2020
The Cost of the "July Effect" in Microsurgery.
Ayyala H, Weisberger J, Malhotra R, Lee E. The Cost of the "July Effect" in Microsurgery. Annals Of Plastic Surgery 2020, 85: 392-396. PMID: 32101999, DOI: 10.1097/sap.0000000000002294.Peer-Reviewed Original ResearchConceptsLength of stayAssociated with increased operative timeFree flapsNational Surgical Quality Improvement Program registryOperative timeFree tissue transfer proceduresIncreased complication rateFree flap proceduresCost of inpatient stayJuly effectMultivariate logistic regressionTissue transfer proceduresReoperation rateComplication rateFlap procedureNo significant differenceIncreased riskProgram registryDemographic dataSignificant differenceReadmission ratesConfounding variablesStayHighest average differenceLogistic regression
2019
Analysis of the impact of chronic corticosteroid use on free flap reconstruction
Weisberger J, Oleck N, Ayyala H, Malhotra R, Lee E. Analysis of the impact of chronic corticosteroid use on free flap reconstruction. Microsurgery 2019, 41: 14-18. PMID: 31591754, DOI: 10.1002/micr.30516.Peer-Reviewed Original ResearchConceptsChronic steroid useHistory of chronic steroid useChronic steroid usageChronic corticosteroid useNational Surgical Quality ImprovementAmerican College of SurgeonsSteroid useSteroid usageCorticosteroid useSurgical complicationsComplication rateWound complicationsUnivariate analysisAssociated with increased risk of surgical complicationsACS NSQIP databasePatients treated with systemic corticosteroidsIncreased riskIncreased rate of wound complicationsRate of wound complicationsRisk of surgical complicationsIncreased rate of bleedingPostoperative wound complication ratesFree tissue transfer proceduresWound complication rateAssociated with increased risk