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Article ; Online: Invited Commentary: A Step in the Right Direction: Anti-Factor Xa Monitoring of Enoxaparin in Emergency General Surgery.

Ross, Samuel Wade

Journal of the American College of Surgeons

2023 Volume 237, Issue 2, Page(s) 203–205

MeSH term(s)	Humans ; Enoxaparin/therapeutic use ; Anticoagulants/therapeutic use ; Factor Xa Inhibitors/therapeutic use ; Venous Thromboembolism
Chemical Substances	Enoxaparin ; Anticoagulants ; Factor Xa Inhibitors
Language	English
Publishing date	2023-04-27
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	1181115-8
ISSN	1879-1190 ; 1072-7515
ISSN (online)	1879-1190
ISSN	1072-7515
DOI	10.1097/XCS.0000000000000727
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Purpose.

Ross, Samuel Wade / Fischer, Peter E

The journal of trauma and acute care surgery

2016 Volume 81, Issue 1, Page(s) 13–14

Language	English
Publishing date	2016-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	2651070-4
ISSN	2163-0763 ; 2163-0755
ISSN (online)	2163-0763
ISSN	2163-0755
DOI	10.1097/TA.0000000000000967
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Article ; Online: Prehospital and emergency department pediatric readiness for injured children: A statement from the American College of Surgeons Committee on Trauma Emergency Medical Services Committee.

Ross, Samuel Wade / Campion, Eric / Jensen, Aaron R / Gray, Lisa / Gross, Toni / Namias, Nicholas / Goodloe, Jeffrey M / Bulger, Eileen M / Fischer, Peter E / Fallat, Mary E

The journal of trauma and acute care surgery

2023 Volume 95, Issue 2, Page(s) e6–e10

Abstract: Abstract: Injury is the leading cause of death in children older than 1 year, and children make up 22% of the population. Pediatric readiness (PR) of the nation's emergency departments and state trauma and emergency medical services (EMS) systems is ... ...

Abstract	Abstract: Injury is the leading cause of death in children older than 1 year, and children make up 22% of the population. Pediatric readiness (PR) of the nation's emergency departments and state trauma and emergency medical services (EMS) systems is conceptually important and vital to mitigate mortality and morbidity in this population. The extension of PR to the trauma community has become a focused area for training, staffing, education, and equipment at all levels of trauma center designation, and there is evidence that a higher level of emergency department PR is independently associated with long-term survival among injured children. Although less well studied, there is an associated need for EMS PR, which is relevant to the injured child who needs assessment, treatment, triage, and transport to a trauma center. We outline a blueprint along with recommendations for incorporating PR into trauma system development in this opinion from the EMS Committee of the American College of Surgeons Committee on Trauma. These recommendations are particularly pertinent in the rural and underserved areas of the United States but are directed toward all levels of professionals who care for an injured child along the trauma continuum of care.
MeSH term(s)	Child ; Humans ; United States ; Child, Preschool ; Emergency Medical Services ; Triage ; Emergency Service, Hospital ; Trauma Centers ; Surgeons
Language	English
Publishing date	2023-05-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	2651070-4
ISSN	2163-0763 ; 2163-0755
ISSN (online)	2163-0763
ISSN	2163-0755
DOI	10.1097/TA.0000000000003997
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Article ; Online: Value in acute care surgery, part 2: Defining and measuring quality outcomes.

Ross, Samuel Wade / Wandling, Michael W / Bruns, Brandon R / Martin, R Shayn / Scott, John W / Doucet, Jay J / Davis, Kimberly A / Staudenmayer, Kristan L / Minei, Joseph P

The journal of trauma and acute care surgery

2022 Volume 93, Issue 1, Page(s) e30–e39

Abstract: Abstract: The prior article in this series delved into measuring cost in acute care surgery, and this subsequent work explains in detail how quality is measured. Specifically, objective quality is based on outcome measures, both from administrative and ... ...

Abstract	Abstract: The prior article in this series delved into measuring cost in acute care surgery, and this subsequent work explains in detail how quality is measured. Specifically, objective quality is based on outcome measures, both from administrative and clinical registry databases from a multitude of sources. Risk stratification is key in comparing similar populations across diseases and procedures. Importantly, a move toward focusing on subjective outcomes like patient-reported outcomes measures and financial well-being are vital to evolving surgical quality measures for the 21st century.
MeSH term(s)	Databases, Factual ; Humans ; Outcome Assessment, Health Care ; Patient Reported Outcome Measures ; Registries
Language	English
Publishing date	2022-04-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2651070-4
ISSN	2163-0763 ; 2163-0755
ISSN (online)	2163-0763
ISSN	2163-0755
DOI	10.1097/TA.0000000000003638
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Article ; Online: Maximizing the Calm before the Storm

Ross, Samuel Wade / Lauer, Cynthia W. / Miles, William S. / Green, John M. / Christmas, A Britton / May, Addison K. / Matthews, Brent D.

Journal of the American College of Surgeons

Tiered Surgical Response Plan for Novel Coronavirus (COVID-19)

2020 Volume 230, Issue 6, Page(s) 1080–1091.e3

Keywords	Surgery ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
ZDB-ID	1181115-8
ISSN	1879-1190 ; 1072-7515
ISSN (online)	1879-1190
ISSN	1072-7515
DOI	10.1016/j.jamcollsurg.2020.03.019
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19).

Ross, Samuel Wade / Lauer, Cynthia W / Miles, William S / Green, John M / Christmas, A Britton / May, Addison K / Matthews, Brent D

Journal of the American College of Surgeons

2020 Volume 230, Issue 6, Page(s) 1080–1091.e3

Abstract: The novel coronavirus (COVID-19) was first diagnosed in Wuhan, China in December 2019 and has now spread throughout the world, being verified by the World Health Organization as a pandemic on March 11. This had led to the calling of a national emergency ... ...

Abstract	The novel coronavirus (COVID-19) was first diagnosed in Wuhan, China in December 2019 and has now spread throughout the world, being verified by the World Health Organization as a pandemic on March 11. This had led to the calling of a national emergency on March 13 in the US. Many hospitals, healthcare networks, and specifically, departments of surgery, are asking the same questions about how to cope and plan for surge capacity, personnel attrition, novel infrastructure utilization, and resource exhaustion. Herein, we present a tiered plan for surgical department planning based on incident command levels. This includes acute care surgeon deployment (given their critical care training and vertically integrated position in the hospital), recommended infrastructure and transfer utilization, triage principles, and faculty, resident, and advanced care practitioner deployment.
MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Elective Surgical Procedures ; Health Resources/supply & distribution ; Humans ; Organizations, Nonprofit ; Pandemics ; Personnel, Hospital ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Southeastern United States ; Surge Capacity ; Surgery Department, Hospital/organization & administration ; Telemedicine ; Triage
Keywords	covid19
Language	English
Publishing date	2020-03-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	1181115-8
ISSN	1879-1190 ; 1072-7515
ISSN (online)	1879-1190
ISSN	1072-7515
DOI	10.1016/j.jamcollsurg.2020.03.019
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Article ; Online: Data resources for evaluating the economic and financial consequences of surgical care in the United States.

Scott, John W / Ayoung-Chee, Patricia / Lester, Erica L W / Bruns, Brandon R / Davis, Kimberly A / Gore, Amy / Knowlton, Lisa Marie / Liu, Charles / Martin, R Shayn / Oh, Esther Jiin / Ross, Samuel Wade / Wandling, Michael / Minei, Joseph P / Staudenmayer, Kristan

The journal of trauma and acute care surgery

2022 Volume 93, Issue 1, Page(s) e17–e29

Abstract: Abstract: Evaluating the relationship between health care costs and quality is paramount in the current health care economic climate, as an understanding of value is needed to drive policy decisions. While many policy analyses are focused on the larger ... ...

Abstract	Abstract: Evaluating the relationship between health care costs and quality is paramount in the current health care economic climate, as an understanding of value is needed to drive policy decisions. While many policy analyses are focused on the larger health care system, there is a pressing need for surgically focused economic analyses. Surgical care is costly, and innovative technology is constantly introduced into the operating room, and surgical care impacts patients' short- and long-term physical and economic well-being. Unfortunately, significant knowledge gaps exist regarding the relationship between cost, value, and economic impact of surgical interventions. Despite the plethora of health care data available in the forms of claims databases, discharge databases, and national surveys, no single source of data contains all the information needed for every policy-relevant analysis of surgical care. For this reason, it is important to understand which data are available and what can be accomplished with each of the data sets. In this article, we provide an overview of databases commonly used in surgical health services research. We focus our review on the following five categories of data: governmental claims databases, commercial claims databases, hospital-based clinical databases, state and national discharge databases, and national surveys. For each, we present a summary of the database sampling frame, clinically relevant variables, variables relevant to economic analyses, strengths, weaknesses, and examples of surgically relevant analyses. This review is intended to improve understanding of the current landscape of data available, as well as stimulate novel analyses among surgical populations. Ongoing debates over national health policy reforms may shape the delivery of surgical care for decades to come. Appropriate use of available data resources can improve our understanding of the economic impact of surgical care on our health care system and our patients. Level of evidence: Regular Review, Level V.
MeSH term(s)	Delivery of Health Care ; Health Policy ; Health Services Research ; Hospitals ; Humans ; Patient Discharge ; United States
Language	English
Publishing date	2022-04-01
Publishing country	United States
Document type	Journal Article ; Review ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	2651070-4
ISSN	2163-0763 ; 2163-0755
ISSN (online)	2163-0763
ISSN	2163-0755
DOI	10.1097/TA.0000000000003631
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The Obesity Paradox in Emergency General Surgery Patients.

Maloney, Sean R / Reinke, Caroline E / Nimeri, Abdelrahman A / Ayuso, Sullivan A / Christmas, A Britton / Hetherington, Timothy / Kowalkowski, Marc / Sing, Ronald F / May, Addison K / Ross, Samuel Wade

The American surgeon

2021 Volume 88, Issue 5, Page(s) 852–858

Abstract: Background: Operative management of emergency general surgery (EGS) diagnoses involves a range of procedures which can carry high morbidity and mortality. Little is known about the impact of obesity on patient outcomes. The aim of this study was to ... ...

Abstract	Background: Operative management of emergency general surgery (EGS) diagnoses involves a range of procedures which can carry high morbidity and mortality. Little is known about the impact of obesity on patient outcomes. The aim of this study was to examine the association between body mass index (BMI) >30 kg/m Methods: A regional integrated health system EGS registry derived from The American Association for the Surgery of Trauma EGS ICD-9 codes was analyzed from January 2013 to October 2015. Patients were stratified into BMI categories based on WHO classifications. The primary outcome was 30-day mortality. Longer-term mortality with linkage to the Social Security Death Index was also examined. Univariate and multivariable analyses were performed. Results: A total of 60 604 encounters were identified and 7183 (11.9%) underwent operative intervention. Patient characteristics include 53% women, mean age 58.2 ± 18.7 years, 64.2% >BMI 30 kg/m Conclusions: When stratified by BMI, underweight EGS patients have the highest odds of death. Paradoxically, obesity appears protective against death, even when controlling for potentially confounding factors. Increased rates of nonoperative management in the obese population may impact these findings.
MeSH term(s)	Adult ; Aged ; Body Mass Index ; Female ; General Surgery ; Humans ; Male ; Middle Aged ; Obesity/complications ; Obesity/epidemiology ; Registries ; Retrospective Studies ; Risk Factors ; Thinness ; United States/epidemiology
Language	English
Publishing date	2021-02-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	202465-2
ISSN	1555-9823 ; 0003-1348
ISSN (online)	1555-9823
ISSN	0003-1348
DOI	10.1177/0003134820968524
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Article ; Online: "Death Knell" for Prophylactic Vena Cava Filters? A 20-Year Experience with a Venous Thromboembolism Guideline.

Shenoy, Rathna / Cunningham, Kyle W / Ross, Samuel Wade / Christmas, A Britton / Thomas, Bradley W / Avery, Michael J / Lessne, Mark L / Prasad, Tanushree / Sing, Ronald F

The American surgeon

2020 Volume 85, Issue 8, Page(s) 806–812

Abstract: The role of prophylactic vena cava filters (pVCFs) in trauma patients remains controversial. After 20 years of data collection and experience, we reviewed our venous thromboembolism guideline for the efficacy of pVCFs in preventing pulmonary embolism (PE) ...

Abstract	The role of prophylactic vena cava filters (pVCFs) in trauma patients remains controversial. After 20 years of data collection and experience, we reviewed our venous thromboembolism guideline for the efficacy of pVCFs in preventing pulmonary embolism (PE). A retrospective cohort study was performed using our Level I trauma center registry from January 1997 thru December 2016. This population was then divided by the presence of pVCFs. Univariate analysis was performed comparing the incidence of PEs, deep vein thrombosis, and mortality between those with and without a pVCF. There were 35,658 patients identified, of whom 2 per cent (n = 847) received pVCFs. The PE rate was 0.4 per cent in both groups. The deep vein thrombosis rate for pVCFs was 3.9 per cent compared with 0.6 per cent in the no-VCF group (
MeSH term(s)	Adolescent ; Adult ; Analysis of Variance ; Female ; Humans ; Incidence ; Injury Severity Score ; Male ; Middle Aged ; Practice Guidelines as Topic ; Pulmonary Embolism/epidemiology ; Pulmonary Embolism/mortality ; Pulmonary Embolism/prevention & control ; Registries ; Respiration, Artificial ; Retrospective Studies ; Risk Factors ; Time Factors ; Trauma Centers ; Treatment Outcome ; Vena Cava Filters/adverse effects ; Vena Cava Filters/statistics & numerical data ; Venous Thromboembolism/epidemiology ; Venous Thromboembolism/mortality ; Venous Thromboembolism/prevention & control ; Venous Thrombosis/epidemiology ; Venous Thrombosis/mortality ; Venous Thrombosis/prevention & control ; Ventilators, Mechanical/statistics & numerical data ; Wounds and Injuries/complications ; Wounds and Injuries/epidemiology ; Young Adult
Language	English
Publishing date	2020-02-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	202465-2
ISSN	1555-9823 ; 0003-1348
ISSN (online)	1555-9823
ISSN	0003-1348
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19)

Ross, Samuel Wade / Lauer, Cynthia W / Miles, William S / Green, John M / Christmas, A Britton / May, Addison K / Matthews, Brent D

J Am Coll Surg

Abstract	The novel coronavirus (COVID-19) was first diagnosed in Wuhan, China in December 2019 and has now spread throughout the world, being verified by the World Health Organization as a pandemic on March 11. This had led to the calling of a national emergency on March 13 in the US. Many hospitals, healthcare networks, and specifically, departments of surgery, are asking the same questions about how to cope and plan for surge capacity, personnel attrition, novel infrastructure utilization, and resource exhaustion. Herein, we present a tiered plan for surgical department planning based on incident command levels. This includes acute care surgeon deployment (given their critical care training and vertically integrated position in the hospital), recommended infrastructure and transfer utilization, triage principles, and faculty, resident, and advanced care practitioner deployment.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #19467
Database	COVID19

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