2019
Variation in the use of MRI for cervical spine clearance: an opportunity to simultaneously improve clinical care and decrease cost
Albaghdadi A, Leeds IL, Florecki KL, Canner JK, Schneider EB, Sakran JV, Haut ER. Variation in the use of MRI for cervical spine clearance: an opportunity to simultaneously improve clinical care and decrease cost. Trauma Surgery & Acute Care Open 2019, 4: e000336. PMID: 31392284, PMCID: PMC6660802, DOI: 10.1136/tsaco-2019-000336.Peer-Reviewed Original ResearchBlunt trauma patientsUse of MRICervical spine clearanceInjury Severity ScoreTrauma centerTrauma patientsMRI useSpine clearanceNational guidelinesLevel 1 trauma centerNational Trauma Data BankHospital-level factorsProportion of patientsGlasgow Coma ScalePatient-level characteristicsTrauma center levelBest practice careCervical spine evaluationCurrent national guidelinesTrauma Data BankRecent national guidelinesHospital-specific factorsMotor vehicle collisionsAbbreviated Injury ScaleNon-teaching hospitals
2018
The “mortality ascent”
Herrera-Escobar JP, Rios-Diaz AJ, Zogg CK, Wolf LL, Harlow A, Schneider EB, Cooper Z, Ordonez CA, Salim A, Haider AH. The “mortality ascent”. Journal Of Trauma And Acute Care Surgery 2018, 84: 139-145. PMID: 28930947, DOI: 10.1097/ta.0000000000001706.Peer-Reviewed Original ResearchConceptsUnstable trauma patientsLevel I TCsLevel II TCsHours postadmissionTrauma patientsLevel ILevel IIMortality riskHospital mortalityLog-binomial regression modelsNational Trauma Data BankComparable mortality riskHospital-level confoundersInjury Severity ScoreSystolic blood pressureAvailable treatment modalitiesTrauma Data BankSpecific risk factorsRisk-adjusted modelsBlood pressureHigher relative mortalityUnstable patientsBurn patientsSeverity scoreTreatment modalities
2017
Routine inclusion of long-term functional and patient-reported outcomes into trauma registries
Rios-Diaz A, Herrera-Escobar J, Lilley E, Appelson J, Gabbe B, Brasel K, deRoon-Cassini T, Schneider E, Kasotakis G, Kaafarani H, Velmahos G, Salim A, Haider A. Routine inclusion of long-term functional and patient-reported outcomes into trauma registries. Journal Of Trauma And Acute Care Surgery 2017, 83: 97-104. PMID: 28426563, DOI: 10.1097/ta.0000000000001490.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overBenchmarkingBostonFeasibility StudiesFemaleHumansInjury Severity ScoreInterviews as TopicMaleMiddle AgedPatient Reported Outcome MeasuresQuality of LifeRecovery of FunctionRegistriesRetrospective StudiesReturn to WorkStress Disorders, Post-TraumaticSurveys and QuestionnairesWounds and InjuriesConceptsTrauma registryPosttraumatic stress disorderPostinjury experienceTrauma centerSF-12 mental composite scoreSF-12 physical composite scorePatient-reported outcome metricsStress disorderLong-term outcome measuresInstitutional trauma registryInjury Severity ScoreHealth-related qualityPhysical composite scoreHealth care utilizationPatient-reported outcomesMental composite scoreMost trauma centersComposite scoreQuality improvement metricsEligible patientsTrauma patientsCare utilizationSeverity scoreWomen's HospitalTrauma outcomes
2016
Implementation of the World Health Organization Trauma Care Checklist Program in 11 Centers Across Multiple Economic Strata: Effect on Care Process Measures
Lashoher A, Schneider EB, Juillard C, Stevens K, Colantuoni E, Berry WR, Bloem C, Chadbunchachai W, Dharap S, Dy SM, Dziekan G, Gruen RL, Henry JA, Huwer C, Joshipura M, Kelley E, Krug E, Kumar V, Kyamanywa P, Mefire AC, Musafir M, Nathens AB, Ngendahayo E, Nguyen TS, Roy N, Pronovost PJ, Khan IQ, Razzak JA, Rubiano AM, Turner JA, Varghese M, Zakirova R, Mock C. Implementation of the World Health Organization Trauma Care Checklist Program in 11 Centers Across Multiple Economic Strata: Effect on Care Process Measures. World Journal Of Surgery 2016, 41: 954-962. PMID: 27800590, DOI: 10.1007/s00268-016-3759-8.Peer-Reviewed Original ResearchConceptsTrauma Care ChecklistInjury Severity ScoreCare process measuresPatient ageCare ChecklistProcess measuresPrimary end pointProportion of patientsCohort of patientsChecklist programMultilevel logistic regression modelsLogistic regression modelsPost-intervention comparisonTrauma patientsAbdominal examinationSeverity scoreCare measuresChest auscultationChecklist implementationHigh-income countriesGlobal burdenGreater oddsInjury severityPatientsEnd pointValidation of international trauma scoring systems in urban trauma centres in India
Roy N, Gerdin M, Schneider E, Veetil D, Khajanchi M, Kumar V, Saha M, Dharap S, Gupta A, Tomson G, von Schreeb J. Validation of international trauma scoring systems in urban trauma centres in India. Injury 2016, 47: 2459-2464. PMID: 27667119, DOI: 10.1016/j.injury.2016.09.027.Peer-Reviewed Original ResearchConceptsInjury Severity ScoreTrauma Injury Severity ScoreKampala Trauma ScoreTrauma patientsCasualty departmentPhysiological scoreTrauma centerSeverity scoreProspective multi-centre observational cohort studyMulti-center observational cohort studyInjury Severity Scale scoreAdult trauma patientsObservational cohort studySeverity Scale scoreUrban trauma centerHistory of injuryIncome country settingsMiddle-income country settingsHospital mortalityLate mortalityUrban Indian settingAdult patientsCohort studyInpatient mortalityPhysiologic score
2015
Traumatic Spinal Cord Injury Emergency Service Triage Patterns and the Associated Emergency Department Outcomes
Selvarajah S, Haider A, Schneider E, Sadowsky C, Becker D, Hammond E. Traumatic Spinal Cord Injury Emergency Service Triage Patterns and the Associated Emergency Department Outcomes. Journal Of Neurotrauma 2015, 32: 2008-2016. PMID: 26102350, DOI: 10.1089/neu.2015.4016.Peer-Reviewed Original ResearchConceptsAcute traumatic spinal cord injuryTraumatic spinal cord injuryNew Injury Severity ScoreNon-trauma centersEmergency department outcomesTrauma centerED mortalityLevel INationwide Emergency Department SampleInjury Severity ScoreEmergency Department SampleSpinal cord injuryTrauma patientsInjury characteristicsCord injurySeverity scorePatient experiencePatientsTriage practicesSevere injuriesTriage patternsAdult ageTriageHigher likelihoodOutcomesA modified Kampala trauma score (KTS) effectively predicts mortality in trauma patients
Weeks S, Stevens K, Haider A, Efron D, Haut E, MacKenzie E, Schneider E. A modified Kampala trauma score (KTS) effectively predicts mortality in trauma patients. Injury 2015, 47: 125-129. PMID: 26256783, DOI: 10.1016/j.injury.2015.07.004.Peer-Reviewed Original ResearchConceptsNew Injury Severity ScoreInjury Severity ScoreKampala Trauma ScoreTrauma patientsSeverity scoreTrauma ScorePhysiologic measuresMortality predictionNon-trauma center hospitalsSeverity scoring toolsPre-hospital intubationCenter HospitalInjury scoreAnatomical injuryMortality riskLevel IInjury severityRespiratory ratePhysiologic dataScoring toolOutcome predictionMortalitySignificant predictorsCharacteristic curveSimilar predictive abilityTrends in incidence and severity of sports-related traumatic brain injury (TBI) in the emergency department, 2006–2011
Haring R, Canner J, Asemota A, George B, Selvarajah S, Haider A, Schneider E. Trends in incidence and severity of sports-related traumatic brain injury (TBI) in the emergency department, 2006–2011. Brain Injury 2015, 29: 989-992. PMID: 25962926, DOI: 10.3109/02699052.2015.1033014.Peer-Reviewed Original ResearchConceptsSports-related traumatic brain injuryTraumatic brain injuryEmergency departmentHospitalization ratesAbbreviated Injury Severity ScoreNationwide Emergency Department SampleInjury Severity ScoreEmergency Department SampleHigh school age groupsAbsolute annual numberSchool age groupED visitsPayer statusInpatient admissionsSeverity scoreBrain injuryMedical attentionInjury severityAge 65Age groupsYoung athletesAge 15
2014
The Epidemiology of Childhood and Adolescent Traumatic Spinal Cord Injury in the United States: 2007–2010
Selvarajah S, Schneider E, Becker D, Sadowsky C, Haider A, Hammond E. The Epidemiology of Childhood and Adolescent Traumatic Spinal Cord Injury in the United States: 2007–2010. Journal Of Neurotrauma 2014, 31: 1548-1560. PMID: 24811704, DOI: 10.1089/neu.2014.3332.Peer-Reviewed Original ResearchConceptsTraumatic spinal cord injuryAcute traumatic spinal cord injuryNew Injury Severity ScoreSpinal cord injuryCumulative incidenceCord injuryMedian New Injury Severity ScoreNationwide Emergency Department SampleChildren age 5 yearsConcurrent brain injuryNinth Revision diagnosisInjury Severity ScoreMajority of patientsOverall injury severityEmergency Department SampleInflation-adjusted chargesEpidemiology of childhoodChildren 5 yearsEmergency department dataAge 17 yearsAge 5 yearsRoad traffic accidentsDischarge dispositionMedian ageRevision diagnosisBenchmarking 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 concordanceComplicationsThe Severity of Disparity: Increasing Injury Intensity Accentuates Disparate Outcomes Following Trauma
Losonczy L, Weygandt P, Villegas C, Hall E, Schneider E, Cooper L, Cornwell E, Haut E, Efron D, Haider A. The Severity of Disparity: Increasing Injury Intensity Accentuates Disparate Outcomes Following Trauma. Journal Of Health Care For The Poor And Underserved 2014, 25: 308-320. PMID: 24509028, PMCID: PMC6017993, DOI: 10.1353/hpu.2014.0021.Peer-Reviewed Original ResearchConceptsOdds of deathInjury severityGlasgow Coma Scale motor componentPatients meeting inclusion criteriaNational Trauma Data BankInjury Severity ScoreMechanism of injuryTrauma Data BankMeeting inclusion criteriaInsurance groupsRace/ethnicityHypotensive patientsTrauma mortalityBlack patientsHispanic patientsSeverity scoreUninsured patientsInclusion criteriaPatientsSevere injuriesLogistic regressionInjury intensityInjuryInsurance coverageSeverity
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 disparitiesMortalityInjurySurvivalSocioeconomic disparity in inpatient mortality after traumatic injury in adults
Ali M, Hui X, Hashmi Z, Dhiman N, Scott V, Efron D, Schneider E, Haider A. Socioeconomic disparity in inpatient mortality after traumatic injury in adults. Surgery 2013, 154: 461-467. PMID: 23972652, PMCID: PMC3989530, DOI: 10.1016/j.surg.2013.05.036.Peer-Reviewed Original ResearchConceptsInjury Severity ScoreInpatient mortalityMedian household incomeSocioeconomic statusTrauma mortalityInsurance statusMultiple logistic regression analysisUnadjusted inpatient mortalityNationwide Inpatient SampleType of injuryLogistic regression analysisLower wealth quartilesWealthiest quartileTrauma disparitiesPatient demographicsIndependent predictorsTrauma patientsSeverity scoreAdjusted oddsInpatient SampleTraumatic injuryInclusion criteriaAdult traumaComorbiditiesMortalityReliability 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 variationPredictors of Sepsis in Moderately Severely Injured Patients: An Analysis of the National Trauma Data Bank
Kisat M, Villegas C, Onguti S, Zafar S, Latif A, Efron D, Haut E, Schneider E, Lipsett P, Zafar H, Haider A. Predictors of Sepsis in Moderately Severely Injured Patients: An Analysis of the National Trauma Data Bank. Surgical Infections 2013, 14: 62-68. PMID: 23461696, PMCID: PMC3601717, DOI: 10.1089/sur.2012.009.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAccidents, TrafficAdolescentAdultAgedAged, 80 and overBlack or African AmericanDatabases, FactualFemaleHumansInjury Severity ScoreLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioRetrospective StudiesRisk FactorsSepsisSocioeconomic FactorsUnited StatesWounds and InjuriesConceptsPost-traumatic sepsisNational Trauma Data BankInjury Severity ScoreTrauma Data BankClinical characteristicsPredictor of sepsisLife-threatening complicationsEmergency department presentationsMechanism of injuryMultivariable logistic regressionAfrican American raceAssociated mortality rateAssociation of sepsisYears of ageMotor vehicle crashesHospital deathPatient groupStudy criteriaInjury factorsSeverity scoreMale genderRisk factorsRetrospective analysisSepsisInjury mechanism
2012
Disparities in mortality after blunt injury: Does insurance type matter?
Weygandt P, Losonczy L, Schneider E, Kisat M, Licatino L, Cornwell E, Haut E, Efron D, Haider A. Disparities in mortality after blunt injury: Does insurance type matter? Journal Of Surgical Research 2012, 177: 288-294. PMID: 22858381, PMCID: PMC3989534, DOI: 10.1016/j.jss.2012.07.003.Peer-Reviewed Original ResearchShould the IDC-9 Trauma Mortality Prediction Model become the new paradigm for benchmarking trauma outcomes?
Haider A, Villegas C, Saleem T, Efron D, Stevens K, Oyetunji T, Cornwell E, Bowman S, Haack S, Baker S, Schneider E. Should the IDC-9 Trauma Mortality Prediction Model become the new paradigm for benchmarking trauma outcomes? Journal Of Trauma And Acute Care Surgery 2012, 72: 1695-1701. PMID: 22695443, DOI: 10.1097/ta.0b013e318256a010.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBenchmarkingCohort StudiesDatabases, FactualFemaleHospital MortalityHumansInternational Classification of DiseasesMaleMiddle AgedModels, StatisticalPredictive Value of TestsRetrospective StudiesSensitivity and SpecificityTrauma Severity IndicesTreatment OutcomeUnited StatesWounds and InjuriesYoung AdultConceptsInjury Severity ScoreNew ISSMortality prediction modelTrauma Mortality Prediction ModelTrauma outcomesInjury typeInjury severityNational Trauma Data BankNew Injury Severity ScoreInjury severity indicesMortality prediction abilityTrauma Data BankTrauma registry dataCrude mortality rateReceiver operator characteristic curveDRG International ClassificationOperator characteristic curveHospital mortalitySeverity scoreSubgroup analysisRegistry dataRetrospective analysisOutcome measuresPrognostic studiesInternational ClassificationInfluence of the National Trauma Data Bank on the Study of Trauma Outcomes: Is It Time to Set Research Best Practices to Further Enhance Its Impact?
Haider A, Saleem T, Leow J, Villegas C, Kisat M, Schneider E, Haut E, Stevens K, Cornwell E, MacKenzie E, Efron D. Influence of the National Trauma Data Bank on the Study of Trauma Outcomes: Is It Time to Set Research Best Practices to Further Enhance Its Impact? Journal Of The American College Of Surgeons 2012, 214: 756-768. PMID: 22321521, PMCID: PMC3334459, DOI: 10.1016/j.jamcollsurg.2011.12.013.Peer-Reviewed Original Research
2011
Association Between Hospitals Caring for a Disproportionately High Percentage of Minority Trauma Patients and Increased Mortality: A Nationwide Analysis of 434 Hospitals
Haider A, Ong’uti S, Efron D, Oyetunji T, Crandall M, Scott V, Haut E, Schneider E, Powe N, Cooper L, Cornwell E. Association Between Hospitals Caring for a Disproportionately High Percentage of Minority Trauma Patients and Increased Mortality: A Nationwide Analysis of 434 Hospitals. JAMA Surgery 2011, 147: 63-70. PMID: 21930976, PMCID: PMC3684151, DOI: 10.1001/archsurg.2011.254.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankTrauma Data BankMinority patientsTrauma patientsHospital mortalityCrude mortalityPotential confoundersHigher crude mortalityInjury Severity ScoreOdds of mortalityOdds of deathMultivariate logistic regressionInjury severity characteristicsYounger patientsBlunt injuryFemale patientsHigher proportionIncreased oddsMore patientsTrauma hospitalIncreased MortalitySeverity scoreUninsured patientsMedical recordsSubset analysis
2008
Preinjury Statin Use is Associated With Improved In-Hospital Survival in Elderly Trauma Patients
Efron D, Sorock G, Haut E, Chang D, Schneider E, MacKenzie E, Cornwell E, Jurkovich G. Preinjury Statin Use is Associated With Improved In-Hospital Survival in Elderly Trauma Patients. Journal Of Trauma And Acute Care Surgery 2008, 64: 66-74. PMID: 18188101, DOI: 10.1097/ta.0b013e31815b842a.Peer-Reviewed Original ResearchConceptsPreinjury statin useElderly trauma patientsStatin useElderly patientsHospital mortalityTrauma patientsRetrospective observational cohort studyNew Injury Severity ScoreCerebral midline shiftIn-Hospital SurvivalMultivariable adjusted oddsBeta-blocker useObservational cohort studySignificant survival benefitGlutaryl-CoA reductase inhibitorsInjury Severity ScoreGlasgow Coma ScaleTime of injurySevere traumatic injurySample of patientsTrauma center treatmentCardiovascular comorbiditiesHospital deathStatin therapyCohort study