2016
Frailty predicts risk of life-threatening complications and mortality after pancreatic resections
Augustin T, Burstein M, Schneider E, Morris-Stiff G, Wey J, Chalikonda S, Walsh R. Frailty predicts risk of life-threatening complications and mortality after pancreatic resections. Surgery 2016, 160: 987-996. PMID: 27545992, DOI: 10.1016/j.surg.2016.07.010.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedCause of DeathComorbidityDatabases, FactualFemaleFrail ElderlyHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPancreatectomyPancreatic NeoplasmsPancreaticoduodenectomyPostoperative ComplicationsPredictive Value of TestsRetrospective StudiesRisk AssessmentROC CurveSeverity of Illness IndexSex FactorsSurvival AnalysisTreatment OutcomeConceptsNational Surgical Quality Improvement ProjectSurgical Quality Improvement ProjectGrade 4 complicationsFrailty indexQuality improvement projectGreater body mass indexDistal pancreatectomy patientsModified Frailty IndexOutcomes of pancreatoduodenectomyLow serum albuminLife-threatening complicationsPre-operative optimizationEffect of frailtySelection of patientsBody mass indexDegree of frailtyGreater weight lossImprovement projectIntermediate frailtyNonfrail patientsConsideration of frailtyDistal pancreatectomyFrail patientsOperative riskPancreatectomy patients
2015
Emergent Surgery Does Not Independently Predict 30-Day Mortality After Paraesophageal Hernia Repair: Results from the ACS NSQIP Database
Augustin T, Schneider E, Alaedeen D, Kroh M, Aminian A, Reznick D, Walsh M, Brethauer S. Emergent Surgery Does Not Independently Predict 30-Day Mortality After Paraesophageal Hernia Repair: Results from the ACS NSQIP Database. Journal Of Gastrointestinal Surgery 2015, 19: 2097-2104. PMID: 26467561, DOI: 10.1007/s11605-015-2968-z.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramChronic obstructive pulmonary diseaseCongestive heart failureNationwide Inpatient SampleParaesophageal hernia repairEmergent surgeryEmergent patientsPEH repairHernia repairSurgical Quality Improvement ProgramPatient-level risk factorsAdjusted mortality riskElective surgery groupModified Frailty IndexACS-NSQIP databaseHigher American SocietyHigher frailty scoresObstructive pulmonary diseaseElective surgical interventionSeverity of diseaseQuality Improvement ProgramEmergent indicationsPreoperative sepsisBMI 25Comorbid illnesses