2015
Outcomes of trauma care at centers treating a higher proportion of older patients
Zafar S, Obirieze A, Schneider E, Hashmi Z, Scott V, Greene W, Efron D, MacKenzie E, Cornwell E, Haider A. Outcomes of trauma care at centers treating a higher proportion of older patients. Journal Of Trauma And Acute Care Surgery 2015, 78: 852-859. PMID: 25742246, DOI: 10.1097/ta.0000000000000557.Peer-Reviewed Original ResearchConceptsOlder trauma patientsOlder patientsTrauma patientsTrauma centerLevel 2 trauma centerMultivariate logistic regression modelRisk-adjusted mortality ratioYoung adultsGeriatric trauma patientsAdult trauma patientsBurden of injuryLength of stayObserved-expected ratioTrauma center performanceHigher proportionLogistic regression modelsGeriatric traumaYounger patientsTrauma deathsMortality ratioTrauma visitsTrauma careEpidemiologic studiesPatientsBetter outcomes
2014
Unconscious race and class bias
Haider A, Schneider E, Sriram N, Dossick D, Scott V, Swoboda S, Losonczy L, Haut E, Efron D, Pronovost P, Freischlag J, Lipsett P, Cornwell E, MacKenzie E, Cooper L. Unconscious race and class bias. Journal Of Trauma And Acute Care Surgery 2014, 77: 409-416. PMID: 25159243, DOI: 10.1097/ta.0000000000000392.Peer-Reviewed Original ResearchConceptsAcute care surgeonsSurgery of TraumaClinical decisionTrauma/acute care surgeonsEastern AssociationImplicit Association TestUnconscious raceProspective web-based surveyPhysicians' clinical decisionsLogistic regression analysisSurgeons' clinical decisionClinical vignettesImplicit biasesIAT scoresUnconscious preferenceMultivariable analysisPatient raceRace Implicit Association TestUnivariate analysisClinical assessmentPatient managementEpidemiologic studiesWeb-based surveyLevel IIWhite personsBenchmarking trauma centers on mortality alone does not reflect quality of care
Hashmi Z, Schneider E, Castillo R, Haut E, Zafar S, Cornwell E, MacKenzie E, Latif A, Haider A. Benchmarking trauma centers on mortality alone does not reflect quality of care. Journal Of Trauma And Acute Care Surgery 2014, 76: 1184-1191. PMID: 24747447, DOI: 10.1097/ta.0000000000000215.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBenchmarkingCause of DeathDatabases, FactualFemaleHealth Care SurveysHospital MortalityHumansInjury Severity ScoreMaleMiddle AgedQuality of Health CareReimbursement, IncentiveRisk AdjustmentSensitivity and SpecificitySurvival AnalysisTrauma CentersUnited StatesWounds and InjuriesWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsInjury Severity ScoreTrauma centerNational Trauma Data BankPatients 16 yearsHigh complication rateRisk of deathTrauma Data BankHospital performance rankingsQuality of careUnadjusted morbidityPerformance statusComplication rateMajor complicationsMorbidity outcomesMortality outcomesSeverity scoreMorbidity ratioMortality ratioEpidemiologic studiesMorbidityMorbidity analysisMortality rateLevel IIIPoor concordanceComplications
2013
State-by-state variation in emergency versus elective colon resections: Room for improvement
Obirieze A, Kisat M, Hicks C, Oyetunji T, Schneider E, Gaskin D, Haut E, Efron D, Cornwell E, Haider A. State-by-state variation in emergency versus elective colon resections: Room for improvement. Journal Of Trauma And Acute Care Surgery 2013, 74: 1286-1291. DOI: 10.1097/01586154-201305000-00015.Peer-Reviewed Original ResearchElective colon resectionColon surgeryColon resectionOdds ratioElective colon surgeryEmergency colon surgeryNationwide Inpatient SampleFinal study cohortElective surgical proceduresDischarge-level weightsSubstantial state variationsElective colectomyEmergency colectomyAdult patientsHospital factorsStudy cohortEmergent proceduresNational averageInpatient SampleColon operationsUnadjusted proportionRetrospective analysisSurgical proceduresEpidemiologic studiesLevel III
2012
Epidemiology of moderate-to-severe penetrating versus closed traumatic brain injury in the Iraq and Afghanistan wars
Orman J, Geyer D, Jones J, Schneider E, Grafman J, Pugh M, DuBose J. Epidemiology of moderate-to-severe penetrating versus closed traumatic brain injury in the Iraq and Afghanistan wars. Journal Of Trauma And Acute Care Surgery 2012, 73: s496-s502. PMID: 23192076, DOI: 10.1097/ta.0b013e318275473c.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Age DistributionBrain InjuriesChi-Square DistributionFemaleHumansIncidenceInjury Severity ScoreIraq War, 2003-2011MaleMass Casualty IncidentsMiddle AgedPrognosisRegistriesRetrospective StudiesSex DistributionStatistics, NonparametricSurvival AnalysisUnited StatesWarfareWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsClosed traumatic brain injuryTraumatic brain injuryBrain injuryInjury severityAbbreviated Injury Scale scoreSevere closed traumatic brain injuryCombat-related traumatic brain injuryJoint Theater Trauma RegistryInjury Scale scoreOverall injury severitySevere penetratingPatients meeting criteriaSevere brain injuryAnatomic injury severityTrauma registry dataMaximum Abbreviated Injury Scale scoreTrauma registrySurgical interventionSurveillance definitionsRegistry dataTBI severityEpidemiologic studiesNeck woundsMeeting criteriaScale score