A5064464093- Trauma and Emergency Care Studies
- Healthcare Policy and Management
- Emergency and Acute Care Studies
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Global Health Workforce Issues
- Diversity and Career in Medicine
- Brain Metastases and Treatment
- Cancer Immunotherapy and Biomarkers
- Primary Care and Health Outcomes
- Pelvic and Acetabular Injuries
- Cardiac Valve Diseases and Treatments
- Abdominal Trauma and Injuries
- Cardiac Arrest and Resuscitation
- Hospital Admissions and Outcomes
- Lung Cancer Research Studies
- Aortic aneurysm repair treatments
- Health Systems, Economic Evaluations, Quality of Life
- Injury Epidemiology and Prevention
- Infective Endocarditis Diagnosis and Management
- Medical Education and Admissions
- Cardiac Structural Anomalies and Repair
- Aortic Disease and Treatment Approaches
- Global Health and Surgery
- Healthcare cost, quality, practices
Brigham and Women's Hospital
2015-2025
Harvard University
2015-2025
Duke University Hospital
2024-2025
Duke Medical Center
2024-2025
Yale University
2015-2024
Anna Needs Neuroblastoma Answers
2024
University of Puerto Rico at Carolina
2024
National Institute on Aging
2021-2023
National Institutes of Health
2023
Fundación Juan March
2023
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...
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...
Health care disparities (differential access, care, and outcomes owing to factors such as race/ethnicity) are widely established. Compared with other groups, African American individuals have an increased mortality risk across multiple surgical procedures. Gender, sexual orientation, age, geographic also well documented. Further research is needed mitigate these inequities. To do so, the College of Surgeons National Institutes Health-National Institute Minority Disparities convened a summit...
Alkene ozonolysis is a major source of hydroxyl radical (*OH), the most important oxidant in troposphere. Previous experimental and computational work suggests that for many alkenes measured *OH yields should be attributed to combined impact both chemically activated thermalized syn-alkyl Criegee intermediates (CIs), even though CI susceptible trapping by molecules such as water. We have used RRKM/master equation variational transition state theory calculations quantify competition between...
To determine hospital costs and the adjusted risk of death associated with emergent versus elective surgery.
Aims Hip fractures are associated with high morbidity, mortality, and costs. One strategy for improving outcomes is to incentivize hospitals provide better quality of care. We aimed determine whether a pay-for-performance initiative affected hip fracture in England by using Scotland, which did not participate the scheme, as control. Materials Methods undertook an interrupted time series study data from all patients aged more than 60 years (2000 2018) Hospital Episode Statistics Admitted...
Abstract Aims We sought to perform a head-to-head comparison of contemporary 30-day outcomes and readmissions between valve-in-valve transcatheter aortic valve replacement (VIV-TAVR) patients matched cohort high-risk reoperative surgical (re-SAVR) using large, multicentre, national database. Methods results utilized the nationally weighted 2012–16 National Readmission Database claims identify all US adult with degenerated bioprosthetic valves who underwent either VIV-TAVR (n = 3443) or...
BACKGROUND Racial disparities in surgical care are well described. As many minority patients also uninsured, increasing access to is thought be a viable solution mitigate inequities. The objectives of this study were determine whether racial 30-/90-/180- day outcomes exist within universally insured population military-/civilian-dependent emergency general surgery (EGS) and ascertain differences differentially persist received at military versus civilian hospitals among sponsors who enlisted...
Comorbidity measures, such as the Charlson Index (CCI) and Elixhauser Method (EM), are frequently used for risk-adjustment by healthcare researchers. This study sought to create CCI EM lists of Read codes, which standard terminology in some large primary care databases. It also aimed describe compare predictive properties amongst patients with hip fracture (and matched controls) a administrative dataset. Two researchers independently screened 111,929 individual codes populate 17 31...
Importance Concern about interpersonal violence (IV) in sport is increasing, yet its implications remain poorly understood, particularly among currently competing college athletes. Objective To document the self-reported prevalence of IV sports; identify associated risk factors; examine potential consequences with athletes’ psychosocial well-being, emotional connection to their sport, and willingness seek help; explore associations between reporting perceived variations coaching styles....
Prior studies of acute abdominal pain provide conflicting data regarding the presence racial/ethnic disparities in emergency department (ED).To evaluate race/ethnicity-based differences ED analgesic management among a national sample adult patients with based on uniform definition.The 2006-2010 CDC-NHAMCS were retrospectively queried for 18 years and above presenting primary diagnosis nontraumatic as defined by American Association Surgery Trauma. Independent predictors...
Aims The aims of this study were to evaluate the incidence postoperatively restricted weight-bearing and its association with outcome in patients who undergo surgery for a fracture hip. Patients Methods Patient aged > 60 years undergoing hip identified 2016 National Surgical Quality Improvement Program (NSQIP) Hip Fracture Targeted Procedure Dataset. Analysis effect on adverse events, delirium, infection, transfusion, length stay, return operating theatre, readmission mortality within 30...
Objective: To characterize the economic hardship for uninsured patients admitted trauma using catastrophic health expenditure (CHE) risk. Background: Medical debts are greatest cause of bankruptcies in United States. Injuries often unpredictable, expensive to treat, and disproportionally affect patients. Current measures insufficient exclude those at Methods: We performed a retrospective review, data from 2007–2011 Nationwide Inpatient Samples all nonelderly adults (18—64 yrs) with primary...
Previous research has demonstrated that nonclinical factors are associated with differences in clinical care, uninsured patients receiving decreased resource use. Studies on trauma populations have also shown unclear relationships between insurance status and hospital length of stay (LOS), a commonly used metric for evaluating quality care. The objective this study is to define the relationship LOS after using largest available national dataset controlling significant confounders. Data from...
Abstract The successes of checkpoint blockade immunotherapy (CBI) and BRAFV600-targeted therapy trials have generated substantial promise for revolutionizing the management patients with advanced melanoma. However, because early clinical CBIs either excluded or included disproportionately fewer cases melanoma brain metastases (MBMs), survival benefit these novel therapies MBM remains unknown. We, therefore, evaluated characteristics, management, overall (OS) who presented cutaneous MBMs...
Oral cavity cancer is the most commonly occurring malignancy of head and neck. There are limited data suggesting a change in prognosis oral cancers. We aimed to evaluate temporal trends demographics, treatment, diagnosed between 1973 2014 inclusive.Retrospective database analysis.A retrospective study 16,030 adult patients with inclusive treated surgically Surveillance, Epidemiology, End Results (SEER) 9 registry was conducted. A supplemental analysis conducted using from National Cancer...
To compare incremental costs associated with complications of elective colectomy using nationally representative data among patients undergoing laparoscopic/open resections for the 4 most frequent diagnoses.Rising healthcare have led to increasing focus on need achieve a better understanding association between and quality. Among colectomies, surgical quality-improvement initiatives, interpretable evidence support existing approaches is lacking.The 2009 2011 Nationwide Inpatient Sample (NIS)...
BACKGROUND The growing epidemic of human papillomavirus‐positive (HPV+) oropharyngeal cancer and the favorable prognosis this disease etiology have led to a call for deintensified treatment some patients with HPV+ cancers. One proposed methods deintensification is avoidance chemotherapy concurrent definitive/adjuvant radiotherapy. To authors' knowledge, safety form de‐escalation unknown current literature in area sparse. authors investigated outcomes after various combinations stratified by...
The 2010 Dependent Coverage Provision (DCP) of the Affordable Care Act allowed young adults to remain on their parents' health insurance plans until age 26 years. Although provision improved coverage and survey-reported access care, little is known regarding its impact timely for acute conditions. This study aims assess changes in perforation rates among with appendicitis-an established metric population-level care access-after DCP.The National Inpatient Sample difference-in-differences...
Background: Unequal access to hospital specialists for emergency care is an issue in the United States. The authors sought describe geographic distribution of specialist hand surgeons and associated factors Methods: Geographic distributions holding a Subspecialty Certificate Surgery Hand surgery fellowship positions were identified from American Board Medical Specialties Database literature (2013), respectively. State-level population per capita income ascertained using U.S. Census data....