R Jean

ORCID: 0000-0001-5421-0386
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About
Contact & Profiles
Research Areas
  • Tracheal and airway disorders
  • French Urban and Social Studies
  • Renal and Vascular Pathologies
  • Respiratory Support and Mechanisms
  • Renal function and acid-base balance
  • Metabolism and Genetic Disorders
  • Cardiac, Anesthesia and Surgical Outcomes
  • French Literature and Poetry
  • Trauma and Emergency Care Studies
  • Immunodeficiency and Autoimmune Disorders
  • Congenital Heart Disease Studies
  • Thyroid Disorders and Treatments
  • Urological Disorders and Treatments
  • Pediatric Urology and Nephrology Studies
  • Lung Cancer Diagnosis and Treatment
  • Appendicitis Diagnosis and Management
  • Pediatric health and respiratory diseases
  • Sepsis Diagnosis and Treatment
  • Intraperitoneal and Appendiceal Malignancies
  • Palliative Care and End-of-Life Issues
  • Dysphagia Assessment and Management
  • Frailty in Older Adults
  • French Literature and Critical Theory
  • Renal Diseases and Glomerulopathies
  • Neuroendocrine Tumor Research Advances

University of Michigan
2024-2025

Hôpital de la Conception
2010-2023

Yale University
2015-2022

Harborview Medical Center
2022

Yale New Haven Hospital
2020-2021

San Francisco General Hospital
2019

University of California, San Francisco
2019

University of New Haven
2019

American College of Surgeons
2016-2018

Yale Cancer Center
2018

Reliance on prescription opioids for postprocedural analgesia has contributed to the opioid epidemic. With implementation of electronic medical record (EMR) systems, there been increasing use computerized order entry systems medication prescriptions, which is now more common than handwritten prescriptions. The EMR can autopopulate a default number pills prescribed, and 1 potential method alter prescriber behavior change presented via system.To investigate association lowering when...

10.1001/jamasurg.2018.2083 article EN JAMA Surgery 2018-07-19

Background With over a decade of directed efforts to reduce sex and racial differences in coronary artery bypass grafting ( CABG ) utilization, post‐ outcomes, we sought evaluate how the use its outcomes have evolved different subgroups. Methods Results Using data on all fee‐for‐service Medicare beneficiaries undergoing United States from 1999 2014, examined by race calendar‐year trends for utilization (in‐hospital, 30‐day, 1‐year mortality 30‐day readmission). A total 1 863 719 (33.6%...

10.1161/jaha.118.009014 article EN cc-by-nc-nd Journal of the American Heart Association 2018-07-12

<h3>Importance</h3> The Hartmann procedure (end colostomy) remains a common operation for diverticulitis requiring surgery. However, the timing of subsequent colostomy reversal widely varied, and optimal unknown. <h3>Objective</h3> To investigate association with operative outcomes. <h3>Design, Setting, Participants</h3> This retrospective analysis Healthcare Cost Utilization Project State Inpatient Databases California, Florida Maryland included patients linked to their reversal. Patients...

10.1001/jamasurg.2018.4359 article EN JAMA Surgery 2018-11-26

This cohort study examines expected vs observed rates of firearm-related injury hospitalizations in the US during COVID-19 pandemic.

10.1001/jamanetworkopen.2024.56234 article EN cc-by-nc-nd JAMA Network Open 2025-01-27

BACKGROUND Venous thromboembolism (VTE) is common after major injury. This elevated VTE risk likely continues beyond hospital discharge, but a lack of postdischarge surveillance limits our understanding this complication and opportunities for improving outcomes. We aimed to characterize the incidence factors trauma patients who developed in first year discharge from their index admission. METHODS used data adult inpatients (18 years or older) 35 American College Surgeons - Committee on...

10.1097/ta.0000000000004527 article EN Journal of Trauma and Acute Care Surgery 2025-02-17

Keller, Mary E. MD; Jean, Raymond LaMorte, Wayne W. MD, PhD, MPH; Millham, Frederick MBA; Hirsch, Erwin MD Author Information

10.1097/00005373-200211000-00037 article EN Journal of Trauma and Acute Care Surgery 2002-11-01

Given the high morbidity and mortality associated with meningococcal disease, in 2007 Advisory Committee of Immunization Practices recommended immunization all children ages 11-18 a protein-conjugated vaccine. There are limited data on immunogenicity this vaccine after allogeneic hematopoietic stem cell transplantation (allo-HCT). Since 2007, we have immunized 48 patients MCV4 Two vaccinated who lacked follow-up titers were excluded from analysis. Stem cells derived an HLA-identical sibling...

10.1016/j.bbmt.2011.07.027 article EN cc-by-nc-nd Biology of Blood and Marrow Transplantation 2011-08-06

Background: Intraoperative data may improve models predicting postoperative events. We evaluated the effect of incorporating intraoperative variables to existing preoperative model on predictive performance for coronary artery bypass graft. Methods: analyzed 378 572 isolated graft cases performed across 1083 centers, using national Society Thoracic Surgeons Adult Cardiac Surgery Database between 2014 and 2016. Outcomes were operative mortality, 5 complications, composite representation all...

10.1161/circoutcomes.120.007363 article EN Circulation Cardiovascular Quality and Outcomes 2021-06-01

To estimate the potential mortality reduction if patients chose safest hospitals for complex cancer surgery.Mortality after oncologic surgery is highly variable across hospitals, and directing away from unsafe could potentially improve survivorship. Hospital quality measures are becoming increasingly accessible at a time when more engaged in choosing providers. It currently unclear what information to share with maximally capitalize on patient-centered realignment.The National Cancer...

10.1097/sla.0000000000002762 article EN Annals of Surgery 2018-04-24

Abstract Background The electronic health record (EHR) holds the prospect of providing more complete and timely access to clinical information for biomedical research, quality assessments, improvement compared other data sources, such as administrative claims. In this study, we sought assess completeness timeliness structured diagnoses in EHR computed hypertension (HTN), hyperlipidemia (HLD), diabetes mellitus (DM). Methods We determined amount time a diagnosis be recorded from when an...

10.1186/s12911-021-01416-x article EN cc-by BMC Medical Informatics and Decision Making 2021-02-17
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