2020
Risk 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 studyWorse overall health status negatively impacts satisfaction with breast reconstruction
Mehta SK, Olawoyin O, Chouairi F, Duy PQ, Mets EJ, Gabrick KS, Le NK, Avraham T, Alperovich M. Worse overall health status negatively impacts satisfaction with breast reconstruction. Journal Of Plastic Reconstructive & Aesthetic Surgery 2020, 73: 2056-2062. PMID: 32972879, DOI: 10.1016/j.bjps.2020.08.093.Peer-Reviewed Original ResearchConceptsBREAST-Q scoresPatient-reported outcomesOverall health statusBreast reconstructionOverall healthASA classificationHealth statusGeneral linear modelAnesthesiologists physical status classificationYale-New Haven HospitalWorse overall health statusBREAST-Q outcomesHealth-related qualityPhysical status classificationNew Haven HospitalEffect of ASAASA 1Independent predictorsPatient factorsPostoperative satisfactionBreast surgeryPatient satisfactionASA 2PatientsRelevant covariatesImpact of Insurance Payer on Type of Breast Reconstruction Performed.
Chouairi F, Mets EJ, Gabrick KS, Dinis J, Avraham T, Alperovich M. Impact of Insurance Payer on Type of Breast Reconstruction Performed. Plastic & Reconstructive Surgery 2020, 145: 1e-8e. PMID: 31881596, DOI: 10.1097/prs.0000000000006315.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHumansIncomeInsurance, HealthMammaplastyMiddle AgedSocioeconomic FactorsUnited StatesConceptsBreast reconstructionBreast reconstruction modalityAcademic medical centerOdds ratioMedical CenterMuscle-sparing transverse rectus abdominis myocutaneous flapPerforator flapTissue expander/implant breast reconstructionExpander/implant breast reconstructionMicrovascular autologous breast reconstructionTransverse rectus abdominis myocutaneous flapPerforator flap breast reconstructionIncome quartileCLINICAL QUESTION/LEVELReconstruction modalitiesSame academic medical centerRectus abdominis myocutaneous flapAutologous breast reconstructionFlap breast reconstructionImplant breast reconstructionHighest income quartileLowest income quartileInsurance typeMicrovascular reconstructionChi-square analysis
2019
Breast reconstruction patterns and outcomes in academic and community practices within a single institution
Gabrick K, Alperovich M, Chouari F, Mets EJ, Reinhart M, Dinis J, Avraham T. Breast reconstruction patterns and outcomes in academic and community practices within a single institution. The Breast Journal 2019, 26: 924-930. PMID: 31788914, DOI: 10.1111/tbj.13693.Peer-Reviewed Original ResearchMeSH KeywordsAgedBreast NeoplasmsFemaleHumansMammaplastyMastectomyMedicareRetrospective StudiesUnited StatesConceptsYale-New Haven HospitalBreast reconstructionMore patientsSingle institutionPlastic surgeonsCommercial insuranceHigh rateRetrospective chart reviewPrevalence of diabetesSimilar complication ratesNipple-sparing mastectomyHigher infection rateAP cohortChart reviewComplication rateCP cohortPostoperative outcomesPreoperative historySurgery ratesPsychiatric comorbidityInsurance statusAutologous reconstructionPractice patternsMedicaid patientsGreater prevalenceCleft 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-testBirthIncidence
2018
National Longitudinal Comparison of Patients Undergoing Surgical Management of Craniosynostosis
Wu RT, Shultz BN, Gabrick KS, Abraham PF, Cabrejo R, Persing JA, Alperovich M. National Longitudinal Comparison of Patients Undergoing Surgical Management of Craniosynostosis. Journal Of Craniofacial Surgery 2018, 29: 1755-1759. PMID: 30095569, DOI: 10.1097/scs.0000000000004775.Peer-Reviewed Original ResearchConceptsCranial vault remodelingCVR patientsLength of stayPrivate insuranceStrip craniectomyInpatient DatabaseCraniectomy patientsVault remodelingKids' Inpatient DatabaseNonsyndromic craniosynostosis patientsCraniosynostosis managementInsurancePostsurgical complicationsSurgical managementHospital chargesTreatment optionsLongitudinal comparisonHospital characteristicsSerum transfusionMedicaid patientsAccidental punctureSurgical preferenceCraniectomyPatientsMultivariate analysis
2017
The Drivers of Academic Success in Cleft and Craniofacial Centers
Plana NM, Massie JP, Stern MJ, Alperovich M, Runyan CM, Staffenberg DA, Koniaris LG, Grayson BH, Diaz-Siso JR, Flores RL. The Drivers of Academic Success in Cleft and Craniofacial Centers. Plastic & Reconstructive Surgery 2017, 139: 450-456. PMID: 28121885, DOI: 10.1097/prs.0000000000003189.Peer-Reviewed Original ResearchConceptsSurgery fellowshipCraniofacial CenterPlastic surgery facultyBasic science publicationsCraniofacial surgerySurgery facultyCraniofacial surgery fellowshipMultivariable linear regression analysisHealth fundingStepwise multivariable linear regression analysisAmerican Cleft Palate-Craniofacial AssociationNational InstituteNumber of surgeonsSurgeryLinear regression analysisPlastic surgeryStrong associationDental facultyOnly variableRegression analysisResident trainingUniversity affiliationMedical institutionsFellowship programsAssociation
2015
Is Craniosynostosis Repair Keeping Up With the Times? Results From the Largest National Survey on Craniosynostosis
Alperovich M, Vyas RM, Staffenberg DA. Is Craniosynostosis Repair Keeping Up With the Times? Results From the Largest National Survey on Craniosynostosis. Journal Of Craniofacial Surgery 2015, 26: 1909-1913. PMID: 26244471, DOI: 10.1097/scs.0000000000001300.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAnti-Bacterial AgentsBlood TransfusionClinical CompetenceCraniosynostosesCritical CareDrainageHumansInfantIntraoperative ComplicationsMonitoring, IntraoperativeOperative TimePatient Care TeamPerioperative CarePlastic Surgery ProceduresPostoperative CarePractice Patterns, Physicians'Tomography, X-Ray ComputedUnited StatesConceptsPractice patternsIntensive postoperative surveillanceOverall transfusion rateLong-term antibioticsExtremes of ageCurrent practice patternsIntensive care unitShorter operative timeEvidence-based guidelinesSurgical practice patternsYears of ageNational surveyTransfusion ratePerioperative managementPostoperative surveillanceBlood transfusionOpen repairCare unitOperative timePreoperative imagingTomography scanCraniosynostosis repairSurgeon experienceExtended courseClinical practice