2007
Trauma Center Downstream Revenue: The Impact of Incremental Patients Within a Health System
Taheri PA, Maggio PM, Dougherty J, Neil C, Fetyko S, Harkins DR, Butz DA. Trauma Center Downstream Revenue: The Impact of Incremental Patients Within a Health System. Journal Of Trauma And Acute Care Surgery 2007, 62: 615-621. PMID: 17414337, DOI: 10.1097/ta.0b013e31802ee532.Peer-Reviewed Original ResearchConceptsEmergency surgery servicesSurgery serviceStudy periodEmergency surgical servicesInitial patient admissionsAcademic Level IProfessional revenueDownstream revenueClinic visitsInitial admissionPatient admissionsEmergent patientsOutpatient activitySurgical servicesLevel IService admissionsPatientsFiscal year 2002Health systemInpatient activityAdmissionTraumaInpatientsHospitalInpatient revenue
2005
Early tracheostomy for primary airway management in the surgical critical care setting
Rodriguez J, Steinberg S, Luchetti F, Gibbons K, Taheri P, Flint L. Early tracheostomy for primary airway management in the surgical critical care setting. British Journal Of Surgery 2005, 77: 1406-1410. DOI: 10.1002/bjs.1800771228.Peer-Reviewed Original ResearchIntensive care unitEarly tracheostomyCare unitMechanical ventilationHospital stayEndotracheal intubationShorter intensive care unitSurgical critical care settingSurgical intensive care unitPatients 51 patientsPrimary airway managementTranslaryngeal endotracheal intubationIntensive care stayDays of intubationCritical care settingOverall morbidityHospital daysIll patientsMultiple injuriesAirway managementCare settingsTracheostomyMortality ratePatientsIntubationPerioperative Issues: Myocardial Ischemia and Protection — Beta-Blockade
Maggio P, Taheri P. Perioperative Issues: Myocardial Ischemia and Protection — Beta-Blockade. Surgical Clinics Of North America 2005, 85: 1091-1102. PMID: 16326195, DOI: 10.1016/j.suc.2005.09.016.Peer-Reviewed Original ResearchConceptsNoncardiac surgeryPeri-operative cardiac eventsHigh-risk patientsLow-risk patientsThird of patientsPreoperative risk assessmentCoronary artery diseaseLow complication rateCardiac complicationsCardiovascular complicationsPerioperative morbidityPerioperative outcomesCardiac eventsComplication rateArtery diseaseMyocardial ischemiaImportant causePatientsGreater riskMorbidityComplicationsSurgeryMortalityRiskGreat benefitReferral Patterns and Severity Distribution of Burn Care
Pacella S, Harkins D, Butz D, Kuzon W, Taheri P. Referral Patterns and Severity Distribution of Burn Care. Annals Of Plastic Surgery 2005, 54: 412-419. PMID: 15785284, DOI: 10.1097/01.sap.0000154877.59894.5e.Peer-Reviewed Original ResearchConceptsHigh-volume hospitalsLow-volume hospitalsNational Inpatient SampleReferral patternsBurn centerModerate-volume hospitalsHigh-volume centersRegional burn centerTotal burn admissionsState of MichiganBurn patientsEducation of surgeonsInpatient SamplePatient distributionBurn providersBurn careBurn admissionsSevere burnsPatientsSurgical programsSurgical training programsAdmissionHospitalHospital AssociationSurgical residents
2004
A PDA based application for burn management and education
Rowe S, Arbabi S, Hemmila M, Taheri P, Wang S, Wahl W, Brandt M. A PDA based application for burn management and education. Journal Of Surgical Research 2004, 121: 341-342. DOI: 10.1016/j.jss.2004.07.240.Peer-Reviewed Original ResearchTotal body surface areaBurn centerAmerican Burn Association criteriaInitial burn resuscitationLocal wound careBody surface areaTime of burnMechanism of burnBurn center referralInhalation injuryResuscitation volumeCenter referralEpidermal necrolysisBurn resuscitationCommunity hospitalPediatric burnsTreatment decisionsAssociation criteriaWound careBurn managementBedside useInitial evaluationInitial assessmentZip codesPatients
2003
Aeromedical Service: How Does it Actually Contribute to the Mission?
Rosenberg B, Butz D, Comstock M, Taheri P. Aeromedical Service: How Does it Actually Contribute to the Mission? Journal Of Trauma And Acute Care Surgery 2003, 54: 681-688. PMID: 12707529, DOI: 10.1097/01.ta.0000054684.83538.45.Peer-Reviewed Original ResearchConceptsDiagnosis-related groupsSF patientsHealth systemAeromedical servicesIntensive care unit stayIntensive care unit daysMichigan Health SystemDownstream revenueAdmitting servicesUnit stayUnit daysClinical activityInpatient revenueInpatient daysPatientsPatient careAeromedical transportationProfessional feesStayDaysAdmissionHospitalOverall lengthCare
1999
Trauma services: a profit center?
Taheri P, Butz D, Watts C, Griffes L, Greenfield L. Trauma services: a profit center? Journal Of The American College Of Surgeons 1999, 188: 349-354. PMID: 10195717, DOI: 10.1016/s1072-7515(99)00021-6.Peer-Reviewed Original ResearchConceptsInjury Severity ScoreLength of stayGroup ATrauma centerGroup BProportion of costsTrauma serviceMean cost/patientLevel I trauma centerI trauma centerCost/patientCost of careFiscal year 1997Hospital cost accounting systemBlunt mechanism injuryMechanism injuriesTrauma registrySeverity scoreSick patientsInadequate reimbursementPatient basisPatientsPatient groupingsStayTotal service cost
1995
Prehospital classification combined with an in-hospital trauma radio system response reduces cost and duration of evaluation of the injured patient
Gerndt S, Conley J, Lowell M, Holmes J, Marsh E, Larin L, Taheri P, Polley T, Rodriquez J. Prehospital classification combined with an in-hospital trauma radio system response reduces cost and duration of evaluation of the injured patient. Surgery 1995, 118: 789-796. PMID: 7570338, DOI: 10.1016/s0039-6060(05)80051-0.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChildEmergency Medical Service Communication SystemsHospital Communication SystemsHospital CostsHumansInterdepartmental RelationsMichiganMiddle AgedPatient Care TeamPhysical ExaminationRadioSeverity of Illness IndexSystems IntegrationTime FactorsTrauma CentersTriageWounds and InjuriesConceptsTrauma classification systemsInitial trauma evaluationHealth care resourcesTrauma system developmentBlunt mechanismTrauma patientsPediatric populationTrauma centerExpeditious careTrauma evaluationPatient outcomesEmergency treatmentEmergency carePatientsTrauma victimsCare resourcesDuration of evaluationClassification systemInitial evaluationAdverse effectsSignificant reductionTrauma responseCareAssociated reductionResponsePseudoaneurysms of the Intraparenchymal Splenic Artery after Blunt Abdominal Trauma
Sugg S, Gerndt S, Hamilton B, Francis I, Taheri P, Rodriguez J. Pseudoaneurysms of the Intraparenchymal Splenic Artery after Blunt Abdominal Trauma. Journal Of Trauma And Acute Care Surgery 1995, 39: 593-595.. PMID: 7473932, DOI: 10.1097/00005373-199509000-00034.Peer-Reviewed Original ResearchConceptsSplenic arteryNonoperative therapyBlunt abdominal traumaTraumatic splenic injurySplenic injuryAbdominal traumaAdult patientsBlunt injuryRare complicationPosttraumatic pseudoaneurysmPseudoaneurysm formationSplenic ruptureArterySuccessful managementPotential mechanismsPseudoaneurysmTherapyInjuryComplicationsPatientsSpleenDiagnosisTraumaBiliary Tract Injury following Blunt Abdominal Trauma
Gerndt S, Seidel S, Taheri P, Rodriguez J. Biliary Tract Injury following Blunt Abdominal Trauma. Journal Of Trauma And Acute Care Surgery 1995, 39: 612-615.. PMID: 7473937, DOI: 10.1097/00005373-199509000-00039.Peer-Reviewed Original ResearchConceptsBiliary tract injuryBlunt abdominal traumaEndoscopic retrograde cholangiopancreatographyTract injuryAbdominal traumaBiliary stent placementOperative interventionSurgical explorationRetrograde cholangiopancreatographyStent placementDiagnostic evaluationComputerized tomographyInjuryPatientsTraumaCholangiopancreatographyDiagnosis
1993
A convincing case for primary repair of penetrating colon injuries
Taheri P, Ferrara J, Johnson C, Lamberson K, Flint L. A convincing case for primary repair of penetrating colon injuries. The American Journal Of Surgery 1993, 166: 39-44. PMID: 8328627, DOI: 10.1016/s0002-9610(05)80579-3.Peer-Reviewed Original ResearchConceptsIntra-abdominal complicationsColon injuriesPrimary repairDC groupMajor intra-abdominal complicationsElective colostomy closurePercentage of patientsWound infection rateTerms of agePreoperative hypotensionColostomy closureLimited collateral damageComplication rateWound infectionSkin closureColon traumaPR groupIntergroup differencesPatientsInfection rateInjuryColostomyComplicationsTraumaRepair
1992
Surgical Treatment of Stasis Venous Ulcers of the Lower Limb
Taheri S, Kulaylat M, Taheri P, Hoover E. Surgical Treatment of Stasis Venous Ulcers of the Lower Limb. Vascular And Endovascular Surgery 1992, 26: 37-41. DOI: 10.1177/153857449202600106.Peer-Reviewed Original ResearchMedical therapyAscending venogramsCommunicating veinsUlcer recurrenceSural nerveSurgical treatmentVenographic evidenceVenous ulcersAffected limbVenous bloodVenous systemPathologic changesThermodilution studyCalf musclesMuscle fasciaPatientsThickness skinUlcersLower LimbVenogramsTherapyVeinLimbLipodermatosclerosisNeuromyopathy
1985
Continuous ambulatory venous pressure for diagnosis of venous insufficiency Preliminary report
Taheri S, Pendergast D, Lazar E, Pollack L, Shores R, McDonald B, Taheri P. Continuous ambulatory venous pressure for diagnosis of venous insufficiency Preliminary report. The American Journal Of Surgery 1985, 150: 203-206. PMID: 4025700, DOI: 10.1016/0002-9610(85)90120-5.Peer-Reviewed Original ResearchConceptsVenous pressureVenographic resultsVenous insufficiency syndromeAmbulatory venous pressureVenous diseaseBetter prognosticatorIncompetent valvesInsufficiency syndromeSyndrome patientsRetrograde fashionStudy populationAbnormal rangePatientsPooled bloodMinimal exerciseMuscle contractionPressure slopePreliminary reportBloodMinimal pressurePressure changesPrognosticatorSyndromeSymptomsDiseaseVein valve transplantation
Taheri S, Pendergast D, Lazar E, Pollack L, Meenaghan M, Shores R, Budd T, Taheri P. Vein valve transplantation. The American Journal Of Surgery 1985, 150: 201-202. PMID: 4025699, DOI: 10.1016/0002-9610(85)90119-9.Peer-Reviewed Original ResearchConceptsElevated venous pressureVenous pressureVein valve transplantationVenous insufficiency syndromeMajority of patientsRelieved symptomsMost patientsValvular incompetenceMedical managementInsufficiency syndromeValve transplantationPatientsTransplantationUnsuccessful trialsVeinSyndromeSymptomsTrials