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 complications
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
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
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 volunteers
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