2019
Impact of Affordable Care Act–related insurance expansion policies on mortality and access to post-discharge care for trauma patients
Scott JW, Neiman PU, Uribe-Leitz T, Scott KW, Zogg CK, Salim A, Haider AH. Impact of Affordable Care Act–related insurance expansion policies on mortality and access to post-discharge care for trauma patients. Journal Of Trauma And Acute Care Surgery 2019, 86: 196-205. PMID: 30694984, DOI: 10.1097/ta.0000000000002117.Peer-Reviewed Original ResearchConceptsPost-discharge careTrauma patientsInpatient mortalityPost-acute careAffordable Care ActCoverage expansion policiesUninsured ratePost-acute care facilitiesState-level Medicaid expansionMedicaid expansionNational Trauma Data BankPolicy-associated changesAdult trauma patientsTrauma Data BankPost-acute servicesUninsured trauma patientsCare ActHome health servicesInsurance coverage expansionCoverage expansionPost-policy periodPatients 18Discharge dispositionPatient demographicsInjury characteristics
2018
The “mortality ascent”
Herrera-Escobar JP, Rios-Diaz AJ, Zogg CK, Wolf LL, Harlow A, Schneider EB, Cooper Z, Ordonez CA, Salim A, Haider AH. The “mortality ascent”. Journal Of Trauma And Acute Care Surgery 2018, 84: 139-145. PMID: 28930947, DOI: 10.1097/ta.0000000000001706.Peer-Reviewed Original ResearchConceptsUnstable trauma patientsLevel I TCsLevel II TCsHours postadmissionTrauma patientsLevel ILevel IIMortality riskHospital mortalityLog-binomial regression modelsNational Trauma Data BankComparable mortality riskHospital-level confoundersInjury Severity ScoreSystolic blood pressureAvailable treatment modalitiesTrauma Data BankSpecific risk factorsRisk-adjusted modelsBlood pressureHigher relative mortalityUnstable patientsBurn patientsSeverity scoreTreatment modalities
2017
The Association Between Medicare Eligibility and Gains in Access to Rehabilitative Care
Zogg CK, Scott JW, Metcalfe D, Seshadri AJ, Tsai TC, Davis WA, Rose JA, Olufajo OA, Zafar SN, Salim A, Haider AH. The Association Between Medicare Eligibility and Gains in Access to Rehabilitative Care. Annals Of Surgery 2017, 265: 734-742. PMID: 28267694, DOI: 10.1097/sla.0000000000001754.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedDatabases, FactualEligibility DeterminationFemaleHealth Care CostsHumansIncidenceInjury Severity ScoreInsurance CoverageMaleMedicareMiddle AgedNeeds AssessmentOutcome Assessment, Health CarePatient DischargePostoperative CareRehabilitation CentersRetrospective StudiesRisk AssessmentUnited StatesWounds and InjuriesConceptsSkilled nursing facilitiesAge 64Insurance statusNational Trauma Data BankMedicare eligibilityPost-discharge rehabilitationInsurance coverageAge 65 yearsTrauma Data BankLength of staySevere clinical presentationAcute inpatient facilitiesHealth policy changesTrauma patientsClinical presentationSimilar patientsDiagnosis codesStratified subgroupsInpatient careRehabilitative careTrauma systemAge 54SNF useInpatient facilitiesNursing facilities
2016
Survival outcomes after prolonged intensive care unit length of stay among trauma patients: The evidence for never giving up
Kisat MT, Latif A, Zogg CK, Haut ER, Zafar SN, Hashmi ZG, Oyetunji TA, Cornwell EE, Zafar H, Haider AH. Survival outcomes after prolonged intensive care unit length of stay among trauma patients: The evidence for never giving up. Surgery 2016, 160: 771-780. PMID: 27267552, DOI: 10.1016/j.surg.2016.04.024.Peer-Reviewed Original ResearchConceptsIntensive care unit lengthICU LOSInjury Severity ScoreGlasgow Coma ScaleTrauma patientsRace/ethnicityComa ScaleSeverity scoreNon-Hispanic black race/ethnicityHigh mortalityNational Trauma Data BankBlack race/ethnicityCritical care supportProlonged ICU LOSAdult ICU patientsAdult trauma patientsEmergency department dispositionMultivariable logistic regressionTrauma Data BankClustering of patientsHospital complicationsICU stayVentilator dependencyOverall survivalRenal failureAssociation between Insurance Status and Hospital Length of Stay following Trauma
Englum BR, Hui X, Zogg CK, Chaudhary MA, Villegas C, Bolorunduro OB, Stevens KA, Haut ER, Cornwell EE, Efron DT, Haider AH. Association between Insurance Status and Hospital Length of Stay following Trauma. The American Surgeon 2016, 82: 281-288. PMID: 27099067, PMCID: PMC5142530, DOI: 10.1177/000313481608200324.Peer-Reviewed Original ResearchConceptsInsurance statusHospital lengthTrauma patientsUninsured patientsInjury severityNational Trauma Data BankAcute trauma patientsShorter hospital stayTrauma Data BankUninsured trauma patientsRisk-adjusted LOSMultivariable regression modelsQuality of careHealth care systemHospital LOSHospital stayDischarge dispositionClinical factorsNonclinical factorsTrauma populationSignificant confoundersBaseline differencesInclusion criteriaPatient's abilityClinical care
2015
Morbidity or mortality? Variations in trauma centres in the rescue of older injured patients
Zafar SN, Shah AA, Zogg CK, Hashmi ZG, Greene WR, Haut ER, Cornwell EE, Haider AH. Morbidity or mortality? Variations in trauma centres in the rescue of older injured patients. Injury 2015, 47: 1091-1097. PMID: 26724172, DOI: 10.1016/j.injury.2015.11.044.Peer-Reviewed Original ResearchMeSH KeywordsAcute Kidney InjuryAgedAged, 80 and overComorbidityDatabases, FactualFailure to Rescue, Health CareFemaleGeriatric AssessmentHospital MortalityHumansInjury Severity ScoreLength of StayMaleMedicaidPneumoniaPostoperative ComplicationsRespiratory Distress SyndromeRisk AssessmentTrauma CentersUnited StatesWounds and InjuriesConceptsOlder trauma patientsMajor complicationsTrauma centerOld traumaRisk-adjusted ratesOlder patientsTrauma patientsNational Trauma Data BankFacility-level covariatesRisk-adjusted incidenceTrauma Data BankProcess of careType of injuryLogistic regression analysisPatient demographicsGeriatric traumaComorbid conditionsGeriatric patientsHigher proportionSerious complicationsInclusion criteriaInjury severityPatientsRescue ratesVital signsThe hazards of off-road motor sports: Are four wheels better than two?
Villegas CV, Bowman SM, Zogg CK, Scott VK, Haut ER, Stevens KA, Efron DT, Haider AH. The hazards of off-road motor sports: Are four wheels better than two? Injury 2015, 47: 178-183. PMID: 26319205, DOI: 10.1016/j.injury.2015.08.001.Peer-Reviewed Original ResearchConceptsHigher risk-adjusted oddsRisk-adjusted oddsATV patientsIntensive care unit admissionNational Trauma Data BankCrash victimsCare unit admissionInjury prevention planningUS National Trauma Data BankTrauma Data BankRelative safety profileUnit admissionAbdominal injuriesRetrospective reviewAnatomic injuryInjury characteristicsSevere headAnatomic distributionSafety profileTrauma outcomesInclusion criteriaPatientsSevere injuriesLogistic regressionInjury