Jorge Con, MD
Associate Professor of SurgeryCards
About
Research
Publications
2024
Step-by-step roadmap to building a robotic acute care surgery program (RACSP) in a level I trauma center: outcomes and lessons learned after 1-year implementation
Jose A, Rafieezadeh A, Zangbar B, Klein J, Kirsch J, Shnaydman I, Bronstein M, Con J, Policastro A, Prabhakaran K. Step-by-step roadmap to building a robotic acute care surgery program (RACSP) in a level I trauma center: outcomes and lessons learned after 1-year implementation. Trauma Surgery & Acute Care Open 2024, 9: e001449. PMID: 39077748, PMCID: PMC11284907, DOI: 10.1136/tsaco-2024-001449.Peer-Reviewed Original ResearchLevel I trauma centerLaparoscopic surgeryAcute care surgery programsRobotic surgeryGeneral surgerySurgery programsMinimally invasive surgical techniquesInvasive surgical techniquesStandard of careEmergency general surgeryAcute care programsHigh-volume level I trauma centerAcute appendicitisPostoperative outcomesLaparoscopic operationsSurgical techniqueSurgeryElective proceduresSurgical teamCare programIncreased uptakeIntensive trainingShock Index is a Stronger Predictor of Outcomes in Older Compared to Younger Patients
Rafieezadeh A, Prabhakaran K, Kirsch J, Klein J, Shnaydman I, Bronstein M, Con J, Zangbar B. Shock Index is a Stronger Predictor of Outcomes in Older Compared to Younger Patients. Journal Of Surgical Research 2024, 300: 8-14. PMID: 38788482, DOI: 10.1016/j.jss.2024.04.064.Peer-Reviewed Original ResearchConceptsBlood transfusionSurgical interventionShock indexAssociated with mortalityGroup AGroup CPredictors of unfavorable outcomeGeriatric patientsQuality Improvement Program databaseTrauma Quality Improvement Program databaseRate of group CPredictors of outcomeRetrospective studyYounger patientsUnfavorable outcomeProgram databaseGroup BPrimary outcomeTransfusionSecondary outcomesPatientsSevere traumaMortality rateAge groupsBloodIs there a need for fresh frozen plasma and platelet transfusion in trauma patients receiving submassive transfusion?
Jehan F, Zangbar B, Rafieezadeh A, Shnaydman I, Klein J, Con J, Prabhakaran K. Is there a need for fresh frozen plasma and platelet transfusion in trauma patients receiving submassive transfusion? Trauma Surgery & Acute Care Open 2024, 9: e001310. PMID: 38737815, PMCID: PMC11086383, DOI: 10.1136/tsaco-2023-001310.Peer-Reviewed Original ResearchUnits of PRBCsFresh frozen plasmaPlatelet transfusionsFrozen plasmaMultivariate regression modelTrauma patientsUnits packed red blood cellsLevel III retrospective studyQuality Improvement Program databaseAcute respiratory distress syndromeSafety of fresh frozen plasmaTrauma Quality Improvement Program databaseRate of complicationsRespiratory distress syndromeRate of sepsisAcute kidney injuryMultivariate regression analysisRegression modelsPropensity score matchingDistress syndromeBlood transfusionImproved survivalRetrospective studySurvival improvementAdult patients
2023
Fragmentation of Care After Geriatric Trauma: A Nationwide Analysis of outcomes and Predictors
Gogna S, Zangbar B, Rafieezadeh A, Hanna K, Shnaydman I, Con J, Bronstein M, Klein J, Prabhakaran K. Fragmentation of Care After Geriatric Trauma: A Nationwide Analysis of outcomes and Predictors. The American Surgeon 2023, 90: 1007-1014. PMID: 38062751, DOI: 10.1177/00031348231220569.Peer-Reviewed Original ResearchConceptsCongestive heart failureFragmentation of careGeriatric traumaSevere head and neck traumaTrauma patientsHead and neck traumaAssociated with high mortalityMultivariate binary logistic regression analysisElderly trauma patientsMultivariate logistic regressionBinary logistic regression analysisNationwide Readmissions DatabaseLogistic regression analysisTrauma patient outcomesAnalysis of outcomesRate of deathHealth care systemNon-index hospitalsNeck traumaElderly patientsHeart failureIndex hospitalizationReadmissions DatabaseFragmented careFemale genderRobotic-Assisted Surgery Training (RAST): Assessment of Surgeon Console Ergonomic Skills
Castaldi M, Palmer M, Con J, Bergamaschi R. Robotic-Assisted Surgery Training (RAST): Assessment of Surgeon Console Ergonomic Skills. Journal Of Surgical Education 2023, 80: 1723-1735. PMID: 37770293, DOI: 10.1016/j.jsurg.2023.08.019.Peer-Reviewed Original ResearchConceptsDundee Ready Education Environment MeasureGeneral surgery residentsPostgraduate yearRobotic-assisted surgery trainingSurgery trainingProspective educational studyDundee Ready Educational Environment Measure scorePostgraduate year 5Postgraduate year 2Da Vinci XiPostgraduate year 4Postgraduate year 1Compared to baselinePostgraduate year 3Hands-on trainingConsole timeTest scoresEnvironment MeasureEducational videosSurgery residentsLikert-scaleSurgeon consoleSurgeonsScoresTrainingPredictors of Matching into Anesthesiology and Surgery: Analysis of One Program's Results
Shah S, Con J, Mercado L, Smiley A, Weber G, Abramowicz A. Predictors of Matching into Anesthesiology and Surgery: Analysis of One Program's Results. Journal Of Surgical Education 2023, 80: 1231-1241. PMID: 37455190, DOI: 10.1016/j.jsurg.2023.06.021.Peer-Reviewed Original ResearchNon-operative management of cirrhotic patients with acute calculous cholecystitis: How effective is it?
Hanna K, Zangbar B, Kirsch J, Bronstein M, Okumura K, Gogna S, Shnaydman I, Prabhakaran K, Con J. Non-operative management of cirrhotic patients with acute calculous cholecystitis: How effective is it? The American Journal Of Surgery 2023, 226: 668-674. PMID: 37482476, DOI: 10.1016/j.amjsurg.2023.07.019.Peer-Reviewed Original ResearchConceptsAcute calculous cholecystitisFailure of nonoperative managementLength of stayPercutaneous cholecystostomyNonoperative managementCirrhotic patientsCalculous cholecystitisPredictors of NOM failureOutcomes of cirrhotic patientsManagement of cirrhotic patientsFailed nonoperative managementNon-operative managementHigher mortalityTreated with antibioticsAssociated with mortalityNOM failureCirrhosis patientsLevel IIIOperation groupReadmissions DatabaseMorbid diseasePatientsCholecystectomyMortalityCholecystitisA National Trend Towards Surgical Stabilization of Rib Fixation: Indications, Approaches and Disparity
Lin N, Sabegh B, Shnaydman I, Bronstein M, Hanna K, Khan M, Klein J, Con J, Policastro A, Prabhakaran K. A National Trend Towards Surgical Stabilization of Rib Fixation: Indications, Approaches and Disparity. Journal Of The American College Of Surgeons 2023, 236: s124-s124. DOI: 10.1097/01.xcs.0000933392.31841.87.Peer-Reviewed Original ResearchRobotic-assisted surgery training (RAST) program: module 1 of a three-module program. Assessment of patient cart docking skills and educational environment
Castaldi M, Palmer M, Felsenreich D, Con J, Bergamaschi R. Robotic-assisted surgery training (RAST) program: module 1 of a three-module program. Assessment of patient cart docking skills and educational environment. Updates In Surgery 2023, 75: 825-835. PMID: 36862353, DOI: 10.1007/s13304-023-01485-9.Peer-Reviewed Original ResearchConceptsGeneral surgery residentsDundee Ready Education Environment MeasureSurgery residentsRobotic-assisted surgery trainingCompared to base lineMCQ scoresSurgery training programsDundee Ready Educational Environment Measure scoreFive-point Likert scaleHands-on trainingTest scoresDocking timePostgraduate yearSurgery trainingEnvironment MeasureTraining programEducational videosLikert scaleMultiple-choice questionsTraining scoresPositive perceptionsBase lineResidents' perceptionsScoresResidents
2022
Fresh Frozen Plasma and Platelets Is Associated with Better Outcomes Even in Trauma Patients Requiring Submassive Transfusion
Jehan F, Sabegh B, Shnaydman I, Hanna K, Bronstein M, Khan M, Klein J, Con J, Policastro A, Prabhakaran K. Fresh Frozen Plasma and Platelets Is Associated with Better Outcomes Even in Trauma Patients Requiring Submassive Transfusion. Journal Of The American College Of Surgeons 2022, 235: s280-s281. DOI: 10.1097/01.xcs.0000895212.34817.8b.Peer-Reviewed Original Research
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General Surgery, Trauma & Surgical Critical Care
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