Research Topics
| R J MullinsSummaryAffiliation: Oregon Health and Science University Country: USA Publications
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Detail Information
Publications
A historical perspective of trauma system development in the United StatesR 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?..- Regional differences in outcomes for hospitalized injured patientsRichard 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... - The influence of imaging on the trauma surgeon's initial evaluation of seriously injured patientsRichard J Mullins
Department of Surgery, Oregon Health and Sciences University, Portland, OR 97239, USA
Semin Roentgenol 41:159-76. 2006 - A tradition of national service in times of crisisRichard J Mullins
Department of Surgery, Oregon Health and Science University, Portland 97239, USA
Arch Surg 138:1297-301. 2003 - Survival of seriously injured patients first treated in rural hospitalsRichard 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... - Population-based research assessing the effectiveness of trauma systemsR 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... - Adequacy of hospital discharge status as a measure of outcome among injured patientsR 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... - Preferential benefit of implementation of a statewide trauma system in one of two adjacent statesR 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... - Impact of a statewide trauma system on rural emergency department patient assessment documentation. OHSU Rural Trauma Research GroupJ 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... - Mortality among seriously injured patients treated in remote rural trauma centers before and after implementation of a statewide trauma systemN 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... - Rural hospital transfer patterns before and after implementation of a statewide trauma system. OHSU Rural Trauma Research GroupN 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... - Trauma system impact on admission site: a comparison of two statesN 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... - Influence of trauma system implementation on process of care delivered to seriously injured patients in rural trauma centersC 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... - Systematic review of published evidence regarding trauma system effectivenessN 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... 
Derivation of a clinical decision rule to guide the interhospital transfer of patients with blunt traumatic brain injuryC 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...- Outcomes of patients using a tiered trauma response protocolL 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)... - Surveyed opinion of American trauma surgeons on the prevention of the abdominal compartment syndromeJ 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)... - Emergency Medical Treatment and Active Labor Act and trauma triageJerris 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.... - Mortality benefit of transfer to level I versus level II trauma centers for head-injured patientsK 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..2%) compared with transfer to level II trauma centers. CONCLUSIONS: Patients with severe head injuries transferred from rural trauma centers to level I centers are likely to have improved survival relative to transfer to level II centers... - Variation in treatment of pediatric spleen injury at trauma centers versus nontrauma centersRichard J Mullins
J Am Coll Surg 203:263; author reply 264. 2006 - Statewide assessment of injury and death rates among riders of off-road vehicles treated at trauma centersRichard 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... - Equestrian injury prevention efforts need more attention to novice ridersJohn 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)... - Secondary triage: early identification of high-risk trauma patients presenting to non-tertiary hospitalsCraig 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... - The benefit of higher level of care transfer of injured patients from nontertiary hospital emergency departmentsCraig 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... 
Racial disparities in mortality among adults hospitalized after injuryMelanie 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...- Proportion of seriously injured patients admitted to hospitals in the US with a high annual injured patient volume: a metric of regionalized trauma careBrian 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... - Hypercoagulability is most prevalent early after injury and in female patientsMartin 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... - The incidence and burden of ladder, structure, and scaffolding fallsBrian 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... - Hospital factors associated with splenectomy for splenic injury: a national perspectiveS Rob Todd
The University of Texas Health Sciences Center at Houston, Houston, Texas. USA
J Trauma 57:1065-71. 2004..Surgeons at urban teaching hospitals appear more willing to attempt splenic salvage by means of nonoperative management... - Geriatric trauma: the continuing epidemicRichard W Sattin
J Am Geriatr Soc 50:394-5. 2002 - Injury mortality following the loss of air medical support for rural interhospital transportN 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... - Cricothyroidotomy for elective airway management in critically ill trauma patients with technically challenging neck anatomyChristina 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... - 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... - Time to death of hospitalized injured patients as a measure of quality of careChristine J Olson
Department of Surgery, Oregon Health and Science University, Portland, Oregon 97201-3098, USA
J Trauma 55:45-52. 2003..Patients who die in the year after injury differ from the traditional population used to evaluate quality of trauma care, and new standards are needed that evaluate long-term survival... - Mechanism of acute ascites formation after trauma resuscitationJohn 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... - Absorbable plates for rib fracture repair: preliminary experienceJohn 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... - Crush injury and rhabdomyolysisDarren 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... - Variations in injury patterns, treatment, and outcome for spinal fracture and paralysis in adult versus geriatric patientsZareth N Irwin
Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland 97201, USA
Spine 29:796-802. 2004..While the possibility of selection bias exists, both geriatricand adult patients had reduced 60-day mortality associated with surgical intervention... - Blunt carotid artery injury: the futility of aggressive screening and diagnosisJohn 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... - Enterocutaneous fistula and ventral hernia after absorbable mesh prosthesis closure for trauma: the plain truthJohn 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... - Advanced statistics: the propensity score--a method for estimating treatment effect in observational researchCraig 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... - Diagnosis and management of blunt pancreatic ductal injury in the era of high-resolution computed axial tomographySwee 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... - Correlation of central venous and arterial blood gas measurements in mechanically ventilated trauma patientsDarren J Malinoski
Department of Surgery, Oregon Health and Science University, Portland, USA
Arch Surg 140:1122-5. 2005.... - Regional variation in hospital mortality and 30-day mortality for injured Medicare patientsAdam 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...