2022
The extent to which geography explains one of trauma’s troubling trends: Insurance-based differences in appropriate interfacility transfer
Zogg CK, Schuster KM, Maung AA, Davis KA. The extent to which geography explains one of trauma’s troubling trends: Insurance-based differences in appropriate interfacility transfer. Journal Of Trauma And Acute Care Surgery 2022, 93: 686-694. PMID: 35293375, PMCID: PMC9470786, DOI: 10.1097/ta.0000000000003605.Peer-Reviewed Original ResearchMeSH KeywordsAdultGeographyHumansInsurance CoverageMedically UninsuredPatient TransferRetrospective StudiesTrauma CentersUnited StatesConceptsNontrauma centersEmergency departmentMajor injuriesTrauma centerSignificant geographic variationInsurance-based differencesRisk-adjusted oddsLarge trauma centersNeighborhood socioeconomic disadvantageHierarchical logistic regressionInsured adultsTransfer patientsInsurance statusInterfacility transferStratified analysisED claimsUninsured adultsLevel IIISecondary objectiveTriage patternsDeprived populationsLogistic regressionInjurySocioeconomic disadvantageAdmission differences
2018
Cured into Destitution
Scott JW, Raykar NP, Rose JA, Tsai TC, Zogg CK, Haider AH, Salim A, Meara JG, Shrime MG. Cured into Destitution. Annals Of Surgery 2018, 267: 1093-1099. PMID: 28394867, DOI: 10.1097/sla.0000000000002254.Peer-Reviewed Original ResearchConceptsUninsured patientsGreater riskMedian inpatient chargesTrauma-related admissionsNationwide Inpatient SamplePrimary outcome measureMost demographic subgroupsRisk of CHECatastrophic health expenditureFinancial risk protectionRetrospective reviewTrauma populationPrimary diagnosisInpatient chargesInpatient SampleOutcome measuresPatientsSevere injuriesStudy periodUS Census dataHealth careTraumaAdmissionDemographic subgroupsRisk
2016
Insurance status is associated with complex presentation among emergency general surgery patients
Scott JW, Havens JM, Wolf LL, Zogg CK, Rose JA, Salim A, Haider AH. Insurance status is associated with complex presentation among emergency general surgery patients. Surgery 2016, 161: 320-328. PMID: 27712875, DOI: 10.1016/j.surg.2016.08.038.Peer-Reviewed Original ResearchMeSH KeywordsAdultDatabases, FactualEmergency Service, HospitalEmergency TreatmentFemaleGeneral SurgeryHealth Services AccessibilityHumansInsurance CoverageLogistic ModelsMaleMedically UninsuredMiddle AgedOdds RatioOutcome Assessment, Health CarePatient Protection and Affordable Care ActPatient SafetyRetrospective StudiesRisk AssessmentSocioeconomic FactorsUnited StatesYoung AdultConceptsInsurance statusComplex presentationSurgical presentationUninsured patientsEmergency general surgical careEmergency general surgical conditionsEmergency general surgical patientsEmergency general surgery patientsNational Emergency Department SampleHospital-level covariatesOverall uninsured rateUninsured payer statusGeneral surgery patientsGeneral surgical patientsGeneral surgical conditionsIntra-abdominal abscessMultivariable logistic regressionEmergency Department SampleDisease-specific measuresSeverity of diseaseLack of insuranceGeneral surgical careIntestinal gangreneBowel obstructionGeneralized peritonitisImpact of ACA Insurance Coverage Expansion on Perforated Appendix Rates Among Young Adults
Scott JW, Rose JA, Tsai TC, Zogg CK, Shrime MG, Sommers BD, Salim A, Haider AH. Impact of ACA Insurance Coverage Expansion on Perforated Appendix Rates Among Young Adults. Medical Care 2016, 54: 818-826. PMID: 27367865, PMCID: PMC5468100, DOI: 10.1097/mlr.0000000000000586.Peer-Reviewed Original ResearchConceptsDependent coverage provisionAppendix ratePerforation rateYoung adultsHealth insurance plansComparator groupAcute conditionsUninsured rateYear oldsParents' health insurance plansSignificant reductionNational Inpatient SampleUrban teaching hospitalAge 26 yearsHealth care accessInsurance coverage expansionDifferences linear regressionCoverage expansionAcute appendicitisAffordable Care ActInpatient SampleTeaching hospitalCare accessRisk subpopulationsPostpolicy changeAccess to post-discharge inpatient care after lower limb trauma
Metcalfe D, Davis WA, Olufajo OA, Rios-Diaz AJ, Chaudhary MA, Harris MB, Zogg CK, Weaver MJ, Salim A. Access to post-discharge inpatient care after lower limb trauma. Journal Of Surgical Research 2016, 203: 140-144. PMID: 27338544, DOI: 10.1016/j.jss.2016.02.036.Peer-Reviewed Original ResearchConceptsLength of stayHospital LOSLower limb traumaLimb traumaInsurance statusUninsured patientsInpatient careLonger hospital LOSCalifornia State Inpatient DatabaseState Inpatient DatabasesLower limb injuriesNon-acute servicesAcute hospitalizationHospital dischargeInpatient DatabaseHospital characteristicsTrauma bedsClinical ModificationLimb injuriesObservational studyLower oddsEmergency careInternational ClassificationPatientsPrivate insurance