2008
Real money: Complications and hospital costs in trauma patients
Hemmila MR, Jakubus JL, Maggio PM, Wahl WL, Dimick JB, Campbell DA, Taheri PA. Real money: Complications and hospital costs in trauma patients. Surgery 2008, 144: 307-316. PMID: 18656640, PMCID: PMC2583342, DOI: 10.1016/j.surg.2008.05.003.Peer-Reviewed Original ResearchConceptsMajor complication groupMinor complication groupComplication groupHospital costsTrauma patientsDuration of stayMinor complicationsMajor complicationsHospital chargesNational Surgical Quality Improvement Program methodologyEmergency department systolic blood pressureQuality careMedian total hospital costLevel 1 trauma centerNew Injury Severity ScoreGeneral surgery populationMajor postoperative complicationsInjury Severity ScoreSystolic blood pressureTotal hospital chargesTotal hospital costsTypes of complicationsMedian hospital chargesImproved quality carePostoperative complicationsAngioembolization Reduces Operative Intervention for Blunt Splenic Injury
Wei B, Hemmila MR, Arbabi S, Taheri PA, Wahl WL. Angioembolization Reduces Operative Intervention for Blunt Splenic Injury. Journal Of Trauma And Acute Care Surgery 2008, 64: 1472-1477. PMID: 18545111, DOI: 10.1097/ta.0b013e318174e8cd.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal InjuriesAdultAngiographyCohort StudiesEmbolization, TherapeuticFemaleFollow-Up StudiesHumansInjury Severity ScoreMaleMiddle AgedMultivariate AnalysisProbabilityRadiography, InterventionalRetrospective StudiesRisk AssessmentSplenectomySplenic RuptureTrauma CentersTreatment OutcomeWounds, NonpenetratingConceptsBlunt splenic injuryAngiographic embolizationInjury Severity ScoreSplenic injuryOperative interventionInjury scoreSeverity scoreAE groupSimilar Injury Severity ScoresGlasgow Coma Scale scorePacked RBC transfusionSplenic salvage rateAdult trauma patientsAbbreviated Injury ScoreLength of stayOverall hospitalization costsAbdominal complicationsIntraabdominal complicationsThromboembolic eventsNonoperative managementOnly patientsRBC transfusionSalvage rateTrauma patientsPleural effusion
2007
Detecting the blind spot: Complications in the trauma registry and trauma quality improvement
Hemmila MR, Jakubus JL, Wahl WL, Arbabi S, Henderson WG, Khuri SF, Taheri PA, Campbell DA. Detecting the blind spot: Complications in the trauma registry and trauma quality improvement. Surgery 2007, 142: 439-449. PMID: 17950334, PMCID: PMC2080842, DOI: 10.1016/j.surg.2007.07.002.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankGeneral surgery patientsNational Surgical Quality Improvement ProgramSurgery patientsTrauma patientsNSQIP methodologyNTDB patientsTrauma centerOutcome dataLevel 1 trauma centerSurgical Quality Improvement ProgramVeterans Affairs Healthcare SystemRisk adjustmentRisk-adjusted mannerTrauma patient groupsTrauma quality improvementTrauma Data BankQuality Improvement ProgramHigh rateRisk-adjusted ratesImportant comorbidityAdult patientsPatient comorbiditiesTrauma registryMore complications
1997
Tumor Necrosis Factor Activity Increases in the Early Response to Trauma
Ferguson K, Taheri P, Rodriguez J, Tonapi V, Cardellio A, Dechert R. Tumor Necrosis Factor Activity Increases in the Early Response to Trauma. Academic Emergency Medicine 1997, 4: 1035-1040. PMID: 9383488, DOI: 10.1111/j.1553-2712.1997.tb03676.x.Peer-Reviewed Original ResearchConceptsTumor necrosis factorCytokine levelsTNF levelsTNF activityMean levelsAdult major trauma patientsBaseline IL-8 levelsPg/Injury Severity Scale scoreLate groupUniversity hospital EDMajor trauma patientsIL-8 levelsSeverity Scale scoreCross-sectional studyIL-6 activityPatient demographicsTrauma patientsEqual-sized groupsHospital EDMajor traumaPotential confoundersIL-8Necrosis factorHealthy volunteersPhysician Resource Utilization after Geriatric Trauma
Taheri P, Iteld L, Michaels A, Edelstein S, Di Ponio L, Rodriguez J. Physician Resource Utilization after Geriatric Trauma. Journal Of Trauma And Acute Care Surgery 1997, 43: 565-569.. PMID: 9356049, DOI: 10.1097/00005373-199710000-00001.Peer-Reviewed Original ResearchConceptsTrauma serviceGlasgow Coma Scale scorePMR consultationGeriatric trauma patientsInjury Severity ScoreGeneral surgical serviceLong-term outcomesPatients' functional outcomeLength of stayNursing home placementSignificant differencesHealth care resourcesMultidisciplinary trauma teamPhysician resource utilizationPMR interventionGeriatric traumaTrauma patientsGeriatric patientsSignificant group differencesPhysician consultationFunctional outcomeMultiple traumaSeverity scoreSubgroup analysisEarly consultation
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 reductionResponse
1992
MESENTERIC MICROCIRCULATORY CHANGES IN NONLETHAL HEMORRHAGIC SHOCK
Scalia S, Taheri P, Force S, Ozmen V, Lui D, Fish J, Hansen D, Chambers R, Flint L, Steinberg S. MESENTERIC MICROCIRCULATORY CHANGES IN NONLETHAL HEMORRHAGIC SHOCK. Journal Of Trauma And Acute Care Surgery 1992, 33: 321-325. PMID: 1380565, DOI: 10.1097/00005373-199208000-00024.Peer-Reviewed Original ResearchConceptsArterial pressureShed bloodLR groupBlood pressureA1 diametersBaseline valuesBaseline mean arterial blood pressureAnesthetized male Sprague-DawleyMean arterial blood pressureMean arterial pressureArterial blood pressureMale Sprague-DawleyMinutes of hemorrhageElectrolyte resuscitationTrauma patientsSeptic stateMicrocirculatory changesModerate hemorrhageHypertonic salineMesenteric microcirculationRegional perfusionSprague-DawleyBlood volumeDistal ileumHemorrhage