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
Influence of sub-specialty surgical care on outcomes for pediatric emergency general surgery patients in a low-middle income country
Shah AA, Shakoor A, Zogg CK, Oyetunji T, Ashfaq A, Garvey EM, Latif A, Riviello R, Qureshi FG, Mateen A, Haider AH, Zafar H. Influence of sub-specialty surgical care on outcomes for pediatric emergency general surgery patients in a low-middle income country. International Journal Of Surgery 2016, 29: 12-18. PMID: 26971828, DOI: 10.1016/j.ijsu.2016.03.007.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAsia, SoutheasternChildChild, PreschoolDeveloping CountriesEmergency Service, HospitalFemaleGeneral SurgeryHealth ResourcesHospital MortalityHumansLength of StayMaleOutcome Assessment, Health CarePakistanPediatric Emergency MedicinePostoperative ComplicationsRetrospective StudiesConceptsLength of stayPediatric patientsPediatric surgeryPediatric surgeonsEmergency general surgical conditionsHigher risk-adjusted oddsEmergency general surgery patientsBetter post-operative outcomesAverage LOSAdult general surgeonsAdult general surgeryGeneral surgery patientsGeneral surgical teamRisk-adjusted oddsGeneral surgical conditionsGeneral surgery teamPost-operative outcomesMultivariable regression analysisPediatric surgical specialtiesChildren/adolescentsResource-constrained settingsResource-limited settingsLow-middle income countriesMost patientsSurgery patients
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 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 diseaseAbdominal gunshot wounds—a comparative assessment of severity measures
Shah AA, Rehman A, Shah SJ, Haider AH, Zogg CK, Zafar SN, Hadi YB, Zia-ur-Rehman, Zafar H. Abdominal gunshot wounds—a comparative assessment of severity measures. Journal Of Surgical Research 2015, 198: 334-339. PMID: 25891680, DOI: 10.1016/j.jss.2015.03.061.Peer-Reviewed Original ResearchConceptsInjury Severity ScoreAbdominal gunshot woundsInjury severity measuresGunshot woundsSeverity measuresMedian Injury Severity ScoreAbdominal trauma indexMost gunshot woundsRisk-stratify patientsPrimary outcome measureCause mortalityAbdominal traumaMiddle-income countriesMultivariable analysisSeverity scoreUniversity HospitalSustained injuryTrauma IndexCrude rateOutcome measuresReferral statusInjury severityAverage ageAUROC analysisComplications