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Marisa A. Bartz-Kurycki

University of South Florida

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KuoJen Tsao

Memorial Hermann

Kathryn T. Anderson

Memorial Hermann

Kevin P. Lally

Memorial Hermann

Mary T. Austin

The University of Texas MD Anderson Cancer Center

Akemi L. Kawaguchi

The University of Texas Health Science Center at Houston

Lillian S. Kao

The University of Texas Health Science Center at Houston

Dalya M. Ferguson

The University of Texas Health Science Center at Houston

Seyed A. Arshad

Medical College of Wisconsin

Matthew R. Greives

The University of Texas Health Science Center at Houston

Robert T. Russell

University of Alabama at Birmingham

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The University of Texas Health Science Center at Houston

Memorial Hermann

Harvard University

University of Colorado Denver

Boston Children's Hospital

Johns Hopkins University

American College of Surgeons

University of Alabama at Birmingham

University of Tennessee Health Science Center

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Healthcare Utilization Among Infants Discharged From the Neonatal Intensive Care Unit: A Descriptive Cost Analysis

Health Services Insights (2023)

Nutan B. Hebballi Elenir B.C. Avritscher Elisa I. Garcia Andrew P. Bain Marisa A. Bartz-Kurycki

The cost of readmissions of neonatal intensive care unit (NICU) graduates within 6 months and a year of their life is well-studied. However, the cost of readmissions within 90 days of NICU discharge is unknown. This study's objective was to estimate the overall and mean cost of healthcare use for unplanned hospital visits of NICU graduates within 90 days of discharge A retrospective review of all infants discharged between 1/1/2017 and 03/31/2017 from a large hospital system NICUs was conducted. All unplanned hospital visits (readmissions or stand-alone emergency department (ED) visits) occurring within 90 days post NICU discharge were included. The total and mean cost of unplanned hospital visits were computed and adjusted to 2021 US dollars. The total cost was estimated to be $785 804 with a mean of $1898 per patient. Hospital readmissions accounted for 98% ($768 718) of the total costs and ED visits for 2% ($17 086). The mean cost per readmission and stand-alone ED visit were $25 624 and $475 respectively. The highest mean total cost of unplanned hospital readmission was noted in extremely low birth weight infants ($25 295). Interventions targeted to reduce hospital readmissions after NICU discharge have the potential to significantly reduce healthcare costs for this patient population.

Hospital discharge

10.1177/11786329231169604

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Citations (1)

Association Between Hospital Volume and Surgical Outcomes after Hepato-pancreato-biliary Surgery Among US Veterans: A Veterans Affairs Surgical Quality Improvement Program Analysis

Journal of the American College of Surgeons (2021)

Yazan Ashouri Katherine L. Ho Helen Ho Marisa A. Bartz-Kurycki Chiu‐Hsieh Hsu

Veterans Affairs

10.1016/j.jamcollsurg.2021.08.288

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Citations (0)

Enhanced neonatal surgical site infection prediction model utilizing statistically and clinically significant variables in combination with a machine learning algorithm

The American Journal of Surgery (2018)

Marisa A. Bartz-Kurycki Charles Green Kathryn T. Anderson Adam C. Alder Brian T. Bucher

Predictability

Predictive modelling

10.1016/j.amjsurg.2018.07.041

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Citations (30)

Barriers to Transition to Home From the Neonatal Intensive Care Unit

The Journal of Perinatal & Neonatal Nursing (2021)

Nutan B. Hebballi Cameron G. Kerl Elisa I. Garcia Madelene J. Ottosen K. Kelly

The objective of this study was to explore the challenges faced by parents of former neonatal intensive care unit (NICU) patients in transitioning home from parents' and healthcare providers' perspective. We conducted semistructured individual and group interviews with parents of former NICU patients and healthcare providers. Themes from the individual interviews framed the group interviews' contents. The group interviews were recorded and transcribed, and thematic analysis was performed to identify themes. We conducted individual and group interviews with 16 parents and 33 inpatient and outpatient providers from November 2017 to June 2018. Individual interview participants identified several barriers experienced by parents when transitioning their infant home from the NICU including parental involvement and engagement during NICU stay and during the discharge process. Further exploration within group interviews revealed opportunities to improve discharge communication and processes, standardization of parental education that was lacking due to NICU resource constraints, support for parents' emotional state, and use of technology for infant care in the home. Parents of NICU patients face serious emotional, logistical, and knowledge challenges when transitioning their infant home from the NICU. Understanding and mitigating the challenges of transitioning infants from NICU to home require multistakeholder input from both parents and providers.

Thematic Analysis

10.1097/jpn.0000000000000570

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Citations (13)

Variability in perioperative evaluation and resource utilization in pediatric patients with suspected biliary dyskinesia: A multi-institutional retrospective cohort study

Journal of Pediatric Surgery (2019)

Sarah B. Cairo Arturo Aranda Marisa A. Bartz-Kurycki Katherine J. Baxter Patrick C. Bonasso

Institutional review board

10.1016/j.jpedsurg.2019.02.049

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Too much of a bad thing: Discharge opioid prescriptions in pediatric appendectomy patients

Journal of Pediatric Surgery (2018)

Kathryn T. Anderson Marisa A. Bartz-Kurycki Dalya M. Ferguson Akemi L. Kawaguchi Mary T. Austin

10.1016/j.jpedsurg.2018.08.034

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Citations (51)

Impact of facility type on survival after pancreatoduodenectomy for small pancreatic adenocarcinoma (≤ 2 cm)

The American Journal of Surgery (2020)

Felipe B. Maegawa Yazan Ashouri Marisa A. Bartz-Kurycki Maria Ahmad Elizabeth De La Rosa

10.1016/j.amjsurg.2020.10.022

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The Trends of Pediatric Facial Fractures Due to Violence in a Level One Trauma Population

Journal of Craniofacial Surgery (2019)

D’Arcy J. Wainwright Joseph Moffitt Marisa A. Bartz-Kurycki David Wainwright Kathryn B. Anderson

Pediatric facial fractures due to intentionally violent mechanisms represent a unique subset of facial fractures. The objective of our research is to identify how violence affects patterns of facial fractures and their management in pediatric patients.An IRB approved, retrospective study of our institution's pediatric patients ≤18 years of age who presented with ≥1 facial fracture due to violence from January 2006 to December 2015 was performed. Violence was defined as trauma intended to hurt another or self. Demographics, fractures, mechanism, concomitant injuries, and management were analyzed.The 1274 patients were diagnosed with facial fractures, with 235 of these due to violence (18%). These patients of violence (POV) had 332 fractures, with an average fracture per patient of 1.4 ± .0.8. The majority (86%) were male, Non-Hispanic African American (35%), and the average age was 15.9 ± 2.8 years. The most common fracture was the mandible (50% of patients) and most common mechanism was assault (76%). The POV were older, male, and of minority race/ethnic groups when compared to patients of non-violence (PONV) (P <0.01). The POV presented with fewer concomitant injuries, were less likely to be admitted to the intensive care unit, and more often surgically managed when compared to the PONV (P <0.01).This study represents the largest US, single institution, Level 1 trauma center study of pediatric facial fractures. Pediatric patients with facial fractures due to a violent mechanism represent a distinct category of trauma patients with a unique profile of injuries.

Facial trauma

Pediatric trauma

10.1097/scs.0000000000005613

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Citations (9)

Medullary thyroid carcinoma: recent advances in identification, treatment, and prognosis

Therapeutic Advances in Endocrinology and Metabolism (2021)

Marisa A. Bartz-Kurycki Omowunmi E. Oluwo Lilah F. Morris

Medullary thyroid carcinoma (MTC) is a neuroendocrine tumor that represents <5% of all thyroid malignancies and is generally more aggressive than differentiated thyroid cancer. The aim of this study is to provide an update, through review of clinical studies of patients with MTC published between January 1, 2016, and June 1, 2021, on recent advances in the diagnosis and treatment of MTC. This review focuses on updates in biochemical testing, imaging, hereditary disease, surgical management, adjuvant therapies, and prognosis. Recent advances reviewed herein have sought to diagnose MTC at earlier stages of disease, predict when patients with a hereditary syndrome may develop MTC, use functional imaging to assess for distant metastases, perform optimal initial surgery with appropriate lymphadenectomy, employ targeted systemic therapies for patients with progressive metastatic disease, and better predict patient-specific outcomes.

Medullary carcinoma

10.1177/20420188211049611

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Citations (24)

Let the right one in: High admission rate for low-acuity pediatric burns

Kathryn T. Anderson Marisa A. Bartz-Kurycki Grant M. Garwood Robert Martin Rigoberto Gutierrez

Triage

Body surface area

Vital signs

10.1016/j.surg.2018.06.046

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Citations (6)