Objective: To report the 30-day outcomes of patients with perioperative SARS-CoV-2 infection undergoing surgery in the USA. Background: Uncertainty regarding the postoperative risks of patients with SARS-CoV-2 exists. Methods: As part of the COVIDSurg multicenter study, all patients aged ≥17 years undergoing surgery between January 1 and June 30, 2020 with perioperative SARS-CoV-2 infection in 70 hospitals across 27 states were included. The primary outcomes were 30-day mortality and pulmonary complications. Multivariable analyses (adjusting for demographics, comorbidities, and procedure characteristics) were performed to identify predictors of mortality. Results: A total of 1581 patients were included; more than half of them were males (n = 822, 52.0%) and older than 50 years (n = 835, 52.8%). Most procedures (n = 1261, 79.8%) were emergent, and laparotomies (n = 538, 34.1%). The mortality and pulmonary complication rates were 11.0 and 39.5%, respectively. Independent predictors of mortality included age ≥70 years (odds ratio 2.46, 95% confidence interval [1.65-3.69]), male sex (2.26 [1.53-3.35]), ASA grades 3-5 (3.08 [1.60-5.95]), emergent surgery (2.44 [1.31-4.54]), malignancy (2.97 [1.58-5.57]), respiratory comorbidities (2.08 [1.30-3.32]), and higher Revised Cardiac Risk Index (1.20 [1.02-1.41]). While statewide elective cancelation orders were not associated with a lower mortality, a sub-analysis showed it to be associated with lower mortality in those who underwent elective surgery (0.14 [0.03-0.61]). Conclusions: Patients with perioperative SARS-CoV-2 infection have a significantly high risk for postoperative complications, especially elderly males. Postponing elective surgery and adopting non-operative management, when reasonable, should be considered in the USA during the pandemic peaks.

Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA. A Prospective Multicenter Study / Osaid, Alser; Ander Dorken Gallastegi, ; Anthony, Gebran; Kerry, Breen; Mohamad El Moheb, ; Apostolos, Gaitanidis; Leon, Naar; Brittany, Bankhead-Kendall; Hassan, Mashbari; Robert, D Sinyard; Lydia, R Maurer; Charu, Paranjape; George, C Velmahos; Dmitri, Nepogodiev; Aneel, Bhangu; Haytham M, A Kaafarani; Kwabena, Siaw-Acheampong; Leah, Argus; Daoud, Chaudhry; Brett, E Dawson; James, C Glasbey; Rohan, R Gujjuri; Conor, S Jones; Sivesh, K Kamarajah; Chetan, Khatri; James, M Keatley; Samuel, Lawday; Elizabeth, Li; Harvinder, Mann; Ella, J Marson; Kenneth, A Mclean; Maria, Picciochi; Elliott, H Taylor; Abhinav, Tiwari; Joana F, F Simoes; Isobel, M Trout; Mary, L Venn; Richard J, W Wilkin; Aneel, Bhangu; Dmitri, Nepogodiev; Irida, Dajti; Arben, Gjata; Oussama, Kacimi; Luis, Boccalatte; Maria Marta Modolo, ; Daniel, Cox; Peter, Pockney; Philip, Townend; Felix, Aigner; Irmgard, Kronberger; Ahmed, Elgun; Amer, Alderazi; Kamral, Hossain; Greg, Padmore; Gabrielle, Vanramshorst; Ismail, Lawani; Duane, Wedderburn; Sonam, Dargay; Israël, Feraudy; Cerovac, Anis; Samir, Delibegovic; Alemayehu Ginbo Bedada, ; Gustavo, Ataide; Glauco, Baiocchi; Igor, Buarque; Muhammad, Gohar; Mihail, Slavchev; Jean Marie Vianney Butoyi, ; Chukwuemeka, Nwegbu; Arnav, Agarwal; Amanpreet, Brar; Janet, Martin; Maria Marta Modolo, ; Maricarmen, Olivos; Dong-Lin, Ren; Wenhui, Lou; Jose, Calvache; Carlos Jose Perez Rivera, ; Ana Danic Hadzibegovic, ; Tomislav, Kopjar; Jakov, Mihanovic; Pablo, Avilés; Nikolaos, Gouvas; Jaroslav, Klat; René, Novysedlak; Nicolas, Amisi; Peter, Christensen; Alaa, El-Hussuna; Sylvia, Batista; Eddy, Lincango; Sameh, H Emile; Danilo Alfonso Arévalo Sandoval, ; Mengistu Gebreyohanes Mengesha, ; Samuel, Hailu; Hailu, Tamiru; Joonas, Kauppila; Johanna, Laukkarinen; Alexis, Arnaud; Roumanatou Bankole Sapin, ; Kebba, Marenah; Zaza, Demetrashvili; Andreas, A Schnitzbauer; Magdalena, Gruendl; Markus, Albertsmeiers; Hans, Lederhuber; Markus, Loffler; Bernard Ofori Appiah, ; Daniel, Acquah; Stephen, Tabiri; Symeon, Metallidis; Georgios, Tsoulfas; Maria Aguilera Lorena, ; Gustavo, Grecinos; Tamas, Mersich; Daniel, Wettstein; Atul, Suroy; Dhruv, Ghosh; Pranay, Pawar; Gabriele, Kembuan; Peiman, Brouk; Mohammad, Khosravi; Masoud, Mozafari; Ahmed, Adil; Helen, M Mohan; Oded, Zmora; Marco, Fiore; Gallo, G; Pata, Francesco; Gianluca, Pellino; Naoto, Kuroda; Sohei, Satoi; Yuki, Fujimoto; Faris, Ayasra; Mohammad, Chaar; Ildar, R Fakhradiyev; Intisar, Hisham; Jin-Young, Jang; Enver, Fekaj; Mohammad, Jamal; Anvar, Beisembaev; Muhammed, Elhadi; Aiste, Gulla; Luc, Samison; Jupsi, Neny; Palesa, Chisala; April, Roslani; Iran Irani Duran Sanchez, ; Laura Martinez Perez Maldonado, ; Antonio Ramos De La Medina, ; Jade, Nunez; Oumaima, Outani; Abd'Rashid, Nashidengo; Ashish Lal Shrestha, ; Rakesh, Shah; Pascal, Jonker; Schelto, Kruijff; Milou, Noltes; Pieter, Steinkamp; Willemijn van der Plas, ; Chris, Varghese; Deborah, Wright; Jorge, Neira; Adesoji, Ademuyiwa; Babatunde, Osinaike; Justina, Seyi-Olajide; Emmanuel, Williams; Sofija, Pejkova; Knut Magne Augestad, ; Kjetil, Soreide; Zainab Al Balushi, ; Ahmad, Qureshi; Raza, Sayyed; Mustafa Abu Mohsen Daraghmeh, ; Sadi, Abukhalaf; Moises, Cukier; Chris, Munguas; Hugo, Gomez; Sebastian, Shu; Ximena, Vasquez; Marie Dione Parreno-Sacdalan, ; Piotr, Major; José, Azevedo; Miguel, Cunha; Irene, Santos; Ahmad, Zarour; Eduard-Alexandru, Bonci; Ionut, Negoi; Sergey, Efetov; Andrey, Litvin; Faustin, Ntirenganya; Ehab, Alameer; Abdourahmane, Ndong; Dejan, Radenkovic; Ibrahim, Sesay; Frederick Koh Hong Xiang, ; Chew Min Hoe, ; James Ngu Chi Yong, ; Arpad, Panyko; Jurij, Kosir; Uros, Bele; Hassan, Ali; Rachel, Moore; Ncamsile, Nhlabathi; Ruth Blanco Colino, ; Ana Minaya Bravo, ; Umesh, Jayarajah; Dakshitha, Wickramasinghe; Mohammed, Elmujtaba; William, Jebril; Martin, Rutegård; Malin, Sund; Eleftherios, Gialamas; Karoline, Horisberger; Michel, Adamina; Muhammad, Alshaar; Abel, Huang; Ben, Mbwele; Varut, Lohsiriwat; Shane, Charles; Haithem, Jlassi; Arda, Isik; Sezai, Leventoğlu; Lekuya, Herve; Lekuya, Monka; Herman, Lule; Tom E, F Abbott; Ruth, Benson; Caruna, Ed; Sohini, Chakrabortee; Andreas, Demetriades; Anant, Desai; Thomas, D Drake; John, G Edwards; Jonathan, P Evans; Samuel, Ford; Christina, Fotopoulou; Ewen, Griffiths; Peter, Hutchinson; Michael, D Jenkinson; Tabassum, Khan; Stephen, Knight; Angelos, Kolias; Elaine, Leung; Siobhan, Mckay; Lisa, Norman; Riinu, Ots; Vidya, Raghavan; Keith, Roberts; Andrew, Schache; Richard, Shaw; Katie, Shaw; Neil, Smart; Grant, Stewart; Sudha, Sundar; Dale, Vimalchandran; Naomi, Wright; Slava, Kopetskiy; Sattar, Alshryda; Osaid, Alser; Kerry, Breen; Ian, Ganly; Haytham, Kaafarani; Brittany, Kendall; Hassan, Mashbari; Fernando, Bonilla; Hamza Al Naggar, ; Mayaba, Maimbo; Dennis, Mazingi; Joana F, F Simoes; J Wong, J; Napolitano, L; Hemmila, M; Amin, D; Abramowicz, S; M Roser, S; A Olson, K; Riley, C; Heron, C; Cardenas, T; Leede, E; Thornhill, M; B Haynes, A; Mcelhinney, K; Roward, S; D Trust, M; E Hill, C; G Teixeira, P; Etchill, E; Stevens, K; R Ladd, M; Long, C; Rose, J; Kent, A; Yesantharao, P; Vervoort, D; Jenny, H; Gabre-Kidan, A; Margalit, A; Tsai, L; Malapati, H; Yesantharao, L; Abdou, H; Diaz, J; Richmond, M; Clark, J; O'Meara, L; Hanna, N; Ying, Y; Fleming, J; Ovaitt, A; Gigliotti, J; Fuson, A; Cooper, Z; Salim, A; A Hirji, S; Brown, A; Chung, C; Hansen, L; U Okafor, B; Roxo, V; P Raut, C; S Jolissaint, J; A Mahvi, D; Kaafarani, H; Breen, K; Bankhead-Kendall, B; Alser, O; Mashbari, H; Velmahos, G; R Maurer, L; M El Moheb, ; Gaitanidis, A; Naar, L; A Christensen, M; Kapoen, C; Langeveld, K; M El Hechi, ; Mokhtari, A; H Haqqani, M; T Drake, F; Goldenberg-Sandau, A; Galbreath, B; Reinke, C; Ross, S; Thompson, K; Manning, D; Perkins, R; Eriksson, E; Evans, H; Masrur, M; Giulianotti, P; Benedetti, E; Chang, G; Ourieff, J; Dehart, D; Dorafshar, A; Price, T; R Bhama, A; Torquati, A; Cherullo, E; Kennedy, R; Myers, J; Rubin, K; S Ban, V; G Aoun, S; H Batjer, H; Caruso, J; Carmichael, H; G Velopulos, C; L Wright, F; Urban, S; C McIntyre Jr, R; J Schroeppel, T; A Hennessy, E; Dunn, J; Zier, L; Burlew, C; Coleman, J; P Colling, K; Hall, B; E Rice, H; S Hwang, E; A Olson, S; Moris, D; Verma, R; Hassan, R; Volpe, A; Merola, S; A O'Banion, L; Lilienstein, J; Dirks, R; Marwan, H; Almasri, M; Kulkarni, G; Mehdi, M; Abouassi, A; Abdallah, M; M San Andrés, ; Eid, J; Aigbivbalu, E; Sundaresan, J; George, B; Ssentongo, A; Ssentongo, P; S Oh, J; Hazelton, J; Maines, J; Gusani, N; Garner, M; Horvath, S; Zheng, F; Ujiki, M; Kinnaman, G; Meagher, A; Sharma, I; Holler, E; Mckenzie, K; Chan, J; Fretwell, K; W Nugent 3rd, ; Khalil, A; Chen, D; Post, N; Rostkowski, T; Brahmbhatt, D; Huynh, K; L Hibbard, M; Schellenberg, M; R C, G Martin; Bhutiani, N; Giorgakis, E; Laryea, J; Bhavaraju, A; Sexton, K; Roberts, M; Kost, M; Kimbrough, M; Burdine, L; Kalkwarf, K; Robertson, R; Gosain, A; Camp, L; Lewit, R; P Kronenfeld, J; Urrechaga, E; Goel, N; Rattan, R; Hart, V; Allen, M; Gilna, G; Cioci, A; Ruiz, G; Allen, M; Rakoczy, K; Pavlis, W; Saberi, R; Morris, R; S Karam, B; C E, M Brathwaite; Liu, H; Petrone, P; Hakmi, H; H Sohail, A; Baltazar, G; Heckburn, R; M Nygaard, R; T Colonna, E; W Endorf, F; J Hill, M; Maiga, A; Dennis, B; H Levin, J; Lallemand, M; Choron, R; Peck, G; Soliman, F; Rehman, S; Glass, N; Juthani, B; Deisher, D; M Ruzgar, N; J Ullrich, S; Sion, M; Paranjape, C; M El Moheb, ; R Kar, A; Gillezeau, C; Rapp, J; Taioli, E; A Miles, B; Alpert, N; Podolsky, D; L Coleman, N; P Callahan, M; Ganly, I; Brown, L; J R, T Monson; Dehal, A; Abbas, A; Soliman, A; Kim, B; Jones, C; D Dauer, M; Renza-Stingone, E; Hernandez, E; Gokcen, E; Kropf, E; Sufrin, H; Hirsch, H; Ross, H; Engel, J; Sewards, J; Diaz, J; Poggio, J; Sanserino, K; Rae, L; Philp, M; Metro, M; Mcnelis, P; Petrov, R; Rehman, S; Pazionis, T; Till, B; Lamm, R; J Rios-Diaz, A; Palazzo, F; Rosengart, M; Nicholson, K; M Carrick, M; Rodkey, K; Suri, A; Callcut, R; Nicholson, S; Talathoti, N; Klaristenfeld, D; Biffl, W; Marsh, C; Schaffer, K; E Berndtson, A; Averbach, S; Curry, T; Kwan-Feinberg, R; Consorti, E; Gonzalez, R; Grolman, R; Liu, T; Merzlikin, O; K Abel, M; Ozgediz, D; Boeck, M; Z Kornblith, L; Nunez-Garcia, B; Robinson, B; Park, P; F Utria, A; E Rice-Townsend, S; Javid, P; Hauptman, J; Kieran, K; Nehra, D; Walters, A; Cuschieri, J; H Davidson, G; Nunez, J; Cosker, R; Eckhouse, S; Choudhry, A; Marx, W; Jamil, T; Seegert, S; Al-Embideen, S; Quintana, M; Jackson, H; D Wexner, S; Kent, I; N Martins, P; Xiao, Liu; Alistair, Denniston. - In: ANNALS OF SURGERY. - ISSN 0003-4932. - 275:2(2022), pp. 247-251. [10.1097/SLA.0000000000005310]

Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA. A Prospective Multicenter Study

Gallo G;Francesco Pata;
2022

Abstract

Objective: To report the 30-day outcomes of patients with perioperative SARS-CoV-2 infection undergoing surgery in the USA. Background: Uncertainty regarding the postoperative risks of patients with SARS-CoV-2 exists. Methods: As part of the COVIDSurg multicenter study, all patients aged ≥17 years undergoing surgery between January 1 and June 30, 2020 with perioperative SARS-CoV-2 infection in 70 hospitals across 27 states were included. The primary outcomes were 30-day mortality and pulmonary complications. Multivariable analyses (adjusting for demographics, comorbidities, and procedure characteristics) were performed to identify predictors of mortality. Results: A total of 1581 patients were included; more than half of them were males (n = 822, 52.0%) and older than 50 years (n = 835, 52.8%). Most procedures (n = 1261, 79.8%) were emergent, and laparotomies (n = 538, 34.1%). The mortality and pulmonary complication rates were 11.0 and 39.5%, respectively. Independent predictors of mortality included age ≥70 years (odds ratio 2.46, 95% confidence interval [1.65-3.69]), male sex (2.26 [1.53-3.35]), ASA grades 3-5 (3.08 [1.60-5.95]), emergent surgery (2.44 [1.31-4.54]), malignancy (2.97 [1.58-5.57]), respiratory comorbidities (2.08 [1.30-3.32]), and higher Revised Cardiac Risk Index (1.20 [1.02-1.41]). While statewide elective cancelation orders were not associated with a lower mortality, a sub-analysis showed it to be associated with lower mortality in those who underwent elective surgery (0.14 [0.03-0.61]). Conclusions: Patients with perioperative SARS-CoV-2 infection have a significantly high risk for postoperative complications, especially elderly males. Postponing elective surgery and adopting non-operative management, when reasonable, should be considered in the USA during the pandemic peaks.
2022
COVID-19; COVIDSurg; elective surgery; emergency surgery; mortality; pulmonary complications
01 Pubblicazione su rivista::01a Articolo in rivista
Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA. A Prospective Multicenter Study / Osaid, Alser; Ander Dorken Gallastegi, ; Anthony, Gebran; Kerry, Breen; Mohamad El Moheb, ; Apostolos, Gaitanidis; Leon, Naar; Brittany, Bankhead-Kendall; Hassan, Mashbari; Robert, D Sinyard; Lydia, R Maurer; Charu, Paranjape; George, C Velmahos; Dmitri, Nepogodiev; Aneel, Bhangu; Haytham M, A Kaafarani; Kwabena, Siaw-Acheampong; Leah, Argus; Daoud, Chaudhry; Brett, E Dawson; James, C Glasbey; Rohan, R Gujjuri; Conor, S Jones; Sivesh, K Kamarajah; Chetan, Khatri; James, M Keatley; Samuel, Lawday; Elizabeth, Li; Harvinder, Mann; Ella, J Marson; Kenneth, A Mclean; Maria, Picciochi; Elliott, H Taylor; Abhinav, Tiwari; Joana F, F Simoes; Isobel, M Trout; Mary, L Venn; Richard J, W Wilkin; Aneel, Bhangu; Dmitri, Nepogodiev; Irida, Dajti; Arben, Gjata; Oussama, Kacimi; Luis, Boccalatte; Maria Marta Modolo, ; Daniel, Cox; Peter, Pockney; Philip, Townend; Felix, Aigner; Irmgard, Kronberger; Ahmed, Elgun; Amer, Alderazi; Kamral, Hossain; Greg, Padmore; Gabrielle, Vanramshorst; Ismail, Lawani; Duane, Wedderburn; Sonam, Dargay; Israël, Feraudy; Cerovac, Anis; Samir, Delibegovic; Alemayehu Ginbo Bedada, ; Gustavo, Ataide; Glauco, Baiocchi; Igor, Buarque; Muhammad, Gohar; Mihail, Slavchev; Jean Marie Vianney Butoyi, ; Chukwuemeka, Nwegbu; Arnav, Agarwal; Amanpreet, Brar; Janet, Martin; Maria Marta Modolo, ; Maricarmen, Olivos; Dong-Lin, Ren; Wenhui, Lou; Jose, Calvache; Carlos Jose Perez Rivera, ; Ana Danic Hadzibegovic, ; Tomislav, Kopjar; Jakov, Mihanovic; Pablo, Avilés; Nikolaos, Gouvas; Jaroslav, Klat; René, Novysedlak; Nicolas, Amisi; Peter, Christensen; Alaa, El-Hussuna; Sylvia, Batista; Eddy, Lincango; Sameh, H Emile; Danilo Alfonso Arévalo Sandoval, ; Mengistu Gebreyohanes Mengesha, ; Samuel, Hailu; Hailu, Tamiru; Joonas, Kauppila; Johanna, Laukkarinen; Alexis, Arnaud; Roumanatou Bankole Sapin, ; Kebba, Marenah; Zaza, Demetrashvili; Andreas, A Schnitzbauer; Magdalena, Gruendl; Markus, Albertsmeiers; Hans, Lederhuber; Markus, Loffler; Bernard Ofori Appiah, ; Daniel, Acquah; Stephen, Tabiri; Symeon, Metallidis; Georgios, Tsoulfas; Maria Aguilera Lorena, ; Gustavo, Grecinos; Tamas, Mersich; Daniel, Wettstein; Atul, Suroy; Dhruv, Ghosh; Pranay, Pawar; Gabriele, Kembuan; Peiman, Brouk; Mohammad, Khosravi; Masoud, Mozafari; Ahmed, Adil; Helen, M Mohan; Oded, Zmora; Marco, Fiore; Gallo, G; Pata, Francesco; Gianluca, Pellino; Naoto, Kuroda; Sohei, Satoi; Yuki, Fujimoto; Faris, Ayasra; Mohammad, Chaar; Ildar, R Fakhradiyev; Intisar, Hisham; Jin-Young, Jang; Enver, Fekaj; Mohammad, Jamal; Anvar, Beisembaev; Muhammed, Elhadi; Aiste, Gulla; Luc, Samison; Jupsi, Neny; Palesa, Chisala; April, Roslani; Iran Irani Duran Sanchez, ; Laura Martinez Perez Maldonado, ; Antonio Ramos De La Medina, ; Jade, Nunez; Oumaima, Outani; Abd'Rashid, Nashidengo; Ashish Lal Shrestha, ; Rakesh, Shah; Pascal, Jonker; Schelto, Kruijff; Milou, Noltes; Pieter, Steinkamp; Willemijn van der Plas, ; Chris, Varghese; Deborah, Wright; Jorge, Neira; Adesoji, Ademuyiwa; Babatunde, Osinaike; Justina, Seyi-Olajide; Emmanuel, Williams; Sofija, Pejkova; Knut Magne Augestad, ; Kjetil, Soreide; Zainab Al Balushi, ; Ahmad, Qureshi; Raza, Sayyed; Mustafa Abu Mohsen Daraghmeh, ; Sadi, Abukhalaf; Moises, Cukier; Chris, Munguas; Hugo, Gomez; Sebastian, Shu; Ximena, Vasquez; Marie Dione Parreno-Sacdalan, ; Piotr, Major; José, Azevedo; Miguel, Cunha; Irene, Santos; Ahmad, Zarour; Eduard-Alexandru, Bonci; Ionut, Negoi; Sergey, Efetov; Andrey, Litvin; Faustin, Ntirenganya; Ehab, Alameer; Abdourahmane, Ndong; Dejan, Radenkovic; Ibrahim, Sesay; Frederick Koh Hong Xiang, ; Chew Min Hoe, ; James Ngu Chi Yong, ; Arpad, Panyko; Jurij, Kosir; Uros, Bele; Hassan, Ali; Rachel, Moore; Ncamsile, Nhlabathi; Ruth Blanco Colino, ; Ana Minaya Bravo, ; Umesh, Jayarajah; Dakshitha, Wickramasinghe; Mohammed, Elmujtaba; William, Jebril; Martin, Rutegård; Malin, Sund; Eleftherios, Gialamas; Karoline, Horisberger; Michel, Adamina; Muhammad, Alshaar; Abel, Huang; Ben, Mbwele; Varut, Lohsiriwat; Shane, Charles; Haithem, Jlassi; Arda, Isik; Sezai, Leventoğlu; Lekuya, Herve; Lekuya, Monka; Herman, Lule; Tom E, F Abbott; Ruth, Benson; Caruna, Ed; Sohini, Chakrabortee; Andreas, Demetriades; Anant, Desai; Thomas, D Drake; John, G Edwards; Jonathan, P Evans; Samuel, Ford; Christina, Fotopoulou; Ewen, Griffiths; Peter, Hutchinson; Michael, D Jenkinson; Tabassum, Khan; Stephen, Knight; Angelos, Kolias; Elaine, Leung; Siobhan, Mckay; Lisa, Norman; Riinu, Ots; Vidya, Raghavan; Keith, Roberts; Andrew, Schache; Richard, Shaw; Katie, Shaw; Neil, Smart; Grant, Stewart; Sudha, Sundar; Dale, Vimalchandran; Naomi, Wright; Slava, Kopetskiy; Sattar, Alshryda; Osaid, Alser; Kerry, Breen; Ian, Ganly; Haytham, Kaafarani; Brittany, Kendall; Hassan, Mashbari; Fernando, Bonilla; Hamza Al Naggar, ; Mayaba, Maimbo; Dennis, Mazingi; Joana F, F Simoes; J Wong, J; Napolitano, L; Hemmila, M; Amin, D; Abramowicz, S; M Roser, S; A Olson, K; Riley, C; Heron, C; Cardenas, T; Leede, E; Thornhill, M; B Haynes, A; Mcelhinney, K; Roward, S; D Trust, M; E Hill, C; G Teixeira, P; Etchill, E; Stevens, K; R Ladd, M; Long, C; Rose, J; Kent, A; Yesantharao, P; Vervoort, D; Jenny, H; Gabre-Kidan, A; Margalit, A; Tsai, L; Malapati, H; Yesantharao, L; Abdou, H; Diaz, J; Richmond, M; Clark, J; O'Meara, L; Hanna, N; Ying, Y; Fleming, J; Ovaitt, A; Gigliotti, J; Fuson, A; Cooper, Z; Salim, A; A Hirji, S; Brown, A; Chung, C; Hansen, L; U Okafor, B; Roxo, V; P Raut, C; S Jolissaint, J; A Mahvi, D; Kaafarani, H; Breen, K; Bankhead-Kendall, B; Alser, O; Mashbari, H; Velmahos, G; R Maurer, L; M El Moheb, ; Gaitanidis, A; Naar, L; A Christensen, M; Kapoen, C; Langeveld, K; M El Hechi, ; Mokhtari, A; H Haqqani, M; T Drake, F; Goldenberg-Sandau, A; Galbreath, B; Reinke, C; Ross, S; Thompson, K; Manning, D; Perkins, R; Eriksson, E; Evans, H; Masrur, M; Giulianotti, P; Benedetti, E; Chang, G; Ourieff, J; Dehart, D; Dorafshar, A; Price, T; R Bhama, A; Torquati, A; Cherullo, E; Kennedy, R; Myers, J; Rubin, K; S Ban, V; G Aoun, S; H Batjer, H; Caruso, J; Carmichael, H; G Velopulos, C; L Wright, F; Urban, S; C McIntyre Jr, R; J Schroeppel, T; A Hennessy, E; Dunn, J; Zier, L; Burlew, C; Coleman, J; P Colling, K; Hall, B; E Rice, H; S Hwang, E; A Olson, S; Moris, D; Verma, R; Hassan, R; Volpe, A; Merola, S; A O'Banion, L; Lilienstein, J; Dirks, R; Marwan, H; Almasri, M; Kulkarni, G; Mehdi, M; Abouassi, A; Abdallah, M; M San Andrés, ; Eid, J; Aigbivbalu, E; Sundaresan, J; George, B; Ssentongo, A; Ssentongo, P; S Oh, J; Hazelton, J; Maines, J; Gusani, N; Garner, M; Horvath, S; Zheng, F; Ujiki, M; Kinnaman, G; Meagher, A; Sharma, I; Holler, E; Mckenzie, K; Chan, J; Fretwell, K; W Nugent 3rd, ; Khalil, A; Chen, D; Post, N; Rostkowski, T; Brahmbhatt, D; Huynh, K; L Hibbard, M; Schellenberg, M; R C, G Martin; Bhutiani, N; Giorgakis, E; Laryea, J; Bhavaraju, A; Sexton, K; Roberts, M; Kost, M; Kimbrough, M; Burdine, L; Kalkwarf, K; Robertson, R; Gosain, A; Camp, L; Lewit, R; P Kronenfeld, J; Urrechaga, E; Goel, N; Rattan, R; Hart, V; Allen, M; Gilna, G; Cioci, A; Ruiz, G; Allen, M; Rakoczy, K; Pavlis, W; Saberi, R; Morris, R; S Karam, B; C E, M Brathwaite; Liu, H; Petrone, P; Hakmi, H; H Sohail, A; Baltazar, G; Heckburn, R; M Nygaard, R; T Colonna, E; W Endorf, F; J Hill, M; Maiga, A; Dennis, B; H Levin, J; Lallemand, M; Choron, R; Peck, G; Soliman, F; Rehman, S; Glass, N; Juthani, B; Deisher, D; M Ruzgar, N; J Ullrich, S; Sion, M; Paranjape, C; M El Moheb, ; R Kar, A; Gillezeau, C; Rapp, J; Taioli, E; A Miles, B; Alpert, N; Podolsky, D; L Coleman, N; P Callahan, M; Ganly, I; Brown, L; J R, T Monson; Dehal, A; Abbas, A; Soliman, A; Kim, B; Jones, C; D Dauer, M; Renza-Stingone, E; Hernandez, E; Gokcen, E; Kropf, E; Sufrin, H; Hirsch, H; Ross, H; Engel, J; Sewards, J; Diaz, J; Poggio, J; Sanserino, K; Rae, L; Philp, M; Metro, M; Mcnelis, P; Petrov, R; Rehman, S; Pazionis, T; Till, B; Lamm, R; J Rios-Diaz, A; Palazzo, F; Rosengart, M; Nicholson, K; M Carrick, M; Rodkey, K; Suri, A; Callcut, R; Nicholson, S; Talathoti, N; Klaristenfeld, D; 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