2023
Contemporary management of acute pancreatitis: What you need to know
Palumbo R, Schuster K. Contemporary management of acute pancreatitis: What you need to know. Journal Of Trauma And Acute Care Surgery 2023, 96: 156-165. PMID: 37722072, DOI: 10.1097/ta.0000000000004143.Peer-Reviewed Original ResearchConceptsAcute care surgeonsSevere acute pancreatitisAcute pancreatitisPeripancreatic fluid collectionsFluid collectionEarly enteral nutritionTiming of cholecystectomyEndoscopic treatment modalitiesAcute care surgeryAcute Pancreatitis ScoreSpecific clinical scenariosCross-sectional imagingEnteral nutritionGallstone pancreatitisBiliary pancreatitisInitial managementOngoing symptomsSurgical debridementAtlanta criteriaBedside indexCare surgeryFluid resuscitationInvasive necrosectomyLandmark trialsTrauma gradeRoutine post-operative labs and healthcare system burden in acute appendicitis
Sznol J, Becher R, Maung A, Bhattacharya B, Davis K, Schuster K. Routine post-operative labs and healthcare system burden in acute appendicitis. The American Journal Of Surgery 2023, 226: 571-577. PMID: 37291012, DOI: 10.1016/j.amjsurg.2023.06.005.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAppendectomyAppendicitisComorbidityDelivery of Health CareHealth Care CostsHumansRetrospective StudiesConceptsHealthcare system burdenSystem burdenHealth care costsAppendicitis managementIncreased LOSUncomplicated AAAcute appendicitisRetrospective cohortClinical courseClinical variablesPatient populationMinimal comorbiditiesMultivariable modelingHealthcare costsCare costsPatientsLaboratory utilizationNational Health Expenditure AccountsLab utilizationLaboratory testingBurdenLaboratory testsAppendicitisComorbiditiesCohortImaging acute cholecystitis, one test is enough
Schuster K, Schroeppel T, O'Connor R, Enniss T, Cripps M, Cullinane D, Kaafarani H, Crandall M, Puri R, Tominaga G. Imaging acute cholecystitis, one test is enough. The American Journal Of Surgery 2023, 226: 99-103. PMID: 36882336, DOI: 10.1016/j.amjsurg.2023.02.018.Peer-Reviewed Original ResearchConceptsCommon bile duct diameterBile duct diameterAcute cholecystitisIntra-class correlation coefficientDuct diameterRight upper quadrant painUpper quadrant painSigns of inflammationSingle imaging studyChi-square testQuadrant painPericholecystic fluidWall thicknessMulticenter studyPatientsImaging studiesCholecystitisAbnormal valuesGold standardAdequate informationPainInflammationAdmissionStudyDiagnosis
2016
Multicenter validation of American Association for the Surgery of Trauma grading system for acute colonic diverticulitis and its use for emergency general surgery quality improvement program
Shafi S, Priest EL, Crandall ML, Klekar CS, Nazim A, Aboutanos M, Agarwal S, Bhattacharya B, Byrge N, Dhillon TS, Eboli DJ, Fielder D, Guillamondegui O, Gunter O, Inaba K, Mowery NT, Nirula R, Ross SE, Savage SA, Schuster KM, Schmoker RK, Siboni S, Siparsky N, Trust MD, Utter GH, Whelan J, Feliciano DV, Rozycki G. Multicenter validation of American Association for the Surgery of Trauma grading system for acute colonic diverticulitis and its use for emergency general surgery quality improvement program. Journal Of Trauma And Acute Care Surgery 2016, 80: 405-411. PMID: 26670116, DOI: 10.1097/ta.0000000000000943.Peer-Reviewed Original ResearchConceptsAcute colonic diverticulitisQuality Improvement ProgramAAST gradeLength of stayColonic diverticulitisGrade IClinical eventsNational Surgical Quality Improvement ProgramEmergency general surgery (EGS) diseasesPhysiologic statusSurgical Quality Improvement ProgramGrading systemTrauma grading systemRisk of deathTime of admissionSurgery of TraumaNew grading systemHigher disease gradeRegression analysisAmerican AssociationEGS careEGS registryAdverse eventsMedian ageClinical outcomes
2011
Can Acute Care Surgeons Perform Emergency Colorectal Procedures With Good Outcomes?
Schuster KM, McGillicuddy EA, Maung AA, Kaplan LJ, Davis KA. Can Acute Care Surgeons Perform Emergency Colorectal Procedures With Good Outcomes? Journal Of Trauma And Acute Care Surgery 2011, 71: 94-101. PMID: 21818018, DOI: 10.1097/ta.0b013e31821e43d2.Peer-Reviewed Original ResearchConceptsAcute care surgeonsEmergency colorectal proceduresColorectal proceduresColorectal emergenciesPatient characteristicsExact testIntensive care unit lengthElective colorectal casesOpen abdominal techniquePerioperative risk factorsExtended care facilitiesLength of stayFisher's exact testLow case volumeChi-square testLogistic regression modelsACS mortalityAnesthesiology classColorectal casesPreoperative hypotensionColorectal operationsElective resectionVentilator daysElderly patientsSignificant comorbidities