R J Mullins

Summary

Affiliation: Oregon Health and Science University
Country: USA

Publications

  1. ncbi request reprint A historical perspective of trauma system development in the United States
    R J Mullins
    Department of Surgery, Oregon Health Sciences University, School of Medicine, Portland 97201 3098, USA
    J Trauma 47:S8-14. 1999
  2. ncbi request reprint Regional differences in outcomes for hospitalized injured patients
    Richard J Mullins
    Department of Surgery, Oregon Health and Science University, Portland, 97239, USA
    J Trauma 60:691-8; discussion 699-700. 2006
  3. ncbi request reprint The influence of imaging on the trauma surgeon's initial evaluation of seriously injured patients
    Richard J Mullins
    Department of Surgery, Oregon Health and Sciences University, Portland, OR 97239, USA
    Semin Roentgenol 41:159-76. 2006
  4. ncbi request reprint A tradition of national service in times of crisis
    Richard J Mullins
    Department of Surgery, Oregon Health and Science University, Portland 97239, USA
    Arch Surg 138:1297-301. 2003
  5. ncbi request reprint Survival of seriously injured patients first treated in rural hospitals
    Richard J Mullins
    Department of Surgery, Oregon Health and Science University, Portland, Oregon 97201 3098, USA
    J Trauma 52:1019-29. 2002
  6. ncbi request reprint Population-based research assessing the effectiveness of trauma systems
    R J Mullins
    Department of Surgery, Oregon Health Sciences University, School of Medicine, Portland 97201 3098, USA
    J Trauma 47:S59-66. 1999
  7. ncbi request reprint Adequacy of hospital discharge status as a measure of outcome among injured patients
    R J Mullins
    Department of Surgery, Oregon Health Sciences University, Portland 97201, USA
    JAMA 279:1727-31. 1998
  8. ncbi request reprint Preferential benefit of implementation of a statewide trauma system in one of two adjacent states
    R J Mullins
    Department of Surgery, Oregon Health Sciences University, School of Medicine, Portland 97201 3098, USA
    J Trauma 44:609-16; discussion 617. 1998
  9. ncbi request reprint Impact of a statewide trauma system on rural emergency department patient assessment documentation. OHSU Rural Trauma Research Group
    J R Hedges
    Oregon Health Sciences University, Department of Emergency Medicine, Portland 97201, USA
    Acad Emerg Med 4:268-76. 1997
  10. ncbi request reprint Mortality among seriously injured patients treated in remote rural trauma centers before and after implementation of a statewide trauma system
    N Clay Mann
    Department of Emergency Medicine, Univeristy of Utah, School of Medicine, Salt Lake City 84108 9161, USA
    Med Care 39:643-53. 2001

Detail Information

Publications44

  1. ncbi request reprint A historical perspective of trauma system development in the United States
    R J Mullins
    Department of Surgery, Oregon Health Sciences University, School of Medicine, Portland 97201 3098, USA
    J Trauma 47:S8-14. 1999
    ..Have trauma systems reduced death, ameliorated disability, and successfully prevented the problems these public health policies intend to manage?..
  2. ncbi request reprint Regional differences in outcomes for hospitalized injured patients
    Richard J Mullins
    Department of Surgery, Oregon Health and Science University, Portland, 97239, USA
    J Trauma 60:691-8; discussion 699-700. 2006
    ..Our goal was to use a hospital population-based data set that was a sample of all injured patients admitted to a hospital in the United States to develop universal measures of outcome and processes of care...
  3. ncbi request reprint The influence of imaging on the trauma surgeon's initial evaluation of seriously injured patients
    Richard J Mullins
    Department of Surgery, Oregon Health and Sciences University, Portland, OR 97239, USA
    Semin Roentgenol 41:159-76. 2006
  4. ncbi request reprint A tradition of national service in times of crisis
    Richard J Mullins
    Department of Surgery, Oregon Health and Science University, Portland 97239, USA
    Arch Surg 138:1297-301. 2003
  5. ncbi request reprint Survival of seriously injured patients first treated in rural hospitals
    Richard J Mullins
    Department of Surgery, Oregon Health and Science University, Portland, Oregon 97201 3098, USA
    J Trauma 52:1019-29. 2002
    ..Patients injured in rural counties are hypothesized to have improved survival if local hospitals are categorized as Level III, Level IV, and Level V trauma centers...
  6. ncbi request reprint Population-based research assessing the effectiveness of trauma systems
    R J Mullins
    Department of Surgery, Oregon Health Sciences University, School of Medicine, Portland 97201 3098, USA
    J Trauma 47:S59-66. 1999
    ..To review published evidence regarding the effectiveness of trauma systems by using population-based data...
  7. ncbi request reprint Adequacy of hospital discharge status as a measure of outcome among injured patients
    R J Mullins
    Department of Surgery, Oregon Health Sciences University, Portland 97201, USA
    JAMA 279:1727-31. 1998
    ..Crude mortality rates at the time of hospital discharge are commonly used to assess the quality of care provided to patients hospitalized following trauma...
  8. ncbi request reprint Preferential benefit of implementation of a statewide trauma system in one of two adjacent states
    R J Mullins
    Department of Surgery, Oregon Health Sciences University, School of Medicine, Portland 97201 3098, USA
    J Trauma 44:609-16; discussion 617. 1998
    ..An alternative explanation for improved outcome, however, is favorable concurrent temporal trends, e.g., new technologies and treatments...
  9. ncbi request reprint Impact of a statewide trauma system on rural emergency department patient assessment documentation. OHSU Rural Trauma Research Group
    J R Hedges
    Oregon Health Sciences University, Department of Emergency Medicine, Portland 97201, USA
    Acad Emerg Med 4:268-76. 1997
    ..To determine the association of rural ED patient assessment documentation with state trauma system implementation, hospital trauma categorization level (i.e., Level-3 vs Level-4), injury diagnosis, and patient demographics...
  10. ncbi request reprint Mortality among seriously injured patients treated in remote rural trauma centers before and after implementation of a statewide trauma system
    N Clay Mann
    Department of Emergency Medicine, Univeristy of Utah, School of Medicine, Salt Lake City 84108 9161, USA
    Med Care 39:643-53. 2001
    ..Injury mortality in rural regions remains high with little evidence that trauma system implementation has benefited rural populations...
  11. ncbi request reprint Rural hospital transfer patterns before and after implementation of a statewide trauma system. OHSU Rural Trauma Research Group
    N C Mann
    Oregon Health Sciences University, School of Medicine, Portland 97201, USA
    Acad Emerg Med 4:764-71. 1997
    ..To evaluate trauma transfer practices in rural Oregon before and after implementation of a statewide trauma system...
  12. ncbi request reprint Trauma system impact on admission site: a comparison of two states
    N C Mann
    Department of Emergency Medicine, Oregon Health Sciences University, School of Medicine, Portland 97201 3098, USA
    J Trauma 46:631-7. 1999
    ..To introduce a measure assessing statewide hospital admission patterns for trauma and evaluate its utility in identifying significant admission redistributions in neighboring states as a function of trauma system implementation...
  13. ncbi request reprint Influence of trauma system implementation on process of care delivered to seriously injured patients in rural trauma centers
    C J Olson
    Department of Surgery, Oregon Health Sciences University, School of Medicine, Portland, OR 97201, USA
    Surgery 130:273-9. 2001
    ..Evidence shows improved process of care may have benefitted patients with serious but survivable injuries. Measurement of process of care is an alternative to mortality analysis as an indication of the quality of care...
  14. ncbi request reprint Systematic review of published evidence regarding trauma system effectiveness
    N C Mann
    Department of Emergency Medicine, Oregon Health Sciences University, School of Medicine, Portland 97201 3098, USA
    J Trauma 47:S25-33. 1999
    ..Provide a systematic review of the published literature assessing the affect of trauma center/system implementation on patient outcomes...
  15. pmc Derivation of a clinical decision rule to guide the interhospital transfer of patients with blunt traumatic brain injury
    C D Newgard
    Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Health and Science University, Portland, Oregon 97239 3098, USA
    Emerg Med J 22:855-60. 2005
    ..To derive a clinical decision rule for people with traumatic brain injury (TBI) that enables early identification of patients requiring specialised trauma care...
  16. ncbi request reprint Outcomes of patients using a tiered trauma response protocol
    L S Eastes
    Trauma Program, UHN 66, Oregon Health Sciences University, 3181 S W Sam Jackson Park Road, Portland, OR 97201, USA
    J Trauma 50:908-13. 2001
    ..This study evaluated processes of care and outcome for injured patients at a Level I trauma center who had been either treated as a full trauma team activation (FULL) or managed with a modified trauma team activation (MOD)...
  17. ncbi request reprint Surveyed opinion of American trauma surgeons on the prevention of the abdominal compartment syndrome
    J C Mayberry
    Department of Surgery, Oregon Health Sciences University, Portland 97201 3098, USA
    J Trauma 47:509-13; discussion 513-4. 1999
    ..To determine the current opinion of American trauma surgeons on the use of the open abdomen to prevent the abdominal compartment syndrome (ACS)...
  18. ncbi request reprint Emergency Medical Treatment and Active Labor Act and trauma triage
    Jerris R Hedges
    Department of Emergency Medicine, Oregon Health Science University, Center for Policy and Research in Emergency Medicine, Rural Trauma Study Group, Portland, OR 97239 3098, USA
    Prehosp Emerg Care 10:332-9. 2006
    ....
  19. pmc Mortality benefit of transfer to level I versus level II trauma centers for head-injured patients
    K John McConnell
    Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Health and Science University, Portland, OR, USA
    Health Serv Res 40:435-57. 2005
    ..To determine whether head-injured patients transferred to level I trauma centers have reduced mortality relative to transfers to level II trauma centers...
  20. ncbi request reprint Variation in treatment of pediatric spleen injury at trauma centers versus nontrauma centers
    Richard J Mullins
    J Am Coll Surg 203:263; author reply 264. 2006
  21. ncbi request reprint Statewide assessment of injury and death rates among riders of off-road vehicles treated at trauma centers
    Richard J Mullins
    Department of Surgery, Oregon Health and Science University, School of Medicine, Portland, OR, USA
    J Am Coll Surg 204:216-24. 2007
    ..Injuries and deaths among riders of off-road motorized all-terrain vehicles are increasing in the US. We hypothesized that serious injuries in Oregon have increased among riders of both four-wheel and two-wheel vehicles...
  22. ncbi request reprint Equestrian injury prevention efforts need more attention to novice riders
    John C Mayberry
    Department of Surgery, Oregon Health and Science University, Portland, Oregon 97239, USA
    J Trauma 62:735-9. 2007
    ..Equestrian injury is commonly seen at trauma centers and the severity of injury is often high. We sought to determine the risk, incidence, and the influence of skill and experience on injury during horse-related activity (HRA)...
  23. ncbi request reprint Secondary triage: early identification of high-risk trauma patients presenting to non-tertiary hospitals
    Craig D Newgard
    Center for Policy and Research in Emergency Medicine, Oregon Health and Science University, Portland, OR 97239 3098, USA
    Prehosp Emerg Care 11:154-63. 2007
    ..We sought to identify a combination of highly specific clinical variables that could be used to quickly identify a subset of high-need injured patients initially presenting to non-tertiary hospitals...
  24. ncbi request reprint The benefit of higher level of care transfer of injured patients from nontertiary hospital emergency departments
    Craig D Newgard
    Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, mail code CR 114, Portland, OR 97239 3098, USA
    J Trauma 63:965-71. 2007
    ..We sought to assess whether the transfer of injured patients from nontertiary hospital emergency departments (EDs) is associated with improved survival...
  25. doi request reprint Racial disparities in mortality among adults hospitalized after injury
    Melanie Arthur
    Department of Sociology, Portland State University, Portland, Oregon, USA
    Med Care 46:192-9. 2008
    ..Although racial disparities in healthcare access and health outcomes are well documented for medical conditions, the influence of race on access to emergent care after injury has received little scrutiny...
  26. doi request reprint Proportion of seriously injured patients admitted to hospitals in the US with a high annual injured patient volume: a metric of regionalized trauma care
    Brian S Diggs
    Department of Surgery, Center for Policy and Research in Emergency Medicine, Oregon Health and Science University, Portland, OR 97239, USA
    J Am Coll Surg 206:212-9. 2008
    ..Reliable measures are needed to evaluate the implementation of regionalized care nationally. The goal of this study was to measure the proportion of seriously injured patients treated at high injury-volume hospitals...
  27. ncbi request reprint Hypercoagulability is most prevalent early after injury and in female patients
    Martin A Schreiber
    Oregon Health and Science University, Portland, Oregon 97239, USA
    J Trauma 58:475-80; discussion 480-1. 2005
    ..We hypothesized that hypercoagulability would occur early after injury and that there would be no difference between men and women...
  28. ncbi request reprint The incidence and burden of ladder, structure, and scaffolding falls
    Brian S Diggs
    Department of Surgery, L223A, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239 3098, USA
    Acad Emerg Med 12:267-70. 2005
    ..The national morbidity and mortality associated with falls from a height is incompletely described. The authors estimated the rates of injury, hospitalization, and mortality due to these falls for subgroups of the U.S. population...
  29. ncbi request reprint Hospital factors associated with splenectomy for splenic injury: a national perspective
    S Rob Todd
    The University of Texas Health Sciences Center at Houston, Houston, Texas USA
    J Trauma 57:1065-71. 2004
    ..Using the Healthcare Cost and Utilization Project's National Inpatient Sample (HCUP-NIS), we assessed the patterns of care for splenic trauma. We hypothesized that the processes of care in urban and rural hospitals would differ...
  30. ncbi request reprint Geriatric trauma: the continuing epidemic
    Richard W Sattin
    J Am Geriatr Soc 50:394-5. 2002
  31. ncbi request reprint Injury mortality following the loss of air medical support for rural interhospital transport
    N Clay Mann
    Intermountain Injury Control Research Center, University of Utah, School of Medicine, Salt Lake City, UT 84108, USA
    Acad Emerg Med 9:694-8. 2002
    ..This study evaluated variation in mortality among interfacility transfers three years before and after discontinuation of a rotor-wing transport service...
  32. pmc Cricothyroidotomy for elective airway management in critically ill trauma patients with technically challenging neck anatomy
    Christina G Rehm
    Oregon Health and Science University, Portland, Oregon, USA
    Crit Care 6:531-5. 2002
    ..To assess the value of elective cricothyroidotomy for airway management in critically ill trauma patients with technically challenging neck anatomy...
  33. ncbi request reprint Rib fracture pain and disability: can we do better?
    Mahlon A Kerr-Valentic
    Department of Surgery, Oregon Health and Science University, Portland, USA
    J Trauma 54:1058-63; discussion 1063-4. 2003
    ..The purpose of this study was to determine the magnitude and duration of pain and disability in patients with rib fractures treated using current standard therapy. This was a prospective case series...
  34. ncbi request reprint Time to death of hospitalized injured patients as a measure of quality of care
    Christine J Olson
    Department of Surgery, Oregon Health and Science University, Portland, Oregon 97201 3098, USA
    J Trauma 55:45-52. 2003
    ..Evidence suggests injured patients surviving hospitalization remain at risk for death from their injuries after discharge. Patient characteristics associated with higher risk of late death are not completely defined...
  35. ncbi request reprint Mechanism of acute ascites formation after trauma resuscitation
    John C Mayberry
    Department of Surgery, Oregon Health and Science University, Portland 97239, USA
    Arch Surg 138:773-6. 2003
    ..Severely injured patients have been observed to acutely develop ascites; however, the pathogenesis of this rare phenomenon is poorly understood...
  36. ncbi request reprint Absorbable plates for rib fracture repair: preliminary experience
    John C Mayberry
    Trauma Critical Care Section, Oregon Health and Science University, 3181 S W Sam Jackson Park Road, L223A, Portland, OR 97239, USA
    J Trauma 55:835-9. 2003
    ..Absorbable prostheses are currently used in a variety of bone reconstructions and fixations...
  37. ncbi request reprint Crush injury and rhabdomyolysis
    Darren J Malinoski
    Department of Surgery, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, OR 97201 3098, USA
    Crit Care Clin 20:171-92. 2004
    ..Further studies are needed to demonstrate if any treatment regimen is truly superior to early, aggressive crystalloid infusion...
  38. ncbi request reprint Variations in injury patterns, treatment, and outcome for spinal fracture and paralysis in adult versus geriatric patients
    Zareth N Irwin
    Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland 97201, USA
    Spine (Phila Pa 1976) 29:796-802. 2004
    ..Retrospective cohort analysis of hospital discharge and mortality data for spinal fracture and spinal cord injury patients in a single state from 1990 to 1995...
  39. ncbi request reprint Blunt carotid artery injury: the futility of aggressive screening and diagnosis
    John C Mayberry
    Department of Surgery, Oregon Health and Science University, Portland, USA
    Arch Surg 139:609-12; discussion 612-3. 2004
    ..The benefits of aggressive screening are unclear because the natural history of asymptomatic BCI is unknown and the existing treatments are controversial...
  40. ncbi request reprint Enterocutaneous fistula and ventral hernia after absorbable mesh prosthesis closure for trauma: the plain truth
    John C Mayberry
    Department of Surgery, Oregon Health and Science University, Portland, Oregon 97239, USA
    J Trauma 57:157-62; discussion 163-3. 2004
    ..The severity of abdominal injury is the determining factor for the development of enterocutaneous fistula and ventral hernia after absorbable mesh prosthesis closure (AMPC) for trauma...
  41. ncbi request reprint Advanced statistics: the propensity score--a method for estimating treatment effect in observational research
    Craig D Newgard
    Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Health and Science University, Portland, OR, USA
    Acad Emerg Med 11:953-61. 2004
    ..Graphical representations of the analyses are provided as well...
  42. ncbi request reprint Diagnosis and management of blunt pancreatic ductal injury in the era of high-resolution computed axial tomography
    Swee H Teh
    Department of Surgery, Oregon Health and Science University, 3181 S W Sam Jackson Park Rd, Portland, OR 97239, USA
    Am J Surg 193:641-3; discussion 643. 2007
    ..Computed axial tomography (CAT) scan has historically been unreliable for the detection of ductal injury, but the advent of high-resolution CAT should improve diagnostic accuracy...
  43. ncbi request reprint Correlation of central venous and arterial blood gas measurements in mechanically ventilated trauma patients
    Darren J Malinoski
    Department of Surgery, Oregon Health and Science University, Portland, USA
    Arch Surg 140:1122-5. 2005
    ....
  44. doi request reprint Regional variation in hospital mortality and 30-day mortality for injured Medicare patients
    Adam S Gorra
    Department of Surgery, Maine Medical Center, 22 Bramhall Street, Portland, ME 04102, USA
    World J Surg 32:954-9. 2008
    ..We sought to evaluate how survival of older patients with injuries differs by geographic region within the United States...