2019
High-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient.
DeWane MP, Sukumar N, Stolar MJ, Gill TM, Maung AA, Schuster KM, Davis KA, Becher RD. High-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient. Journal Of Trauma And Acute Care Surgery 2019, 87: 140-146. PMID: 31259872, PMCID: PMC7656193, DOI: 10.1097/ta.0000000000002273.Peer-Reviewed Original ResearchConceptsCommon EGS operationsEmergency general surgeryOlder patientsGeriatric patientsEmergency general surgery operationsEGS operationsCalifornia State Inpatient DatabaseGeneral surgery hospitalsPatients 65 yearsRisk-adjusted mortalitySurvival rates 1State Inpatient DatabasesGeneral surgery operationsClusters of hospitalsOperation typeHospital performanceEGS patientsSurgery HospitalInpatient DatabaseGroup of hospitalsGeriatric populationGeneral surgeryPatientsHospitalLevel III
2016
Damage control operations in non-trauma patients: defining criteria for the staged rapid source control laparotomy in emergency general surgery
Becher RD, Peitzman AB, Sperry JL, Gallaher JR, Neff LP, Sun Y, Miller PR, Chang MC. Damage control operations in non-trauma patients: defining criteria for the staged rapid source control laparotomy in emergency general surgery. World Journal Of Emergency Surgery 2016, 11: 10. PMID: 26913055, PMCID: PMC4765073, DOI: 10.1186/s13017-016-0067-4.Peer-Reviewed Original ResearchSevere sepsis/septic shockSepsis/septic shockEGS patientsLethal triadEmergent laparotomyControl laparotomySeptic shockEmergency general surgery patientsPhysiologic parametersEmergency general surgeryGeneral surgery patientsPre-existing comorbiditiesNon-trauma patientsSimilar survival advantageMultivariable regression analysisDamage control operationLogistic regression modelsMultiple comorbiditiesPostoperative complicationsAcute indicationsPerioperative variablesSurgery patientsTrauma patientsOperative managementElevated lactate
2011
Creation and Implementation of an Emergency General Surgery Registry Modeled after the National Trauma Data Bank
Becher RD, Meredith JW, Chang MC, Hoth JJ, Beard HR, Miller PR. Creation and Implementation of an Emergency General Surgery Registry Modeled after the National Trauma Data Bank. Journal Of The American College Of Surgeons 2011, 214: 156-163. PMID: 22153352, DOI: 10.1016/j.jamcollsurg.2011.11.001.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankTrauma Data BankEGS patientsInclusion criteriaEGS serviceICD-9 diagnostic codesICD-9 diagnosis codesEGS patient outcomesAcute care surgeryICD-9 codesEGS admissionsCare surgeryRetrospective reviewProspective populationDiagnosis codesProspective dataDiagnostic codesPatient outcomesPatientsSurgery evolvesPatient identificationMulti-institutional collaborationAdmissionMonthsOutcomes