Syed Shahyan Bakhtiyar
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View article: Outcomes Following Colectomy at For-Profit Hospitals: A National Analysis
Outcomes Following Colectomy at For-Profit Hospitals: A National Analysis Open
Background One of the most commonly performed operations in the US, colectomy remains associated with a substantial incidence of postoperative complications. While there is increasing recognition that hospital for-profit financial structur…
View article: Race based disparities in clinical and financial outcomes associated with major elective and emergent surgery
Race based disparities in clinical and financial outcomes associated with major elective and emergent surgery Open
Over a decade, the conversion of only 10% of such procedures to planned elective cases would be associated with $1,774,882,977 in cost savings nationally. With racial minorities experiencing the maximal detriment both clinically and financ…
View article: Neighborhood Socioeconomic Deprivation and Outcomes Following Heart Allograft Transplantation in Adults With Congenital Heart Disease
Neighborhood Socioeconomic Deprivation and Outcomes Following Heart Allograft Transplantation in Adults With Congenital Heart Disease Open
Among ACHD patients, greater neighborhood socioeconomic disadvantage was not linked with differential HT outcomes. In contrast to other populations, the multidisciplinary care and close follow-up ACHD patients receive may mitigate the nega…
View article: Evaluation of the Timing to Noncardiac Surgery following Cardiac Operations
Evaluation of the Timing to Noncardiac Surgery following Cardiac Operations Open
When feasible, delaying NCS, particularly beyond 100 days, appears to be associated with a reduction in adverse events, suggesting a potential opportunity for optimization of patient outcomes.
View article: Examining safety of cardiac surgery in patients with preoperative cardiac arrest
Examining safety of cardiac surgery in patients with preoperative cardiac arrest Open
Background Although postoperative cardiac arrest is a well-studied complication of cardiac surgery, few guidelines exist regarding timing of surgery in preoperative cardiac arrest (pCA). We examined the association between delayed timing o…
View article: Association of chronic kidney disease with acute clinical outcomes and hospitalization costs of cancer resection
Association of chronic kidney disease with acute clinical outcomes and hospitalization costs of cancer resection Open
Purpose Patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD) have been noted to face increased cancer incidence. Yet, the impact of concomitant renal dysfunction on acute outcomes following elective surgery for can…
View article: Effect of Smoking on Antiplatelet Action of Clopidogrel in Patients with Ischemic Heart Disease
Effect of Smoking on Antiplatelet Action of Clopidogrel in Patients with Ischemic Heart Disease Open
Objective: To explore relationship between smoking and antiplatelet action of Clopidogrel in patients with ischemic heart disease (IHD). Study Design: Quasi-experimental study Place and Duration of Study: Department of Pharmacology, Army M…
View article: Persistent income-based disparities in clinical outcomes of cardiac surgery across the United States: A contemporary appraisal
Persistent income-based disparities in clinical outcomes of cardiac surgery across the United States: A contemporary appraisal Open
Although overall in-hospital mortality and complication rates have declined, low-income patients continue to face greater postoperative risk. Novel interventions are needed to address continued income-based disparities and ensure equitable…
View article: Interhospital variation in the nonoperative management of acute cholecystitis
Interhospital variation in the nonoperative management of acute cholecystitis Open
Background Cholecystectomy remains the standard management for acute cholecystitis. Given that rates of nonoperative management have increased, we hypothesize the existence of significant hospital-level variability in operative rates. Thus…
View article: Persistent Racial Disparities in Morbidity Following Major Elective Operations
Persistent Racial Disparities in Morbidity Following Major Elective Operations Open
Introduction: Despite considerable national attention, racial disparities in surgical outcomes persist. We sought to consider whether race-based inequities in outcomes following major elective surgery have improved in the contemporary era.…
View article: Interhospital variation in the non-operative management of uncomplicated appendicitis in adults
Interhospital variation in the non-operative management of uncomplicated appendicitis in adults Open
We identified significant interhospital variation in the utilization of non-operative management for acute uncomplicated appendicitis. Further, we found LOH to be associated with inferior outcomes following surgical management. Future work…
View article: Heart Transplantation After Donation After Circulatory Death: Early United States Experience
Heart Transplantation After Donation After Circulatory Death: Early United States Experience Open
View article: Association of socioeconomic vulnerability with clinical and financial outcomes following emergent hernia repair
Association of socioeconomic vulnerability with clinical and financial outcomes following emergent hernia repair Open
Among patients undergoing emergent hernia repair, socioeconomic vulnerability was linked with greater morbidity, expenditures, and readmission. As part of patient-centered care, novel screening, postoperative management, and SDOH-informed …
View article: Interhospital Transfer for Emergency General Surgery: A Contemporary National Analysis
Interhospital Transfer for Emergency General Surgery: A Contemporary National Analysis Open
Background Patients undergoing emergency general surgery (EGS) often require complex management and transfer to higher acuity facilities, especially given increasing national efforts aimed at centralizing care. We sought to characterize fa…
View article: National clinical and financial outcomes associated with acute kidney injury following esophagectomy for cancer
National clinical and financial outcomes associated with acute kidney injury following esophagectomy for cancer Open
Background Esophagectomy is a complex oncologic operation associated with high rates of postoperative complications. While respiratory and septic complications have been well-defined, the implications of acute kidney injury (AKI) remain un…
View article: Off-Pump Coronary Artery Bypass Grafting Does Not Confer Superior Outcomes Among Frail Patients
Off-Pump Coronary Artery Bypass Grafting Does Not Confer Superior Outcomes Among Frail Patients Open
Off-pump coronary revascularization (OPCAB) has been proposed to benefit patients who are at a greater surgical risk because it avoids the use of extracorporeal circulation. Although, historically, older patients were considered high-risk …
View article: Association of substance-use disorder with outcomes of major elective abdominal operations: A contemporary national analysis
Association of substance-use disorder with outcomes of major elective abdominal operations: A contemporary national analysis Open
Concurrent substance use disorder was associated with increased complications, resource utilization, and non-home discharge following major elective abdominal operations. Novel interventions are warranted to address increased risk among th…
View article: National outcomes of expedited discharge following esophagectomy for malignancy
National outcomes of expedited discharge following esophagectomy for malignancy Open
Background Expedited discharge following esophagectomy is controversial due to concerns for higher readmissions and financial burden. The present study aimed to evaluate the association of expedited discharge with hospitalization costs and…
View article: Early discharge following colectomy for colon cancer: A national perspective
Early discharge following colectomy for colon cancer: A national perspective Open
Background Although early discharge after colectomy has garnered significant interest, contemporary, large-scale analyses are lacking. Objective The present study utilized a national cohort of patients undergoing colectomy to examine costs…
View article: A Surgical Collaborative to Empower Medical Student Research
A Surgical Collaborative to Empower Medical Student Research Open
Mini abstracts: Faculty at the Baylor College of Medicine have developed a flexible research collaborative through which students gain research skills and individualized mentorship. This division has produced 86 trainee first author public…
View article: Outcomes following major thoracoabdominal cancer resection in adults with congenital heart disease
Outcomes following major thoracoabdominal cancer resection in adults with congenital heart disease Open
Background While advances in medical and surgical management have allowed >97% of congenital heart disease (CHD) patients to reach adulthood, a growing number are presenting with non-cardiovascular malignancies. Indeed, adults with CHD are…
View article: Association of neighborhood socioeconomic disadvantage with use of minimally invasive resection for non–small cell lung cancer
Association of neighborhood socioeconomic disadvantage with use of minimally invasive resection for non–small cell lung cancer Open
View article: Administrative coding of frailty: Its association with clinical outcomes and resource use in kidney transplantation
Administrative coding of frailty: Its association with clinical outcomes and resource use in kidney transplantation Open
Introduction Although not formalized into current risk assessment models, frailty has been associated with negative postoperative outcomes in many specialties. However, national analyses of the association between frailty and post‐transpla…
View article: National trends and resource associated with recurrent penetrating injury
National trends and resource associated with recurrent penetrating injury Open
Background While recurrent penetrating trauma has been associated with long-term mortality and disability, national data on factors associated with reinjury remain limited. We examined temporal trends, patient characteristics, and resource…
View article: Decreasing rates of colectomy for benign neoplasms: A nationwide analysis
Decreasing rates of colectomy for benign neoplasms: A nationwide analysis Open
Background Despite advances in endoscopic techniques for management of benign colonic neoplasms, a rise in rates of surgical treatment has been reported. We used a nationally representative cohort to characterize temporal trends, patient c…
View article: COMPARISON OF OUTCOME OF ARTESUNATE WITH QUININE IN CEREBRAL MALARIA; EXPERIENCE FROM A TERTIARY CARE HOSPITAL IN PESHAWAR
COMPARISON OF OUTCOME OF ARTESUNATE WITH QUININE IN CEREBRAL MALARIA; EXPERIENCE FROM A TERTIARY CARE HOSPITAL IN PESHAWAR Open
Malaria remains a tremendous health burden in tropical regions, causing up to 24.3 billion episodes of clinical illness and 0.86 million deaths in 2009, with annual death rates of up to 93% in severe malaria. This study aims to compare the…
View article: Association of frailty with postoperative outcomes following thoracic transplantation: A national analysis
Association of frailty with postoperative outcomes following thoracic transplantation: A national analysis Open
View article: Association of dementia with clinical and financial outcomes following lobectomy for lung cancer
Association of dementia with clinical and financial outcomes following lobectomy for lung cancer Open
Patients with dementia faced similar odds of mortality, but greater complications and resource use following lobectomy for lung cancer. Novel interventions are needed to improve care coordination and develop standardized recovery pathways …
View article: Expanded Criteria Donor Heart Allograft Utilization: National Trends and Outcomes
Expanded Criteria Donor Heart Allograft Utilization: National Trends and Outcomes Open
View article: Clinical and financial outcomes of hospitalizations for cardiac device infection during the COVID-19 pandemic in the US
Clinical and financial outcomes of hospitalizations for cardiac device infection during the COVID-19 pandemic in the US Open
Background Cardiac device infection (CDI) can occur in up to 2.2% of patients after device placement, with mortality rates exceeding 15%. Although device removal is standard management, the COVID-19 pandemic has been associated with resour…