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 traumaDiverticulitis 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 ResearchMeSH KeywordsAgedCognitive DysfunctionDiverticulitisDiverticulitis, ColonicHumansRetrospective StudiesRisk FactorsConceptsColonic 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 riskOutcomes among trauma patients with duodenal leak following primary versus complex repair of duodenal injuries: An Eastern Association for the Surgery of Trauma multicenter trial
Choron R, Teichman A, Bargoud C, Sciarretta J, Smith R, Hanos D, Afif I, Beard J, Dhillon N, Zhang A, Ghneim M, Devasahayam R, Gunter O, Smith A, Sun B, Cao C, Reynolds J, Hilt L, Holena D, Chang G, Jonikas M, Echeverria K, Fung N, Anderson A, Fitzgerald C, Dumas R, Levin J, Trankiem C, Yoon J, Blank J, Hazelton J, McLaughlin C, Al-Aref R, Kirsch J, Howard D, Scantling D, Dellonte K, Vella M, Hopkins B, Shell C, Udekwu P, Wong E, Joseph B, Lieberman H, Ramsey W, Stewart C, Alvarez C, Berne J, Nahmias J, Puente I, Patton J, Rakitin I, Perea L, Pulido O, Ahmed H, Keating J, Kodadek L, Wade J, Henry R, Schreiber M, Benjamin A, Khan A, Mann L, Mentzer C, Mousafeiris V, Mulita F, Reid-Gruner S, Sais E, Marks J, Foote C, Palacio C, Argandykov D, Kaafarani H, Coyle S, Macor M, Manderski M, Narayan M, Seamon M. Outcomes among trauma patients with duodenal leak following primary versus complex repair of duodenal injuries: An Eastern Association for the Surgery of Trauma multicenter trial. Journal Of Trauma And Acute Care Surgery 2023, 95: 151-159. PMID: 37072889, DOI: 10.1097/ta.0000000000003972.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal InjuriesAnastomosis, SurgicalHumansMalePostoperative ComplicationsRetrospective StudiesWounds, PenetratingConceptsDuodenal leakAdjunctive measuresComplex repairDuodenal injuryPrimary repairLevel 1 trauma centerInterventional radiology drainageTrauma multicenter trialBody mass indexLength of stayTraumatic duodenal injuryAntibiotic durationGastrointestinal complicationsMore readmissionsHospital lengthInjury gradeFeared complicationLeak patientsMulticenter analysisMulticenter trialTrauma patientsAdverse sequelaeMass indexTrauma centerAdverse outcomesPalliative Care in a Pandemic: A Multicenter Cohort of Critically Ill Patients with Coronavirus Disease 2019
Kodadek L, Moore M, Miller S, Schneider E, Ahuja V, Maerz L, Davis K. Palliative Care in a Pandemic: A Multicenter Cohort of Critically Ill Patients with Coronavirus Disease 2019. Surgical Infections 2023, 24: 190-198. PMID: 36757283, PMCID: PMC10081705, DOI: 10.1089/sur.2022.377.Peer-Reviewed Original ResearchMeSH KeywordsAdultCOVID-19Critical IllnessHumansIntensive Care UnitsPalliative CarePandemicsRetrospective StudiesSARS-CoV-2ConceptsIntensive care unitPalliative careIll patientsCoronavirus disease 2019Life careClinical characteristicsMechanical ventilationDisease 2019Acute respiratory syndrome coronavirus 2 infectionSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infectionSyndrome coronavirus 2 infectionCoronavirus 2 infectionPalliative care consultationPalliative care servicesCOVID-19Outcomes of interestHospital lengthAdult patientsComorbid diseasesDisease courseMulticenter cohortCare unitCare consultationsVaccination dataPatients
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 adultCareAdults
2018
Intrahepatic Balloon Tamponade for Penetrating Liver Injury: Rarely Needed but Highly Effective
Kodadek LM, Efron DT, Haut ER. Intrahepatic Balloon Tamponade for Penetrating Liver Injury: Rarely Needed but Highly Effective. World Journal Of Surgery 2018, 43: 486-489. PMID: 30280221, DOI: 10.1007/s00268-018-4812-6.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal InjuriesAdultBalloon OcclusionHemorrhageHumansLiverMaleRetrospective StudiesTrauma CentersWounds, PenetratingYoung AdultConceptsBalloon tamponadeLiver injuryBalloon placementMajor hepatic injuriesUS trauma centersCardiopulmonary injuryHospital mortalityIVC injuryExploratory laparotomyAdult patientsPatient characteristicsHepatic injurySpontaneous circulationTrauma patientsInjury characteristicsTrauma centerCardiac arrestOperative notesIndex operationSurgical techniqueTrauma surgeonsTamponadePatientsInjuryOperating room
2016
Rural risk: Geographic disparities in trauma mortality
Jarman MP, Castillo RC, Carlini AR, Kodadek LM, Haider AH. Rural risk: Geographic disparities in trauma mortality. Surgery 2016, 160: 1551-1559. PMID: 27506860, PMCID: PMC5118091, DOI: 10.1016/j.surg.2016.06.020.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolEmergency Service, HospitalFemaleHealth Services AccessibilityHealthcare DisparitiesHumansInfantInfant, NewbornInjury Severity ScoreLogistic ModelsMaleMiddle AgedRetrospective StudiesRural Health ServicesUnited StatesWounds and InjuriesYoung AdultConceptsOdds of deathTraumatic injuryNonrural residentsInjury mortalityNationwide Emergency Department SampleMultiple logistic regression analysisTrauma system organizationInjury Severity ScoreEmergency Department SampleTrauma center designationLogistic regression analysisRural residentsCensus regionNontrauma centersTrauma mortalityTrauma designationCenter designationInjury typeSeverity scoreUS census regionPrehospital careLevel IInjury severityInjuryInjury outcomesNever 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 surgeryAirway management following repair of cervical tracheal injuries
Harvin JA, Taub EA, Cotton BA, Brocker J, Stein DM, Dilektasli E, Inaba K, Vella MA, Guillamondegui O, Kodadek LM, Haut ER, Evans CR, Weinberg JA, Goodman MD, Robinson BR, Holcomb JB. Airway management following repair of cervical tracheal injuries. Journal Of Trauma And Acute Care Surgery 2016, 80: 366-371. PMID: 26670110, DOI: 10.1097/ta.0000000000000936.Peer-Reviewed Original ResearchConceptsCervical tracheal injuryVentilator-free daysSurgical site infectionTracheal injuryAirway managementImmediate tracheostomyEarly extubationProlonged intubationLevel IOdds of SSIRisk of SSIMore ventilator-free daysHigher SSI ratesOptimal airway managementPostoperative airway managementHours of admissionUS level ILower mortality rateRisk-benefit decisionsSSI ratesAirway strategySite infectionIntensive careUnivariate analysisLevel IV
2015
Do trauma center levels matter in older isolated hip fracture patients?
Nelson-Williams H, Kodadek L, Canner J, Schneider E, Efron D, Haut E, Shafiq B, Haider A, Velopulos CG. Do trauma center levels matter in older isolated hip fracture patients? Journal Of Surgical Research 2015, 198: 468-474. PMID: 26038246, DOI: 10.1016/j.jss.2015.03.074.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overFemaleHip FracturesHumansMaleRetrospective StudiesTrauma CentersUnited StatesConceptsHip fracture patientsLevel trauma centerTrauma center levelFracture patientsTrauma centerDischarge dispositionUnadjusted logistic regression analysisNationwide Emergency Department SampleHigh-level trauma centersLower level trauma centerIsolated hip fractureHospital-level factorsOdds of dischargeOdds of mortalityHospital-level variablesMulti-trauma patientsMultivariable logistic regressionEmergency Department SampleMain outcome measuresLogistic regression analysisCenter levelInhospital mortalityOlder patientsRetrospective cohortHip fracture