2020
Modifiable factors to improve work-life balance for trauma surgeons.
Brown CVR, Joseph BA, Davis K, Jurkovich GJ. Modifiable factors to improve work-life balance for trauma surgeons. Journal Of Trauma And Acute Care Surgery 2020, 90: 122-128. PMID: 32925572, DOI: 10.1097/ta.0000000000002910.Peer-Reviewed Original ResearchConceptsModifiable factorsTrauma surgeonsAwake hoursAAST membersSecondary outcomesPrimary outcomeRisk factorsCare managementClinical practiceHealthy dietPoor work-life balanceLevel IIITrauma membersSurgeonsAmerican AssociationTrauma leadersEmotional supportHoursOutcomesTotalSurvey studySpecific aimLifestyleWork hoursDetailed questionsBenchmarking the value of care: Variability in hospital costs for common operations and its association with procedure volume.
Zogg CK, Bernard AC, Hirji SA, Minei JP, Staudenmayer KL, Davis KA. Benchmarking the value of care: Variability in hospital costs for common operations and its association with procedure volume. Journal Of Trauma And Acute Care Surgery 2020, 88: 619-628. PMID: 32039972, PMCID: PMC7802807, DOI: 10.1097/ta.0000000000002611.Peer-Reviewed Original ResearchConceptsLaparoscopic appendectomyLaparoscopic cholecystectomyHospital costsMeans of USMedian costProcedure volumeEmergency general surgeryTotal hospital costsMedian hospital costsNational Inpatient SampleAdults 18 yearsNational cost savingsAnnual procedure volumeValue of careHospital complicationsIndex hospitalHealth care valuePatient characteristicsAdverse outcomesInpatient SampleInclusion criteriaGeneral surgeryHospitalLevel IIICommon operation
2019
High-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient.
DeWane MP, Sukumar N, Stolar MJ, Gill TM, Maung AA, Schuster KM, Davis KA, Becher RD. High-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient. Journal Of Trauma And Acute Care Surgery 2019, 87: 140-146. PMID: 31259872, PMCID: PMC7656193, DOI: 10.1097/ta.0000000000002273.Peer-Reviewed Original ResearchConceptsCommon EGS operationsEmergency general surgeryOlder patientsGeriatric patientsEmergency general surgery operationsEGS operationsCalifornia State Inpatient DatabaseGeneral surgery hospitalsPatients 65 yearsRisk-adjusted mortalitySurvival rates 1State Inpatient DatabasesGeneral surgery operationsClusters of hospitalsOperation typeHospital performanceEGS patientsSurgery HospitalInpatient DatabaseGroup of hospitalsGeriatric populationGeneral surgeryPatientsHospitalLevel IIITop-tier emergency general surgery hospitals: Good at one operation, good at them all.
DeWane MP, Sukumar N, Stolar MJ, Gill TM, Maung AA, Schuster KM, Davis KA, Becher RD. Top-tier emergency general surgery hospitals: Good at one operation, good at them all. Journal Of Trauma And Acute Care Surgery 2019, 87: 289-296. PMID: 31349347, PMCID: PMC6771423, DOI: 10.1097/ta.0000000000002367.Peer-Reviewed Original ResearchConceptsRisk-adjusted mortalityEGS hospitalsHospital risk-adjusted mortalityOperation typeEGS operationsCalifornia State Inpatient DatabaseGeneral surgery hospitalsHospital-level factorsAcute care hospitalsState Inpatient DatabasesAmerican Hospital Association databasePoor-performing hospitalsSystems of careLow-risk operationAssessment of mortalityAdult patientsCare hospitalSurgery HospitalInpatient DatabaseHospital characteristicsMultinomial logistic regressionMortality rateHospitalLevel IIIZ-score
2018
Can necrotizing soft tissue infection be reliably diagnosed in the emergency department?
Henry SM, Davis KA, Morrison JJ, Scalea TM. Can necrotizing soft tissue infection be reliably diagnosed in the emergency department? Trauma Surgery & Acute Care Open 2018, 3: e000157. PMID: 29766136, PMCID: PMC5887823, DOI: 10.1136/tsaco-2017-000157.Peer-Reviewed Original ResearchSoft tissue infectionsTissue infectionsEmergency departmentOperating roomAggressive surgical debridementCritical care supportSurgical debridementPrompt recognitionClinical groundsCare supportHigh mortalityLevel IIIScoring systemNSTIInfective processInfectionDepartmentDebridementMortalityCliniciansDebrideDiagnosis
2017
Natural history of splenic vascular abnormalities after blunt injury
Zarzaur BL, Dunn JA, Leininger B, Lauerman M, Shanmuganathan K, Kaups K, Zamary K, Hartwell JL, Bhakta A, Myers J, Gordy S, Todd SR, Claridge JA, Teicher E, Sperry J, Privette A, Allawi A, Burlew CC, Maung AA, Davis KA, Cogbill T, Bonne S, Livingston DH, Coimbra R, Kozar RA. Natural history of splenic vascular abnormalities after blunt injury. Journal Of Trauma And Acute Care Surgery 2017, 83: 999-1005. PMID: 28570347, DOI: 10.1097/ta.0000000000001597.Peer-Reviewed Original ResearchConceptsBlunt splenic injurySplenic vascular injuryVascular injuryVascular abnormalitiesSplenic injuryTomography scanNatural historyRisks of splenectomyOutcomes of patientsComputed tomography scanNonoperative failureAdult patientsBlunt injuryEarly splenectomyUnderwent splenectomyInjury characteristicsMultivariable analysisTrauma centerTrauma radiologistSplenectomyHigh riskPrognostic studiesPatientsAppropriate managementLevel IIIA novel method of optimizing patient- and family-centered care in the ICU
Allen SR, Pascual J, Martin N, Reilly P, Luckianow G, Datner E, Davis KA, Kaplan LJ. A novel method of optimizing patient- and family-centered care in the ICU. Journal Of Trauma And Acute Care Surgery 2017, 82: 582-586. PMID: 28030488, DOI: 10.1097/ta.0000000000001332.Peer-Reviewed Original ResearchConceptsIntensive care unitFamily meetingsFamily knowledgeCritical care nursesGoal of therapyFamily members' knowledgeFamily membersFamily-centered careClinical courseCare unitCare nursesCritical careLife carePhysician satisfactionLevel IIIUnit demographicsPhysician workflowCareNursesIntensivistsPatientsTeam timeMembers' knowledgePresurveyTherapy
2014
Using the Rothman index to predict early unplanned surgical intensive care unit readmissions
Piper GL, Kaplan LJ, Maung AA, Lui FY, Barre K, Davis KA. Using the Rothman index to predict early unplanned surgical intensive care unit readmissions. Journal Of Trauma And Acute Care Surgery 2014, 77: 78-82. PMID: 24977759, DOI: 10.1097/ta.0000000000000265.Peer-Reviewed Original ResearchConceptsIntensive care unit readmissionRothman IndexSurgical floorRI scoresPotential quality metricElectronic medical recordsHours of transferSICU admissionSICU lengthReadmission groupSICU patientsMedical recordsPatient's conditionReadmissionPrognostic studiesPatientsControl groupLevel IIISICUAdmissionScoresDemographicsHoursGroupNumerical scorePredictive factors for failure of nonoperative management in perforated appendicitis
Maxfield MW, Schuster KM, Bokhari J, McGillicuddy EA, Davis KA. Predictive factors for failure of nonoperative management in perforated appendicitis. Journal Of Trauma And Acute Care Surgery 2014, 76: 976-981. PMID: 24662860, DOI: 10.1097/ta.0000000000000187.Peer-Reviewed Original ResearchConceptsNonoperative managementAbdominal tendernessFailure groupIntensive care unit careUniversity tertiary care hospitalTertiary care hospitalLength of stayUnit careCare hospitalDefinitive treatmentLaboratory markersPerforated appendicitisNonsurgical treatmentClinical findingsPredictive factorsRadiographic findingsTomographic scanTherapeutic studiesAppendicitisEarly operationLevel IIIPatientsAbscessPhlegmonTachycardiaContinuous glucose monitoring in the surgical intensive care unit
Schuster KM, Barre K, Inzucchi SE, Udelsman R, Davis KA. Continuous glucose monitoring in the surgical intensive care unit. Journal Of Trauma And Acute Care Surgery 2014, 76: 798-803. PMID: 24553551, DOI: 10.1097/ta.0000000000000127.Peer-Reviewed Original ResearchConceptsSurgical intensive care unitIntensive glycemic controlContinuous glucose monitoring systemIntensive care unitCare unitInsulin infusionCapillary blood glucose readingsDoses of vasopressorsLarge volume resuscitationBlood glucose readingsContinuous glucose monitoringCBG readingsGlycemic controlBland-Altman plotsClinical outcomesGlucose monitoring systemFluid balanceSubcutaneous tissueLevel IIIGlucose readingsDiagnostic studiesGlucose monitoringAbsolute differenceError grid analysisMedian absolute difference