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
Evaluation 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
Analgesic Access for Acute Abdominal Pain in the Emergency Department Among Racial/Ethnic Minority Patients
Shah AA, Zogg CK, Zafar SN, Schneider EB, Cooper LA, Chapital AB, Peterson SM, Havens JM, Thorpe RJ, Roter DL, Castillo RC, Salim A, Haider AH. Analgesic Access for Acute Abdominal Pain in the Emergency Department Among Racial/Ethnic Minority Patients. Medical Care 2015, 53: 1000-1009. PMID: 26569642, DOI: 10.1097/mlr.0000000000000444.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal PainAcute PainAdolescentAdultAgedAnalgesicsBlack or African AmericanDiagnostic Techniques and ProceduresEmergency Service, HospitalEthnicityFemaleHealth Care SurveysHealthcare DisparitiesHispanic or LatinoHospitalizationHumansLength of StayMaleMiddle AgedNarcoticsRacial GroupsResidence CharacteristicsRetrospective StudiesSocioeconomic FactorsTime FactorsWhite PeopleYoung AdultConceptsAcute abdominal painLower risk-adjusted oddsRisk-adjusted oddsAbdominal painRace/ethnicityEmergency departmentMinority patientsEthnic disparitiesNontraumatic acute abdominal painRisk-adjusted multivariable analysisNon-Hispanic black patientsNon-Hispanic white patientsRace/ethnicity-based differencesEthnic group patientsModerate-severe painPatient-reported painPatients 18 yearsProportion of patientsSubsequent inpatient admissionSurgery of TraumaRisk-adjusted differencesED wait timesNon-Hispanic blacksEthnic minority patientsUniform definitionEmergency 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 hospitalGeriatric emergency general surgery: Survival and outcomes in a low-middle income country
Shah AA, Haider AH, Riviello R, Zogg CK, Zafar SN, Latif A, Diaz A, Rehman Z, Zafar H. Geriatric emergency general surgery: Survival and outcomes in a low-middle income country. Surgery 2015, 158: 562-569. PMID: 25999249, DOI: 10.1016/j.surg.2015.03.045.Peer-Reviewed Original ResearchConceptsEmergency general surgery conditionsGreater oddsGeriatric patientsSurgery conditionsEmergency general surgical conditionsGreater risk-adjusted oddsOlder adultsRisk-adjusted oddsClinical Modification diagnosisGeneral surgical conditionsPeptic ulcer diseaseSurgery of TraumaMultivariable regression analysisCase-mix dataYears of ageHealth care settingsLow-middle income countriesCause mortalityGastrointestinal bleedingHospital stayAdult patientsOperative interventionYounger patientsMajor complicationsUlcer diseaseNational 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