A5037313932- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
- Opioid Use Disorder Treatment
- Anesthesia and Pain Management
- Healthcare Policy and Management
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Pain Management and Opioid Use
- Hip and Femur Fractures
- Innovations in Medical Education
- Global Health Workforce Issues
- Economics of Agriculture and Food Markets
- Abdominal Surgery and Complications
- Global trade and economics
- COVID-19 epidemiological studies
- Agricultural risk and resilience
- COVID-19 Clinical Research Studies
- COVID-19 Pandemic Impacts
- Urban Transport Systems Analysis
- Culture, Economy, and Development Studies
- Bone and Joint Diseases
- Social Capital and Networks
- Posttraumatic Stress Disorder Research
- Stoma care and complications
Harvard University
2015-2024
Pakistan Institute of Medical Sciences
2024
Pakistan Atomic Energy Commission
2024
Boston Children's Hospital
2024
Marshall University
2023
Brigham and Women's Hospital
2015-2021
Good Samaritan Hospital
2020-2021
Pakistan Agricultural Research Council
2021
Nishtar Medical College and Hospital
2020
University of Lahore
2020
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.
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,...
Background: Preoperative opioid use is known to increase the likelihood of complications and inferior outcomes following spine surgery. We evaluated association preoperative other risk factors with postoperative use. Methods: queried 2006-2014 TRICARE insurance claims identify adults who underwent lumbar interbody arthrodesis, discectomy, decompression, or posterolateral arthrodesis. The duration was categorized as acute exposure, exposed without sustained use, intermediate chronic Cox...
In the current health care environment with increased scrutiny and growing concern regarding opioid use abuse, there has been a push toward greater regulation over prescriptions of opioids. Trauma patients represent population that may be affected by this regulation, as incidence pain at hospital discharge is than 95%, opioids are considered first line treatment for management. However, in trauma not explored.To study predictors prescription large national cohort.Analysis adult (18-64...
<h3>Importance</h3> Several national initiatives have emerged to empower laypersons act as immediate responders reduce preventable deaths from uncontrolled bleeding. Point-of-care instructional interventions been developed in response the scalability challenges associated with in-person training. However, our knowledge, their effectiveness for hemorrhage control has not established. <h3>Objective</h3> To evaluate of different point-of-care and training compared no intervention assess skill...
This review of data from the Military Health Data Repository examines causes sustained prescription opioid use.
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...
Background The coronavirus disease (COVID-19) pandemic has put an excessive strain on healthcare systems across the globe, causing a shortage of personal protective equipment (PPE). PPE is precious commodity for health personnel to protect them against infections. We investigated availability among doctors in United States (US) and Pakistan. Methods A cross-sectional study, including from US Pakistan, was carried out April 8 May 5, 2020. An online self-administered questionnaire distributed...
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...
<h3>Importance</h3> The increased use of prescription opioid medications has contributed to an epidemic sustained use, misuse, and addiction. Adults working age are thought be at greatest risk for dependence. <h3>Objective</h3> To develop a score (the Stopping Opioids After Surgery score) after surgery in working-age population using readily available clinical information. <h3>Design, Setting, Participants</h3> In this case-control study, claims from TRICARE insurance program the US...
<h3>Importance</h3> More than 500 000 laypeople in the United States have been trained hemorrhage control, including tourniquet application, under Stop Bleed campaign. However, it is unclear whether after control training participants become proficient a specific type of or can also use other tourniquets effectively. <h3>Objective</h3> To assess completing American College Surgeons Bleeding Control Basic (B-Con) with Combat Application Tourniquets (CATs) effectively apply bleeding principles...
ABSTRACT Introduction Total hip arthroplasty and total knee account for over 1 million procedures annually. Opioids are the mainstay of postoperative pain management these patients. In this context, objective study was to determine patterns use factors associated with early discontinuation opioids after joint (TJA). Methods TRICARE claims data (2006-2014) were queried adult (18-64 years) patients who underwent or arthroplasty. Prescription opioid identified from 6 months before surgical...
Study Design. Review of TRICARE claims (2006–2014) data to assess Emergency Department (ED) utilization following spine surgery. Objective. The aim this study was determine rates and predictors ED surgical interventions. Summary Background Data. Visits the intervention represent an additional stress healthcare system. While factors associated with readmission surgery have been studied, drivers postsurgical visits, including appropriate inappropriate use, remain underinvestigated. Methods....
In the US, racial disparities in outcomes following coronary artery bypass grafting (CABG) are well documented. TRICARE insurance data represent a large population with universal that allows for robust assessment of impact such on health care. This study examined differences specific aspects surgical care quality CABG, using metrics endorsed by National Quality Forum included prescription beta-blockers and statins at discharge thirty-day readmissions. There were no risk-adjusted between...
Background/Aims Novel coronavirus disease 2019 (COVID-19) is a global challenge due to little available knowledge and treatment protocols. Thus, there great need for collecting data related COVID-19 from all around the world. Hence, we conducted this study, daily on COVID-19, map epidemiology outbreak forecast its trajectory May 2020. Methodology The was collected officially released reports of National Institute Health (NIH), Pakistan, World Organization (WHO). analysis done using...
<h3>Importance</h3> Trauma is the leading cause of death for US individuals younger than 45 years, and uncontrolled hemorrhage a major trauma mortality. The military’s medical advancements in field prehospital control have reduced battlefield mortality by 44%. However, despite support from many national health care organizations, no integrated approach to research has been made regarding implementation, epidemiology, education, logistics layperson immediate responders civilian sector....