2020
Does Surgical Specialty Impact Mandibular Fracture Outcomes?
Sun A, Nguyen K, Mehta SK, Allam O, Park KE, Alperovich M. Does Surgical Specialty Impact Mandibular Fracture Outcomes? Journal Of Craniofacial Surgery 2020, 32: 855-858. PMID: 32941216, DOI: 10.1097/scs.0000000000007046.Peer-Reviewed Original ResearchConceptsReoperation rateReadmission ratesFracture managementInfection rateNational Surgical Quality Improvement ProgramHigher ASA class patientsSurgical Quality Improvement ProgramComparable perioperative outcomesLength of staySignificant differencesQuality Improvement ProgramHigh ratePRS patientsPerioperative outcomesPatient agePatient demographicsFracture outcomesOperative timeENT patientsAdverse outcomesClass patientsMaxillofacial traumaPractice patternsPatientsPRS groupRisk of peri-operative complications in children receiving preoperative steroids
Mets EJ, Chouairi F, Mirza H, Allam O, Park KE, Junn A, Alperovich M. Risk of peri-operative complications in children receiving preoperative steroids. Pediatric Surgery International 2020, 36: 1345-1352. PMID: 32918623, DOI: 10.1007/s00383-020-04742-9.Peer-Reviewed Original ResearchConceptsAdverse eventsPediatric patientsSteroid usePreoperative steroidsNational Surgical Quality Improvement Project Pediatric databaseThirty-day adverse eventsPropensity scorePostoperative adverse eventsPeri-operative complicationsPediatric surgery patientsSimilar larger studiesMore comorbiditiesPerioperative impactHospital stayPerioperative complicationsAdult patientsPatient demographicsSteroid treatmentSurgery patientsSurgical variablesWound dehiscenceSurgical outcomesPediatric databasePatientsLarger study
2019
Risk Factors for Readmission After Cleft Lip Repair.
Chouairi F, Mercier MR, Mets EJ, Alperovich M. Risk Factors for Readmission After Cleft Lip Repair. Journal Of Craniofacial Surgery 2019, 30: 2042-2044. PMID: 31403505, DOI: 10.1097/scs.0000000000005780.Peer-Reviewed Original ResearchConceptsCleft lip repairSeizure disorderSteroid useLip repairRisk factorsNational Surgical Quality Improvement Program Pediatric databaseDeep incisional surgical site infectionStructural central nervous system abnormalitiesSurgeons National Surgical Quality Improvement Program Pediatric databaseIncisional surgical site infectionThirty-day readmission ratesCentral nervous system abnormalitiesDeep wound dehiscenceSurgical site infectionManagement of patientsNational surgical databaseNervous system abnormalitiesCommon craniofacial malformationBinary logistic regressionReadmitted patientsUnplanned intubationPatient demographicsReadmission ratesNutritional supportSite infectionCleft lip repair: are outcomes between unilateral and bilateral clefts comparable?
Chouairi F, Mets EJ, Torabi SJ, Alperovich M. Cleft lip repair: are outcomes between unilateral and bilateral clefts comparable? Journal Of Plastic Surgery And Hand Surgery 2019, 54: 29-32. PMID: 31524555, DOI: 10.1080/2000656x.2019.1661848.Peer-Reviewed Original ResearchMeSH KeywordsAsthmaCardiovascular Surgical ProceduresCase-Control StudiesCentral Nervous SystemCleft LipComorbidityDatabases, FactualDevelopmental DisabilitiesFemaleGastrointestinal DiseasesHumansInfantMaleNutritional SupportPatient ReadmissionReoperationRespiration, ArtificialTracheostomyUnited StatesConceptsPeri-operative outcomesCleft lip repairMore comorbiditiesBilateral cleftsCleft lipNational Surgical Quality Improvement Program Pediatric databaseLip repairStructural central nervous system abnormalitiesCentral nervous system abnormalitiesPrimary cleft lip repairUnilateral cleft lip patientsBilateral cleft patientsPrevious cardiac surgeryPost-operative outcomesPrimary cleft lipNervous system abnormalitiesBilateral cleft lipCleft lip patientsCleft populationVentilator dependencePatient demographicsCardiac surgeryNutritional supportPropensity matchingOperative courseEpidemiologic Assessment of Microtia in Over 23 Million Consecutive United States Births
Cabrejo R, Persing J, Alperovich M. Epidemiologic Assessment of Microtia in Over 23 Million Consecutive United States Births. Journal Of Craniofacial Surgery 2019, 30: 342-346. PMID: 30418290, DOI: 10.1097/scs.0000000000004885.Peer-Reviewed Original ResearchConceptsCongenital anomaliesInpatient DatabaseMicrotia patientsAssociated congenital anomaliesKids' Inpatient DatabaseUnited States birthsIndependent t-testPostoperative complicationsPatient demographicsPostsurgical courseBlack patientsHispanic raceCohort databaseRelative riskGenitourinary anomaliesHospital settingEpidemiologic assessmentPatientsCraniofacial syndromesState birthMicrotiaLongitudinal studyT-testBirthIncidenceNational Patterns in Surgical Management of Syndactyly: A Review of 956 Cases
Chouairi F, Mercier MR, Persing JS, Gabrick KS, Clune J, Alperovich M. National Patterns in Surgical Management of Syndactyly: A Review of 956 Cases. Hand 2019, 15: 666-673. PMID: 30770023, PMCID: PMC7543215, DOI: 10.1177/1558944719828003.Peer-Reviewed Original ResearchConceptsOperative timeComplex syndactylySyndactyly repairNational Surgical Quality Improvement Program Pediatric databaseOrthopaedic surgeonsSimple syndactylySuperficial surgical site infectionPlastic surgeonsSurgical site infectionTime of surgeryLonger operative timeShorter operative timeMulti-institutional outcome analysisNumber of patientsPreoperative comorbiditiesReconstructive complicationsSyndactyly casesVentilator dependencePerioperative outcomesAirway abnormalitiesMost patientsPatient demographicsSurgical factorsSite infectionSurgical managementChronic steroid use as an independent risk factor for perioperative complications
Chouairi F, Torabi SJ, Mercier MR, Gabrick KS, Alperovich M. Chronic steroid use as an independent risk factor for perioperative complications. Surgery 2019, 165: 990-995. PMID: 30765140, DOI: 10.1016/j.surg.2018.12.016.Peer-Reviewed Original ResearchConceptsChronic steroid useSteroid useSurgical outcomesChronic steroidsPerioperative outcomesNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseLogistic regressionPerioperative surgical outcomesImprovement Program databaseIndependent risk factorRisk of readmissionPoor perioperative outcomesRisk of reoperationPoor surgical outcomesRisk of deathMore comorbiditiesCorticosteroid usePerioperative complicationsPatient demographicsSurgical cohortSurgical complicationsSurgical patientsRisk factorsOdds ratioPersistent disparities in breast cancer surgical outcomes among hispanic and African American patients
Mets EJ, Chouairi FK, Gabrick KS, Avraham T, Alperovich M. Persistent disparities in breast cancer surgical outcomes among hispanic and African American patients. European Journal Of Surgical Oncology 2019, 45: 584-590. PMID: 30683449, DOI: 10.1016/j.ejso.2019.01.016.Peer-Reviewed Original ResearchMeSH KeywordsAdultAsianBlack or African AmericanBreast NeoplasmsChemotherapy, AdjuvantComorbidityDiabetes MellitusFemaleHealth Status DisparitiesHispanic or LatinoHospitals, High-VolumeHospitals, UniversityHumansHypertensionMammaplastyMastectomyMiddle AgedNeoadjuvant TherapyObesityPostoperative ComplicationsRadiotherapy, AdjuvantSmokingTreatment OutcomeWhite PeopleConceptsAfrican American patientsAmerican patientsNeoadjuvant chemotherapyComplication ratePost-surgical complication rateHigher overall complication rateHigh rateHigher comorbidity burdenOverall complication ratePrior abdominal surgeryASA class IIIMastectomy flap necrosisRecords of patientsNipple-sparing mastectomyUniversity-affiliated hospitalCancer surgical outcomesHistory of radiationBreast cancer profilesComorbidity burdenReconstructive complicationsPrior radiationOncologic characteristicsPatient demographicsAbdominal surgeryBreast mastectomy