Research Topics
| David GomezSummaryAffiliation: St. Michael's Hospital Country: Canada Publications
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Detail Information
Publications
The missing dead: the problem of case ascertainment in the assessment of trauma center performanceDavid Gomez
Division of Trauma and the Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Canada
J Trauma 66:1218-24; discussion 1224-5. 2009..We set out to evaluate the effect of variable case ascertainment of dead on arrivals on external benchmarking of risk-adjusted mortality using a form of sensitivity analysis...
Identifying targets for potential interventions to reduce rural trauma deaths: a population-based analysisDavid Gomez
Division of Trauma and the Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Ontario, Canada
J Trauma 69:633-9. 2010..To test this hypothesis, we set out to examine the relationship between rurality and the setting in which patient death was most likely to occur...
Disaster preparedness of Canadian trauma centres: the perspective of medical directors of traumaDavid Gomez
Division of Trauma, Department of Surgery at St Michael s Hospital, 30 Bond Street, Toronto, Ontario
Can J Surg 54:9-16. 2011..Reviews of recent MCIs suggest that trauma centre preparedness has frequently been limited. We set out to evaluate Canadian trauma centre preparedness and the extent of their integration into a regional response to MCIs...
The mortality benefit of direct trauma center transport in a regional trauma system: a population-based analysisBarbara Haas
Department of Surgery, University of Toronto, Toronto, Ontario, Canada
J Trauma Acute Care Surg 72:1510-5; discussion 1515-7. 2012..Taking a novel, population-based approach, we estimated the potential detrimental impact of undertriage to a non-TC (NTC) within a regional system...
Institutional and provider factors impeding access to trauma center care: an analysis of transfer practices in a regional trauma systemDavid Gomez
Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
J Trauma Acute Care Surg 73:1288-93. 2012..In those who are transferred, significant delays have been described. The availability of specialists, imaging modalities, or critical care resources might significantly affect transfer practices...
Associated injuries, management, and outcomes of blunt abdominal aortic injuryCharles de Mestral
Li Ka Shing Knowledge Institute of St Michael s Hospital, Toronto, Ontario, Canada
J Vasc Surg 56:656-60. 2012....
External benchmarking of trauma center performance: have we forgotten our elders?Barbara Haas
Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Ontario, Canada
Ann Surg 253:144-50. 2011..We sought to determine whether trauma center (TC) performance is consistent across age groups and to assess whether aggregate evaluations of TC performance capture quality of care among the elderly...
The impact of distance on triage to trauma center care in an urban trauma systemAristithes G Doumouras
Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael s Hospital, Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
Prehosp Emerg Care 16:456-62. 2012..In such systems, patients meeting field trauma triage (FTT) criteria should be transported directly to a trauma center, bypassing closer non-trauma centers...
Prevention of complications and successful rescue of patients with serious complications: characteristics of high-performing trauma centersBarbara Haas
From the Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Ontario, Canada
J Trauma 70:575-82. 2011..We assessed the extent to which trauma center mortality was reflected by the center's ability to rescue patients with major complications...
Good neighbors? The effect of a level 1 trauma center on the performance of nearby level 2 trauma centersBarbara Haas
Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, ON, Canada
Ann Surg 253:992-5. 2011..In this study, we sought to determine whether the proximity of a level 1 trauma center (TC) might affect the performance of a nearby level 2 TC...
Comparing Methodologies for Evaluating Emergency Medical Services Ground Transport Access to Time-critical Emergency Services: A Case Study Using Trauma Center CareAristithes G Doumouras
Keenan Research Center in the Li Ka Shing Knowledge Institute of St Michael s Hospital and the Department of Surgery, University of Toronto, Toronto, Ontario, Canada
Acad Emerg Med 19:E1099-108. 2012..This study uses two methodologies to calculate EMS ground transport access to trauma center care in a single study area to explore their manifestations and critically evaluate the differences between the methodologies...
Gender-associated differences in access to trauma center care: A population-based analysisDavid Gomez
Division of General Surgery, Department of Surgery, University of Toronto, Ontario
Surgery 152:179-85. 2012....
A population-based analysis of the discrepancy between potential and realized access to trauma center careDavid Gomez
Keenan Research Centre in the Li Ka Shing Knowledge Institute of St Michael s Hospital, University of Toronto, Ontario, Canada
Ann Surg 257:160-5. 2013..To explore whether a discrepancy between the availability of trauma services (potential access) and trauma center utilization rates (realized access) exists, with the aim of informing strategies to improve access...
Hips can lie: impact of excluding isolated hip fractures on external benchmarking of trauma center performanceDavid Gomez
Division of Trauma, Department of Surgery, Keenan Research Centre, Li Ka Shing Knowledge Institute of St Michael s Hospital, University of Toronto, Toronto, Ontario, Canada
J Trauma 69:1037-41. 2010..This inconsistent case ascertainment may have significant implications on the assessment of TC performance and external benchmarking efforts...
Survival of the fittest: the hidden cost of undertriage of major traumaBarbara Haas
Department of Surgery, University of Toronto, Toronto, Ontario, Canada
J Am Coll Surg 211:804-11. 2010..Previous analyses of undertriage focused only on survivors to trauma center care and were potentially subject to survivor bias. Using a novel population-based design, we evaluated the true mortality cost of undertriage...
Cholecystostomy: a bridge to hospital discharge but not delayed cholecystectomyCharles de Mestral
Li Ka Shing Knowledge Institute, St Michael s Hospital, Toronto, Ontario, Canada
J Trauma Acute Care Surg 74:175-9; discussion 179-80. 2013..We present the characteristics and clinical course of a population-based cohort with acute cholecystitis managed with PC...
Overcoming barriers to population-based injury research: development and validation of an ICD10-to-AIS algorithmBarbara Haas
Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Ont
Can J Surg 55:21-6. 2012..We created and validated a crosswalk to derive Abbreviated Injury Scale (AIS) scores from injury-related diagnostic codes in the tenth revision of the ICD (ICD-10)...
Benchmarking trauma center performance in traumatic brain injury: the limitations of mortality outcomesSunjay Sharma
Division of Neurosurgery, Department of Surgery, University of Toronto, Ontario, Canada
J Trauma Acute Care Surg 74:890-4. 2013..We postulate that discharge home (DH) as a proxy for functional outcome may be a more useful measure of quality and may have significant implications on the assessment of TC performance and external benchmarking efforts...
A contemporary analysis of the management of the mangled lower extremityCharles de Mestral
Li Ka Shing Knowledge Institute, St Michael s Hospital, Toronto, Ontario, Canada
J Trauma Acute Care Surg 74:597-603. 2013....
Controversies in the management of splenic traumaDavid Gomez
Division of Trauma, Department of Surgery and the Keenan Research Centre in the Li Ka Shing Knowledge Institute of St Michael s Hospital, University of Toronto, Ontario, Canada
Injury 43:55-61. 2012..We sought to explore ongoing areas of controversy in the non-operative management of splenic trauma with the aim of further elucidating why these controversies continue to exist...
