2008
Angioembolization 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 complicationsTrauma 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
2006
Broken bodies, broken hearts? Limitations of the trauma system as a model for regionalizing care for ST-Elevation Myocardial Infarction in the United States
Nallamothu BK, Taheri PA, Barsan WG, Bates ER. Broken bodies, broken hearts? Limitations of the trauma system as a model for regionalizing care for ST-Elevation Myocardial Infarction in the United States. American Heart Journal 2006, 152: 613-618. PMID: 16996824, DOI: 10.1016/j.ahj.2006.03.025.Peer-Reviewed Original Research
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
1998
Trauma Service Cost
Taheri P, Wahl W, Butz D, Iteld L, Michaels A, Griffes L, Bishop G, Greenfield L. Trauma Service Cost. Annals Of Surgery 1998, 227: 720-725. PMID: 9605663, PMCID: PMC1191353, DOI: 10.1097/00000658-199805000-00012.Peer-Reviewed Original ResearchConceptsAverage Injury Severity ScoreLevel I trauma centerOperating roomEmergency room timeI trauma centerInjury Severity ScorePhysician-led teamsVariable direct costsHospital finance departmentCase management approachEmergency servicesLab drawsClinical pharmacistsEarly dischargeTrauma centerCost-containment strategiesSeverity scoreTrauma serviceTrauma careMean costRoom timeSurgeon involvementPatient volumeFiscal year 1996Study period
1997
Physician 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