Avery B Nathens

Summary

Affiliation: St. Michael's Hospital
Country: Canada

Publications

  1. ncbi request reprint The practice of venous thromboembolism prophylaxis in the major trauma patient
    Avery B Nathens
    Department of Surgery, Univeristy of Toronto, Canada
    J Trauma 62:557-62; discussion 562-3. 2007
  2. 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
  3. doi request reprint Variation in the rates of do not resuscitate orders after major trauma and the impact of intensive care unit environment
    Avery B Nathens
    Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Canada
    J Trauma 64:81-8; discussion 88-91. 2008
  4. doi request reprint Ranking of trauma center performance: the bare essentials
    Avery B Nathens
    St Michael s Hospital, Division of Trauma and the Department of Surgery, University of Toronto, Toronto, Canada
    J Trauma 65:628-35. 2008
  5. 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
  6. 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
  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

Publications100

  1. ncbi request reprint The practice of venous thromboembolism prophylaxis in the major trauma patient
    Avery B Nathens
    Department of Surgery, Univeristy of Toronto, Canada
    J Trauma 62:557-62; discussion 562-3. 2007
    ..As the effect of delays in the initiation of prophylaxis on VTE rates is unknown, we set out to evaluate the relationship between late initiation of prophylaxis and VTE...
  2. 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...
  3. doi request reprint Variation in the rates of do not resuscitate orders after major trauma and the impact of intensive care unit environment
    Avery B Nathens
    Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Canada
    J Trauma 64:81-8; discussion 88-91. 2008
    ..We postulated that these differences in perceptions or practice might lead to significant variation in the use of do not resuscitate (DNR) orders and sought to identify institutional characteristics associated with their use...
  4. doi request reprint Ranking of trauma center performance: the bare essentials
    Avery B Nathens
    St Michael s Hospital, Division of Trauma and the Department of Surgery, University of Toronto, Toronto, Canada
    J Trauma 65:628-35. 2008
    ..We set out to identify the patient and injury-related factors that most affect case-mix across centers and thus are most likely to alter assessments of hospital performance...
  5. 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...
  6. 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...
  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. doi 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 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...
  15. 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...
  16. 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...
  17. 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
    ....
  18. ncbi request reprint Impact of stress on resident performance in simulated trauma scenarios
    Adrian Harvey
    Wilson Centre, Department of Medicine, University of Toronto, Ontario, Canada
    J Trauma Acute Care Surg 72:497-503. 2012
    ..The purpose of this study was to examine the stress responses and clinical performance of residents during low and high stress (HS) simulated trauma resuscitations...
  19. 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...
  20. 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...
  21. doi request reprint Impact of interhospital transfer on outcomes for trauma patients: a systematic review
    Andrea D Hill
    Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
    J Trauma 71:1885-900; discussion 1901. 2011
    ..The purpose of this study was to systematically review the current evidence of the association between transfer status and outcomes for patients...
  22. doi request reprint Survival advantage in trauma centers: expeditious intervention or experience?
    Barbara Haas
    Department of Surgery, University of Toronto, Toronto, ON, Canada
    J Am Coll Surg 208:28-36. 2009
    ..We set out to examine the relationship between trauma center care, rapidity of assessment and intervention, and mortality among trauma patients with indications for immediate operative intervention...
  23. doi request reprint Where should we implement emergency department secondary prevention programs for youth injured by violence?
    Carolyn E Snider
    Department of Medicine Emergency Medicine, University of Toronto, Toronto, Ontario, Canada
    J Trauma 69:991-4. 2010
    ..We hypothesize that the majority of youth who are injured by violence are treated in nontrauma centers. Given the goal is to prevent recurrent injury, trauma center-based initiatives may be misdirected...
  24. 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...
  25. doi request reprint Is activity restriction appropriate for patients with hereditary spherocytosis? A population-based analysis
    Marvin Hsiao
    Division of General Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada
    Ann Hematol 92:523-5. 2013
    ..4 (95 % CI 0.1-1.4) to a high of 1.0 (0.1-3.6). The rate of BSI in the HS patient population appears not to differ significantly from those in the general population...
  26. 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
    ....
  27. 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)...
  28. pmc Surgical site infection prevention: a survey to identify the gap between evidence and practice in University of Toronto teaching hospitals
    Cagla Eskicioglu
    Departments of Surgery and Health Policy, Management and Evaluation, University of Toronto, Ontario
    Can J Surg 55:233-8. 2012
    ..Conclusion: Broad-reaching initiatives that increase surgeon and trainee awareness and implementation of multifaceted hospital strategies that engage residents and attending surgeons are needed to change practice...
  29. doi request reprint Venous thromboembolism as a marker of quality of care in trauma
    Khumar Huseynova
    Trauma Program, Division of General Surgery, St Michael s Hospital, University of Toronto, Toronto, Canada
    J Am Coll Surg 208:547-52, 552.e1. 2009
    ..We explored the variation in VTE rates across trauma centers to determine its use as a measure of the quality of patient care...
  30. doi request reprint A population-based analysis of the clinical course of 10,304 patients with acute cholecystitis, discharged without cholecystectomy
    Charles de Mestral
    Li Ka Shing Knowledge Institute, St Michael s Hospital, Toronto, Ontario, Canada
    J Trauma Acute Care Surg 74:26-30; discussion 30-1. 2013
    ..We therefore present a population-based analysis of the clinical course of patients with AC discharged without cholecystectomy...
  31. 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...
  32. doi request reprint A crisis of faith? A review of simulation in teaching team-based, crisis management skills to surgical trainees
    Aristithes G Doumouras
    Division of General Surgery, Keenan Research Center of the Li Ka Shing Knowledge Institute, St Michael s Hospital, Toronto, Ontario, Canada
    J Surg Educ 69:274-81. 2012
    ..The purpose of this review was to appraise and summarize the design, implementation, and efficacy of peer-reviewed, simulation-based CRM training programs for postgraduate trainees (residents)...
  33. doi request reprint The American College of Surgeons Trauma Quality Improvement Program
    Avery B Nathens
    Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Canada
    Surg Clin North Am 92:441-54, x-xi. 2012
    ..The rationale for ACS TQIP's development, implementation challenges, and potential for advancing the quality of trauma care are described...
  34. pmc Pro/con debate: is the scoop and run approach the best approach to trauma services organization?
    Barbara Haas
    Department of Surgery, University of Toronto, St Michael s Hospital, Queen Wing, 3N 073, 30 Bond Street, Toronto, Ontario, Canada M5B 1W8
    Crit Care 12:224. 2008
    ....
  35. doi request reprint Career satisfaction among general surgeons in Canada: a qualitative study of enablers and barriers to improve recruitment and retention in general surgery
    Najma Ahmed
    Department of Surgery, Division of General Surgery, St Michael s Hospital, University of Toronto, Toronto, Ontario, Canada
    Acad Med 87:1616-21. 2012
    ..To understand what influences career satisfaction among general surgeons in urban and rural areas in Canada in order to improve recruitment and retention in general surgery...
  36. doi request reprint An evaluation of a proactive geriatric trauma consultation service
    Magda Lenartowicz
    Department of Medicine, University of Saskatchewan, Saskatchewan, Canada
    Ann Surg 256:1098-101. 2012
    ..To describe and evaluate an inpatient geriatric trauma consultation service (GTCS)...
  37. doi request reprint Surgical indications in acute pancreatitis
    Barbara Haas
    Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Canada
    Curr Opin Crit Care 16:153-8. 2010
    ..This review provides an update on the surgical management of acute pancreatitis, with a focus on evidence accumulated over the past year regarding the optimal approach to pancreatic debridement in the critically ill patient...
  38. doi request reprint Future diagnostic and therapeutic approaches in surgical infections
    Barbara Haas
    Department of Surgery, University of Toronto, Toronto, Ontario, M5G 1L5, Canada
    Surg Clin North Am 89:539-54, xi. 2009
    ..These include novel diagnostic strategies, antimicrobials targeting microbial virulence factors, novel vaccines, and risk stratification based on genetic profiling...
  39. doi request reprint Threat and challenge: cognitive appraisal and stress responses in simulated trauma resuscitations
    Adrian Harvey
    Wilson Centre, University of Toronto, Toronto, Ontario, Canada
    Med Educ 44:587-94. 2010
    ..As such, training for high-acuity events should include interventions targeting stress management skills...
  40. doi request reprint Community-based participatory research: development of an emergency department-based youth violence intervention using concept mapping
    Carolyn E Snider
    Department of Medicine Emergency Medicine, University of Toronto, Toronto, Ontario, Canada
    Acad Emerg Med 17:877-85. 2010
    ..The aims of this study were to engage youths, parents, and frontline community workers in conceptualizing a hospital-based violence prevention intervention and to identify outcomes relevant to the community...
  41. doi request reprint Attitudes about Injury among High School Students
    Olivier J Y Monneuse
    Division of Trauma and General Surgery, Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Ontario, Canada
    J Am Coll Surg 207:179-84. 2008
    ..Most injuries are preventable and can often be attributed to poor choices...
  42. doi request reprint The impact of trauma-center care on functional outcomes following major lower-limb trauma
    Ellen J MacKenzie
    Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Room 462, Baltimore, MD 21205, USA
    J Bone Joint Surg Am 90:101-9. 2008
    ....
  43. ncbi request reprint Predicting future injury among women in abusive relationships
    Marie L Crandall
    Division of Trauma and General Surgery, Harborview Medical Center, Seattle, Washington, USA
    J Trauma 56:906-12; discussion 912. 2004
    ..In this study, we examined risk factors for IPV-related injury within 9 months of an index episode of abuse in a population of police- or court-identified victims of IPV...
  44. doi request reprint Hypertonic resuscitation of hypovolemic shock after blunt trauma: a randomized controlled trial
    Eileen M Bulger
    Department of Surgery, Campus Box 359796, Harborview Medical Center, 325 Ninth Ave, Seattle, WA 98104, USA
    Arch Surg 143:139-48; discussion 149. 2008
    ..The purpose of this study was to evaluate the effect of hypertonicity on organ injury after blunt trauma...
  45. doi request reprint Trauma quality improvement using risk-adjusted outcomes
    Shahid Shafi
    Department of Surgery, Division of Burns, Trauma and Surgical Critical Care, University of Texas Southwestern Medical School, Dallas, Texas, USA
    J Trauma 64:599-604; discussion 604-6. 2008
    ..We hypothesized that significant variations in outcomes exist across similar level ACS-verified trauma centers despite availability of similar resources...
  46. doi request reprint Massive transfusion in trauma patients: tissue hemoglobin oxygen saturation predicts poor outcome
    Frederick A Moore
    Department of Surgery, The Methodist Hospital, Houston Texas, USA
    J Trauma 64:1010-23. 2008
    ....
  47. doi request reprint Characterization of the gender dimorphism after injury and hemorrhagic shock: are hormonal differences responsible?
    Jason L Sperry
    Division of Trauma and General Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
    Crit Care Med 36:1838-45. 2008
    ..old, >52 yrs of age) in a cohort of severely injured trauma patients for which significant variation in postinjury care is minimized...
  48. ncbi request reprint The National Study on Costs and Outcomes of Trauma
    Ellen J MacKenzie
    Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
    J Trauma 63:S54-67; discussion S81-6. 2007
    ..We also present a description of the study population to serve as a basis of future reports. We conclude with lessons learned and some recommendations for future research...
  49. ncbi request reprint Prospective payments in a regional trauma center: the case for recognition of the transfer patient in diagnostic related groups
    Jason A London
    Division of Trauma General Surgery, Harborview Medical Center, Department of Surgery, University of Washington, Seattle, Washington 98104, USA
    J Trauma 60:390-5; discussion 395-6. 2006
    ....
  50. pmc The impact of an intensivist-model ICU on trauma-related mortality
    Avery B Nathens
    Department of Surgery, University of Washington and Harborview Injury Prevention and Research Center, Seattle, WA, USA
    Ann Surg 244:545-54. 2006
    ..To evaluate the effect of an intensivist-model of critical care delivery on the risk of death following injury...
  51. ncbi request reprint Risk factors for venous thromboembolism in pediatric trauma
    Monica S Vavilala
    Department of Anesthesiology, University of Washington, Harborview Injury Prevention and Research Center, Seattle, Washington 98104, USA
    J Trauma 52:922-7. 2002
    ..Although the incidence and risk factors for VTE after trauma in adults have been well described, similar data regarding pediatric patients are lacking...
  52. ncbi request reprint Is pediatric trauma still a surgical disease? Patterns of emergent operative intervention in the injured child
    Stephanie P Acierno
    University of Washington, Department of Surgery, Division of General and Trauma Surgery, Harborview Medical Center and the Harborview Injury Prevention and Research Center, Seattle, Washington, USA
    J Trauma 56:960-4; discussion 965-6. 2004
    ..This study examines the frequency of operative intervention among injured children and evaluates potential predictors of emergent intervention...
  53. ncbi request reprint Inclusive trauma systems: do they improve triage or outcomes of the severely injured?
    Garth H Utter
    Department of Surgery, Harborview Medical Center, and the Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington, USA
    J Trauma 60:529-35; discussion 535-37. 2006
    ..We postulate that inclusive systems assure that severely injured patients are more likely to be triaged to a level I or II regional trauma center, and this greater degree of participation would lead to lower mortality...
  54. ncbi request reprint The effect of interfacility transfer on outcome in an urban trauma system
    Avery B Nathens
    Division of General and Trauma Surgery, Harborview Medical Center, and Department of Surgery, University of Washington, Seattle, 98104 2499, USA
    J Trauma 55:444-9. 2003
    ..We set out to evaluate whether patients initially assessed at these centers and then transferred to a Level I facility were adversely affected by delays to definitive care...
  55. ncbi request reprint Variations in rates of tracheostomy in the critically ill trauma patient
    Avery B Nathens
    Harborview Injury Prevention and Research Center, Seattle, WA, USA
    Crit Care Med 34:2919-24. 2006
    ..Thus, we set out explore the extent and potential sources of this variation among injured patients cared for in trauma centers in the United States...
  56. ncbi request reprint A national evaluation of the effect of trauma-center care on mortality
    Ellen J MacKenzie
    Johns Hopkins Bloomberg School of Public Health, Center for Injury Research and Policy, Baltimore, MD 21205 1996, USA
    N Engl J Med 354:366-78. 2006
    ..To address this gap, we examined differences in mortality between level 1 trauma centers and hospitals without a trauma center (non-trauma centers)...
  57. ncbi request reprint Patient outcomes in academic medical centers: influence of fellowship programs and in-house on-call attending surgeon
    Saman Arbabi
    Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA
    Arch Surg 138:47-51; discussion 51. 2003
    ..We were interested in 2 such policies or characteristics that are commonly implemented in academic centers: an in-house on-call attending physician policy and the existence of postgraduate medical education...
  58. pmc Mitogen-activated protein kinases in the intensive care unit: prognostic potential
    Matthew R Rosengart
    Department of Surgery, University of Washington, Seattle, USA
    Ann Surg 237:94-100. 2003
    ..To evaluate the prognostic significance of the activational status of p38, specifically progression to multiple organ dysfunction syndrome (MODS), in a group of severely injured trauma patients...
  59. ncbi request reprint Renal and extrarenal predictors of nephrectomy from the national trauma data bank
    Jonathan L Wright
    Department of Urology, University of Washington School of Medicine, Seattle, Washington, USA
    J Urol 175:970-5; discussion 975. 2006
    ..The management of renal injuries is controversial, as reflected in regional and institutional variations in treatment preferences. Using a national trauma database we identified independent risk factors for nephrectomy...
  60. ncbi request reprint Inflammation and the Host Response to Injury, a large-scale collaborative project: Patient-Oriented Research Core--standard operating procedures for clinical care. I. Guidelines for mechanical ventilation of the trauma patient
    Avery B Nathens
    Department of Surgery, University of Washington, Seattle, Washington, USA
    J Trauma 59:764-9. 2005
  61. ncbi request reprint American Association for the Surgery of Trauma Organ Injury Scale for kidney injuries predicts nephrectomy, dialysis, and death in patients with blunt injury and nephrectomy for penetrating injuries
    James K Kuan
    Department of Urology, University of Washington Medical Center, Seattle, Washington 98104, USA
    J Trauma 60:351-6. 2006
    ..We sought to validate this scheme for morbidity and mortality in a national cohort of patients with renal injury...
  62. ncbi request reprint The risk of reinjury in relation to time since first injury: a retrospective population-based study
    Stewart S Worrell
    Departmens of Epidemiology, Surgery, University of Washington, Seattle, Washington 98104 2499, USA
    J Trauma 60:379-84. 2006
    ..Trauma victims have been found to be at increased risk for reinjury. Determining the risk factors for reinjury and the temporal pattern of reinjury risk can help with targeting of intervention strategies for preventing trauma recurrence...
  63. ncbi request reprint Thrombosis and coagulation: deep vein thrombosis and pulmonary embolism prophylaxis
    Daniel A Anaya
    Division of General and Trauma Surgery, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, USA
    Surg Clin North Am 85:1163-77, ix-x. 2005
    ..Pharmacologic VTEprophylaxis should be the standard of care in most clinical settings given its ease of administration, low risk, and cost-effectiveness...
  64. ncbi request reprint Executive summary: management of the critically ill patient with severe acute pancreatitis
    Avery B Nathens
    American Thoracic Society
    Proc Am Thorac Soc 1:289-90. 2004
  65. ncbi request reprint Predictors of mortality and limb loss in necrotizing soft tissue infections
    Daniel A Anaya
    Division of General and Trauma Surgery, Harborview Medical Center, Seattle, WA, USA
    Arch Surg 140:151-7; discussion 158. 2005
    ..Necrotizing soft tissue infections are associated with a high mortality rate. We hypothesize that specific predictors of limb loss and mortality in patients with necrotizing soft tissue infection can be identified on hospital admission...
  66. ncbi request reprint Blindness in the intensive care unit: possible role for vasopressors?
    Lorri A Lee
    Harborview Medical Center, Department of Anesthesiology, Box 359724, 325 Ninth Ave, Seattle, WA 98104, USA
    Anesth Analg 100:192-5. 2005
    ..Three cases occurred outside of the operative arena. Potential risk factors for the development of ischemic optic neuropathy, such as use of vasopressors, venous congestion, and hypotension, are described...
  67. ncbi request reprint Management of severe head injury: institutional variations in care and effect on outcome
    Eileen M Bulger
    Department of Surgery, University of Washington, Seattle, WA, USA
    Crit Care Med 30:1870-6. 2002
    ....
  68. pmc Randomized, prospective trial of antioxidant supplementation in critically ill surgical patients
    Avery B Nathens
    Division of Trauma and General Surgery, Harborview Medical Center and the Department of Surgery, University of Washington, Seattle, Washington, USA
    Ann Surg 236:814-22. 2002
    ..To determine the effectiveness of early, routine antioxidant supplementation using alpha-tocopherol and ascorbic acid in reducing the rate of pulmonary morbidity and organ dysfunction in critically ill surgical patients...
  69. ncbi request reprint Renal injury and operative management in the United States: results of a population-based study
    Hunter Wessells
    Department of Urology, Harborview Medical Center and University of Washington Medical School, Seattle, 98104, USA
    J Trauma 54:423-30. 2003
    ..To evaluate the extent to which nonoperative renal trauma management has been adopted, we determined the incidence of renal injury and the rate of operative management across the United States...
  70. ncbi request reprint Management of the injured patient: identification of research topics for systematic review using the delphi technique
    Avery B Nathens
    Department of Surgery, Harborview Injury Prevention and Research Center, University of Washington, Seattle, 98104, USA
    J Trauma 54:595-601. 2003
    ..This study identifies the most important research questions pertaining to the acute care of the injured patient using a Web-based Delphi technique to achieve consensus of expert opinion...
  71. ncbi request reprint Aminoglycosides for intra-abdominal infection: equal to the challenge?
    Jeffrey A Bailey
    Department of Surgery, Saint Louis University School of Medicine, Saint Louis, Missouri 63110, USA
    Surg Infect (Larchmt) 3:315-35. 2002
    ..We therefore performed a meta-analysis of all prospective randomized controlled trials utilizing aminoglycosides to reevaluate the efficacy of these agents for the treatment of intra-abdominal infection...
  72. ncbi request reprint A resource-based assessment of trauma care in the United States
    Avery B Nathens
    Division of Trauma and General Surgery, Harborview Medical Center and Department of Surgery, University of Washington, Seattle, 98104 2499, USA
    J Trauma 56:173-8; discussion 178. 2004
    ..The resources needed and those available to support trauma care for a given region are currently unknown. Resource use and availability were evaluated for injured subjects across a large sample of the United States...
  73. ncbi request reprint Development of trauma systems and effect on outcomes after injury
    Avery B Nathens
    Division of General and Trauma Surgery, Harborview Medical Center, Department of Surgery, University of Washington, Seattle 98104 2499, USA
    Lancet 363:1794-801. 2004
    ....
  74. ncbi request reprint The new car assessment program: does it predict the relative safety of vehicles in actual crashes?
    Ram Nirula
    Department of Surgery, Harborview Medical Center, Seattle, Washington, USA
    J Trauma 57:779-86. 2004
    ..We therefore sought to determine whether HIC and CGS accurately predict TBI and STI in actual crashes, and compared the NCAP five-star rating system to the rates of TBI and/or STI in actual MVCs...
  75. ncbi request reprint Management of the critically ill patient with severe acute pancreatitis
    Avery B Nathens
    University of Washington, Seattle, WA, USA
    Crit Care Med 32:2524-36. 2004
    ..The goal of this consensus statement is to provide recommendations regarding the management of the critically ill patient with severe acute pancreatitis (SAP)...
  76. ncbi request reprint Injury patterns among female trauma patients: recognizing intentional injury
    Marie L Crandall
    Division of Trauma and Surgical Critical Care, Northwestern University, Chicago, Illinois 60611 2908, USA
    J Trauma 57:42-5. 2004
    ..Our objective was to identify patterns of injury consistent with intentional injury in female trauma patients admitted to the hospital...
  77. ncbi request reprint The effects of leukoreduced blood transfusion on infection risk following injury: a randomized controlled trial
    Avery B Nathens
    Department of Surgery and the Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA, USA
    Shock 26:342-7. 2006
    ..There was no effect on the rates of febrile episodes, mortality, length of stay, or severity of organ dysfunction...
  78. ncbi request reprint A nationwide US study of post-traumatic stress after hospitalization for physical injury
    Douglas F Zatzick
    Harborview Injury Prevention and Research Center, University of Washington School of Medicine, Seattle, WA 98104, USA
    Psychol Med 37:1469-80. 2007
    ..Injured survivors of individual and mass trauma are at risk for developing post-traumatic stress disorder (PTSD). Few investigations have assessed PTSD after injury in large samples across diverse acute care hospital settings...
  79. doi request reprint Prevalence of pain in patients 1 year after major trauma
    Frederick P Rivara
    Departments of Pediatrics and Epidemiology, Harborview Injury Prevention and Research Center, University of Washington School of Medicine, Box 359960, 325 Ninth Ave, Seattle, WA 98104, USA
    Arch Surg 143:282-7; discussion 288. 2008
    ..To describe the prevalence of pain in a large cohort of trauma patients 1 year after injury and to examine personal, injury, and treatment factors that predict the presence of chronic pain in these patients...
  80. doi request reprint Comparison of injury patient information from hospitals with records in both the national trauma data bank and the nationwide inpatient sample
    Bart Phillips
    Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois, USA
    J Trauma 64:768-79; discussion 779-80. 2008
    ..We compared injury records from a large administrative database and the National Trauma Data Bank (NTDB) with the goal of furthering the understanding of their respective limitations...
  81. ncbi request reprint Emergency Medical Service (EMS) systems in developed and developing countries
    Bahman S Roudsari
    Department of Epidemiology, University of Texas, School of Public Health, TX, USA
    Injury 38:1001-13. 2007
    ..To compare patient- and injury-related characteristics of trauma victims and pre-hospital trauma care systems among different developed and developing countries...
  82. ncbi request reprint Renal injury mechanisms of motor vehicle collisions: analysis of the crash injury research and engineering network data set
    James K Kuan
    Department of Urology, University of Washington, School of Medicine, Seattle, Washington 98102, USA
    J Urol 178:935-40; discussion 940. 2007
    ..We identified possible collision patterns and vehicle interior components that may have a role in kidney injury following motor vehicle collision...
  83. ncbi request reprint International comparison of prehospital trauma care systems
    Bahman S Roudsari
    Department of Epidemiology, University of Texas, School of Public Health, Dallas, USA
    Injury 38:993-1000. 2007
    ..These environments represent the continuum of prehospital care in high income countries with more advanced prehospital trauma care systems...
  84. pmc Evaluation of the effect of intensity of care on mortality after traumatic brain injury
    Hilaire J Thompson
    University of Washington School of Nursing, Seattle, WA, USA
    Crit Care Med 36:282-90. 2008
    ..To evaluate the effect of age on intensity of care provided to traumatically brain-injured adults and to determine the influence of intensity of care on mortality at discharge and 12 months postinjury, controlling for injury severity...
  85. ncbi request reprint Comparing processes of pediatric trauma care at children's hospitals versus adult hospitals
    Steven Stylianos
    Department of Pediatric Surgery S S, Miami Children s Hospital, Miami, Florida, USA
    J Trauma 63:S96-100; discussion S106-12. 2007
    ..Future studies should examine other aspects of care in addition to surgical processes that might impact either rates of complications or long-term outcomes...
  86. ncbi request reprint Early hyperglycemia predicts multiple organ failure and mortality but not infection
    Jason L Sperry
    Division of Burn, Trauma, Critical Care, University of Texas Southwestern Medical Center, Dallas, Texas, USA
    J Trauma 63:487-93; discussion 493-4. 2007
    ..We sought to characterize the clinical outcomes associated with EH in a cohort of severely injured trauma patients, when a strict glycemic control protocol was used...
  87. ncbi request reprint V. Guidelines for sedation and analgesia during mechanical ventilation general overview
    Michael B Shapiro
    Department of Surgery, Northwestern University, Chicago, Illinois, USA
    J Trauma 63:945-50. 2007
  88. doi request reprint Effects of leukoreduced blood on acute lung injury after trauma: a randomized controlled trial
    Timothy R Watkins
    Harborview Medical Center, Division of Pulmonary and Critical Care Medicine University of Washington, Seattle, WA, USA
    Crit Care Med 36:1493-9. 2008
    ..Residual leukocytes contaminating red cells are potential mediators of this syndrome. The goal of this trial was to test our hypothesis that prestorage leukoreduction of blood would reduce rates of posttraumatic lung injury...
  89. pmc The association between fluid administration and outcome following major burn: a multicenter study
    Matthew B Klein
    University of Washington Burn Center, Harborview, Medical Center, University of Washington, Seattle, WA 98121, USA
    Ann Surg 245:622-8. 2007
    ..To determine patient and injury variables that influence fluid requirements following burn injury and examine the association between fluid volume received and outcome...
  90. ncbi request reprint The delivery of critical care services in US trauma centers: is the standard being met?
    Avery B Nathens
    Division of Trauma and General Surgery, Harborview Medical Center, Seattle, WA 98104, USA
    J Trauma 60:773-83; disucssion 783-4. 2006
    ..We set out to evaluate how critical care is delivered in Level I and II trauma centers and the extent to which these centers implement evidence-based patient care practices known to improve outcome...
  91. ncbi request reprint Inflammation and the Host Response to Injury, a Large-Scale Collaborative Project: patient-oriented research core--standard operating procedures for clinical care. II. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (
    Joseph P Minei
    Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX 75390 9158, USA
    J Trauma 60:1106-13; discussion 1113. 2006
  92. ncbi request reprint Inflammation and the host response to injury, a large-scale collaborative project: Patient-oriented research core-standard operating procedures for clinical care. IV. Guidelines for transfusion in the trauma patient
    Michael A West
    Department of Surgery, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA
    J Trauma 61:436-9. 2006
  93. ncbi request reprint National variability in out-of-hospital treatment after traumatic injury
    Eileen M Bulger
    Harborview Injury Prevention and Research Center, Seattle, WA 98104, USA
    Ann Emerg Med 49:293-301. 2007
    ..We define the variability in the out-of-hospital treatment provided to trauma patients in the United States...
  94. ncbi request reprint Outcomes after ruptured abdominal aortic aneurysms: the "halo effect" of trauma center designation
    Garth H Utter
    Department of Surgery, Harborview Medical Center, Seattle, WA, USA
    J Am Coll Surg 203:498-505. 2006
    ..We set out to determine whether patients hospitalized with ruptured abdominal aortic aneurysms experience lower morbidity and mortality at regional trauma centers than at other acute care hospitals...
  95. ncbi request reprint Do trauma centers have the capacity to respond to disasters?
    Frederick P Rivara
    Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington 98104, USA
    J Trauma 61:949-53. 2006
    ..Our objective was to examine the capacity of current centers to handle an increased load from a mass casualty disaster...
  96. ncbi request reprint Leukoreduction of blood transfusions does not diminish transfusion-associated microchimerism in trauma patients
    Garth H Utter
    Department of Surgery, Harborview Medical Center University of Washington, Seattle, Washington, USA
    Transfusion 46:1863-9. 2006
    ..The aim was to determine whether leukoreduction of blood transfusions, advocated to reduce the immunomodulatory effect of transfusion, decreases the likelihood of developing TA-MC...
  97. ncbi request reprint Effect of trauma systems on motor vehicle occupant mortality: A comparison between states with and without a formal system
    Shahid Shafi
    Department of Surgery, Division of Burn, Trauma and Surgical Critical Care, University of Texas Southwestern Medical School, Dallas, Texas 75390 9158, USA
    J Trauma 61:1374-8; discussion 1378-9. 2006
    ..We hypothesized that a statewide TS independently reduces injury mortality, irrespective of other factors...
  98. ncbi request reprint Tissue oxygen saturation predicts the development of organ dysfunction during traumatic shock resuscitation
    Stephen M Cohn
    Department of Surgery, University of Texas Health Science Center, San Antonio, Texas 78229, USA
    J Trauma 62:44-54; discussion 54-5. 2007
    ..Our purpose was to evaluate how well StO2 predicted outcome in high-risk torso trauma patients presenting in shock...
  99. ncbi request reprint The identification of criteria to evaluate prehospital trauma care using the Delphi technique
    Matthew R Rosengart
    Department of Surgery, University of Pittsburgh, PA 15213, USA
    J Trauma 62:708-13. 2007
    ..This study identifies the most important filters for auditing prehospital trauma care using a Delphi technique to achieve consensus of expert opinion...
  100. ncbi request reprint Inflammation and the host response to injury, a large-scale collaborative project: patient-oriented research core-standard operating procedures for clinical care: VI. Blood glucose control in the critically ill trauma patient
    Brian G Harbrecht
    Department of Surgery, University of Louisville, Louisville, Kentucky, USA
    J Trauma 63:703-8. 2007