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
2005
Perioperative 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 benefit
1996
Blunt Force Injury of the Abdominal Aorta
Michaels A, Gerndt S, Taheri P, Wang S, Wahl W, Simeone D, Williams D, Greenfield L, Rodriguez J. Blunt Force Injury of the Abdominal Aorta. Journal Of Trauma And Acute Care Surgery 1996, 41: 105-109.. PMID: 8676400, DOI: 10.1097/00005373-199607000-00016.Peer-Reviewed Original ResearchConceptsAortic injuryAbdominal aortaAbdominal aortic injuryExtra-anatomic bypassLower extremity amputationEndovascular stent placementMichigan Medical CenterBlunt force mechanismManagement of injuriesBlunt force injuriesNonoperative optionsViable limbStable patientsClinical presentationOperative repairRetrospective reviewSurgical repairUnstable patientsExtremity amputationRadiologic placementGraft placementBlunt force traumaStent placementTraumatic injuryMedical CenterEarly Placement of Prophylactic Vena Caval Filters in Injured Patients at High Risk for Pulmonary Embolism
Rodriguez J, Lopez J, Proctor M, Conley J, Gerndt S, Marx M, Taheri P, Greenfield L. Early Placement of Prophylactic Vena Caval Filters in Injured Patients at High Risk for Pulmonary Embolism. Journal Of Trauma And Acute Care Surgery 1996, 40: 797-804.. PMID: 8614083, DOI: 10.1097/00005373-199605000-00020.Peer-Reviewed Original ResearchConceptsVena caval filtersPulmonary embolismVCF placementCaval filtersRisk factorsProphylaxis of PEIncidence of PEProphylactic VCF placementProspective study groupVenous thromboembolic prophylaxisLong-term morbidityMechanism of injuryMore risk factorsVena caval thrombusVenous stasis diseaseVCF groupThromboembolic prophylaxisCaval thrombusConsecutive patientsMultiple injuriesClinical reductionHistorical controlsStudy groupHigh riskOutcome data
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 Repair of a Celiac Axis Aneurysm and Renal Oncocytoma: A Single Case Report
Taheri P, Bitzer L, Curl R, Ricotta J, Akers D, Hoover E. Surgical Repair of a Celiac Axis Aneurysm and Renal Oncocytoma: A Single Case Report. Annals Of Vascular Surgery 1992, 6: 453-455. PMID: 1467186, DOI: 10.1007/bf02007002.Peer-Reviewed Original ResearchConceptsArtery aneurysmRenal massesCeliac artery aneurysmCommon hepatic arteryRight renal arteryRight renal massVisceral artery aneurysmsAlternative treatment optionFrequency of diagnosisSingle case reportsRight nephrectomyPrimary anastomosisHepatic arterySurgical repairRenal arteryTreatment optionsCase reportTomographic scanUnusual lesionUnique anatomyRenal oncocytomaAneurysmsPresent caseArteryOncocytomaMESENTERIC 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 ileumHemorrhageFunctional heredity protein S deficiency with arterial thrombosis.
Taheri P, Eagel B, Karamanoukian H, Hoover E, Logue G. Functional heredity protein S deficiency with arterial thrombosis. The American Surgeon 1992, 58: 496-8. PMID: 1386500.Peer-Reviewed Original Research