2016
Intensity of treatment, end-of-life care, and mortality for older patients with severe traumatic brain injury
Lilley E, Williams K, Schneider E, Hammouda K, Salim A, Haider A, Cooper Z. Intensity of treatment, end-of-life care, and mortality for older patients with severe traumatic brain injury. Journal Of Trauma And Acute Care Surgery 2016, 80: 998-1004. PMID: 26953761, DOI: 10.1097/ta.0000000000001028.Peer-Reviewed Original ResearchConceptsSevere traumatic brain injuryTraumatic brain injuryGeriatric patientsFunctional statusBrain injuryHospital mortality outcomesPatients 65 yearsDays of injuryGoals of careFurther aggressive treatmentSurgery of TraumaIntensity of treatmentHospital mortalityHospital deathLife decision makingAggressive treatmentHospital dischargeIdentifies patientsNeurologic statusNonresponder groupOlder patientsRetrospective reviewMortality outcomesPoor prognosisFunctional impairment
2014
Benchmarking 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 concordanceComplicationsDeveloping best practices to study trauma outcomes in large databases
Haider A, Hashmi Z, Zafar S, Castillo R, Haut E, Schneider E, Cornwell E, Mackenzie E, Efron D. Developing best practices to study trauma outcomes in large databases. Journal Of Trauma And Acute Care Surgery 2014, 76: 1061-1069. PMID: 24662872, DOI: 10.1097/ta.0000000000000182.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankRisk-adjustment modelsTrauma mortalityTrauma outcomesSubsequent multivariate logistic regression analysisMultivariate logistic regression analysisManual backward selectionTrauma Data BankUnivariate logistic regressionLogistic regression analysisInitial multivariate modelPatient subsetsMultivariable analysisTrauma centerMortality outcomesSimilar AUROCsSubset analysisUnivariate analysisPrognostic studiesAnalytic standardizationLevel IIILogistic regression