2020
Hospital Variation in Geriatric Surgical Safety for Emergency Operation
Becher RD, Sukumar N, DeWane MP, Stolar MJ, Gill TM, Schuster KM, Maung AA, Zogg CK, Davis KA. Hospital Variation in Geriatric Surgical Safety for Emergency Operation. Journal Of The American College Of Surgeons 2020, 230: 966-973.e10. PMID: 32032720, PMCID: PMC7409563, DOI: 10.1016/j.jamcollsurg.2019.10.018.Peer-Reviewed Original ResearchConceptsStandardized mortality ratioHospital-level characteristicsGeneral surgery operationsGeriatric patientsEmergency operationHospital variationEmergency general surgery operationsMean standardized mortality ratioCalifornia State Inpatient DatabaseHospital-based mortalitySignificant hospital variationPatients 65 yearsSubstantial excess mortalitySurgery operationsState Inpatient DatabasesMixed effects logistic regression modelsCommon general surgery operationsLow-mortality outliersLogistic regression modelsPostoperative mortalityHospital deathOlder patientsInpatient DatabaseMortality outcomesNonelective operations
2019
Debunking the July Effect in Cardiac Surgery: A National Analysis of More Than 470,000 Procedures
Shah RM, Hirji SA, Kiehm S, Goel S, Yazdchi F, Bellavia A, Zogg CK, Pelletier MP, Shekar P, Kaneko T. Debunking the July Effect in Cardiac Surgery: A National Analysis of More Than 470,000 Procedures. The Annals Of Thoracic Surgery 2019, 108: 929-934. PMID: 31353035, DOI: 10.1016/j.athoracsur.2019.06.015.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultAgedCardiac Surgical ProceduresClinical CompetenceCohort StudiesDatabases, FactualEducation, Medical, GraduateFemaleHospital MortalityHospitals, TeachingHumansInpatientsInternship and ResidencyMaleMedical Staff, HospitalMiddle AgedPostoperative ComplicationsQuality of Health CareRisk AdjustmentSeasonsUnited StatesConceptsAortic valve replacementCardiac surgeryJuly effectHospital mortalityPatient outcomesTeaching hospitalMajor cardiac surgery proceduresSurgical aortic valve replacementCoronary artery bypassCardiac surgery proceduresNational Inpatient SampleRisk-adjusted mortalityMitral valve repairCardiac surgery outcomesHospital complicationsArtery bypassMV surgeryNoncardiac surgeryValve replacementAdjusted mortalityValve repairSurgery outcomesInpatient SampleWorse outcomesHospital support systems
2018
Disparate outcomes of global emergency surgery - A matched comparison of patients in developed and under—developed healthcare settings
Shah AA, Zogg CK, Rehman A, Latif A, Zafar H, Shakoor A, Wasif N, Chapital AB, Riviello R, Ashfaq A, Williams M, Cornwell EE, Haider AH. Disparate outcomes of global emergency surgery - A matched comparison of patients in developed and under—developed healthcare settings. The American Journal Of Surgery 2018, 215: 1029-1036. PMID: 29807633, DOI: 10.1016/j.amjsurg.2018.05.008.Peer-Reviewed Original ResearchConceptsAga Khan University HospitalPakistani patientsUS Nationwide Inpatient SampleHealthcare settingsUrban-teaching hospitalsRisk-adjusted oddsComparison of patientsNationwide Inpatient SampleRisk-adjusted differencesGlobal health policy developmentHealth system strengtheningDiverse healthcare settingsHealth policy developmentReported morbidityMajor morbidityEmergency surgeryRural patientsUniversity HospitalInpatient SampleGeneralized-linear modelSurgical careMortality differencesPatientsHealthcare systemDisparate outcomes
2016
Are Older Adults With Hip Fractures Disadvantaged in Level 1 Trauma Centers?
Metcalfe D, Olufajo OA, Zogg CK, Gates JD, Weaver MJ, Harris MB, Rios-Diaz AJ, Haider AH, Salim A. Are Older Adults With Hip Fractures Disadvantaged in Level 1 Trauma Centers? Medical Care 2016, 54: 616-622. PMID: 26974676, DOI: 10.1097/mlr.0000000000000535.Peer-Reviewed Original ResearchConceptsLevel 1 trauma centerHigh-level trauma centersTrauma centerNontrauma centersHip fractureOlder adultsVenous thromboembolismPatient groupLevel 2 trauma centerIsolated hip fractureRetrospective cohort studyWorse clinical outcomesLength of stayLarge regional hospitalInhospital mortalityUnderwent surgeryUnplanned readmissionCohort studySurgical treatmentClinical outcomesInterhospital transferInpatient stayRegional hospitalHigher oddsBetter outcomesSetting a National Agenda for Surgical Disparities Research: Recommendations From the National Institutes of Health and American College of Surgeons Summit
Haider AH, Dankwa-Mullan I, Maragh-Bass AC, Torain M, Zogg CK, Lilley EJ, Kodadek LM, Changoor NR, Najjar P, Rose JA, Ford HR, Salim A, Stain SC, Shafi S, Sutton B, Hoyt D, Maddox YT, Britt LD. Setting a National Agenda for Surgical Disparities Research: Recommendations From the National Institutes of Health and American College of Surgeons Summit. JAMA Surgery 2016, 151: 554-63. PMID: 26982380, DOI: 10.1001/jamasurg.2016.0014.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsMeSH KeywordsBiomedical ResearchCultural CompetencyHealth Services AccessibilityHealthcare DisparitiesHumansNational Institutes of Health (U.S.)Physician-Patient RelationsPostoperative CarePractice Patterns, Physicians'Quality of Health CareSocieties, MedicalSocioeconomic FactorsSurgical Procedures, OperativeUnited StatesConceptsAmerican CollegeSurgical disparitiesNational InstituteCare perspectiveRehabilitation-related factorsMultiple surgical proceduresDisparities researchPatient-clinician communicationHealth-National InstituteHealth care disparitiesPatient care perspectivePostoperative careAcute interventionAfrican American individualsMinority patientsSurgical proceduresLong-term effectsMortality riskCare disparitiesTop research prioritiesResearch prioritiesPatient centerednessGeographic disparitiesMinority HealthClinical qualityHospital case volume and outcomes for proximal femoral fractures in the USA: an observational study
Metcalfe D, Salim A, Olufajo O, Gabbe B, Zogg C, Harris MB, Perry DC, Costa ML. Hospital case volume and outcomes for proximal femoral fractures in the USA: an observational study. BMJ Open 2016, 6: e010743. PMID: 27056592, PMCID: PMC4838676, DOI: 10.1136/bmjopen-2015-010743.Peer-Reviewed Original ResearchConceptsHigh-volume hospitalsHip fractureObservational studyIsolated hip fractureRate of pneumoniaHip fracture careHospital case volumeLow-volume hospitalsProximal femoral fracturesLength of stayPatient safety imperativeHospital mortalityVenous thromboembolismSecondary outcomesFracture careClinical outcomesFemoral fracturesAcute hospitalsPatient outcomesInclusion criteriaPressure ulcersCase volumeHospitalOlder adultsOutcomes