2017
Variability in Gastrostomy Tube Placement for Intracerebral Hemorrhage Patients at US Hospitals
Hwang DY, George BP, Kelly AG, Schneider EB, Sheth KN, Holloway RG. Variability in Gastrostomy Tube Placement for Intracerebral Hemorrhage Patients at US Hospitals. Journal Of Stroke And Cerebrovascular Diseases 2017, 27: 978-987. PMID: 29221969, DOI: 10.1016/j.jstrokecerebrovasdis.2017.11.001.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCerebral HemorrhageClinical Decision-MakingDatabases, FactualFemaleGastrostomyHealthcare DisparitiesHospitalsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioPractice Patterns, Physicians'Process Assessment, Health CareRetrospective StudiesTime FactorsUnited StatesYoung AdultConceptsGastrostomy tube placementTube placementGastrostomy tubeICH patientsIntracerebral hemorrhageUS hospitalsMultilevel multivariable regression modelsHospital random effectsNationwide Inpatient SampleIntracerebral hemorrhage patientsMultivariable regression modelsLocal practice patternsMedian odds ratioICH hospitalizationsHospital factorsHospital covariatesRegression modelsHemorrhage patientsICH admissionsInpatient SampleOdds ratioPlacement ratesPractice patternsMedian increasePatients
2016
Predictors 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 odds
2015
United States trends in thrombolysis for older adults with acute ischemic stroke
George B, Asemota A, Dorsey E, Haider A, Smart B, Urrutia V, Schneider E. United States trends in thrombolysis for older adults with acute ischemic stroke. Clinical Neurology And Neurosurgery 2015, 139: 16-23. PMID: 26363362, DOI: 10.1016/j.clineuro.2015.08.031.Peer-Reviewed Original ResearchConceptsNationwide Inpatient SampleAcute ischemic strokeIschemic strokeOlder adultsStudy periodHospital mortality rateAdult stroke patientsHigh-volume hospitalsLength of stayRate of thrombolysisHigh-volume facilitiesPopulation-based ratesCochran-Armitage testThrombolysis groupVolume hospitalsUrban patientsThrombolysis useIntracerebral hemorrhageStroke patientsPrimary diagnosisInpatient SampleOdds ratioHospitalization dataThrombolysisAge subgroupsElevated relative risk of aneurysmal subarachnoid hemorrhage with colder weather in the mid-Atlantic region
Rivera-Lara L, Kowalski R, Schneider E, Tamargo R, Nyquist P. Elevated relative risk of aneurysmal subarachnoid hemorrhage with colder weather in the mid-Atlantic region. Journal Of Clinical Neuroscience 2015, 22: 1582-1587. PMID: 26149403, DOI: 10.1016/j.jocn.2015.03.033.Peer-Reviewed Original ResearchThirty-day readmission after lower extremity bypass in diabetic patients
Najafian A, Selvarajah S, Schneider EB, Malas MB, Ehlert BA, Orion KC, Haider AH, Abularrage CJ. Thirty-day readmission after lower extremity bypass in diabetic patients. Journal Of Surgical Research 2015, 200: 356-364. PMID: 26216749, DOI: 10.1016/j.jss.2015.06.061.Peer-Reviewed Original ResearchConceptsInsulin-dependent diabetic mellitusLower extremity bypassUnplanned readmissionCardiac diseaseCardiac complicationsExtremity bypassDiabetic mellitusSurgeons National Surgery Quality Improvement Program databaseNational Surgery Quality Improvement Program databaseInfrainguinal lower extremity bypassQuality Improvement Program databaseConcomitant cardiac diseaseDependent diabetic mellitusThirty-day readmissionImprovement Program databasePeripheral vascular diseaseUnplanned readmission rateInfluence of diabetesSignificant risk factorsPostoperative complicationsCardiac workupReadmission ratesDiabetic patientsIndependent predictorsMultivariable analysisHow Do Liquid-Based Preparations of Thyroid Fine-Needle Aspiration Compare with Conventional Smears? An Analysis of 5475 Specimens
Nagarajan N, Schneider EB, Ali SZ, Zeiger MA, Olson MT. How Do Liquid-Based Preparations of Thyroid Fine-Needle Aspiration Compare with Conventional Smears? An Analysis of 5475 Specimens. Thyroid 2015, 25: 308-313. PMID: 25420135, DOI: 10.1089/thy.2014.0394.Peer-Reviewed Original ResearchConceptsFine-needle aspirationLiquid-based preparationsLBP casesConventional smearsBenign diagnosisThyroid nodulesMalignant diagnosisHistology diagnosisAspirated materialClinical databaseSuspicious categoryCS casesInitial evaluationInadequate samplesDiagnosisNodule sizePatientsSecond reviewDiagnostic frequencySmearsInadequate rateHigher proportionLower proportionPivotal roleNodules
2014
Encephalitis Hospitalization Rates and Inpatient Mortality in the United States, 2000-2010
George B, Schneider E, Venkatesan A. Encephalitis Hospitalization Rates and Inpatient Mortality in the United States, 2000-2010. PLOS ONE 2014, 9: e104169. PMID: 25192177, PMCID: PMC4156306, DOI: 10.1371/journal.pone.0104169.Peer-Reviewed Original ResearchConceptsNationwide Inpatient SampleHospitalization ratesEncephalitis hospitalizationsInpatient mortalitySpecified causeComorbid HIV/AIDSAcute phase outcomesComorbid HIV infectionDiagnosis of encephalitisOdds of mortalityRetrospective observational studyCommon infectious agentsAcute care hospitalsYears of ageHerpes simplex virusHIV/AIDSAutoimmune conditionsCare hospitalHIV infectionWest Nile virusCause-specific ratesEncephalitis patientsViral causeAdjusted oddsInpatient SampleWorse outcomes among uninsured general surgery patients: Does the need for an emergency operation explain these disparities?
Schwartz D, Hui X, Schneider E, Ali M, Canner J, Leeper W, Efron D, Haut E, Velopulos C, Pawlik T, Haider A. Worse outcomes among uninsured general surgery patients: Does the need for an emergency operation explain these disparities? Surgery 2014, 156: 345-351. PMID: 24953267, DOI: 10.1016/j.surg.2014.04.039.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultCross-Sectional StudiesEmergency TreatmentFemaleHealthcare DisparitiesHumansMaleMedicaidMedically UninsuredMedicareMiddle AgedOdds RatioPatient Protection and Affordable Care ActPostoperative ComplicationsRetrospective StudiesSurgical Procedures, OperativeTreatment OutcomeUnited StatesYoung AdultConceptsEmergent operative managementEmergent operationWorse outcomesOperative managementNationwide Inpatient Sample 2005Retrospective cross-sectional analysisGeneral surgery patientsUrgency of operationGreater odds ratioHealth care accessCross-sectional analysisCovariates of ageColorectal operationsPayor statusPostoperative complicationsComplication rateSurgery patientsYounger patientsHispanic patientsMore complicationsInsurance statusOdds ratioUninsured groupCare accessPatients
2013
The effect of ballooning following carotid stent deployment on hemodynamic stability
Qazi U, Obeid T, Enwerem N, Schneider E, White J, Freischlag J, Perler B, Malas M. The effect of ballooning following carotid stent deployment on hemodynamic stability. Journal Of Vascular Surgery 2013, 59: 756-760.e1. PMID: 24342066, DOI: 10.1016/j.jvs.2013.09.027.Peer-Reviewed Original ResearchConceptsCarotid artery stentingCoronary artery diseaseRecent myocardial infarctionHemodynamic depressionHemodynamic instabilityHemodynamic stabilitySymptomatic statusArtery diseaseMyocardial infarctionStent stenosisMajor adverse cardiovascular eventsCarotid stent deploymentPrevious carotid endarterectomyAdverse cardiovascular eventsPrimary end pointTertiary care centerLength of stayRisk of intraLong-term patencyHigh-risk statusGreater luminal diameterLogistic regression modelsBinary logistic regression modelCardiovascular eventsLack of evidenceVenous Thromboembolism After Trauma: When Do Children Become Adults?
Van Arendonk K, Schneider E, Haider A, Colombani P, Stewart F, Haut E. Venous Thromboembolism After Trauma: When Do Children Become Adults? JAMA Surgery 2013, 148: 1123-1130. PMID: 24173244, DOI: 10.1001/jamasurg.2013.3558.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAge FactorsChildChild, PreschoolCohort StudiesConfidence IntervalsDatabases, FactualFemaleHospitalizationHumansIncidenceInfantMaleOdds RatioPrognosisRetrospective StudiesRisk AssessmentTrauma CentersTrauma Severity IndicesTreatment OutcomeUnited StatesVenous ThromboembolismWounds and InjuriesYoung AdultConceptsRisk of VTEVenous thromboembolismPediatric traumaTrauma centerStandardized guidelinesNational Trauma Data BankMultivariable logistic regression modelDiagnosis of VTENational standardized guidelinesOdds of VTEPatients 16 yearsPatients 21 yearsVenous thromboembolism prophylaxisVTE risk factorsPatients 12 yearsTrauma Data BankUS trauma centersAge 16 yearsCentral line placementAge 13 yearsLogistic regression modelsThromboembolism prophylaxisVTE prophylaxisPatient ageYounger patientsInfluence of gender on outcomes after thoracic endovascular aneurysm repair
Arnaoutakis G, Schneider E, Arnaoutakis D, Black J, Lum Y, Perler B, Freischlag J, Abularrage C. Influence of gender on outcomes after thoracic endovascular aneurysm repair. Journal Of Vascular Surgery 2013, 59: 45-51. PMID: 23896176, DOI: 10.1016/j.jvs.2013.06.058.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAortic Aneurysm, ThoracicChi-Square DistributionDatabases, FactualEmergenciesEndovascular ProceduresFemaleHumansIliac ArteryLinear ModelsLogistic ModelsMaleMultivariate AnalysisOdds RatioPostoperative ComplicationsRegistriesRetrospective StudiesRisk FactorsSex FactorsTime FactorsTreatment OutcomeUnited StatesConceptsIliac artery exposureNonruptured thoracic aortic aneurysmsAortic aneurysm repairThoracic aortic aneurysmAneurysm repairArtery exposureUnadjusted mortalityMultivariable analysisAortic aneurysmFemale genderSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseRisk-adjusted generalized linear modelsEndovascular abdominal aortic aneurysm repairQuality Improvement Program databaseAbdominal aortic aneurysm repairEndovascular aortic aneurysm repairACS-NSQIP databaseImprovement Program databasePrimary outcome measureEndovascular aneurysm repairHigh mortality rateHospital lengthPostoperative complicationsTransfusion rateState-by-state variation in emergency versus elective colon resections: Room for improvement
Obirieze A, Kisat M, Hicks C, Oyetunji T, Schneider E, Gaskin D, Haut E, Efron D, Cornwell E, Haider A. State-by-state variation in emergency versus elective colon resections: Room for improvement. Journal Of Trauma And Acute Care Surgery 2013, 74: 1286. PMID: 23609280, PMCID: PMC3645918, DOI: 10.1097/ta.0b013e31828b8478.Peer-Reviewed Original ResearchConceptsElective colon resectionColon surgeryColon resectionOdds ratioElective colon surgeryEmergency colon surgeryNationwide Inpatient SampleFinal study cohortElective surgical proceduresDischarge-level weightsSubstantial state variationsElective colectomyEmergency colectomyHospital factorsAdult patientsStudy cohortEmergent proceduresInpatient SampleNational averageColon operationsUnadjusted proportionRetrospective analysisSurgical proceduresEmergency proceduresColectomyTrends in Robot-assisted Laparoscopic Pyeloplasty in Pediatric Patients
Monn M, Bahler C, Schneider E, Whittam B, Misseri R, Rink R, Sundaram C. Trends in Robot-assisted Laparoscopic Pyeloplasty in Pediatric Patients. Urology 2013, 81: 1336-1341. PMID: 23522294, DOI: 10.1016/j.urology.2013.01.025.Peer-Reviewed Original ResearchConceptsRobotic-assisted laparoscopic pyeloplastyNationwide Inpatient SampleLaparoscopic pyeloplastyPediatric pyeloplastyPediatric robotic-assisted laparoscopic pyeloplastyMultiple logistic regressionYears of agePediatric patientsInpatient SampleInvasive techniquesPyeloplastyAge-related trendsRobotic pyeloplastyNational ratesLogistic regressionPatientsOlder childrenRobotic techniquesRobotic assistanceIncidenceTotal numberOverall increaseYearsPredictors of Sepsis in Moderately Severely Injured Patients: An Analysis of the National Trauma Data Bank
Kisat M, Villegas C, Onguti S, Zafar S, Latif A, Efron D, Haut E, Schneider E, Lipsett P, Zafar H, Haider A. Predictors of Sepsis in Moderately Severely Injured Patients: An Analysis of the National Trauma Data Bank. Surgical Infections 2013, 14: 62-68. PMID: 23461696, PMCID: PMC3601717, DOI: 10.1089/sur.2012.009.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAccidents, TrafficAdolescentAdultAgedAged, 80 and overBlack or African AmericanDatabases, FactualFemaleHumansInjury Severity ScoreLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioRetrospective StudiesRisk FactorsSepsisSocioeconomic FactorsUnited StatesWounds and InjuriesConceptsPost-traumatic sepsisNational Trauma Data BankInjury Severity ScoreTrauma Data BankClinical characteristicsPredictor of sepsisLife-threatening complicationsEmergency department presentationsMechanism of injuryMultivariable logistic regressionAfrican American raceAssociated mortality rateAssociation of sepsisYears of ageMotor vehicle crashesHospital deathPatient groupStudy criteriaInjury factorsSeverity scoreMale genderRisk factorsRetrospective analysisSepsisInjury mechanismAssessing short- and long-term outcomes among black vs white Medicare patients undergoing resection of colorectal cancer
Schneider E, Haider A, Hyder O, Efron J, Lidor A, Pawlik T. Assessing short- and long-term outcomes among black vs white Medicare patients undergoing resection of colorectal cancer. The American Journal Of Surgery 2013, 205: 402-408. PMID: 23375764, PMCID: PMC3999705, DOI: 10.1016/j.amjsurg.2012.08.005.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBlack or African AmericanCohort StudiesColectomyColorectal NeoplasmsFemaleHealth Status DisparitiesHospital MortalityHumansLength of StayLogistic ModelsMaleMedicareOdds RatioPatient ReadmissionProportional Hazards ModelsRectumSEER ProgramTreatment OutcomeUnited StatesWhite PeopleConceptsBlack patientsLong-term outcomesLong-term survivalColorectal cancerHospital mortalityWhite patientsGreater oddsWorse long-term survivalWhite Medicare patientsEnd Results-MedicareRisk of mortalityMore comorbiditiesPerioperative mortalityColorectal surgeryReduced oddsMedicare patientsInpatient dataPatientsReadmissionMortalityCancerComorbiditiesResectionWhite differencesOdds
2012
Improved results using Onyx glue for the treatment of persistent type 2 endoleak after endovascular aneurysm repair
Abularrage C, Patel V, Conrad M, Schneider E, Cambria R, Kwolek C. Improved results using Onyx glue for the treatment of persistent type 2 endoleak after endovascular aneurysm repair. Journal Of Vascular Surgery 2012, 56: 630-636. PMID: 22572009, DOI: 10.1016/j.jvs.2012.02.038.Peer-Reviewed Original ResearchMeSH KeywordsAgedAneurysmBlood Vessel Prosthesis ImplantationBostonChi-Square DistributionDimethyl SulfoxideDrug CombinationsEmbolization, TherapeuticEndoleakEndovascular ProceduresFemaleHumansKaplan-Meier EstimateLogistic ModelsMaleMultivariate AnalysisOdds RatioPolyvinylsProportional Hazards ModelsReoperationRetrospective StudiesRisk AssessmentRisk FactorsTantalumTime FactorsTomography, X-Ray ComputedTreatment OutcomeConceptsEndovascular aneurysm repairPersistent type 2 endoleakType 2 endoleakSecondary interventionsGlue embolizationAneurysm repairCoil embolizationPrimary end pointFive-year survivalKaplan-Meier analysisMultiple logistic regressionSuccess rateGreater long-term successGraft explantOnyx glueGreater success rateStudy cohortAdverse outcomesInterventional techniquesEmbolizationAneurysm sacEnd pointLogistic regressionPatientsLong-term successClass I obesity is paradoxically associated with decreased risk of postoperative stroke after carotid endarterectomy
Jackson R, Black J, Lum Y, Schneider E, Freischlag J, Perler B, Abularrage C. Class I obesity is paradoxically associated with decreased risk of postoperative stroke after carotid endarterectomy. Journal Of Vascular Surgery 2012, 55: 1306-1312. PMID: 22542344, DOI: 10.1016/j.jvs.2011.11.135.Peer-Reviewed Original ResearchConceptsBody mass indexClass I obesitySurgical site infectionCarotid endarterectomyObese patientsObesity paradoxBMI categoriesNormal weightRisk factorsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseRisk of SSIClass I obese patientsPrevious transient ischemic attackQuality Improvement Program databaseClass II obeseClass II obesityTransient ischemic attackImprovement Program databaseIndependent risk factorRisk of strokeAnesthesiologists class 4Multivariable logistic regressionIschemic attackPostoperative stroke
2008
Preinjury Statin Use is Associated With Improved In-Hospital Survival in Elderly Trauma Patients
Efron D, Sorock G, Haut E, Chang D, Schneider E, MacKenzie E, Cornwell E, Jurkovich G. Preinjury Statin Use is Associated With Improved In-Hospital Survival in Elderly Trauma Patients. Journal Of Trauma And Acute Care Surgery 2008, 64: 66-74. PMID: 18188101, DOI: 10.1097/ta.0b013e31815b842a.Peer-Reviewed Original ResearchConceptsPreinjury statin useElderly trauma patientsStatin useElderly patientsHospital mortalityTrauma patientsRetrospective observational cohort studyNew Injury Severity ScoreCerebral midline shiftIn-Hospital SurvivalMultivariable adjusted oddsBeta-blocker useObservational cohort studySignificant survival benefitGlutaryl-CoA reductase inhibitorsInjury Severity ScoreGlasgow Coma ScaleTime of injurySevere traumatic injurySample of patientsTrauma center treatmentCardiovascular comorbiditiesHospital deathStatin therapyCohort study