2019
Effect of Travel Time for Thyroid Surgery on Treatment Cost and Morbidity
Ramirez A, Schneider E, Mehaffey J, Zeiger M, Hanks J, Smith P. Effect of Travel Time for Thyroid Surgery on Treatment Cost and Morbidity. The American Surgeon 2019, 85: 949-955. PMID: 31638505, DOI: 10.1177/000313481908500934.Peer-Reviewed Original ResearchConceptsHigh-volume centersThyroid surgeryPrimary outcomeHospital costsSingle high-volume centerMedian operative timeHealth care utilizationCertain patient populationsMultivariable regression modelingPatient's home addressHome addressPostoperative morbidityACS-NSQIPOperative timePatient populationUninsured statusThyroid diseaseEndocrine surgeryMorbidity riskThyroid proceduresSurgical careTime-related differencesPatient differencesDisease processPatients
2018
Conscious status is associated with the likelihood of trauma centre care and mortality in patients with moderate-to-severe traumatic brain injury
AlSulaim H, Haring R, Asemota A, Smart B, Canner J, Ejaz A, Efron D, Velopulos C, Haut E, Schneider E. Conscious status is associated with the likelihood of trauma centre care and mortality in patients with moderate-to-severe traumatic brain injury. Brain Injury 2018, 32: 784-793. PMID: 29561720, DOI: 10.1080/02699052.2018.1451658.Peer-Reviewed Original ResearchConceptsLoss of consciousnessNon-trauma centersTraumatic brain injuryTrauma centerBrain injuryHead/neck Abbreviated Injury Scale scoreNeck Abbreviated Injury Scale scoreLevel I/II trauma centersAbbreviated Injury Scale scoreSevere traumatic brain injuryInjury Scale scoreOdds of mortalityTrauma center careTC treatmentLogistic regression modelsHospital mortalityOlder patientsPatient demographicsPrimary outcomeInjury characteristicsNinth RevisionAIS scoreTBI outcomesPrevention criteriaClinical Modification
2016
Influence of Specialty Training and Trainee Involvement on Perioperative Outcomes of Esophagectomy
Khoushhal Z, Canner J, Schneider E, Stem M, Haut E, Mungo B, Lidor A, Molena D. Influence of Specialty Training and Trainee Involvement on Perioperative Outcomes of Esophagectomy. The Annals Of Thoracic Surgery 2016, 102: 1829-1836. PMID: 27570158, DOI: 10.1016/j.athoracsur.2016.06.025.Peer-Reviewed Original ResearchConceptsVolume-outcome relationshipGeneral surgeonsHospital stayCardiothoracic surgeonsTrainee involvementTransthoracic approachNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseQuality Improvement Program databaseOutcomes of esophagectomyImprovement Program databaseLonger hospital stayShorter hospital staySurgeon volume-outcome relationshipUnplanned intubationOverall morbidityPerioperative outcomesPostoperative outcomesSecondary outcomesDischarge destinationPrimary outcomeSerious morbidityCTS patientsSurgeon specialtyWound infectionPredictors of emergency ventral hernia repair: Targets to improve patient access and guide patient selection for elective repair
Wolf LL, Scott JW, Zogg CK, Havens JM, Schneider EB, Smink DS, Salim A, Haider AH. Predictors of emergency ventral hernia repair: Targets to improve patient access and guide patient selection for elective repair. Surgery 2016, 160: 1379-1391. PMID: 27542434, DOI: 10.1016/j.surg.2016.06.027.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAged, 80 and overConfidence IntervalsDatabases, FactualElective Surgical ProceduresEmergenciesFemaleFollow-Up StudiesHealth Services AccessibilityHernia, VentralHerniorrhaphyHospital MortalityHumansInsurance CoverageLogistic ModelsMaleMiddle AgedOdds RatioPatient SelectionPredictive Value of TestsQuality ImprovementRetrospective StudiesRisk AssessmentSeverity of Illness IndexSex FactorsTime FactorsTreatment OutcomeConceptsVentral hernia repairEmergency ventral hernia repairHospital-level factorsHernia repairIndependent predictorsPatient selectionElective operationsWorse outcomesEmergency repairLonger hospital stayNationwide Inpatient SampleMultivariable logistic regressionUnited States populationRace/ethnicityHospital deathHospital staySecondary outcomesElective repairPrimary outcomePayer statusInpatient SamplePatient outcomesVentral herniasElective careGreater oddsA novel score to estimate the risk of pneumonia after cardiac surgery
Kilic A, Ohkuma R, Grimm J, Magruder J, Sussman M, Schneider E, Whitman G. A novel score to estimate the risk of pneumonia after cardiac surgery. Journal Of Thoracic And Cardiovascular Surgery 2016, 151: 1415-1421. PMID: 27085620, DOI: 10.1016/j.jtcvs.2015.12.049.Peer-Reviewed Original ResearchMeSH KeywordsAge DistributionAgedCardiac Surgical ProceduresCardiopulmonary BypassCohort StudiesFemaleHumansIncidenceMaleMiddle AgedMultivariate AnalysisPneumoniaPostoperative ComplicationsRegression AnalysisRetrospective StudiesRisk FactorsSeverity of Illness IndexSex DistributionSurvival RateUnited StatesConceptsCardiac surgeryPostoperative pneumoniaRisk scoreValidation cohortRisk factorsMultivariable modelRate of pneumoniaRisk of pneumoniaSingle-institution databaseSignificant risk factorsComposite scoreIntraoperative predictorsPerioperative managementPrimary outcomeTraining cohortPneumoniaSurgeryNovel scorePreventative interventionsCohortOverall rateScoresPatientsSignificant correlationRegression analysis
2015
National estimates of predictors of outcomes for emergency general surgery
Shah AA, Haider AH, Zogg CK, Schwartz DA, Haut ER, Zafar SN, Schneider EB, Velopulos CG, Shafi S, Zafar H, Efron DT. National estimates of predictors of outcomes for emergency general surgery. Journal Of Trauma And Acute Care Surgery 2015, 78: 482-491. PMID: 25710417, DOI: 10.1097/ta.0000000000000555.Peer-Reviewed Original ResearchConceptsEmergency general surgeryEGS patientsMajor complicationsGeneral surgeryMultivariate logistic regression analysisOverall complication ratePredictors of mortalityClinical Modification codesOverall mortality rateNationwide Inpatient SampleSeparate multivariate logistic regression analysesSurgery of TraumaDRG International ClassificationLogistic regression analysisHighest income quartileHospital complicationsHospital mortalityComplication ratePatient demographicsSurgical complicationsIndependent predictorsPrimary outcomeEGS conditionsMean ageInpatient Sample
2013
Hispanic ethnicity is associated with increased costs after carotid endarterectomy and carotid stenting in the United States
Propper B, Black J, Schneider E, Lum Y, Malas M, Arnold M, Abularrage C. Hispanic ethnicity is associated with increased costs after carotid endarterectomy and carotid stenting in the United States. Journal Of Surgical Research 2013, 184: 644-650. PMID: 23582759, DOI: 10.1016/j.jss.2013.03.057.Peer-Reviewed Original ResearchConceptsCarotid artery stentingTotal hospital chargesCarotid endarterectomyHospital chargesHispanic ethnicityBlack patientsUnivariate analysisOperative volumeCost of CEAHospital operative volumeSurgeon operative volumesLow-volume hospitalsNationwide Inpatient SampleCarotid artery stenosisICD-9 codesLow-volume surgeonsHigh-risk statusOnly Hispanic ethnicityPostoperative complicationsCarotid revascularizationSymptomatic statusArtery stentingPrimary outcomeSymptomatic presentationArtery stenosisRacial and ethnic disparities in the treatment of unruptured thoracoabdominal aortic aneurysms in the United States
Arnaoutakis D, Propper B, Black J, Schneider E, Lum Y, Freischlag J, Perler B, Abularrage C. Racial and ethnic disparities in the treatment of unruptured thoracoabdominal aortic aneurysms in the United States. Journal Of Surgical Research 2013, 184: 651-657. PMID: 23545407, DOI: 10.1016/j.jss.2013.03.018.Peer-Reviewed Original ResearchMeSH KeywordsAgedAortic Aneurysm, AbdominalAortic Aneurysm, ThoracicBlack or African AmericanComorbidityEthnicityFemaleHealthcare DisparitiesHispanic or LatinoHospital CostsHumansInsurance, HealthLinear ModelsMaleMiddle AgedMultivariate AnalysisRacial GroupsRisk FactorsUnited StatesVascular Surgical ProceduresWhite PeopleConceptsAortic aneurysm repairThoracoabdominal aortic aneurysm repairHospital operative volumePostoperative complicationsAneurysm repairThoracoabdominal aneurysmsHispanic patientsHispanic ethnicityOperative volumeMultivariate analysisEthnic disparitiesAbdominal aortic aneurysm repairAnnual surgical volumeThoracoabdominal aortic aneurysmsClinical Modification codesNationwide Inpatient SamplePreoperative comorbiditiesIndex hospitalizationSecondary outcomesDiabetes mellitusPrimary outcomeWhite patientsBlack patientsCerebrovascular diseaseNinth Revision
2012
The impact of race and ethnicity on the outcome of carotid interventions in the United States
Schneider E, Black J, Hambridge H, Lum Y, Freischlag J, Perler B, Abularrage C. The impact of race and ethnicity on the outcome of carotid interventions in the United States. Journal Of Surgical Research 2012, 177: 172-177. PMID: 22459294, DOI: 10.1016/j.jss.2012.02.050.Peer-Reviewed Original ResearchConceptsIndependent risk factorRisk of strokeCarotid endarterectomyBlack patientsHispanic ethnicityRisk factorsMultivariable analysisUnivariate analysisGreater riskOutcomes of CEANationwide Inpatient SampleDiseases-9 codesInfluence of raceAfrican American raceCarotid artery stenosisHigh-risk statusPostoperative deathsCarotid angioplastyPrimary outcomeSymptomatic statusWhite patientsArtery stenosisCarotid interventionHospital characteristicsInpatient Sample
2011
Older patients with diverticulitis have low recurrence rates and rarely need surgery
Lidor AO, Segal JB, Wu AW, Yu Q, Feinberg R, Schneider EB. Older patients with diverticulitis have low recurrence rates and rarely need surgery. Surgery 2011, 150: 146-153. PMID: 21801956, DOI: 10.1016/j.surg.2011.05.006.Peer-Reviewed Original ResearchConceptsOlder patientsRecurrent episodesLow recurrence rateNumber of recurrencesMedicare Provider AnalysisCohort studyElderly patientsOperative interventionPatient agePrimary outcomeDiverticulitis recurrenceIncident cohortBenign courseFurther recurrenceMean ageRecurrence rateInitial careOutpatient filesInpatient careDiverticulitisFirst presentationPatientsSurgeryRecurrenceConservative approachPredictors of Positive Head CT Scan and Neurosurgical Procedures After Minor Head Trauma
Kisat M, Zafar S, Latif A, Villegas C, Efron D, Stevens K, Haut E, Schneider E, Zafar H, Haider A. Predictors of Positive Head CT Scan and Neurosurgical Procedures After Minor Head Trauma. Journal Of Surgical Research 2011, 173: 31-37. PMID: 21872271, PMCID: PMC3684145, DOI: 10.1016/j.jss.2011.04.059.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAged, 80 and overBlack or African AmericanCraniocerebral TraumaFemaleHeadHumansLogistic ModelsMaleMiddle AgedNeurosurgical ProceduresPredictive Value of TestsRetrospective StudiesSex FactorsTomography, X-Ray ComputedTrauma Severity IndicesTreatment OutcomeWhite PeopleYoung AdultConceptsPositive head CT scanNormal Glasgow Coma ScaleGlasgow Coma ScaleHead CT scanMinor head injuryBlunt head injuryHead injuryCT scanNeurosurgical proceduresInjury characteristicsPositive findingsNational Trauma Data BankInjury-specific characteristicsMinor head traumaMechanism of injuryTrauma Data BankHistory of fallsMultivariate logistic regressionAdult patientsOlder patientsComa ScaleMale patientsPrimary outcomeHead traumaMale gender