Explanipedia

Incidence of Frailty, Dementia, and Disability Among Community‐Living Older Americans According to County‐Level Disadvantage Open

Yi Wang, Emma Zang, Kendra Davis‐Plourde, Brent Vander Wyk, Thomas M. Gill , et al. · 2025

Background County‐level contextual disadvantage is a novel social determinant of health (SDOH) for older persons. No prior study has evaluated the national incidence of geriatric conditions according to county‐level contextual disadvantage…

Critical Illness, Major Surgery, and Other Hospitalizations and Active and Disabled Life Expectancy Open

Thomas M. Gill, Emma Zang, Linda Leo‐Summers, Evelyne A. Gahbauer, Robert D. Becher , et al. · 2025

Importance Estimates of active and disabled life expectancy, defined as the projected number of remaining years without and with disability in essential activities of daily living, are commonly used by policymakers to forecast the function…

The Unrecognized Burden of Patient-Level Social Determinants of Health on Health Outcomes Following Traumatic Injury Open

Pawan Mathew, Joshua Sznol, Sarah Ullrich, Robert D. Becher, Kimberly A. Davis , et al. · 2025

Neighborhood Disadvantage in a Nationally Representative Sample of Community-Living Older US Adults Open

Thomas M. Gill, Linda Leo‐Summers, Brent Vander Wyk, Robert D. Becher, Jingchen Liang · 2024

Importance Although neighborhood socioeconomic disadvantage has become the standard for evaluating contextual socioeconomic deprivation at the Census-block level, little is known about its prevalence or association with long-term mortality…

Changes in neighborhood disadvantage over the course of 22 years among community‐living older persons Open

Thomas M. Gill, Robert D. Becher, Linda Leo‐Summers, Evelyne A. Gahbauer · 2024

Background Among older persons, neighborhood disadvantage is a granular and increasingly used social determinant of health and functional well‐being. The frequency of transitions into or out of a disadvantaged neighborhood over time is not…

Association Between Cognitive Trajectories and Subsequent Health Status, Depressive Symptoms, and Mortality Among Older Adults in the United States: Findings From a Nationally Representative Study Open

Emma Zang, Yunxuan Zhang, Yi Wang, Bei Wu, Terri R. Fried , et al. · 2024

Background Cognitive decline may be an early indicator of major health issues in older adults, though research using population-based data is lacking. Researchers objective was to assess the relationships between distinct cognitive traject…

National Estimates of Short- and Longer-Term Hospital Readmissions After Major Surgery Among Community-Living Older Adults Open

Yì Wáng, Linda Leo‐Summers, Brent Vander Wyk, Kendra Davis‐Plourde, Thomas M. Gill , et al. · 2024

Importance Nationally representative estimates of hospital readmissions within 30 and 180 days after major surgery, including both fee-for-service and Medicare Advantage beneficiaries, are lacking. Objectives To provide population-based es…

Immunotherapy Initiation at the End of Life in Patients With Metastatic Cancer in the US Open

Daniel Kerekes, Alexander E. Frey, Elizabeth Pršić, Thuy Tran, James Clune , et al. · 2024

Importance While immunotherapy is being used in an expanding range of clinical scenarios, the incidence of immunotherapy initiation at the end of life (EOL) is unknown. Objective To describe patient characteristics, practice patterns, and …

Improving the preoperative assessment of older adults considering surgery: The need for a structured curriculum during surgery residency Open

Samuel M. Miller, Claire Morton, Kimberly M. Glerum, Erin M. White, Robert D. Becher , et al. · 2023

Relationship Between Distressing Symptoms and Changes in Disability After Major Surgery Among Community-living Older Persons Open

Thomas M. Gill, Ling Han, Shelli L. Feder, Evelyne A. Gahbauer, Linda Leo‐Summers , et al. · 2023

Objectives: To evaluate the relationship between distressing symptoms and changes in disability after major surgery and to determine whether this relationship differs according to the timing of surgery (nonelective vs elective), sex, multi…

Current use of the National Surgical Quality Improvement Program surgical risk calculator in academic surgery: a mixed-methods study Open

Samuel M. Miller, Sara Abou Azar, James S. Farrelly, Garrett A. Salzman, Meaghan E. Broderick , et al. · 2023

Distressing symptoms after major surgery among community‐living older persons Open

Thomas M. Gill, Ling Han, Terrence E. Murphy, Shelli L. Feder, Evelyne A. Gahbauer , et al. · 2023

Background Relatively little is known about how distressing symptoms change among older persons in the setting of major surgery. Our objective was to evaluate changes in distressing symptoms after major surgery and determine whether these …

Hepatopancreatobiliary malignancies: time to treatment matters Open

Daniel Kerekes, Alexander E. Frey, Baylee Bakkila, Caroline H. Johnson, Robert D. Becher , et al. · 2023

Some HPB cancer patients with longer time to definitive care experienced higher mortality than patients treated expeditiously, particularly in non-metastatic EHBD cancer. Black and Hispanic patients are at risk for delayed treatment. Furth…

Alcohol withdrawal syndrome in trauma patients: a study using the Trauma Quality Program Participant User File Open

Tyler J. Jones, Bishwajit Bhattacharya, Kevin M. Schuster, Robert D. Becher, Lisa M. Kodadek , et al. · 2023

Objective To identify the rates and possible predictors of alcohol withdrawal syndrome (AWS) among adult trauma patients. Methods This is a retrospective review of all adult patients (18 years or older) included in the 2017 and 2018 Americ…

Population-Based Estimates of 1-Year Mortality After Major Surgery Among Community-Living Older US Adults Open

Thomas M. Gill, Brent Vander Wyk, Linda Leo‐Summers, Terrence E. Murphy, Robert D. Becher · 2022

Importance Despite their importance to guiding public health decision-making and policies and to establishing programs aimed at improving surgical care, contemporary nationally representative mortality data for geriatric surgery are lackin…

The effect of the COVID-19 pandemic on community violence in Connecticut Open

Kathleen O’Neill, James Dodington, Marcie Gawel, Kevin Borrup, David S. Shapiro , et al. · 2022

Factors Associated With Days Away From Home in the Year After Major Surgery Among Community-living Older Persons Open

Thomas M. Gill, Robert D. Becher, Terrence E. Murphy, Evelyne A. Gahbauer, Linda Leo‐Summers , et al. · 2022

Objective: To identify the factors associated with days away from home in the year after hospital discharge for major surgery. Background: Relatively little is known about which older persons are susceptible to spending a disproportionate …

Table of Contents Open

Katalin A. Wilkinson, Amber Brandolino, Ali McCormick, David Deshpande, Jody Shafeeq , et al. · 2022

Occult traumatic pneumothorax: Is routine follow up chest X-ray necessary? Open

Bishwajit Bhattacharya, Rick O'Connor, Robert D. Becher, Kevin M. Schuster, Kimberly A. Davis , et al. · 2022

Defining Referral Regions for Inpatient Trauma Care: The Utility of a Novel Geographic Definition Open

Cheryl K. Zogg, Robert D. Becher, Michael K. Dalton, Sameer Hirji, Kimberly A. Davis , et al. · 2022

Geriatric vulnerability and the burden of disability after major surgery Open

Thomas M. Gill, Terrence E. Murphy, Evelyne A. Gahbauer, Linda Leo‐Summers, Robert D. Becher · 2022

Background Strong epidemiologic evidence linking indicators of geriatric vulnerability to long‐term functional outcomes after major surgery is lacking. The objective of this study was to evaluate the association between geriatric vulnerabi…

Evaluation of mild cognitive impairment and dementia in patients with metastatic renal cell carcinoma Open

Samuel M. Miller, Lauren E. Wilson, Melissa A. Greiner, Jessica Pritchard, Tian Zhang , et al. · 2022

The Incidence and Cumulative Risk of Major Surgery in Older Persons in the United States Open

Robert D. Becher, Brent Vander Wyk, Linda Leo‐Summers, Mayur M. Desai, Thomas M. Gill · 2021

Objective: The objective of this study was to estimate the incidence and cumulative risk of major surgery in older persons over a 5-year period and evaluate how these estimates differ according to key demographic and geriatric characterist…

National trends in emergency department closures, mergers, and utilization, 2005-2015 Open

Arjun K. Venkatesh, Alexander T. Janke, Craig Rothenberg, Edwin Chan, Robert D. Becher · 2021

Study objectives To describe nationwide hospital-based emergency department (ED) closures and mergers, as well as the utilization of emergency departments and inpatient beds, over time and across varying geographic areas in the United Stat…

Increased mortality with resuscitative endovascular balloon occlusion of the aorta only mitigated by strong unmeasured confounding: An expanded analysis using the National Trauma Data Bank Open

George C. Linderman, Winston T. Lin, Robert D. Becher, Adrian A. Maung, Bishwajit Bhattacharya , et al. · 2021

BACKGROUND Resuscitative endovascular balloon occlusion of the aorta (REBOA) is being increasingly adopted to manage noncompressible torso hemorrhage, but a recent analysis of the 2015 to 2016 Trauma Quality Improvement Project (TQIP) data…

Tricuspid bullet embolism: lessons learnt from a rare firearm sequelae Open

Yuqi Zhang, Marianna V. Papageorge, Whitney S. Brandt, Arnar Geirsson, Syed A. Jamal Bokhari , et al. · 2021

Open accessemboli require extraction.For asymptomatic patients, there is debate between expectant versus operative removal, and open versus endovascular techniques.In our case, the patient was hemodynamically unstable with continued transf…

Analysis of Hospital Resource Availability and COVID‐19 Mortality Across the United States Open

Alexander T. Janke, Hao Mei, Craig Rothenberg, Robert D. Becher, Zhenqiu Lin , et al. · 2021

Although the impact of COVID‐19 has varied greatly across the United States, there has been little assessment of hospital resources and mortality. We examine hospital resources and death counts among hospital referral regions from March 1 …

The Incidence and Cumulative Risk of Major Surgery in Older Persons in the United States Open

Robert D. Becher, Brent Vander Wyk, Linda Leo‐Summers, Mayur M. Desai, Thomas M. Gill · 2020

Importance As the population of the United States (US) ages, there is considerable interest in ensuring safe and high-quality surgical care for older persons. Yet, valid, generalizable data on the occurrence of major surgery in the geriatr…

Functional Effects of Intervening Illnesses and Injuries After Hospitalization for Major Surgery in Community-living Older Persons Open

Thomas M. Gill, Ling Han, Evelyne A. Gahbauer, Linda Leo‐Summers, Terrence E. Murphy , et al. · 2020

Objective: To evaluate the functional effects of intervening illnesses and injuries, that is, events, in the year after major surgery. Background: Intervening events have pronounced deleterious effects on functional status in older persons…

Geographic Variation in the Utilization of and Mortality After Emergency General Surgery Operations in the Northeastern and Southeastern United States Open

Robert D. Becher, Lan Jin, Joshua L. Warren, Thomas M. Gill, Michael P. DeWane , et al. · 2020

Objective: To define geographic variations in emergency general surgery (EGS) care, we sought to determine how much variability exists in the rates of EGS operations and subsequent mortality in the Northeastern and Southeastern United Stat…

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