2024
Patient reported outcomes of emergency general surgery procedures
Mathew P, Ali Y, O'Connor R, Levinson R, Khan A, Schuster K. Patient reported outcomes of emergency general surgery procedures. The American Journal Of Surgery 2024, 232: 118-125. PMID: 38413350, DOI: 10.1016/j.amjsurg.2024.01.021.Peer-Reviewed Original ResearchEmergency general surgeryEmergency general surgery patientsMixed methods studyEmergency general surgery proceduresSemi-structured interviewsPatient experienceHealthcare systemMethods studyOutcome measuresInterpretation - PatientsPatient outcomesGeneral surgery proceduresDecision-makingCommunication issuesSeverity of complicationsCareFindings to clinical characteristicsPROMGeneral surgeryEmergency surgeryClinical characteristicsExpeditious treatmentOutcomesTeamSurgery procedures
2020
Transfusion rates in emergency general surgery: high but modifiable
Medvecz A, Bernard A, Hamilton C, Schuster KM, Guillamondegui O, Davenport D. Transfusion rates in emergency general surgery: high but modifiable. Trauma Surgery & Acute Care Open 2020, 5: e000371. PMID: 32154373, PMCID: PMC7046949, DOI: 10.1136/tsaco-2019-000371.Peer-Reviewed Original ResearchNational Surgical Quality Improvement Program dataTransfusion rateRed blood cellsRBC transfusionSurgeons National Surgical Quality Improvement Program dataEmergency general surgery casesQuality Improvement Program dataBlood conservation technologiesNon-emergent casesCurrent Procedural Terminology codesEmergency general surgeryGeneral surgery casesProcedural Terminology codesAcademic medical centerComposite morbidityNSQIP complicationsRetrospective reviewSurgery casesGeneral surgeonsMedical CenterAmerican CollegeGeneral surgeryTerminology codesTransfusionPatient acuity
2019
Regionalization of emergency general surgery operations: A simulation study.
Becher RD, Sukumar N, DeWane MP, Gill TM, Maung AA, Schuster KM, Stolar MJ, Davis KA. Regionalization of emergency general surgery operations: A simulation study. Journal Of Trauma And Acute Care Surgery 2019, 88: 366-371. PMID: 31804419, PMCID: PMC7472889, DOI: 10.1097/ta.0000000000002543.Peer-Reviewed Original ResearchConceptsEmergency general surgeryHigh-volume hospitalsEGS careEmergency general surgery operationsCalifornia inpatient databaseCommon EGS operationsRisk-adjusted deathsSignificant survival benefitLow-volume hospitalsUmbilical hernia repairSmall bowel resectionHigh-mortality hospitalsGeneral surgery operationsRegional trauma systemEGS operationsBowel resectionAdult patientsPrimary outcomeSurvival benefitInpatient DatabaseHernia repairTrauma systemLevel IVGeneral surgeryCare managementHigh-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient.
DeWane MP, Sukumar N, Stolar MJ, Gill TM, Maung AA, Schuster KM, Davis KA, Becher RD. High-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient. Journal Of Trauma And Acute Care Surgery 2019, 87: 140-146. PMID: 31259872, PMCID: PMC7656193, DOI: 10.1097/ta.0000000000002273.Peer-Reviewed Original ResearchConceptsCommon EGS operationsEmergency general surgeryOlder patientsGeriatric patientsEmergency general surgery operationsEGS operationsCalifornia State Inpatient DatabaseGeneral surgery hospitalsPatients 65 yearsRisk-adjusted mortalitySurvival rates 1State Inpatient DatabasesGeneral surgery operationsClusters of hospitalsOperation typeHospital performanceEGS patientsSurgery HospitalInpatient DatabaseGroup of hospitalsGeriatric populationGeneral surgeryPatientsHospitalLevel IIIAmerican Association for the Surgery of Trauma (AAST) emergency general surgery guidelines gap analysis
Schuster K, Davis K, Hernandez M, Holena D, Salim A, Crandall M. American Association for the Surgery of Trauma (AAST) emergency general surgery guidelines gap analysis. Journal Of Trauma And Acute Care Surgery 2019, Publish Ahead of Print: &na;. PMID: 30768554, DOI: 10.1097/ta.0000000000002226.Peer-Reviewed Original ResearchConceptsEmergency general surgeryEGS diseasesSmall bowel obstructionAcute care surgeryCommon disease statesAAST gradeAmerican AssociationBowel obstructionAcute cholecystitisTrauma gradeCare surgeryAcute pancreatitisAdditional researchGeneral surgeryDisease processPatient careSurgeryLiterature searchDiseaseDisease statesAdditional literature reviewLow-quality researchDiagnosisInitial gap analysisThorough assessmentAmerican Association for the Surgery of Trauma emergency general surgery guideline summaries 2018: acute appendicitis, acute cholecystitis, acute diverticulitis, acute pancreatitis, and small bowel obstruction
Schuster KM, Holena DN, Salim A, Savage S, Crandall M. American Association for the Surgery of Trauma emergency general surgery guideline summaries 2018: acute appendicitis, acute cholecystitis, acute diverticulitis, acute pancreatitis, and small bowel obstruction. Trauma Surgery & Acute Care Open 2019, 4: e000281. PMID: 31058240, PMCID: PMC6461136, DOI: 10.1136/tsaco-2018-000281.Peer-Reviewed Original ResearchEmergency general surgerySmall bowel obstructionAcute diverticulitisAcute cholecystitisBowel obstructionAcute appendicitisAcute pancreatitisClinical practice guidelinesSurgery of TraumaSolid evidence baseAmerican AssociationEGS diseasesGuideline recommendationsEGS conditionsConsensus guidelinesSeverity scorePractice guidelinesGeneral surgeryLiterature searchSurgeryEvidence baseDisease statesFurther researchDiverticulitisCholecystitisEvaluating mortality outlier hospitals to improve the quality of care in emergency general surgery.
Becher RD, DeWane MP, Sukumar N, Stolar MJ, Gill TM, Maung AA, Schuster KM, Davis KA. Evaluating mortality outlier hospitals to improve the quality of care in emergency general surgery. Journal Of Trauma And Acute Care Surgery 2019, 87: 297-306. PMID: 30908450, PMCID: PMC6660354, DOI: 10.1097/ta.0000000000002271.Peer-Reviewed Original ResearchConceptsStandardized mortality ratioOutlier hospitalsHospital variationMortality ratioStandardized mortalityEmergency general surgery operationsCalifornia State Inpatient DatabaseEGS operationsCommon EGS operationsSignificant hospital variationEmergency general surgeryHospital-level characteristicsHospital-level variablesSignificant excess mortalityGeneral surgery operationsState Inpatient DatabasesQuality improvement initiativesQuality of careHospital quality indicatorsNational Quality ForumEGS outcomesInpatient DatabaseExcess mortalityOnly hospitalEpidemiologic studiesSymptomatic human immunodeficiency virus–infected patients have poorer outcomes following emergency general surgery
Sandler BJ, Davis KA, Schuster KM. Symptomatic human immunodeficiency virus–infected patients have poorer outcomes following emergency general surgery. Journal Of Trauma And Acute Care Surgery 2019, 86: 479-488. PMID: 30531208, DOI: 10.1097/ta.0000000000002161.Peer-Reviewed Original ResearchConceptsHIV/AIDS patientsHIV-negative patientsAsymptomatic HIV-positive patientsHIV-positive patientsActive antiretroviral therapyAIDS patientsAntiretroviral therapyHospital stayPostoperative complicationsHuman immunodeficiency virus-infected patientsEmergency general surgery proceduresHigher median total chargesImmune deficiency syndrome (AIDS) patientsHuman immunodeficiency virus (HIV) infectionEmergency general surgeryLonger hospital stayRetrospective cohort studyAcute renal failureHIV-negative controlsImmunodeficiency virus infectionVirus-infected patientsRecords of patientsUrinary tract infectionMedian total chargesNationwide Inpatient Sample
2018
Definition of Emergency General Surgery (EGS) and Its Burden on the Society
Gale S, Schuster K, Crandall M, Shafi S. Definition of Emergency General Surgery (EGS) and Its Burden on the Society. 2018, 1-11. DOI: 10.1007/978-3-319-96286-3_1.Peer-Reviewed Original ResearchValidation of a new American Association for the Surgery of Trauma (AAST) anatomic severity grading system for acute cholecystitis
Vera K, Pei KY, Schuster KM, Davis KA. Validation of a new American Association for the Surgery of Trauma (AAST) anatomic severity grading system for acute cholecystitis. Journal Of Trauma And Acute Care Surgery 2018, 84: 650-654. PMID: 29271871, DOI: 10.1097/ta.0000000000001762.Peer-Reviewed Original ResearchConceptsLength of stayAcute cholecystitisICU useGrade 2Anatomic gradingAdverse eventsGrade 1Longer LOSAnatomic grading systemGrade 1 diseaseEmergency general surgeryGrade 3 patientsRetrospective cohort studyIncidence of complicationsMajority of patientsTertiary medical centerLow-grade diseaseSurgery of TraumaRisk-adjusted outcomesGood inter-rater reliabilityAAST gradeAmerican AssociationCholecystitis severityCohort studyConsecutive patients
2008
How Can Trauma Surgeons Maintain Their Operative Skills?
Schuster KM, Lopez PP, Greene T, Wheeler K, Soffer D, Habib F, Cohn SM, Schulman CI. How Can Trauma Surgeons Maintain Their Operative Skills? Journal Of Trauma And Acute Care Surgery 2008, 65: 387-389. PMID: 18695476, DOI: 10.1097/ta.0b013e31817db08f.Peer-Reviewed Original ResearchConceptsEmergency general surgeryElective general surgeryGeneral surgeryOperative experienceTrauma serviceTrauma casesTrauma surgeonsEmergency general surgery casesGeneral surgery consultationOperative skillsGeneral surgery casesOperative trauma casesElective case volumesTrauma operative experienceNeck explorationSurgery consultationRetrospective studyTrauma centerOperative databaseSurgery casesSurgical servicesCase volumeLevel ISurgeryOperative workload