A5077810174- Cardiac, Anesthesia and Surgical Outcomes
- Surgical Simulation and Training
- Healthcare Policy and Management
- Hernia repair and management
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Abdominal Surgery and Complications
- Appendicitis Diagnosis and Management
- Gallbladder and Bile Duct Disorders
- COVID-19 and healthcare impacts
- Pelvic and Acetabular Injuries
- Artificial Intelligence in Healthcare and Education
- Hip and Femur Fractures
- Frailty in Older Adults
- Hospital Admissions and Outcomes
- Cardiac Valve Diseases and Treatments
- Enhanced Recovery After Surgery
- Aortic aneurysm repair treatments
- Disaster Response and Management
- Radiomics and Machine Learning in Medical Imaging
- Gun Ownership and Violence Research
- Congenital Diaphragmatic Hernia Studies
- Pancreatic and Hepatic Oncology Research
- Diverticular Disease and Complications
- Medical Education and Admissions
University of South Florida
2018-2024
American College of Surgeons
2024
Florida College
2024
Rogers (United States)
2022-2023
University of Tampa
2023
Daiichi Sankyo (United States)
2023
Intuitive Surgical (Switzerland)
2023
Johns Hopkins All Children's Hospital
2022
Johns Hopkins University
2022
Tampa General Hospital
2020
Robotic surgery is an appealing option for both surgeons and patients. The question around the introduction of new surgical technology, such as robotics, with potential link to increased procedure-specific volume has not been addressed. We hypothesize that hospital adoption robotic technology increases total specific procedures compared nonrobotic hospitals.The 2010-2020 Florida Agency Health Care Administration Inpatient database was queried open, laparoscopic, colectomy, lobectomy, gastric...
In patients undergoing high-risk cardiac surgery, the uncertainty of outcome may complicate decision process to intervene. To augment decision-making, a machine learning approach was used determine weighted personalized factors contributing mortality.American College Surgeons National Surgical Quality Improvement Program queried for surgery with predicted mortality ≥10% between 2012 and 2019. Multiple models were investigated, significant predictors ultimately in gradient boosting (GBM)...
The COVID-19 pandemic necessitated changes in processes of care, which significantly impacted surgical care. This study evaluated the impact these on patient outcomes and costs for non-elective major lower extremity amputations (LEA). 2019–2021 Florida Agency Health Care Administration database was queried adult patients who underwent LEA. Per-patient inflation-adjusted were collected. Patient cohorts established based mortality rates: COVID-heavy (CH) included nine months with highest...
Background COVID-19 caused healthcare systems to significantly alter processes of care. Literature on the pandemic’s effect and resulting surgical outcomes is lacking. This study aims determine open colectomy in patients with perforated diverticulitis during pandemic. Methods Using CDC data, highest lowest COVID mortality rates were calculated used establish 9-month COVID-heavy (CH) COVID-light (CL) timeframes, respectively. Nine-months 2019 assigned as pre-COVID (PC) control. Florida AHCA...
To assess 4 measures of the accumulating deficits model frailty for postoperative mortality and readmissions including their stability over time.Frailty has been assessed by multiple methods. It is unclear whether variation in how measured important would be stable time.Rockwood's 57-item index was mapped onto 14,568 ICD9 diagnosis codes from Healthcare Cost Utilization Project State Inpatient Database state Florida (HCUP-SID-FL) calendar years 2011 to 2015, inclusive, with 962 matching 42...
Published studies evaluating the effect of robotic assistance on clinical outcomes and costs care in diaphragmatic hernia repair (DHR) have been limited.The Healthcare Cost Utilization Project State Inpatient Ambulatory Surgery Services Databases for Florida were queried to identify patients undergoing transabdominal DHR between 2011 2018 associated inpatient outpatient encounters within 12 months after index operation. Patients 1:1:1 propensity score-matched age, sex, race, Elixhauser...
Objective Patients of low socioeconomic status have an increased risk complications following cardiac surgery. We aimed to identify disparities in patients undergoing aortic valve replacement using the Distressed Communities Index (DCI), a comparative measure community well-being. The DCI incorporates seven distinct indicators into single composite score depict economic well-being community. Methods Healthcare Cost and Utilization Project State Inpatient Database (HCUP-SID) for Florida...