Publications by authors named "V Christian Sanderfer"
Article Synopsis
- The study examined the impact of transitioning to an Acute Care Surgery (ACS) model at a community hospital on Emergency General Surgery (EGS) patients, focusing on access to care and mortality rates.
- It analyzed data from 467 patients before the transition and 238 patients after, noting an increase in older, Black, and underinsured patients post-transition, but no significant changes in mortality rates or hospital stay length.
- However, there was a notable increase in hospital readmissions after the transition, suggesting that while access improved, the quality of care necessitates further examination.
Objectives: Acute Care Surgery (ACS) admissions and procedures are substantially increasing. ACS disproportionally accounts for a majority of morbidity and mortality among surgical patients. Minimally invasive techniques are associated with improved outcomes and shorter hospital length of stay within the ACS population.
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- The study outlines a 10-year quality improvement program for surgical stabilization of rib fractures (SSRF) at a Level 1 trauma center to improve patient outcomes and ensure safety.
- The research involved a review of cases from 2022, focusing on various data points like patient demographics, complications, and rib fracture specifics for 82 identified patients, where 88% underwent SSRF.
- Results indicated that SSRF patients had a 15% mortality rate, with notable complications linked to factors like the number of ribs stabilized and trauma severity, emphasizing the need for ongoing scrutiny in surgical practices.*
Introduction: Payment structured around Episodes of Care is a method for incentivizing decreased care utilization after major procedures. We examined Major Bowel Episodes of Care (MB-EoC)-the focus among general surgery procedures-within a large health system to determine the contribution of emergency bowel surgery to higher costs of care.
Methods: Adult MB-EoC cases from July 2018 to June 2021 were reviewed for 90-d costs, examining patient age, insurance, diagnosis, cost of care, and contributors to cost.
Background: Surgical stabilization of rib fractures (SSRF) improves outcomes in chest wall trauma. Geriatric patients are particularly vulnerable to poor outcomes; yet, this population is often excluded from SSRF studies. Further delineating patient outcomes by age is necessary to optimize care for the aging trauma population.
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