A5032965096- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Healthcare Policy and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Hip and Femur Fractures
- Pelvic and Acetabular Injuries
- Abdominal Trauma and Injuries
- Injury Epidemiology and Prevention
- Global Health Workforce Issues
- Diversity and Career in Medicine
- Cardiac Arrest and Resuscitation
- Colorectal Cancer Screening and Detection
- Primary Care and Health Outcomes
- Innovations in Medical Education
- Hospital Admissions and Outcomes
- Medical Education and Admissions
- Health Systems, Economic Evaluations, Quality of Life
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Gallbladder and Bile Duct Disorders
- Traffic and Road Safety
- Venous Thromboembolism Diagnosis and Management
- LGBTQ Health, Identity, and Policy
- Appendicitis Diagnosis and Management
- Healthcare cost, quality, practices
- Global Health and Surgery
Aga Khan University
2011-2025
Brigham and Women's Hospital
2015-2024
Harvard University
2015-2024
Aga Khan University Hospital
2020-2024
Baystate Medical Center
2021
University of Massachusetts Chan Medical School
2021
Woman's Hospital
2017-2020
Johns Hopkins University
2010-2019
Office of Multidisciplinary Activities
2017-2019
Oregon Health & Science University
2019
<h3>Objective</h3> To determine the effect of race and insurance status on trauma mortality. <h3>Methods</h3> Review patients (aged 18-64 years; Injury Severity Score ≥ 9) included in National Trauma Data Bank (2001-2005). African American Hispanic were each compared with white insured uninsured patients. Multiple logistic regression analyses determined differences survival rates after adjusting for demographics, injury severity (Injury revised Score), head and/or extremity injury,...
The purpose of this study was to compare data obtained from a statewide set for elderly patients (age > 64 years) that presented with traumatic brain injury nonelderly 15 and < 65 similar injuries.The New York State Trauma Registry January 1994 through December 1995, trauma centers community hospitals excluding City (45,982 patients), examined. Head-injured were identified by International Classification Diseases, Ninth Revision diagnosis codes. A relative head severity scale (RHISS)...
Emergency general surgery (EGS) represents 11% of surgical admissions and 50% mortality in the United States. However, there is currently no established definition EGS procedures.To define a set procedures accounting for at least 80% national burden operative EGS.A retrospective review was conducted using data from 2008-2011 National Inpatient Sample. Adults (age, ≥18 years) with primary diagnoses consistent American Association Surgery Trauma definition, admitted urgently or emergently, who...
<h3>Importance</h3> Little is known about the incidence of gender-affirming surgical procedures for transgender patients in United States. <h3>Objectives</h3> To investigate and trends over time to analyze characteristics payer status seeking these operations. <h3>Design, Setting, Participants</h3> In this descriptive observational study from 2000 2014, data were analyzed National Inpatient Sample, a representative pool inpatient visits across The initial analyses done June August 2015....
Although family priorities influence specialty selection and resident attrition, few studies describe perspectives on pregnancy during surgical training.
Acute care surgery encompasses trauma, surgical critical care, and emergency general (EGS). While the first two components are well defined, scope of EGS practice remains unclear. This article describes work American Association for Surgery Trauma to define EGS.A total 621 unique International Classification Diseases-9th Rev. (ICD-9) diagnosis codes were identified using billing data (calendar year 2011) from seven large academic medical centers that EGS. A modified Delphi methodology was...
Helicopter emergency medical services and their possible effect on outcomes for traumatically injured patients remain a subject of debate. Because helicopter are limited expensive resource, methodologically rigorous investigation its effectiveness compared with ground is warranted.
Studies involving physicians suggest that unconscious bias may be related to clinical decision making and predict poor patient-physician interaction. The presence of race social class its association with assessments or among medical students is unknown.
The overprescription of pain medications has been implicated as a driver the burgeoning opioid epidemic; however, few guidelines exist regarding appropriateness medication prescriptions after surgery.
Significant health inequities persist among minority and socially disadvantaged patients. Better understanding of how unconscious biases affect clinical decision making may help to illuminate clinicians' roles in propagating disparities.To determine whether race and/or social class correlate with patient management decisions.We conducted a web-based survey 230 physicians from surgery related specialties at an academic, level I trauma center December 1, 2011, through January 31, 2012.We...
Adoption of the acute care surgery model has led to increasing volumes emergency general (EGS) patients at trauma centers. However, financial burden EGS services on centers is unknown. This study estimates current and future costs associated with hospitalization nationwide.We applied American Association for Surgery Trauma's DRG International Classification Diseases-9th Rev. criteria defining 2010 National Inpatient Sample (NIS) data identified adult patients. Cost was obtained by converting...
Background: Previous studies have suggested that prehospital spine immobilization provides minimal benefit to penetrating trauma patients but takes valuable time, potentially delaying definitive care. We hypothesized who are immobilized before transport higher mortality than nonimmobilized patients. Methods: performed a retrospective analysis of in the National Trauma Data Bank (version 6.2). Multiple logistic regression was used with as primary outcome measure. compared versus without...
Prehospital intravenous (IV) fluid administration is common in trauma patients, although little evidence supports this practice. We hypothesized that patients who received prehospital IV fluids have higher mortality than did not receive the setting.We performed a retrospective cohort study of from National Trauma Data Bank. Multiple logistic regression was used with as primary outcome measure. compared versus without administration, using patient demographics, mechanism, physiologic and...
In 2012, Medicare began cutting reimbursement for hospitals with high readmission rates. We sought to define the incidence and risk factors associated after surgery.A total of 230,864 patients discharged general, upper gastrointestinal (GI), small large intestine, hepatopancreatobiliary (HPB), vascular, thoracic surgery were identified using 2011 American College Surgeons National Surgical Quality Improvement Program. Readmission rates patient characteristics analyzed. A predictive model was...
BACKGROUND Identifying predictors of mortality and surgical complications has led to outcome improvements for a variety conditions. However, similar work yet be done factors affecting outcomes emergency general surgery (EGS). The objective this study was determine the in-hospital among EGS patients. METHODS Nationwide Inpatient Sample (2003–2011) queried patients with conditions encompassing as determined by American Association Surgery Trauma, categorizing them into predefined groups using...
Background: Recent studies suggest racial disparities in the treatment and outcomes of children with traumatic brain injury (TBI). This study aims to identify race-based clinical functional outcome differences among pediatric TBI patients a national database. Methods: A total 41,122 (ages 2–16 years) who were included National Pediatric Trauma Registry (from 1996–2001) studied. was categorized by Relative Head Injury Severity Score (RHISS) moderate severe included. Individual race groups...
Background: There is a growing concern that the use of prescription opioids following surgical interventions, including spine surgery, may predispose patients to chronic opioid and abuse. We sought estimate proportion using up 1 year after discharge common spinal procedures identify factors associated with sustained use. Methods: This study utilized 2006 2014 data from TRICARE insurance claims obtained Military Health System Data Repository. Adults who underwent 4 (discectomy, decompression,...
Objective: The aim of this study was to determine factors associated with patient-reported outcomes, 6 12 months after moderate severe injury. Summary Background Data: Due limitations trauma registries, we have an incomplete understanding that impact long-term outcomes As 96% patients survive their injuries, several entities including the National Academies Science, Engineering and Medicine called for a mechanism routinely follow survival, reintegration into society trauma. Methods: Over 30...