A5023132933- Cardiac, Anesthesia and Surgical Outcomes
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Hip and Femur Fractures
- Pelvic and Acetabular Injuries
- Patient Safety and Medication Errors
- Appendicitis Diagnosis and Management
- Abdominal Trauma and Injuries
- Medical Malpractice and Liability Issues
- Hernia repair and management
- Healthcare Policy and Management
- Abdominal Surgery and Complications
- Intestinal and Peritoneal Adhesions
- Surgical Simulation and Training
- Innovations in Medical Education
- Venous Thromboembolism Diagnosis and Management
- Frailty in Older Adults
- Healthcare cost, quality, practices
- Gastrointestinal disorders and treatments
- Pancreatitis Pathology and Treatment
- Simulation-Based Education in Healthcare
- Disaster Response and Management
- Gallbladder and Bile Duct Disorders
- Global Health Workforce Issues
- Hospital Admissions and Outcomes
Brigham and Women's Hospital
2016-2025
Harvard University
2004-2025
University of Puerto Rico at Carolina
2024
Fundación Juan March
2023
Yale University
2023
American Association for the Surgery of Trauma
2015-2023
Harvard University Press
2023
University of Pennsylvania
2022
University of Michigan
2022
Riverside University Health System - Medical Center
2022
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...
Emergency general surgery (EGS) carries a disproportionate burden of risk from medical errors, complications, and death compared with non-EGS (NEGS). Previous studies have been limited by patient procedure heterogeneity but suggest worse outcome in EGS patients because preoperative factors. The aim this study was to quantify the excess morbidity mortality associated controlling for patient-specific We hypothesized that is an independent factor mortality.We retrospectively analyzed data...
Abstract Background Enhanced Recovery After Surgery (ERAS) protocols reduce length of stay, complications and costs for a large number elective surgical procedures. A similar, structured approach appears to improve outcomes, including mortality, patients undergoing high‐risk emergency general surgery, specifically laparotomy. These are the first consensus guidelines optimal care these using an ERAS approach. Methods Experts in aspects management patient were invited contribute by...
Hospital readmission rates following surgery are increasingly being used as a marker of quality care and in pay-for-performance metrics. To our knowledge, comprehensive data on readmissions to the initial hospital or different after emergency general (EGS) procedures do not exist.To define identify risk factors for common EGS procedures.Patients undergoing EGS, defined by American Association Surgery Trauma, were identified California State Inpatient Database (2007-2011) January 15, 2015....
<h3>Importance</h3> In this aging society, older patients are more commonly undergoing emergency general surgery (EGS). Although frailty has been associated with worse outcomes in population, EGS encompasses a heterogeneous mix of procedures. <h3>Objective</h3> To determine if the association morbidity and mortality varies based on level procedural risk. <h3>Design, Setting, Participants</h3> This cross-sectional study analyzed Medicare inpatient claims file (January 2007-December 2015)...
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...
There is increasing emphasis on the appropriateness and quality of acute surgical care for patients with serious illness at end life. However, there a lack evidence regarding outcomes after emergent major abdominal surgery among advanced cancer to guide treatment decisions. This analysis sought characterize adverse (mortality, complications, institutional discharge) identify factors independently associated 30-day mortality disseminated who undergo intestinal obstruction or perforation.
Abstract Background : Emergency general surgery (EGS) patients are at an increased risk for morbidity and mortality compared with non‐EGS patients. Limited information exists regarding the contribution of malnutrition to outcome critically ill who undergo EGS. We hypothesized that would be associated 90‐day all‐cause following intensive care unit (ICU) admission in EGS Materials Methods performed observational study treated medical surgical ICUs a single institution Boston. included...
Lower socioeconomic status (SES) is known to be associated with higher morbidity and mortality following injury. However, the impact of individual SES on long-term outcomes after trauma unknown. The objective this study was determine educational level income injury.Trauma patients moderate severe injuries admitted three Level-I centers were contacted 6 months 12 injury evaluate functional status, return work/school, chronic pain, posttraumatic stress disorder (PTSD). determined by income....
Accurate risk estimation is essential when benchmarking surgical outcomes for reimbursement and engaging in shared decision-making. The greater complexity of emergency surgery patients may bias outcome comparisons between elective cases.To test whether an established modelling tool, the American College Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) predicts mortality comparably cases.From ACS-NSQIP 2011-2012 patient user files, we selected core cases also common to...