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  1. Article ; Online: The ostomy experience in El Salvador: Shifting focus from stoma supply access to stoma quality.

    Schaps, Diego / Alvarez, Carlos E

    Surgery

    2022  Volume 171, Issue 6, Page(s) 1702–1703

    MeSH term(s) El Salvador ; Humans ; Ostomy ; Quality of Life ; Surgical Stomas
    Language English
    Publishing date 2022-02-25
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2022.01.018
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  2. Article ; Online: Time to transition: In support of alcohol-based surgical rub.

    Schaps, Diego / Forrester, Joseph D

    Surgery

    2021  Volume 170, Issue 4, Page(s) 1288–1289

    MeSH term(s) Anti-Infective Agents, Local/pharmacology ; Disinfection/methods ; Ethanol/pharmacology ; Hand ; Hand Sanitizers/pharmacology ; Humans
    Chemical Substances Anti-Infective Agents, Local ; Hand Sanitizers ; Ethanol (3K9958V90M)
    Language English
    Publishing date 2021-07-24
    Publishing country United States
    Document type Editorial
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2021.06.034
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  3. Article ; Online: Comments on Computed Tomography for Evaluating Appendicitis.

    Schaps, Diego / Frush, Donald P / Rice, Henry E

    JAMA surgery

    2021  Volume 156, Issue 11, Page(s) 1073

    MeSH term(s) Appendectomy ; Appendicitis/diagnostic imaging ; Appendicitis/surgery ; Appendix ; Humans ; Tomography, X-Ray Computed
    Language English
    Publishing date 2021-09-09
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2021.3210
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  4. Article ; Online: Surgical Site Infection in Children with Neuromuscular Disorders after Laparoscopic Gastrostomy: A Propensity-Matched National Surgical Quality Improvement Program Pediatrics Database Analysis.

    Schaps, Diego / Leraas, Harold J / Rice, Henry E / Tracy, Elisabeth T

    Surgical infections

    2022  Volume 23, Issue 3, Page(s) 226–231

    Abstract: ... ...

    Abstract Background
    MeSH term(s) Child ; Gastrostomy/adverse effects ; Humans ; Laparoscopy/adverse effects ; Pediatrics ; Quality Improvement ; Retrospective Studies ; Risk Factors ; Surgical Wound Infection/epidemiology ; Surgical Wound Infection/etiology
    Language English
    Publishing date 2022-01-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1440120-4
    ISSN 1557-8674 ; 1096-2964
    ISSN (online) 1557-8674
    ISSN 1096-2964
    DOI 10.1089/sur.2021.281
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  5. Article ; Online: Risk of methicillin-resistant

    Schaps, Diego / Godfrey, Andrew W / Anderson, Deverick J

    Infection control and hospital epidemiology

    2021  Volume 43, Issue 4, Page(s) 442–447

    Abstract: Objective: To estimate the relative risk (RR) of developing methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant Enterococcus (VRE) colonization or infection within 30 days of ambulance transport.: Methods: We performed a ... ...

    Abstract Objective: To estimate the relative risk (RR) of developing methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant Enterococcus (VRE) colonization or infection within 30 days of ambulance transport.
    Methods: We performed a retrospective cohort study of patients with a principal diagnosis of chest pain presenting to our emergency department (ED) over a 4-year period. Patients were included if they presented from and were discharged to nonhealthcare locations without being admitted. Encounters were stratified by arrival mechanism: ambulance versus private vehicle. We performed propensity score matching and multivariable logistic regression to estimate the RR for the primary outcome.
    Results: In total, 321,229 patients had ED encounters during the study period. After applying inclusion criteria and propensity score matching, there were 11,324 patients: 3,903 in the ambulance group and 7,421 in the unexposed group. Among them, 12 patients (0.11%) had the outcome of interest, including 9 (0.08%) with MRSA and 3 (0.03%) with VRE. The 30-day prevalence of MRSA or VRE was larger in the ambulance group than in the unexposed group: 8 (0.20%) and 4 (0.05%), respectively (P = .02). Patients who presented to the ED via ambulance were almost 4 times more likely to have MRSA or VRE within 30 days of their encounter (RR, 3.72; 95% CI, 1.09-12.71; P = .04).
    Conclusions: Our cohort study is the first to demonstrate an association between ambulance exposure and pathogen incidence, representing the first step in evaluating medical-transport-associated infection burden to eventually develop interventions to address it.
    MeSH term(s) Ambulances ; Cohort Studies ; Gram-Positive Bacterial Infections/epidemiology ; Humans ; Methicillin-Resistant Staphylococcus aureus ; Propensity Score ; Retrospective Studies ; Staphylococcal Infections/epidemiology ; Vancomycin ; Vancomycin Resistance ; Vancomycin-Resistant Enterococci
    Chemical Substances Vancomycin (6Q205EH1VU)
    Language English
    Publishing date 2021-07-21
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2021.272
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  6. Article ; Online: Medical transport-associated infection: Review and commentary making a case for its legitimacy.

    Schaps, Diego / Joiner, Anjni Patel / Anderson, Deverick J

    Infection control and hospital epidemiology

    2020  Volume 43, Issue 4, Page(s) 497–503

    Abstract: The purpose of this article is to summarize existing literature about healthcare-associated infection (HAI) in the medical transport environment and to define the term medical transport-associated infection (MTAI) to unify all previous work under a ... ...

    Abstract The purpose of this article is to summarize existing literature about healthcare-associated infection (HAI) in the medical transport environment and to define the term medical transport-associated infection (MTAI) to unify all previous work under a single umbrella with the objective of providing a standardized definition for future research. A review of the literature yielded 34 relevant articles. These studies show that there are pathogens in the ambulance environment, that emergency medical services (EMS) personnel do not regularly comply with hygiene practices, and that patients are potentially affected by HAI as a direct result of ambulance exposure. Prospective studies must be conducted to truly understand the impact that ambulance exposure has on HAIs. MTAI is a subset of HAI and is defined as any infection acquired as a direct effect of exposure in a medical transport setting.
    MeSH term(s) Ambulances ; Cross Infection/epidemiology ; Cross Infection/prevention & control ; Emergency Medical Services ; Humans ; Prospective Studies
    Language English
    Publishing date 2020-12-17
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2020.1354
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  7. Article ; Online: Methicillin-resistant

    Schaps, Diego / Dever, Reilly / Parente, Victoria M / Anderson, Deverick J / Kalu, Ibukunoluwa C

    Infection control and hospital epidemiology

    2022  Volume 44, Issue 6, Page(s) 985–987

    Abstract: A retrospective cohort of children admitted to the pediatric intensive care unit (PICU) with cerebral palsy was matched 1:3 by age and admission year to determine odds of methicillin- ... ...

    Abstract A retrospective cohort of children admitted to the pediatric intensive care unit (PICU) with cerebral palsy was matched 1:3 by age and admission year to determine odds of methicillin-resistant
    MeSH term(s) Humans ; Child ; Methicillin-Resistant Staphylococcus aureus ; Staphylococcal Infections/epidemiology ; Retrospective Studies ; Cerebral Palsy/complications ; Risk Factors
    Language English
    Publishing date 2022-06-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2022.149
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  8. Article ; Online: Influence of Socioeconomic and Environmental Determinants of Health on Human Infection and Colonization with Antibiotic-Resistant and Antibiotic-Associated Pathogens: A Scoping Review.

    Forrester, Joseph D / Cao, Siqi / Schaps, Diego / Liou, Raymond / Patil, Advait / Stave, Christopher / Sokolow, Susanne H / Leo, Giulio De

    Surgical infections

    2022  Volume 23, Issue 3, Page(s) 209–225

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Animals ; Anti-Bacterial Agents/adverse effects ; Clostridium Infections/epidemiology ; Humans ; Methicillin-Resistant Staphylococcus aureus ; Socioeconomic Factors ; Staphylococcal Infections/drug therapy ; Staphylococcal Infections/epidemiology
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2022-01-31
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1440120-4
    ISSN 1557-8674 ; 1096-2964
    ISSN (online) 1557-8674
    ISSN 1096-2964
    DOI 10.1089/sur.2021.348
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  9. Article ; Online: Use of a Structured Observation Tool to Promote Medical Student Engagement in Trauma Resuscitations.

    Thornton, Steven W / Schaps, Diego / Leraas, Harold J / Gordon, David C / Ginsberg, Zachary / Vatsaas, Cory J / Greenwald, Emily / Tracy, Elisabeth T

    Journal of surgical education

    2022  Volume 79, Issue 6, Page(s) 1422–1425

    Abstract: Objective: We describe a novel approach to promoting medical student learning and engagement during trauma resuscitation with implementation of a structured observation and debriefing tool.: Design: In the context of a multifaceted quality ... ...

    Abstract Objective: We describe a novel approach to promoting medical student learning and engagement during trauma resuscitation with implementation of a structured observation and debriefing tool.
    Design: In the context of a multifaceted quality improvement effort in our emergency room, we implemented a structured trauma observation tool (SOT) for medical students based on ATLS trauma guidelines. The SOT reflects the American College of Surgeons and Association for Surgical Education (ACS/ASE) trauma evaluation module for medical students. Two medical students from our quality improvement working group undertook a proof-of-concept study to determine whether the SOT facilitated accurate observations of trauma resuscitations and promoted educational debriefs with precepting providers. Results were encouraging, so the tool was implemented for elective use on surgical clerkships. Clerkship students who used the SOT were given the opportunity to share its impact on their experience. Institutional Review Board approval was obtained under Pro00109569.
    Setting: A large level 1 trauma center at an academic hospital in the southeastern United States.
    Participants: An interdisciplinary working group including surgeons, emergency medicine physicians, nurses, and students developed the observation tool. Two medical students from this team showed that the tool was effective at guiding observations and facilitating debriefs prior to its broader implementation on the general surgery clerkship.
    Results: A total of 630 resuscitation tasks were observed during 15 trauma activations prior to implementation on the surgery clerkship. There was over 97% agreement between students observations and evaluating physicians self-reporting on which tasks were completed. Tasks on which there was disagreement were discussed to aid student learning. The tool was implemented for elective use on the surgery clerkship where students reported positive experiences.
    Conclusions: Early data suggest that this structured observation tool facilitates accurate trauma assessment observations and provides an opportunity for high-yield debriefs with the evaluating physician. This promotes student comprehension of ATLS principles. The SOT is being implemented as a pedagogic tool for students on the surgery clerkship to guide their observations, improve comprehension of decisions made in a hyperacute setting, and offer real time feedback as part of their learning in the trauma bay. The tool appears to be a valuable supplement which supports the ACS/ASE curriculum.
    MeSH term(s) Humans ; Students, Medical ; Clinical Clerkship/methods ; Education, Medical, Undergraduate/methods ; Curriculum ; Physical Examination
    Language English
    Publishing date 2022-06-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2277538-9
    ISSN 1878-7452 ; 1931-7204
    ISSN (online) 1878-7452
    ISSN 1931-7204
    DOI 10.1016/j.jsurg.2022.05.017
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  10. Article ; Online: Risk of Surgical Intervention in Children with Diagnoses of Cancer and Preoperative Malnutrition: A National Analysis.

    Leraas, Harold J / Schaps, Diego / Thornton, Steven W / Moya-Mendez, Mary / Donohue, Victoria / Hoover, Anna / Olson, Lindsay / Haines, Krista / Wagner, Lars / Tracy, Elisabeth

    Journal of pediatric surgery

    2023  Volume 58, Issue 6, Page(s) 1191–1194

    Abstract: Background: Perioperative nutrition is a critical component of appropriate healing and recovery after surgery. We sought to identify perioperative risk in children with cancer and low preoperative hypoalbuminemia undergoing surgical intervention.: ... ...

    Abstract Background: Perioperative nutrition is a critical component of appropriate healing and recovery after surgery. We sought to identify perioperative risk in children with cancer and low preoperative hypoalbuminemia undergoing surgical intervention.
    Methods: We queried the 2015-2019 NSQIP-Peds datasets for children with a primary diagnosis of renal or hepatic malignancy undergoing surgical resection. Postoperative outcomes were evaluated for comparative risk between patients with low albumin (albumin<3.0 g/dL) and normal albumin within 30 days of their surgical procedure. Univariate analysis and multivariable logistic regression were conducted to identify perioperative risk in patients with hypoalbuminemia.
    Results: We identified 360 children with primary diagnosis of hepatic malignancy and 896 children with renal malignancy undergoing surgical resection. Of these, 77 children had hypoalbuminemia. Patients with renal or hepatic malignancy diagnosis and low albumin levels were more likely to experience postoperative dehiscence, need for TPN at discharge, postoperative bleeding or transfusion, unplanned reoperation, and unplanned readmission, based on univariate analysis (all P > 0.05). Postoperative bleeding, need for nutritional support at discharge, and unplanned readmission were each associated with hypoalbuminemia.
    Conclusion: We demonstrate that low preoperative albumin is associated with significant perioperative risk. More attention should focus on perioperative nutritional status of children with cancer who are undergoing major resections.
    MeSH term(s) Humans ; Child ; Hypoalbuminemia/complications ; Hypoalbuminemia/epidemiology ; Hypoalbuminemia/diagnosis ; Serum Albumin/analysis ; Treatment Outcome ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/diagnosis ; Retrospective Studies ; Malnutrition/diagnosis ; Malnutrition/epidemiology ; Malnutrition/complications ; Postoperative Hemorrhage ; Liver Neoplasms/complications ; Kidney Neoplasms ; Risk Factors
    Chemical Substances Serum Albumin
    Language English
    Publishing date 2023-03-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2023.02.019
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