2018
Malnutrition increases the risk of 30-day complications after surgery in pediatric patients with Crohn disease
Ladd MR, Garcia AV, Leeds IL, Haney C, Oliva-Hemker MM, Alaish S, Boss E, Rhee DS. Malnutrition increases the risk of 30-day complications after surgery in pediatric patients with Crohn disease. Journal Of Pediatric Surgery 2018, 53: 2336-2345. PMID: 29843908, PMCID: PMC8841062, DOI: 10.1016/j.jpedsurg.2018.04.026.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolCrohn DiseaseDigestive System Surgical ProceduresElective Surgical ProceduresFemaleHumansMaleMalnutritionPostoperative ComplicationsRisk AssessmentRisk FactorsSeverity of Illness IndexConceptsCrohn's diseaseAge z-scoreBowel surgeryPediatric patientsACS NSQIP-Pediatric databaseZ-scoreMajor bowel surgeryNSQIP-Pediatric databaseOdds of complicationsOverall complication ratePediatric CD patientsDegree of malnutritionSeverity of malnutritionEffects of malnutritionCDC growth chartsEffects of malnourishmentASA classImportant screening toolMalnutrition effectsPostoperative complicationsCD patientsComplication rateElective surgeryMultivariable analysisSevere malnutrition
2017
The independent effect of cancer on outcomes: a potential limitation of surgical risk prediction
Leeds IL, Canner JK, Efron JE, Ahuja N, Haut ER, Wick EC, Johnston FM. The independent effect of cancer on outcomes: a potential limitation of surgical risk prediction. Journal Of Surgical Research 2017, 220: 402-409.e6. PMID: 28923559, PMCID: PMC5712450, DOI: 10.1016/j.jss.2017.08.039.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overDigestive System Surgical ProceduresFemaleGastrointestinal NeoplasmsHumansMaleMiddle AgedRisk AssessmentUnited StatesConceptsCancer patientsDiagnosis of cancerBenign diseaseCancer populationNational Surgical Quality Improvement Program 2005Chronic obstructive pulmonary diseaseSurgical risk modelsSurgical risk predictionObstructive pulmonary diseaseWorse surgical outcomesMalignant gastrointestinal diseasesOdds of deathHigh complication rateMultivariable logistic regressionParticipant Use FileRisk of deathPrimary procedure codeHigh mortality rateComplication rateSurgical complicationsIndependent predictorsMultiple complicationsPulmonary diseaseElective surgeryNoncancer patients
2016
Preparing enhanced recovery after surgery for implementation in pediatric populations
Leeds IL, Boss EF, George JA, Strockbine V, Wick EC, Jelin EB. Preparing enhanced recovery after surgery for implementation in pediatric populations. Journal Of Pediatric Surgery 2016, 51: 2126-2129. PMID: 27663124, PMCID: PMC5373552, DOI: 10.1016/j.jpedsurg.2016.08.029.Peer-Reviewed Original ResearchConceptsERAS pathwayERAS programSurgery patientsSurgical outcomesColorectal surgery patientsPediatric surgery patientsLength of stayEfficiency of careEvidence-based best practicesComplication rateERAS principlesPerioperative carePediatric populationPatient satisfactionClinical pathwayPediatric providersSurgery programPatient's familyAdult evidenceLimited direct evidencePatientsSurgeryOutcomesCareDirect evidence