Haytham M.A. Kaafarani
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma and Emergency Care Studies
- Appendicitis Diagnosis and Management
- Emergency and Acute Care Studies
- Hip and Femur Fractures
- Pelvic and Acetabular Injuries
- Abdominal Trauma and Injuries
- Abdominal Surgery and Complications
- Cardiac Arrest and Resuscitation
- Patient Safety and Medication Errors
- COVID-19 and healthcare impacts
- Medical Malpractice and Liability Issues
- Hernia repair and management
- Diversity and Career in Medicine
- Healthcare Policy and Management
- Hemodynamic Monitoring and Therapy
- Artificial Intelligence in Healthcare and Education
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Trauma Management and Diagnosis
- Gallbladder and Bile Duct Disorders
- Surgical site infection prevention
- COVID-19 Clinical Research Studies
- Anesthesia and Pain Management
- Venous Thromboembolism Diagnosis and Management
- Nutrition and Health in Aging
Massachusetts General Hospital
2016-2025
Harvard University
2016-2025
Penn State Milton S. Hershey Medical Center
2023-2024
Lancaster General Hospital
2023-2024
Mount Sinai Hospital
2023-2024
University of Arizona
2019-2024
Temple University Hospital
2023-2024
Medical College of Wisconsin
2023-2024
University of California, Irvine Medical Center
2023-2024
Hartford Hospital
2023-2024
Introduction: Most risk assessment tools assume that the impact of factors is linear and cumulative. Using novel machine-learning techniques, we sought to design an interactive, nonlinear calculator for Emergency Surgery (ES). Methods: All ES patients in American College Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) 2007 2013 database were included (derivation cohort). Optimal Classification Trees (OCT) leveraged train algorithms predict postoperative mortality,...
PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective is best performed. This study aimed whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared hospitals no defined pathway. PATIENTS AND METHODS international, multicenter cohort included patients who underwent for 10 solid types without preoperative suspicion of SARS-CoV-2. Participating from...
Extrapulmonary disease has been observed in patients with coronavirus 2019 (COVID-19).1–3 We describe here the gastrointestinal (GI) complications of severe COVID-19 admitted to intensive care unit (ICU) at Massachusetts General Hospital between March 13 and April 12, 2020. During this time period, 141 were ICU acute respiratory syndrome 2 infection confirmed by reverse-transcriptase–polymerase-chain-reaction testing. The median (interquartile range) age was 57 (47, 70) years, 65% them men,...
The aim of this study was to identify a mortality benefit with the use whole blood (WB) as part resuscitation bleeding trauma patients.Blood component therapy (BCT) is current standard for resuscitating patients, WB emerging product choice. We hypothesized that versus BCT alone would result in decreased mortality.We performed 14-center, prospective observational patients who received during their resuscitation. applied generalized linear mixed-effects model random effect and controlled age,...
Artificial intelligence (AI) is gaining traction in medicine and surgery. AI-based applications can offer tools to examine high-volume data inform predictive analytics that supports complex decision-making processes. Time-sensitive trauma emergency contexts are often challenging. The study aims investigate surgeons' knowledge perception of using clinical
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...
Background : Macronutrient deficit in the surgical intensive care unit (ICU) is associated with worse in‐hospital outcomes. We hypothesized that increased caloric and protein also a lower likelihood of discharge to home vs transfer rehabilitation or skilled nursing facility. Materials Methods Adult ICU patients receiving >72 hours enteral nutrition (EN) between March 2012 May 2014 were included. Patients absolute contraindications EN, <72‐hour stay, moribund state, EN prior admission,...
Objectives Our primary objective was to compare the utility of Deyo-Charlson Comorbidity Index (DCCI) and Elixhauser-van Walraven (EVCI) predict mortality in intensive care unit (ICU) patients. Setting Observational study 2 tertiary academic centres located Boston, Massachusetts. Participants The cohort consisted 59 816 patients from admitted 12 ICUs between January 2007 December 2012. Primary secondary outcome For analysis, receiver operator characteristic curves were constructed for at 30,...
Objective: The International Patterns of Opioid Prescribing study compares postoperative opioid prescribing patterns in the United States (US) versus rest world. Summary Background Data: US is middle an unprecedented epidemic. Diversion unused opioids contributes to Methods: Patients ≥16 years old undergoing appendectomy, cholecystectomy, or inguinal hernia repair 14 hospitals from 8 countries during a 6-month period were included. Medical records systematically reviewed identify: (1)...
Sravanthi Parasa, MD; Madhav Desai, MD, MPH; Viveksandeep Thoguluva Chandrasekar, Harsh K. Patel, Kevin F. Kennedy, MS; Thomas Roesch, Marco Spadaccini, Matteo Colombo, Roberto Gabbiadini, Everson L. A. Artifon, Alessandro Repici, Prateek Sharma, MD
Reduction in length of hospital stay is a veritable target reducing the overall costs health care. However, many existing approaches are flawed because assumptions what cause excessive incorrect; we methodically identified right targets this study.To identify causes excessively prolonged hospitalization (ExProH) trauma patients.The registry, billing databases, and medical records admissions were reviewed. Excessively was defined by standard method used insurers, which that exceeds Diagnosis...
Abstract Manuka honey (MH) is currently used as a wound treatment and suggested to be effective in Methicillin-resistant Staphylococcus aureus (MRSA) elimination. We sought optimize the synthesis of MH microneedles (MHMs) while maintaining therapeutic effects. MHMs were synthesized using multiple methods evaluated with vitro assays. demonstrated excellent bactericidal activity against MRSA at concentrations ≥ 10% honey, vacuum-prepared appearing most bactericidal, killing bacterial high 8 ×...
The 2015 Lancet Commission on global surgery identified and anaesthesia as indispensable parts of holistic health-care systems. However, COVID-19 exposed the fragility planned surgical services around world, which have also been neglected in pandemic recovery planning. This study aimed to develop validate a novel index support local elective system strengthening address growing backlogs.
The aim of this study was to evaluate the Social Vulnerability Index (SVI) as a predictor long-term outcomes after injury.The SVI is measure used in emergency preparedness identify need for resources event disaster or hazardous event, ranking each census tract on 15 demographic/social factors.Moderate-severely injured adult patients treated at 1 3 level-1 trauma centers were prospectively followed 6 14 months post-injury. These data matched level with overall percentile rankings. Patients...