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Eric J. Charles
University of Virginia
68Publications
10H-index
240Citations
Publications 68
Newest
#1James H. Mehaffey (University of Virginia Health System)H-Index: 10
#2Robert B. Hawkins (University of Virginia Health System)H-Index: 7
Last.Peter T. Hallowell (University of Virginia Health System)H-Index: 11
view all 6 authors...
Abstract Background Surgical outcomes are affected by socioeconomic status, yet these factors are poorly accounted for in clinical databases. We sought to determine if the Distressed Communities Index (DCI), a composite ranking by zip code that quantifies socioeconomic risk, was associated with long-term survival after bariatric surgery. Methods All patients undergoing Roux-en-Y gastric bypass (1985-2004) at a single institution were paired with DCI. Scores range from 0 (no distress) to 100 (sev...
#1Carrie A. Foster (VCU: Virginia Commonwealth University)
#2Eric J. Charles (UVA: University of Virginia)H-Index: 10
Last.R. Scott Jones (UVA: University of Virginia)H-Index: 24
view all 6 authors...
Background Postoperative pulmonary complications (PPCs; unplanned reintubation, postoperative pneumonia, and failure to liberate from mechanical ventilation within 48 hours), contribute significantly to increased rates of morbidity and mortality. Procedure type is an important factor that contributes risk in generalized PPC prediction models. The objective of this study was to develop and validate procedure-specific risk scores for the six procedures with highest rates of PPCs. Study Design Amer...
#1James H. Mehaffey (UVA: University of Virginia)H-Index: 10
#2Robert B. Hawkins (UVA: University of Virginia)H-Index: 7
Last.Gorav Ailawadi (UVA: University of Virginia)H-Index: 42
view all 13 authors...
Background Socioeconomic status affects surgical outcomes, however these factors are not included in clinical quality improvement data and risk models. We performed a prospective registry analysis to determine if the Distressed Communities Index (DCI), a composite socioeconomic ranking by zip code, could predict risk-adjusted surgical outcomes and resource utilisation. Methods All patients undergoing surgery (n=44,451) in a regional quality improvement database (American College of Surgeons-Nati...
#1Robert B. Hawkins (UVA: University of Virginia)H-Index: 7
#2Eric J. Charles (UVA: University of Virginia)H-Index: 10
Last.Margaret C. Tracci (UVA: University of Virginia)H-Index: 7
view all 8 authors...
Abstract Objective Several studies have demonstrated that socioeconomic factors may affect surgical outcomes. Analyses in vascular surgery have been limited by the availability of individual or community-level socioeconomic data. We sought to determine whether the Distressed Communities Index (DCI), a composite socioeconomic ranking by ZIP code, could predict short- and long-term outcomes for patients with peripheral artery disease. Methods All Virginia Quality Initiative patients (n = 2578) und...
#1William J. Kane (UVA: University of Virginia)
#2Eric J. Charles (UVA: University of Virginia)H-Index: 10
Last.Zequan Yang (UVA: University of Virginia)H-Index: 27
view all 7 authors...
Abstract Background As robotic surgery becomes more ubiquitous, determining clinical benefit is necessary to justify the cost and time investment required to become proficient. We hypothesized that robotic cholecystectomy would be associated with improved clinical outcomes but also increased cost as compared with standard laparoscopic cholecystectomy. Materials and Methods All patients undergoing robotic or laparoscopic cholecystectomy at a single academic hospital between 2007 and 2017 were ide...
#1Adishesh K. Narahari (University of Virginia Health System)H-Index: 5
#2Ian O. Cook (University of Virginia Health System)
Last.Nicholas R. Teman (University of Virginia Health System)H-Index: 2
view all 12 authors...
Abstract Objective National Institutes of Health (NIH) funding is becoming increasingly difficult to obtain. We sought to determine trends in NIH funding for cardiac surgeons hypothesizing they are at a disadvantage in obtaining funding due to intensive clinical demands. Methods Cardiac surgeons (adult/congenital) currently at the top 141 NIH-funded institutions were identified using institutional websites. The NIH funding history for each cardiac surgeon was queried using NIH Research Portfolio...
Abstract Background Sternal wound infections (SWIs) can be a devastating long-term complication with significant morbidity and health care cost. The purpose of this analysis was to evaluate the cost-effectiveness of negative pressure incision management systems (NPIMS) in cardiac surgery. Materials and methods All cardiac surgery cases at an academic hospital with risk scores available (2009-2017) were extracted from an institutional database ( n = 4455). Patients were stratified by utilization ...
#1James H. Mehaffey (UVA: University of Virginia)H-Index: 10
#2Robert B. Hawkins (UVA: University of Virginia)H-Index: 7
Last.Gorav Ailawadi (UVA: University of Virginia)H-Index: 42
view all 9 authors...
Abstract Objectives While low socioeconomic status has been associated with increased risk of complications after cardiac surgery, analyses have typically focused on insurance status, race or median income. We sought to determine if the Distressed Communities Index (DCI), a composite socioeconomic metric, could predict operative mortality following coronary artery bypass grafting (CABG). Methods All patients who underwent isolated CABG (2011-2018) in the national Society of Thoracic Surgeons (ST...
#1James H. Mehaffey (UVA: University of Virginia)H-Index: 10
#2Robert B. Hawkins (UVA: University of Virginia)H-Index: 7
Last.Nicholas R. Teman (UVA: University of Virginia)H-Index: 8
view all 9 authors...
Abstract Background Currently, reporting on cardiac surgical outcomes focus on a patient's status at 30 days and lack long-term meaningful data. The purpose of this study was to determine the impact of complications after cardiac surgery on patient-reported outcomes (PRO) at one-year after surgery. Methods All patients undergoing cardiac surgery at an academic institution (2014-2015) were contacted one year after surgery to obtain vital status, location and PRO using the validated Patient-Report...
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