- Trauma and Emergency Care Studies
- Intestinal Malrotation and Obstruction Disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Emergency and Acute Care Studies
- Venous Thromboembolism Diagnosis and Management
- Hernia repair and management
- Esophageal and GI Pathology
- Appendicitis Diagnosis and Management
- Cardiac Arrest and Resuscitation
- Injury Epidemiology and Prevention
- Pediatric Hepatobiliary Diseases and Treatments
- Pancreatic and Hepatic Oncology Research
- Peripheral Artery Disease Management
- Hip and Femur Fractures
- Aortic aneurysm repair treatments
- Congenital Diaphragmatic Hernia Studies
- Ultrasound in Clinical Applications
- Gallbladder and Bile Duct Disorders
- Gun Ownership and Violence Research
- Trauma Management and Diagnosis
- Intestinal and Peritoneal Adhesions
- Sepsis Diagnosis and Treatment
- Healthcare cost, quality, practices
- Abdominal Trauma and Injuries
- Healthcare Policy and Management
Memorial Healthcare System
2022-2025
Memorial Regional Hospital
2021-2025
Memorial Hospital
2024-2025
Florida Atlantic University
2022-2024
University of Miami
2016-2023
Wellcome Trust
2023
British Columbia Children's Hospital
2023
Lakewood Regional Medical Center
2021-2022
American College of Surgeons
2017-2022
Guthrie Robert Packer Hospital
2022
Most prior studies of readmission after trauma have been limited to single institutions, whereas multi-institutional states and an inability distinguish between elective nonelective readmissions. The purpose this study was identify the risk factors costs associated with across United States.The Nationwide Readmission Database queried for all patients admissions in 2013 2014 a primary diagnosis trauma. Univariate multivariate logistic regression identified 30-day same- different-hospital...
To compare the risk factors and costs associated with readmission after firearm injury nationally, including different hospitals.No national studies capture to hospitals injury.The 2013 2014 Nationwide Readmissions Database was queried for patients admitted injury. Logistic regression identified 30-day same hospital readmission. Cost calculated. Survey weights were used estimates.There 45,462 during study period. The rate 7.6%, among those, 16.8% readmitted a hospital. Admission cost $1.45...
Prior studies have used vital signs and laboratory measurements with conventional modeling techniques to predict acute kidney injury (AKI). The purpose of this study was use the trend in machine learning algorithms for predicting AKI ICU patients. eICU Collaborative Research Database queried five consecutive days per patient. Patients were identified trends values determined by calculating slope least-squares-fit linear equation using three each value. Different classifiers (gradient boosted...
Background: Randomized controlled trials (RCTs) are generally regarded as the gold standard for demonstrating causality because they effectively mitigate bias from both known and unknown confounders. However, conducting an RCT is not always feasible of logistical ethical considerations. This especially true when evaluating surgical interventions, non-randomized study designs must be utilized instead. Methods: Statistical methods that adjust baseline differences in studies were reviewed....
Trauma patients are at increased risk for venous thromboembolism (VTE). One in four trauma readmissions occur a different hospital. There no national studies measuring to hospitals with VTE after trauma. Thus, the true burden readmitted is unknown and can provide benchmark improve quality of care.The Nationwide Readmission Database (2010-2014) was queried ≥18 years non-electively admitted Patients or inferior vena cava filter placement on index admission were excluded. Outcomes included...
Background: The efficacy of oral chlorhexidine (oCHG) for decontamination in intensive care unit (ICU) patients is controversial. purpose this study was to evaluate the effect oCHG on incidence pneumonia, sepsis, and death ICU patients. Methods: Philips eICU database version 2.0 queried admitted ≥48 hours 2014-2015. primary outcome interest ICU. Secondary outcomes were a diagnosis pneumonia or sepsis. Patients with sepsis diagnosed within first 48 admission excluded from analyses....
The efficacy of vitamin C (VitC) and thiamine (THMN) in patients admitted to the intensive care unit (ICU) with sepsis is unclear. purpose this study was evaluate effect VitC THMN on mortality lactate clearance ICU patients. We hypothesized that survival would be improved when treated and/or VitC.The Philips eICU database version 2.0 queried for 2014 2015 48 hours or longer an elevated mmol/L greater. Subjects were categorized according receipt VitC, THMN, both, neither. primary outcome...
The purpose of this study was to use natural language processing physician documentation predict mortality in patients admitted the surgical intensive care unit (SICU). Multiparameter Intelligent Monitoring Intensive Care III database used obtain SICU stays with six different severity illness scores. Natural performed on notes. Classifiers for predicting were created. One classifier only notes, one scores, and notes injury There 3838 identified during period 5.4 per cent ended mortality....
Post-operative infections cause morbidity, consume resources, and are an important quality measure in assessing comparing hospitals. Commonly used metrics do not account for re-admission to a different hospital. The Nationwide Readmissions Database (NRD) tracks re-admissions across United States (US) Infection-related US hospitals has been studied previously.The 2013 NRD was queried admissions with primary International Classification of Diseases Related Health Problems, 9th revision,...