2023
The interaction between geriatric and neighborhood vulnerability: Delineating prehospital risk among older adult emergency general surgery patients
Zogg C, Falvey J, Kodadek L, Staudenmayer K, Davis K. The interaction between geriatric and neighborhood vulnerability: Delineating prehospital risk among older adult emergency general surgery patients. Journal Of Trauma And Acute Care Surgery 2023, 96: 400-408. PMID: 37962136, PMCID: PMC10922165, DOI: 10.1097/ta.0000000000004191.Peer-Reviewed Original ResearchGeriatric vulnerabilitiesOlder adultsEGS careAdverse outcomesHospital Frailty Risk ScoreEmergency general surgery patientsGreater riskFlorida State Inpatient DatabaseFrailty Risk ScoreGeneral surgery patientsState Inpatient DatabasesArea Deprivation IndexEthnic minority patientsNeighborhood vulnerabilityEGS outcomesHazard ratioOlder patientsSurgery patientsPatient ageEGS conditionsInpatient DatabaseVulnerable patientsPatient residesMinority patientsRisk score
2022
Reconceptualizing high-quality emergency general surgery care: Non–mortality-based quality metrics enable meaningful and consistent assessment
Zogg CK, Staudenmayer KL, Kodadek LM, Davis KA. Reconceptualizing high-quality emergency general surgery care: Non–mortality-based quality metrics enable meaningful and consistent assessment. Journal Of Trauma And Acute Care Surgery 2022, 94: 68-77. PMID: 36245079, PMCID: PMC9805506, DOI: 10.1097/ta.0000000000003818.Peer-Reviewed Original ResearchConceptsEmergency general surgeryHospital-level factorsEGS conditionsEmergency general surgery careOlder adultsNationwide Readmissions DatabaseComplex older adultsSurgery of TraumaGeneral surgery careQuality improvement initiativesOlder adult populationEGS careEGS hospitalsEGS patientsPatient frailtySurgery careGeneral surgeryHospitalLevel IIIAdult populationCohortPatientsComplex adultCareAdults
2017
Differences in rural and urban outcomes: a national inspection of emergency general surgery patients
Chaudhary MA, Shah AA, Zogg CK, Changoor N, Chao G, Nitzschke S, Havens JM, Haider AH. Differences in rural and urban outcomes: a national inspection of emergency general surgery patients. Journal Of Surgical Research 2017, 218: 277-284. PMID: 28985861, DOI: 10.1016/j.jss.2017.06.034.Peer-Reviewed Original ResearchConceptsLength of stayRural patientsEGS conditionsUrban hospitalOverall oddsEmergency general surgery conditionsEmergency general surgery patientsShorter LOSGeneral surgery patientsPatient-level factorsLimited clinical importanceNational Inpatient SampleSurgery of TraumaRegionalization of careCost of careMultivariable regression modelsUnited States populationHospital mortalityEGS patientsSurgery patientsUrban patientsAdult patientsMajor complicationsPrimary diagnosisInpatient Sample
2016
Racial disparities in emergency general surgery
Zogg CK, Jiang W, Chaudhary MA, Scott JW, Shah AA, Lipsitz SR, Weissman JS, Cooper Z, Salim A, Nitzschke SL, Nguyen LL, Helmchen LA, Kimsey L, Olaiya ST, Learn PA, Haider AH. Racial disparities in emergency general surgery. Journal Of Trauma And Acute Care Surgery 2016, 80: 764-777. PMID: 26958790, DOI: 10.1097/ta.0000000000001004.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultBlack or African AmericanEmergency MedicineFemaleGeneral SurgeryHealthcare DisparitiesHospitals, GeneralHospitals, MilitaryHumansIncidenceMaleMiddle AgedMilitary PersonnelNational Health Insurance, United StatesRetrospective StudiesSurgical Procedures, OperativeUnited StatesWhite PeopleWounds and InjuriesYoung AdultConceptsRisk-adjusted survival analysisMinority patientsSurvival analysisEmergency general surgery patientsRacial disparitiesGeneral surgery patientsSurgery-related morbidityLong-term outcomesRace-associated differencesEGS careTRICARE dataWorse mortalityMajor morbidityOperative interventionSurgery patientsWhite patientsEGS conditionsReadmission outcomesEffect modificationSurgical careDay outcomesPatientsCivilian hospitalsDiagnostic categoriesCareEvaluation of the Perceived Association Between Resident Turnover and the Outcomes of Patients Who Undergo Emergency General Surgery: Questioning the July Phenomenon
Shah AA, Zogg CK, Nitzschke SL, Changoor NR, Havens JM, Salim A, Cooper Z, Haider AH. Evaluation of the Perceived Association Between Resident Turnover and the Outcomes of Patients Who Undergo Emergency General Surgery: Questioning the July Phenomenon. JAMA Surgery 2016, 151: 1-8. PMID: 26536282, DOI: 10.1001/jamasurg.2015.3940.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overEducation, Medical, GraduateEmergenciesFemaleGeneral SurgeryHospital MortalityHospitals, TeachingHumansLength of StayMaleMiddle AgedOutcome Assessment, Health CarePersonnel TurnoverPropensity ScoreRetrospective StudiesSeasonsUnited StatesWorkforceYoung AdultConceptsEmergency general surgeryTotal hospital costsLength of stayJuly phenomenonEGS patientsEGS conditionsHospital costsTeaching hospitalGeneral surgeryLower risk-adjusted oddsOutcomes of patientsRisk-adjusted oddsNationwide Inpatient SampleSurgery of TraumaHospital mortalityAdult patientsEarly patientsPoor outcomeInpatient SamplePrincipal diagnosisRetrospective analysisMAIN OUTCOMEMultivariable regressionPatientsPropensity score
2015
Emergency general surgery in a low-middle income health care setting: Determinants of outcomes
Shah AA, Latif A, Zogg CK, Zafar SN, Riviello R, Halim MS, Rehman Z, Haider AH, Zafar H. Emergency general surgery in a low-middle income health care setting: Determinants of outcomes. Surgery 2015, 159: 641-649. PMID: 26361098, DOI: 10.1016/j.surg.2015.08.004.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overDeveloping CountriesEmergenciesFemaleGeneral SurgeryHospital MortalityHospitals, TeachingHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOutcome Assessment, Health CarePakistanPostoperative ComplicationsSurgical Procedures, OperativeYoung AdultConceptsEmergency general surgeryHealth care settingsEGS conditionsCare settingsGeneral surgeryNeed of resuscitationPrimary International ClassificationClinical Modification diagnosisCase-mix factorsSoft tissue disordersUniversity Teaching HospitalDeterminants of outcomeSurgery of TraumaRate of deathHigh-income settingsAmerican AssociationHospital mortalityIndependent predictorsMale preponderanceMultivariable analysisBiliary diseaseColorectal diseaseOperative careDisease spectrumTeaching hospitalNational estimates of predictors of outcomes for emergency general surgery
Shah AA, Haider AH, Zogg CK, Schwartz DA, Haut ER, Zafar SN, Schneider EB, Velopulos CG, Shafi S, Zafar H, Efron DT. National estimates of predictors of outcomes for emergency general surgery. Journal Of Trauma And Acute Care Surgery 2015, 78: 482-491. PMID: 25710417, DOI: 10.1097/ta.0000000000000555.Peer-Reviewed Original ResearchConceptsEmergency general surgeryEGS patientsMajor complicationsGeneral surgeryMultivariate logistic regression analysisOverall complication ratePredictors of mortalityClinical Modification codesOverall mortality rateNationwide Inpatient SampleSeparate multivariate logistic regression analysesSurgery of TraumaDRG International ClassificationLogistic regression analysisHighest income quartileHospital complicationsHospital mortalityComplication ratePatient demographicsSurgical complicationsIndependent predictorsPrimary outcomeEGS conditionsMean ageInpatient Sample