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
2017
The Need to Consider Longer-term Outcomes of Care
Zogg CK, Olufajo OA, Jiang W, Bystricky A, Scott JW, Shafi S, Havens JM, Salim A, Schoenfeld AJ, Haider AH. The Need to Consider Longer-term Outcomes of Care. Annals Of Surgery 2017, 266: 66-75. PMID: 28140382, DOI: 10.1097/sla.0000000000001932.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedBlack or African AmericanCaliforniaEmergency Service, HospitalHealthcare DisparitiesHispanic or LatinoHospital MortalityHumansIncomeInsurance CoverageInsurance, HealthLongitudinal StudiesMiddle AgedOutcome Assessment, Health CarePatient ReadmissionPostoperative ComplicationsProportional Hazards ModelsSurgical Procedures, OperativeSurvival AnalysisWhite PeopleYoung AdultConceptsLong-term outcomesNon-Hispanic blacksUnplanned readmissionMajor morbidityWhite patientsMinority patientsEthnic disparitiesEmergency general surgery patientsCalifornia State Inpatient DatabaseCox proportional hazards modelDiagnostic categoriesOlder adultsGeneral surgery patientsState Inpatient DatabasesProportional hazards modelRisk-adjusted differencesHispanic older adultsEGS patientsEGS volumeReadmission trendsSurgery patientsSurgical patientsHospital proportionInpatient DatabasePostacute phase
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 outcomesUnplanned 30-day readmissions in orthopaedic trauma
Metcalfe D, Olufajo OA, Zogg CK, Rios-Diaz A, Harris M, Weaver MJ, Haider AH, Salim A. Unplanned 30-day readmissions in orthopaedic trauma. Injury 2016, 47: 1794-1797. PMID: 27262770, DOI: 10.1016/j.injury.2016.05.007.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedCaliforniaChildChild, PreschoolComorbidityFemaleHumansInfantMaleMiddle AgedOrthopedic ProceduresPatient ReadmissionPostoperative ComplicationsQuality Indicators, Health CareRetrospective StudiesRisk FactorsSocioeconomic FactorsSurgical Wound InfectionTime FactorsWounds and InjuriesYoung AdultConceptsTrauma patientsCharlson Comorbidity IndexOverall readmission rateOrthopaedic trauma patientsPrimary outcome measureHospital quality metricsUnplanned readmission riskTrauma readmissionsComorbidity indexInitial hospitalizationReadmission ratesHospital readmissionPatient factorsProcedural complicationsTrauma admissionsMale sexReadmission riskSpinal fracturesCardiopulmonary diseaseBlack racePrimary diagnosisAcute hospitalsMusculoskeletal problemsObservational studyMedical adviceHospital 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 adultsOutcomesAccess 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