David Gomez

Summary

Affiliation: St. Michael's Hospital
Country: Canada

Publications

  1. doi request reprint The missing dead: the problem of case ascertainment in the assessment of trauma center performance
    David 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
  2. pmc Disaster preparedness of Canadian trauma centres: the perspective of medical directors of trauma
    David Gomez
    Division of Trauma, Department of Surgery at St Michael s Hospital, 30 Bond Street, Toronto, Ontario
    Can J Surg 54:9-16. 2011
  3. doi request reprint Identifying targets for potential interventions to reduce rural trauma deaths: a population-based analysis
    David 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
  4. doi request reprint The mortality benefit of direct trauma center transport in a regional trauma system: a population-based analysis
    Barbara Haas
    Department of Surgery, University of Toronto, Toronto, Ontario, Canada
    J Trauma Acute Care Surg 72:1510-5; discussion 1515-7. 2012
  5. doi request reprint A population-based analysis of the discrepancy between potential and realized access to trauma center care
    David 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
  6. doi request reprint Emergency access to neurosurgical care for patients with traumatic brain injury
    Sunjay Sharma
    Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada Electronic address
    J Am Coll Surg 218:51-7. 2014
  7. doi request reprint Institutional and provider factors impeding access to trauma center care: an analysis of transfer practices in a regional trauma system
    David Gomez
    Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
    J Trauma Acute Care Surg 73:1288-93. 2012
  8. doi request reprint Associated injuries, management, and outcomes of blunt abdominal aortic injury
    Charles de Mestral
    Li Ka Shing Knowledge Institute of St Michael s Hospital, Toronto, Ontario, Canada
    J Vasc Surg 56:656-60. 2012
  9. doi request reprint 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
  10. ncbi request reprint The impact of distance on triage to trauma center care in an urban trauma system
    Aristithes 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

Detail Information

Publications22

  1. doi request reprint The missing dead: the problem of case ascertainment in the assessment of trauma center performance
    David 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...
  2. pmc Disaster preparedness of Canadian trauma centres: the perspective of medical directors of trauma
    David 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...
  3. doi request reprint Identifying targets for potential interventions to reduce rural trauma deaths: a population-based analysis
    David 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...
  4. doi request reprint The mortality benefit of direct trauma center transport in a regional trauma system: a population-based analysis
    Barbara 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...
  5. doi request reprint A population-based analysis of the discrepancy between potential and realized access to trauma center care
    David 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...
  6. doi request reprint Emergency access to neurosurgical care for patients with traumatic brain injury
    Sunjay Sharma
    Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada Electronic address
    J Am Coll Surg 218:51-7. 2014
    ..Access to neurosurgical services is critical to optimal outcomes through reduction of secondary injury. We sought to evaluate variations in access to neurosurgical care across a regional trauma system...
  7. doi request reprint Institutional and provider factors impeding access to trauma center care: an analysis of transfer practices in a regional trauma system
    David 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...
  8. doi request reprint Associated injuries, management, and outcomes of blunt abdominal aortic injury
    Charles de Mestral
    Li Ka Shing Knowledge Institute of St Michael s Hospital, Toronto, Ontario, Canada
    J Vasc Surg 56:656-60. 2012
    ....
  9. doi request reprint 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...
  10. ncbi request reprint The impact of distance on triage to trauma center care in an urban trauma system
    Aristithes 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...
  11. doi request reprint Good neighbors? The effect of a level 1 trauma center on the performance of nearby level 2 trauma centers
    Barbara 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...
  12. doi request reprint Prevention of complications and successful rescue of patients with serious complications: characteristics of high-performing trauma centers
    Barbara 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...
  13. ncbi request reprint Benchmarking trauma center performance in traumatic brain injury: the limitations of mortality outcomes
    Sunjay 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...
  14. doi request reprint Comparing Methodologies for Evaluating Emergency Medical Services Ground Transport Access to Time-critical Emergency Services: A Case Study Using Trauma Center Care
    Aristithes 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...
  15. doi request reprint Gender-associated differences in access to trauma center care: A population-based analysis
    David Gomez
    Division of General Surgery, Department of Surgery, University of Toronto, Ontario
    Surgery 152:179-85. 2012
    ....
  16. doi request reprint Hips can lie: impact of excluding isolated hip fractures on external benchmarking of trauma center performance
    David 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...
  17. doi request reprint Survival of the fittest: the hidden cost of undertriage of major trauma
    Barbara 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...
  18. doi request reprint Evolution of the incidence, management, and mortality of blunt thoracic aortic injury: a population-based analysis
    Charles de Mestral
    Sunnybrook Health Sciences Center, Toronto, Ontario, Canada
    J Am Coll Surg 216:1110-5. 2013
    ..Our objective was to perform a population-based analysis of secular trends in the incidence, management, and in-hospital mortality of blunt thoracic aortic injury...
  19. doi request reprint A contemporary analysis of the management of the mangled lower extremity
    Charles de Mestral
    Li Ka Shing Knowledge Institute, St Michael s Hospital, Toronto, Ontario, Canada
    J Trauma Acute Care Surg 74:597-603. 2013
    ....
  20. doi request reprint Cholecystostomy: a bridge to hospital discharge but not delayed cholecystectomy
    Charles 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...
  21. pmc Overcoming barriers to population-based injury research: development and validation of an ICD10-to-AIS algorithm
    Barbara 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)...
  22. doi request reprint Controversies in the management of splenic trauma
    David 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...