Publications by authors named "Anne-Sophie Romijn"
Background: Intraoperative adverse events (iAEs) during general surgery can lead to significant morbidity and healthcare burden, yet their impact remains underexplored. We aimed to estimate the nationwide incidence of iAEs in general surgery and explore their associations with mortality, complications, length of stay, and costs.
Methods: We conducted a retrospective cohort study using the Nationwide Readmissions Database 2019 and included adult patients (aged 18 years and older) who underwent general surgical procedures.
Article Synopsis
- This study aimed to validate a prediction model for early identification of patients at risk for nosocomial pneumonia in US level-1 trauma centers, which could enhance patient survival and reduce healthcare costs.
- The research analyzed data from over 900,000 trauma patients, focusing on incidents of total nosocomial pneumonia and ventilator-associated pneumonia (VAP) over two time periods.
- Results showed that the Croce model effectively discriminates patients at risk for pneumonia, suggesting its implementation in clinical practice could improve preventative strategies for those most vulnerable.*
Background: Given changes in intervention guidelines and the growing popularity of endovascular treatment for aortic aneurysms, we examined the trends in admissions and repairs of abdominal aortic aneurysms (AAAs), thoracoabdominal aortic aneurysms (TAAAs), and thoracic aortic aneurysms (TAAs).
Methods: We identified all patients admitted with ruptured aortic aneurysms and intact aortic aneurysms repaired in the Nationwide Inpatient Sample between 2004 and 2019. We then examined the use of open, endovascular, and complex endovascular repair (OAR, EVAR, and cEVAR) for each aortic aneurysm location (AAA, TAAA, and TAA), alongside their resulting in-hospital mortality, over time.
Article Synopsis
- TEVAR (thoracic endovascular aortic repair) is being increasingly used to treat blunt thoracic aortic injury (BTAI), but there is limited research on what happens to patients after they leave the hospital.
- A study analyzed over 2,000 patients who underwent TEVAR for BTAI, finding that 13% were readmitted within 90 days, mainly due to reasons like sepsis and wound complications.
- The readmission rate for BTAI patients was significantly lower compared to those treated for acute type B aortic dissections, suggesting different recovery profiles for trauma-related versus non-traumatic vascular conditions.
Objective: Current societal recommendations regarding the timing of thoracic endovascular aortic repair (TEVAR) for blunt thoracic aortic injury (BTAI) vary. Prior studies have shown that elective repair was associated with lower mortality after TEVAR for BTAI. However, these studies lacked data such as Society for Vascular Surgery (SVS) aortic injury grades and TEVAR-related postoperative outcomes.
View Article and Find Full Text PDFMore than 20% of the population in the United States suffers from a disability, yet the impact of disability on post-operative outcomes remains understudied. This analysis aims to characterize post-operative infectious complications in patients with disability. This was a retrospective review of the National Readmission Database (2019) among patients undergoing common general surgery procedures.
View Article and Find Full Text PDFInfectious complications lead to worse post-operative outcomes and are used to compare hospital performance in pay-for-performance programs. However, the impact of social and behavioral determinants of health on infectious complication rates after emergency general surgery (EGS) remains unclear. All patients undergoing EGS in the 2019 Nationwide Readmissions Database were included.
View Article and Find Full Text PDFBackground: Early surgical stabilization of rib fractures (SSRF) is associated with improved inpatient outcomes in patients with multiple rib fractures. However, there is still a paucity of data examining the optimal timing of SSRF in patients with concomitant traumatic brain injury (TBI). This study aimed to assess whether earlier SSRF was associated with improved outcomes in patients with multiple rib fractures and TBI.
View Article and Find Full Text PDFObjective: Current literature suggests that thoracic endovascular aortic repair (TEVAR) in older patients with aortic aneurysms results in higher peri-operative mortality and lower long term survival in females compared with males. However, sex related outcomes in younger patients with blunt thoracic aortic injury (BTAI) undergoing TEVAR remain unknown. This study examined the association between sex and outcomes after TEVAR for BTAI.
View Article and Find Full Text PDFArticle Synopsis
- Traumatic brain injury (TBI) is traditionally seen as a reason to avoid surgical stabilization of rib fractures (SSRF), but this study investigates whether SSRF could actually improve outcomes compared to non-surgical management.
- An analysis of over 36,000 patients showed that those receiving SSRF had lower mortality rates and longer hospital stays, with significant differences noted for both mild and severe TBI cases.
- The findings suggest that SSRF may be beneficial for TBI patients with rib fractures, leading to better survival rates despite increased lengths of hospital and ICU stays.
Objectives: Although the Society for Vascular Surgery (SVS) aortic injury grading system is used to depict the severity of injury in patients with blunt thoracic aortic injury, prior literature on its association with outcomes after thoracic endovascular aortic repair (TEVAR) is limited.
Methods: We identified patients undergoing TEVAR for BTAI within the VQI between 2013 and 2022. We stratified patients based on their SVS aortic injury grade (grade 1, intimal tear; grade 2, intramural hematoma; grade 3, pseudoaneurysm; and grade 4, transection or extravasation).
Objective: We examined early (≤24 h) versus delayed (>24 h) thoracic endovascular aortic repair (TEVAR) for blunt thoracic aortic injury (BTAI), taking the aortic injury severity into consideration.
Background: Current trauma surgery guidelines recommend delayed TEVAR following BTAI. However, this recommendation was based on small studies, and specifics regarding recommendation strategies based on aortic injury grades are lacking.
Objective: Prior literature has demonstrated worse outcomes for female patients after abdominal aortic aneurysm repair. Also, prior studies in the context of thoracic endovascular aneurysm repair (TEVAR) for thoracic aortic aneurysms have reported conflicting results regarding sex-related outcomes. Because the influence of sex on the outcomes after TEVAR for blunt thoracic aortic injuries (BTAIs) remains understudied, we evaluated the association between sex and outcomes after TEVAR for BTAI.
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