A highly sensitive and specific combined clinical and sonographic score to diagnose appendicitis
Reddy SB, Kelleher M, Bokhari SAJ, Davis KA, Schuster KM. A highly sensitive and specific combined clinical and sonographic score to diagnose appendicitis. Journal Of Trauma And Acute Care Surgery 2017, 83: 643-649. PMID: 28459797, DOI: 10.1097/ta.0000000000001551.Peer-Reviewed Original Research
2016
Multicenter validation of American Association for the Surgery of Trauma grading system for acute colonic diverticulitis and its use for emergency general surgery quality improvement program
Shafi S, Priest EL, Crandall ML, Klekar CS, Nazim A, Aboutanos M, Agarwal S, Bhattacharya B, Byrge N, Dhillon TS, Eboli DJ, Fielder D, Guillamondegui O, Gunter O, Inaba K, Mowery NT, Nirula R, Ross SE, Savage SA, Schuster KM, Schmoker RK, Siboni S, Siparsky N, Trust MD, Utter GH, Whelan J, Feliciano DV, Rozycki G. Multicenter validation of American Association for the Surgery of Trauma grading system for acute colonic diverticulitis and its use for emergency general surgery quality improvement program. Journal Of Trauma And Acute Care Surgery 2016, 80: 405-411. PMID: 26670116, DOI: 10.1097/ta.0000000000000943.Peer-Reviewed Original ResearchConceptsAcute colonic diverticulitisQuality Improvement ProgramAAST gradeLength of stayColonic diverticulitisGrade IClinical eventsNational Surgical Quality Improvement ProgramEmergency general surgery (EGS) diseasesPhysiologic statusSurgical Quality Improvement ProgramGrading systemTrauma grading systemRisk of deathTime of admissionSurgery of TraumaNew grading systemHigher disease gradeRegression analysisAmerican AssociationEGS careEGS registryAdverse eventsMedian ageClinical outcomes
2009
Factors Predicting Morbidity and Mortality in Emergency Colorectal Procedures in Elderly Patients
McGillicuddy EA, Schuster KM, Davis KA, Longo WE. Factors Predicting Morbidity and Mortality in Emergency Colorectal Procedures in Elderly Patients. JAMA Surgery 2009, 144: 1157-1162. PMID: 20026835, DOI: 10.1001/archsurg.2009.203.Peer-Reviewed Original ResearchConceptsEmergency colorectal proceduresEmergent colorectal proceduresColorectal proceduresHospital mortalityElderly patientsUniversity tertiary referral centerIntra-abdominal contaminationIntraoperative blood lossPatients 65 yearsAdvanced colorectal cancerCurrent Procedural Terminology codesModifiable risk factorsTertiary referral centerColorectal cancer screeningRecurrent respiratory failureProcedural Terminology codesPredicting MorbidityHospital morbidityPostoperative morbidityRenal insufficiencyRespiratory failureFrequent complicationReferral centerBlood lossRetrospective reviewEmergency and Urgent Surgery
Schuster KM, Davis KA, Rosenbaum SH. Emergency and Urgent Surgery. Medical Clinics Of North America 2009, 93: 1131-1148. PMID: 19665625, DOI: 10.1016/j.mcna.2009.05.011.Peer-Reviewed Original ResearchConceptsAggressive resuscitative effortsEarly surgical consultationGeneral surgical emergenciesGeneral surgical conditionsEmergency surgical careHealth care providersAggressive resuscitationUrgent surgeryPostoperative periodSurgical emergencyIll patientsSurgical illnessSurgical consultationSurgical interventionResuscitative effortsSurgical conditionsSurgical careCare providersPatientsTherapeutic interventionsInterventionSelect subsetEmergencyOpen communicationSurgeryUncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire
Kaplan LJ, Maerz LL, Schuster K, Lui F, Johnson D, Roesler D, Luckianow G, Davis KA. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. Journal Of Trauma And Acute Care Surgery 2009, 67: 173-179. PMID: 19590331, DOI: 10.1097/ta.0b013e31819ea514.Peer-Reviewed Original ResearchMeSH KeywordsCritical CareEmergency Service, HospitalFemaleHumansMaleMedical ErrorsMedical Staff, HospitalMiddle AgedRetrospective StudiesRisk FactorsWork Schedule ToleranceWorkloadConceptsRapid response teamRRT activationPatient's diseaseAcute volume overloadPatient care errorsBlood component therapyRRT needRRT therapyRespiratory failureComorbid diseasesVolume overloadPatient morbidityComponent therapyResponse teamsFluid balanceCommon reasonCare errorsNursing DatabaseNursing errorsPatientsPreventable errorsActivation criteriaDiseaseComplete dataTherapy
2008
How Can Trauma Surgeons Maintain Their Operative Skills?
Schuster KM, Lopez PP, Greene T, Wheeler K, Soffer D, Habib F, Cohn SM, Schulman CI. How Can Trauma Surgeons Maintain Their Operative Skills? Journal Of Trauma And Acute Care Surgery 2008, 65: 387-389. PMID: 18695476, DOI: 10.1097/ta.0b013e31817db08f.Peer-Reviewed Original ResearchConceptsEmergency general surgeryElective general surgeryGeneral surgeryOperative experienceTrauma serviceTrauma casesTrauma surgeonsEmergency general surgery casesGeneral surgery consultationOperative skillsGeneral surgery casesOperative trauma casesElective case volumesTrauma operative experienceNeck explorationSurgery consultationRetrospective studyTrauma centerOperative databaseSurgery casesSurgical servicesCase volumeLevel ISurgeryOperative workload