2014
Benchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB)
Haider A, Hashmi Z, Gupta S, Zafar S, David J, Efron D, Stevens K, Zafar H, Schneider E, Voiglio E, Coimbra R, Haut E. Benchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB). World Journal Of Surgery 2014, 38: 1882-1891. PMID: 24817407, DOI: 10.1007/s00268-014-2629-5.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBenchmarkingDatabases, FactualDeveloped CountriesDeveloping CountriesFeasibility StudiesFemaleFranceGlobal HealthHospital MortalityHumansLogistic ModelsMaleMiddle AgedPakistanRegistriesTrauma CentersWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsTrauma Data BankTrauma mortalityTrauma centerMortality ratioTrauma outcomesNational Trauma Data BankTrauma dataE mortality ratioNational Trauma RegistryMultivariable logistic regressionBlunt/Worse survivalTrauma registrySubset analysisPatient outcomesTrauma carePatientsLMIC centerLogistic regressionKey covariatesOutcomesInjuryMortalityPredictorsSimilar resultsBenchmarking 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
Minority Trauma Patients Tend to Cluster at Trauma Centers with Worse-Than-Expected Mortality
Haider A, Hashmi Z, Zafar S, Hui X, Schneider E, Efron D, Haut E, Cooper L, MacKenzie E, Cornwell E. Minority Trauma Patients Tend to Cluster at Trauma Centers with Worse-Than-Expected Mortality. Annals Of Surgery 2013, 258: 572-581. PMID: 23979271, PMCID: PMC5995334, DOI: 10.1097/sla.0b013e3182a50148.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBlack or African AmericanDatabases, FactualFemaleHealth Status DisparitiesHealthcare DisparitiesHispanic or LatinoHospital MortalityHumansInjury Severity ScoreLogistic ModelsMaleMiddle AgedMinority HealthMultivariate AnalysisOutcome Assessment, Health CareTrauma CentersUnited StatesWhite PeopleWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsTrauma centerNational Trauma Data Bank 2007High mortalityLevel I/II trauma centersPatient/injury characteristicsE mortality ratioPatients 16 yearsInjury Severity ScoreMultivariate logistic regressionIndividual trauma centersNumber of deathsBlunt/Trauma patientsBlack patientsInjury characteristicsSeverity scoreMortality ratioTraumatic injuryLower mortalityLogistic regressionPatientsRacial disparitiesMortalityInjurySurvivalReliability adjustment
Hashmi Z, Dimick J, Efron D, Haut E, Schneider E, Zafar S, Schwartz D, Cornwell E, Haider A. Reliability adjustment. Journal Of Trauma And Acute Care Surgery 2013, 75: 166-172. PMID: 23940864, PMCID: PMC3989535, DOI: 10.1097/ta.0b013e318298494f.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedBenchmarkingCause of DeathDatabases, FactualFemaleHospital MortalityHumansInjury Severity ScoreMaleMiddle AgedOutcome Assessment, Health CareQuality ImprovementReproducibility of ResultsRisk AdjustmentSurvival AnalysisTrauma CentersUnited StatesWounds and InjuriesWounds, NonpenetratingWounds, PenetratingYoung AdultConceptsRisk-adjusted mortality ratesInjury Severity ScoreLow-volume centersMortality rateNational Trauma Data Bank 2010National Trauma Data BankReliability adjustmentHierarchical logistic regression modelingPatients 16 yearsRisk-adjusted mortalityTrauma Data BankNumber of patientsLogistic regression modelingHospital performance assessmentRisk adjustment methodsTrauma centerSeverity scoreVolume centersMortality ratioWorst quintileInterfacility variationNational cost of trauma care by payer status
Velopulos C, Enwerem N, Obirieze A, Hui X, Hashmi Z, Scott V, Cornwell E, Schneider E, Haider A. National cost of trauma care by payer status. Journal Of Surgical Research 2013, 184: 444-449. PMID: 23800441, PMCID: PMC5995319, DOI: 10.1016/j.jss.2013.05.068.Peer-Reviewed Original ResearchConceptsPayer statusTrauma carePrivate insuranceNationwide Inpatient SamplePatient case mixUS dollar equivalentsPatient characteristicsNinth RevisionPresent studyInpatient costsHospital characteristicsInpatient SampleClinical ModificationTraumatic injuryPayer perspectiveRetrospective analysisSample patientsInternational ClassificationType of insuranceEconomic burdenCase mixPatientsNational population estimatesTrauma costTeaching statusCounting the lives lost: how many black trauma deaths are attributable to disparities?
Scott V, Hashmi Z, Schneider E, Hui X, Efron D, Cornwell E, Cooper L, Haider A. Counting the lives lost: how many black trauma deaths are attributable to disparities? Journal Of Surgical Research 2013, 184: 480-487. PMID: 23827793, PMCID: PMC5995316, DOI: 10.1016/j.jss.2013.04.080.Peer-Reviewed Original ResearchConceptsBlack patientsRisk of mortalityTrauma deathsRelative riskLevel IWhite patientsNational Trauma Data BankLevel II trauma centerRacial disparitiesTrauma center deathsTrauma Data BankWhite malesNumber of deathsTrauma centerExcess mortalityTrauma outcomesRetrospective analysisOutcome disparitiesPatientsExcess deathsMortalityDeathRiskInjuryBlunt
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