Research Topics
| Shahid ShafiSummaryAffiliation: Baylor University Medical Center Country: USA Publications
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Detail Information
Publications
Emergency general surgery: definition and estimated burden of diseaseShahid Shafi
Committee on Severity Assessment and Outcomes, American Association for the Surgery of Trauma, Chicago, IL, USA
J Trauma Acute Care Surg 74:1092-7. 2013..While the first two components are well defined, the scope of EGS practice remains unclear. This article describes the work of the American Association for the Surgery of Trauma to define EGS...- Insuring the uninsured: potential impact of Health Care Reform Act of 2010 on trauma centersShahid Shafi
Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas 76051, USA
J Trauma Acute Care Surg 73:1303-7. 2012..The study hypothesis was that compensation for the care of uninsured trauma patients at Medicare or Medicaid rates will lead to continuing losses for trauma centers... 
Chronic consequences of acute injuries: worse survival after dischargeShahid Shafi
Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas 76051, USA
J Trauma Acute Care Surg 73:699-703. 2012..We hypothesized that survival rates in trauma patients who survive to discharge remain stable afterward...- More operations, more deaths? Relationship between operative intervention rates and risk-adjusted mortality at trauma centersShahid Shafi
Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas 76051, USA
J Trauma 69:70-7. 2010..We hypothesized that centers with good outcomes undertake critical operative interventions aggressively, thereby avoiding complications and deaths... - Health care reform at trauma centers--mortality, complications, and length of stayShahid Shafi
Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas 76051, USA
J Trauma 69:1367-71. 2010..We hypothesized that LOS is not primarily determined by unmodifiable factors, such as age and injury severity, but is primarily dependent on the development of potentially preventable complications... - Centers for Medicare and Medicaid services quality indicators do not correlate with risk-adjusted mortality at trauma centersShahid Shafi
Department of Surgery, University of Texas Southwestern Medical School, Dallas, Texas, USA
J Trauma 68:771-7. 2010..We hypothesized that compliance with CMS quality indicators would correlate with risk-adjusted mortality rates in trauma patients... - Quality of Care Within a Trauma Center Is not Altered by Injury TypeShahid Shafi
Department of Surgery, Division of Burns, Trauma and Surgical Critical Care, University of Texas Southwestern Medical School, Dallas, Texas, USA
J Trauma 68:716-20. 2010..Previous studies have demonstrated variations in severity-adjusted mortality between trauma centers. However, it is not clear if outcomes vary by the type of injury being treated... - The attributable mortality and length of stay of trauma-related complications: a matched cohort studyAngela M Ingraham
American College of Surgeons, Division of Research and Optimal Patient Care, Chicago, IL, USA
Ann Surg 252:358-62. 2010..To determine the attributable mortality (AM) and excess length of stay because of complications or complication groupings in the National Trauma Data Bank... - Prehospital hypotension redefinedBrandon Bruns
Department of Surgery, Division of Burns, Trauma, and Critical Care, University of Texas Southwestern Medical School, Parkland Memorial Hospital, Dallas, Texas, USA
J Trauma 65:1217-21. 2008..However, Advanced Trauma Life Support recognizes this threshold as a late sign of shock. We undertook the current study to determine whether a higher PSBP threshold may identify patients at significant risk of death... - Ethnic disparities exist in trauma careShahid Shafi
Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA
J Trauma 63:1138-42. 2007..Ethnic disparities in access to health care have been documented in other diseases, but have not been studied in trauma care. We hypothesized that access to rehabilitation after TBI is influenced by race or ethnicity... - Moving beyond personnel and process: a case for incorporating outcome measures in the trauma center designation processShahid Shafi
Division of Burn, Trauma, and Surgical Critical Care, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX 75390 9158, USA
Arch Surg 143:115-9; discussion 120. 2008..Similarly designated trauma centers do not achieve similar outcomes... - Hemoglobin drops within minutes of injuries and predicts need for an intervention to stop hemorrhageBrandon Bruns
Division of Burns, Trauma and Critical Care, Department of Surgery, University of Texas Southwestern Medical School, Dallas, TX, USA
J Trauma 63:312-5. 2007..We hypothesized that Hgb levels measured within minutes of arrival can identify trauma patients who are actively bleeding... - Moving from "optimal resources" to "optimal care" at trauma centersShahid Shafi
Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas, USA
J Trauma Acute Care Surg 72:870-7. 2012..We hypothesized that improved compliance with trauma-specific clinical processes of care (POC) is associated with reduced in-hospital mortality... - Barriers to compliance with evidence-based care in traumaNadine Rayan
Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas 76051, USA
J Trauma Acute Care Surg 72:585-92; discussion 592-3. 2012..We have preciously demonstrated that trauma patients receive less than two-thirds of the care recommended by evidence-based medicine. The purpose of this study was to identify patients least likely to receive optimal care... - Trauma quality improvement using risk-adjusted outcomesShahid 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... - The Trauma Quality Improvement Program: pilot study and initial demonstration of feasibilityMark R Hemmila
Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan 48109 5033, USA
J Trauma 68:253-62. 2010..This study details the feasibility and acceptance of TQIP among the participating centers... - A policy of dedicated follow-up improves the rate of removal of retrievable inferior Vena Cava Filters in trauma patientsTerence O'Keeffe
Division of Trauma, Department of Surgery, University of Arizona College of Medicine, Tucson, Arizona 85724 5063, USA
Am Surg 77:103-8. 2011..Similar policies should be adopted by all centers placing retrievable IVCFs to maximize retrieval rates... - Effects of early use of external pelvic compression on transfusion requirements and mortality in pelvic fracturesVafa Ghaemmaghami
Department of Surgery, Division of Burn, Trauma and Critical Care, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Mail Stop 9158, Dallas, TX 75390 9158, USA
Am J Surg 194:720-3; discussion 723. 2007..We hypothesized that early use of external mechanical compression (EMC) reduces hemorrhage and mortality associated with pelvic fractures... - Increased risk of death associated with hypotension is not altered by the presence of brain injury in pediatric trauma patientsMark A Gunst
Division of Burns, Trauma and Surgical Critical Care, Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Blvd, Dallas, TX 75390 9158, USA
Am J Surg 194:741-4; discussion 744-5. 2007..We hypothesized that systemic hypotension increases mortality in pediatric patients with TBI more than it does in pediatric patients with extracranial injuries only... - Ethnic disparities in long-term functional outcomes after traumatic brain injuryKristan L Staudenmayer
Department of Surgery, University of California, San Francisco, California, USA
J Trauma 63:1364-9. 2007..The current study was undertaken to determine whether there are specific types of functional deficits that disproportionately affect ethnic minorities after TBI... - The implications of alcohol intoxication and the Uniform Policy Provision Law on trauma centers; a national trauma data bank analysis of minimally injured patientsTerence O'Keeffe
Division of Trauma, Critical Care, and Emergency Surgery, Department of Surgery, University of Arizona, Tucson, Arizona 85724, USA
J Trauma 66:495-8. 2009..We hypothesized that patients injured while under the influence of alcohol require more diagnostic tests, procedures, and hospital admissions, leading to higher hospital charges... - An acute care surgery model provides safe and timely care for both trauma and emergency general surgery patientsKazuhide Matsushima
Department of Surgery, Division of Trauma, Acute Care and Critical Care Surgery, Penn State Milton S Hershey Medical Center, Hershey, Pennsylvania 17036 0850, USA
J Surg Res 166:e143-7. 2011..We hypothesized that trauma and EGS can be successfully integrated in an academic institution... - Ethnic disparities in initial management of trauma patients in a nationwide sample of emergency department visitsShahid Shafi
Division of Burns, Trauma, and Critical Care, Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Blvd, Mail Stop 9158, Dallas, TX 75390 9158, USA
Arch Surg 143:1057-61; discussion 1061. 2008..We hypothesized that initial assessment of injured patients in EDs is affected by patient ethnicity... - Financial triage in transfer of trauma patients: a myth or a reality?Jennifer Parks
Department of Surgery, Division of Burns, Trauma and Surgical Critical Care, University of Texas Southwestern Medical School, Dallas, TX 75390 9158, USA
Am J Surg 198:e35-8. 2009..It has been alleged that smaller hospitals transfer out uninsured trauma patients (wallet biopsy), putting the financial burden on major trauma centers... - Racial disparities in long-term functional outcome after traumatic brain injuryShahid Shafi
Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas 75390 9158, USA
J Trauma 63:1263-8; discussion 1268-70. 2007..We hypothesized that access to acute rehabilitation and long-term functional outcomes among traumatic brain injury (TBI) patients are influenced by patient race and ethnicity... - Dissecting delays in trauma care using corporate lean six sigma methodologyJennifer K Parks
Department of Surgery, Division of Burns, Trauma and Critical Care, University of Texas Southwestern Medical School, Dallas, Texas, USA
J Trauma 65:1098-104; discussion 1104-5. 2008..We applied corporate Lean Six Sigma methodology to reduce overcrowding by quantifying patient dwell times in trauma resuscitation units (TRU) and to identify opportunities for reducing them... - Predictors of early versus late timing of pulmonary embolus after traumatic injuryScott C Brakenridge
Department of Surgery, University of Texas Southwestern Medical Center, Dallas, USA
Am J Surg 201:209-15. 2011..To identify risk factors predictive of pulmonary embolus (PE) timing after a traumatic injury... - Long-term fetal outcomes in pregnant trauma patientsJason L Sperry
Department of Surgery, Division of Burns, Trauma and Surgical Critical Care, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Mail Stop 9158, Dallas, TX 75390-9158, USA
Am J Surg 192:715-21. 2006..A history of trauma during gestation is a risk factor for poor pregnancy outcome... - A nationwide speed limit < or = 65 miles per hour will save thousands of livesShahid Shafi
Division of Burns, Trauma and Surgical Critical Care, Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Blvd, Mail Stop 9158, Dallas, TX 75390 9158, USA
Am J Surg 193:719-22. 2007..The objective of this study was to measure the impact of higher speed limits on traffic deaths several years after the repeal of the 55 miles per hour (mph) National Maximum Speed Limit (NMSL)... - Intracranial pressure monitoring in brain-injured patients is associated with worsening of survivalShahid Shafi
Division of Burns, Department of Surgery, Trauma Critical Care, University of Texas Southwestern Medical School, Dallas, Texas, USA
J Trauma 64:335-40. 2008..However, benefits of ICP monitoring have not been documented. We hypothesized that BTF criteria for ICP monitoring in blunt TBI do not identify patients who are likely to benefit from it... 
Effect of alcohol on Glasgow Coma Scale in head-injured patientsLance Stuke
Department of Surgery, Division of Burns, Trauma and Surgical Critical Care, University of Texas Southwestern Medical School, Dallas, TX 75390 9158, USA
Ann Surg 245:651-5. 2007..The purpose of this study was to test the hypothesis that the presence of blood alcohol has a clinically significant impact on GCS in TBI patients...- Pregnancy outcomes after orthopedic traumaLisa K Cannada
Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA
J Trauma 69:694-8; discussion 698. 2010..This study was performed to determine the effects of orthopedic trauma on pregnancy outcomes in pregnant trauma patients... - Economic impact of motorcycle helmets: from impact to dischargeBrian J Eastridge
Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA
J Trauma 60:978-83; discussion 983-4. 2006..The purpose of this study was to expand the economic analysis of motorcycle helmet utilization to the point of injury by including motorcycle crash patients who do not require hospital admission... - Effect of trauma systems on motor vehicle occupant mortality: A comparison between states with and without a formal systemShahid 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... - Significant variations in mortality occur at similarly designated trauma centersShahid Shafi
Department of Surgery, Division of Burns, Trauma, and Surgical Critical Care, University of Texas Southwestern Medical School, Dallas, TX 75390 9158, USA
Arch Surg 144:64-8. 2009..Mortality rates vary across designated trauma centers (TC), even after controlling for injury severity... - Trauma operative skills in the era of nonoperative management: the trauma exposure course (TEC)Mark Gunst
Department of Surgery, Division of Burns, Trauma, and Critical Care, University of Texas Southwestern Medical Center, Dallas, Texas 75390 9158, USA
J Trauma 67:1091-6. 2009..We hypothesized that a structured skills curriculum using fresh cadavers would improve participants' self-confidence in surgical exposure of human anatomic structures for trauma... - Use of a pediatric cohort to examine gender and sex hormone influences on outcome after traumaHerb A Phelan
Department of Surgery, University of South Alabama Medical Center, Mobile, Alabama 36617, USA
J Trauma 63:1127-31. 2007..The pediatric population is a better model to determine the impact of gender and sex hormones on outcome after trauma... - Waiting for the patient to "sober up": Effect of alcohol intoxication on glasgow coma scale score of brain injured patientsJason L Sperry
Division of Burns, Trauma and Surgical Critical Care, Department of Surgery, University of Texas Southwestern Medical School, Dallas, Texas 75390-9158, USA
J Trauma 61:1305-11. 2006..Hence, alterations in GCS score after TBI should not be attributed to alcohol intoxication, as doing so might result in inappropriate delays in monitoring and therapeutic interventions... - Protection against head injuries should not be optional: a case for mandatory installation of side-curtain air bagsLance E Stuke
University of Texas Southwestern Medical School, Dallas, TX, USA
Am J Surg 200:496-9. 2010..More than 9,000 vehicle occupants die each year in side-impact vehicle collisions, primarily from head injuries. The authors hypothesized that side-curtain air bags significantly improve head and neck safety in side-impact crash testing... - Systemic hypotension is a late marker of shock after trauma: a validation study of Advanced Trauma Life Support principles in a large national sampleJennifer K Parks
Department of Surgery, Division of Burns, Trauma, Surgical Critical Care, 5323 Harry Hines Blvd, Dallas, TX 75390-9158, USA
Am J Surg 192:727-31. 2006..CONCLUSIONS: We validated the Advanced Trauma Life Support principle that systemic hypotension is a late marker of shock. A normal blood pressure should not deter aggressive evaluation and resuscitation of trauma patients... - Pulmonary artery catheter use is associated with reduced mortality in severely injured patients: a National Trauma Data Bank analysis of 53,312 patientsRandall S Friese
Parkland Memorial Hospital, Division of Burn, Trauma, Critical Care, Department of Surgery, University of Texas Southwestern Medical Center at Dallas, TX, USA
Crit Care Med 34:1597-601. 2006..This is the first study to demonstrate a benefit of PAC use in trauma patients... - Spatial analysis of injury-related deaths in Dallas County using a geographic information systemAdil Abdalla
Department of Surgery Abdalla, Gunst, Ghaemmaghami, Barber, Gentilello, Shafi and the Department of Pathology Gruszecki, Urban, The University of Texas Southwestern Medical School, Dallas, TX and the Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, TX Shafi
Proc (Bayl Univ Med Cent) 25:208-13. 2012..GIS mapping was able to depict high-risk geographic "hot spots" for IRDs. In conclusion, GIS spatial analysis identified geographic clusters of IRDs, which were restricted to only one of 26 cities in the county... - Serum B-type natriuretic peptide: a marker of fluid resuscitation after injury?Randall S Friese
Division of Burn, Trauma, Critical Care, Department of Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75390 9158, USA
J Trauma 62:1346-50; discussion 1350-1. 2007..However, the use of BNP as a marker of fluid overload during resuscitation from injury has not been previously described... - Pre-hospital endotracheal intubation and positive pressure ventilation is associated with hypotension and decreased survival in hypovolemic trauma patients: an analysis of the National Trauma Data BankShahid Shafi
Division of Burns, Trauma and Surgical Critical Care, Department of Surgery, University of Texas Southwestern Medical School, Dallas, TX 75390 9158, USA
J Trauma 59:1140-5; discussion 1145-7. 2005..An alternative hypothesis is that positive pressure ventilation increases mortality because positive pressure ventilation causes hypotension in severely injured hypovolemic patients... - Cost benefits of reduction in motor vehicle injuries with a nationwide speed limit of 65 miles per hour (mph)Shahid Shafi
Division of Burns, Trauma and Surgical Critical Care, Department of Surgery, University of Texas Southwestern Medical School, Dallas, Texas, USA
J Trauma 65:1122-5. 2008..Nationwide reduction of speed limits to 65 miles per hour (mph) has the potential to save 2,985 lives every year. We undertook the current study to measure potential cost savings of implementing this injury prevention strategy... - Peripherally inserted central catheters may lower the incidence of catheter-related blood stream infections in patients in surgical intensive care unitsMark Gunst
Department of Surgery, Division of Burn Trauma Critical Care, The University of Texas Southwestern Medical Center, Dallas, Texas, USA
Surg Infect (Larchmt) 12:279-82. 2011..We hypothesized that PICC use reduces the rate of CR-BSI compared with use of antiseptic CVCs in these patients... - Abdominal ultrasound is an unreliable modality for the detection of hemoperitoneum in patients with pelvic fractureRandall S Friese
Division of Burn, Trauma, Critical Care, Department of Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75390 9158, USA
J Trauma 63:97-102. 2007..The purpose of this study was to determine the sensitivity and specificity of FAST for the detection of hemoperitoneum in patients with pelvic fracture and an increased risk for hemorrhage... - Changing epidemiology of trauma deaths leads to a bimodal distributionMark Gunst
Departments of Surgery Gunst, Ghaemmaghami, Frankel and Pathology Gruszecki, Urban, The University of Texas Southwestern Medical School, Dallas, Texas and the Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas Shafi
Proc (Bayl Univ Med Cent) 23:349-54. 2010..Further reductions in mortality will likely come from prevention of intentional injuries and injuries associated with alcohol intoxication... - Postinjury employment as a surrogate for functional outcomes: a quality indicator for trauma systemsJennifer K Parks
Department of Surgery, Division of Burns, Trauma, Surgical Critical Care Parks, Gentilello and the Department of Neurology Diaz Arrastia, The University of Texas Southwestern Medical Center, Dallas, Texas and the Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas Shafi
Proc (Bayl Univ Med Cent) 23:355-8. 2010..Once validated in other studies, postinjury employment may be used as an indicator to monitor functional outcomes in trauma registries... - Is hypothermia simply a marker of shock and injury severity or an independent risk factor for mortality in trauma patients? Analysis of a large national trauma registryShahid 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 59:1081-5. 2005..We tested the hypothesis that HT is associated with improved survival in trauma patients by analyzing a large, national trauma database... - Ethnic differences in rehabilitation placement and outcome after TBICarlos Marquez de la Plata
Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA
J Head Trauma Rehabil 22:113-21. 2007..To determine whether race/ethnicity and proficiency with the English language influence access to rehabilitation services, and ultimately outcome after traumatic brain injury (TBI)... - Damage control in complex penetrating tracheal injury and silicone T-tubeBarbra S Miller
Department of Surgery, Division of Burns, Trauma and Critical Care, University of Texas, Southwestern Medical Center at Dallas, USA
J Trauma 64:E18-20. 2008 - Hypotension does not increase mortality in brain-injured patients more than it does in non-brain-injured PatientsShahid Shafi
Division of Burn, Trauma and Surgical Critical Care, Department of Surgery, University of Texas Southwestern Medical School, Dallas, 75390, USA
J Trauma 59:830-4; discussion 834-5. 2005..It is unknown whether hypotension affects TBI patients more severely than it affects other types of patients. We hypothesized that hypotension does not increase mortality in TBI patients more than it does in non-TBI patients...