Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety IndicatorsLaurent G Glance
Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
BMC Health Serv Res 8:176. 2008
..The objective of this study is to examine whether the AHRQ PSIs accurately measure hospital complication rates, using the data with present-on-admission (POA) codes to distinguish between complications and pre-existing conditions..
A trauma mortality prediction model based on the anatomic injury scaleTurner Osler
Department of Surgery, University of Vermont, Burlington, VT, USA
Ann Surg 247:1041-8. 2008
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- Comparison of hospital mortality rates after burn injury in New York State: a risk-adjusted population-based observational study
Turner Osler
Department of Surgery, University of Vermont, Colchester, Vermont 05446, USA
J Trauma 71:1040-7. 2011
..Hospitals can be compared on this metric using administrative data because information required for calculating statistically adjusted risk of mortality is routinely collected on hospital admission...
The increasing use of vena cava filters in adult trauma victims: data from the American College of Surgeons National Trauma Data BankSteven R Shackford
Departments of Surgery and Medicine, University of Vermont College of Medicine, Burlington, Vermont, USA
J Trauma 63:764-9. 2007
..We sought to determine the frequency of VCF insertion and patterns of use in trauma patients using a large database...
- Has TRISS become an anachronism? A comparison of mortality between the National Trauma Data Bank and Major Trauma Outcome Study databases
Frederick B Rogers
Trauma Center, Lancaster General Health, Lancaster, PA 17602, USA
J Trauma Acute Care Surg 73:326-31; discussion 331. 2012
..We hypothesized that the improvements in trauma care during the past 20 years would lead to improved survival in a large database, thus making the TRISS biased...
- A fresh set of survival risk ratios derived from incidents in the National Trauma Data Bank from which the ICISS may be calculated
J Wayne Meredith
Department of Surgery, Wake Forest Univeresity School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157 1063, USA
J Trauma 55:924-32. 2003
..The purpose of this study was to compare a new set of SRRs derived from the National Trauma Data Bank (NTDB) with SRRs derived years ago from the North Carolina Hospital Discharge Database (NCHDD)...
- Simplified estimates of the probability of death after burn injuries: extending and updating the baux score
Turner Osler
Department of Surgery, University of Vermont, Colchester, Vermont, USA
J Trauma 68:690-7. 2010
..Additionally, this score does not include the effects of inhalation injury...
- The high yield of 1-year colonoscopy after resection: is it the handoff?
Neil Hyman
Department of Surgery, University of Vermont, 111 Colchester Avenue, Burlington, VT 05401, USA
Surg Endosc 24:648-52. 2010
..This study aimed to determine the diagnostic yield of colonoscopy 1 year after colorectal cancer (CRC) resection based on whether the index colonoscopy was performed by the operating surgeon...
- Anastomotic leaks after bowel resection: what does peer review teach us about the relationship to postoperative mortality?
Neil H Hyman
Department of Surgery, University of Vermont College of Medicine, Fletcher Allen Health Care, Burlington, VT, USA
J Am Coll Surg 208:48-52. 2009
..But it is uncertain exactly which patient populations are at risk of death from the leak. We sought to assess the impact of surgeon volume on leak rate and to better understand the relationship of a leak to postoperative mortality...
- Fait accompli: suicide in a rural trauma setting
Armin Kiankhooy
Department of Surgery, Division of Trauma Critical Care, University of Vermont College of Medicine Fletcher Allen Health Care, Burlington, Vermont 05401, USA
J Trauma 67:366-71. 2009
..We have characterized all adult suicide deaths seen at a rural Level I trauma center and identified predictors of a successful suicide. We hypothesized that rural adult trauma patients exhibit a high rate of suicide recidivism...
- A needs assessment for regionalization of trauma care in a rural state
Frederick B Rogers
Department of Surgery-Division of Trauma, University of Vermont College of Medicine, Burlington, Vermont, USA
Am Surg 71:690-3. 2005
..Rural trauma system design should focus on discovery, as that is where the majority of deaths occur. Suicide is a significant problem in this rural state that should be aggressively targeted with prevention programs...
- Complication-associated mortality following trauma: a population-based observational study
Turner Osler
Department of Surgery, University of Vermont, Colchester, VT 05446, USA
Arch Surg 147:152-8. 2012
..Complications are common in the care of trauma patients and contribute to morbidity, mortality, and cost. However, no comprehensive list of surgical complications is widely accepted...
- "Never be wrong": the morbidity of negative and delayed laparotomies after blunt trauma
Bruce Alan Crookes
Department of Surgery, University of Vermont College of Medicine, Burlington, Vermont, USA
J Trauma 69:1386-91; discussion 1391-2. 2010
..No previous work has exclusively examined blunt abdominal trauma patients, used a control group, or determined the complication burden incurred by a NEGLAP...
- Transanal endoscopic microsurgery is more effective than traditional transanal excision for resection of rectal masses
Jesse S Moore
Department of Surgery, Fletcher Allen Health Care University of Vermont College of Medicine, Burlington, Vermont 05403, USA
Dis Colon Rectum 51:1026-30; discussion 1030-1. 2008
..Transanal endoscopic microsurgery, developed by Buess in the 1980s, has become increasingly popular in recent years. No large studies have compared the effectiveness of transanal endoscopic microsurgery with traditional transanal excision...
- Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients
Alicia R Privette
Department of Surgery, College of Medicine, University of Vermont, Burlington, VT 05401, USA
Ann Surg 250:316-21. 2009
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- A comparison of the quality of life of ulcerative colitis patients after IPAA vs ileostomy
Kevin Kuruvilla
University of Vermont College of Medicine, Burlington, Vermont, USA
Dis Colon Rectum 55:1131-7. 2012
..Total proctocolectomy with IPAA is frequently considered the procedure of choice for surgical patients with ulcerative colitis, presumably owing to an expectation of improved quality of life in comparison with an ileostomy...
- Anastomotic leaks after intestinal anastomosis: it's later than you think
Neil Hyman
Dept of Surgery, Fletcher 464, University of Vermont College of Medicine, 89 Beaumont Ave, Burlington, VT 05405, USA
Ann Surg 245:254-8. 2007
..We sought to use a prospective database to define the true incidence and presentation of anastomotic leakage after intestinal anastomosis...
- Use of vena cava filters in pediatric trauma patients: data from the National Trauma Data Bank
Alan Cook
Department of Surgery, University of Vermont College of Medicine, Burlington, Vermont 05401, USA
J Trauma 59:1114-20. 2005
..Placement of vena cava filters (VCFs) in high-risk adult trauma patients is a well-described intervention for prophylaxis against pulmonary embolism (PE). Few data exist regarding the use of VCFs in pediatric trauma...
- Diminishing surgical site infections after colorectal surgery with surgical care improvement project: is it time to move on?
Michael Larochelle
Department of Surgery, University of Vermont College of Medicine, Burlington, Vermont, USA
Dis Colon Rectum 54:394-400. 2011
..Surgical site infections are a major source of expense and morbidity after colon resection...
- Outcomes after fistulotomy: results of a prospective, multicenter regional study
Neil Hyman
Department of Surgery, University of Vermont, Burlington, Vermont 05401, USA
Dis Colon Rectum 52:2022-7. 2009
..This study aimed to determine the outcomes and healing rate after fistula surgery across a broad spectrum of colorectal practices...
- Credentialing for laparoscopic bowel operation: there is no substitute for knowing the outcomes
Neil Hyman
Department of Surgery, University of Vermont College of Medicine, Fletcher Allen Health Care, Burlington, VT 05401, USA
J Am Coll Surg 205:576-80. 2007
..To determine the validity of this practice, we assessed the relationship of surgical volume and training to provider-related complications after laparoscopic bowel resection...
- Do proton pump inhibitors increase the incidence of nosocomial pneumonia and related infectious complications when compared with histamine-2 receptor antagonists in critically ill trauma patients?
Stephanie Mallow
Department of Pharmacotherapy, Fletcher Allen Health Care, Burlington, Vermont 05401, USA
Curr Surg 61:452-8. 2004
..The study purpose was to characterize differences in nosocomial pneumonia and related infections in trauma patients administered either histamine2-receptor antagonists (H2RA) or PPI...
- Sexual abuse: a strong predictor of outcomes after colectomy for slow-transit constipation
Sean O'Brien
Department of Surgery, University of Vermont, Burlington, Vermont 05401, USA
Dis Colon Rectum 52:1844-7. 2009
..This study was designed to determine the impact of a history of sexual abuse on the outcomes of ileorectal anastomosis for slow-transit constipation...
- Travel distance as factor in follow-up visit compliance in postlaparoscopic adjustable gastric banding population
Walter F DeNino
Department of Surgery, Fletcher Allen Healthcare, University of Vermont College of Medicine, Burlington, Vermont 05401, USA
Surg Obes Relat Dis 6:597-600. 2010
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- Understanding variation in the management of rectal cancer: the potential of a surgeon-initiated database
Neil Hyman
Department of Surgery, Medical Center Hospital of Vermont, Fletcher 301, University of Vermont College of Medicine, 111 Colchester Ave, Burlington, VT 05401, USA
Am J Surg 194:559-62. 2007
..Administrative databases oversimplify the relationship of factors such as volume or training on surgical outcomes...
- Transanal endoscopic microsurgery: a prospective evaluation of functional results
Peter A Cataldo
Department of Surgery, University of Vermont College of Medicine, Burlington, Vermont 05401, USA
Dis Colon Rectum 48:1366-71. 2005
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- A comparison of the abilities of nine scoring algorithms in predicting mortality
J Wayne Meredith
Department of Surgery, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, USA
J Trauma 53:621-8; discussion 628-9. 2002
..The purpose of this study was to compare the abilities of nine Abbreviated Injury Scale (AIS)- and (ICD-9)-based scoring algorithms in predicting mortality...
- Charges and reimbursement at a rural level I trauma center: a disparity between effort and reward among professionals
Frederick B Rogers
Department of Surgery, University of Vermont, 111 Colchester Avenue, FL 466, Burlington, VT 05401, USA
J Trauma 54:9-14; discussion 14-5. 2003
..We hypothesized that trauma surgeons would receive less reimbursement than their subspecialty colleagues despite a greater commitment of time and effort in taking care of the multiply-injured patient...
- The Vermont model for rural HIV care delivery: eleven years of outcome data comparing urban and rural clinics
Christopher Grace
Infectious Diseases Unit, Fletcher Allen Health Care, Burlington, Vermont 05401, USA
J Rural Health 26:113-9. 2010
..Provision of human immunodeficiency virus (HIV) care in rural areas has encountered unique barriers...
- Urgent subtotal colectomy for severe inflammatory bowel disease
Neil H Hyman
Department of Surgery, University of Vermont College of Medicine, Burlington, Vermont 05401, USA
Dis Colon Rectum 48:70-3. 2005
..The purpose of this study was to assess the safety of subtotal colectomy and outcomes after this procedure in the modern era of immunosuppressive agents and primary pelvic pouch surgery...
- Pressure-induced cellular senescence: a mechanism linking venous hypertension to venous ulcers
Andrew C Stanley
The Division of Vascular Surgery, University of Vermont College of Medicine, Burlington, Vermont 05405 0680, USA
J Surg Res 124:112-7. 2005
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- Localizing colorectal cancer by colonoscopy
Nicole Piscatelli
Department of Surgery, University of Vermont College of Medicine, 111 Colchester Avenue, Burlington, VT 05401, USA
Arch Surg 140:932-5. 2005
..Adjunctive localizing techniques, such as endoscopic tattooing, should be strongly considered...
- Fecal incontinence severity index after fistulotomy: a predictor of quality of life
Megan Cavanaugh
Department of Surgery, University of Vermont College of Medicine, Burlington, USA
Dis Colon Rectum 45:349-53. 2002
..CONCLUSION: The Fecal Incontinence Severity Index is an excellent tool to gauge quality of life after fistulotomy. Fecal Incontinence Severity Index scores >30 predict a detrimental effect on quality of life...
- Improving the TRISS methodology by restructuring age categories and adding comorbidities
Eric Bergeron
Department of Social and Preventive Medicine, University of Montreal, Montreal, Quebec, Canada
J Trauma 56:760-7. 2004
..The purpose of this study was to show that improving the stratification for age and adding an adjustment for comorbidity significantly increases the predictive accuracy of the TRISS model...
