Steven R Shackford

Summary

Affiliation: Scripps Clinic
Country: USA

Publications

  1. ncbi request reprint The increasing use of vena cava filters in adult trauma victims: data from the American College of Surgeons National Trauma Data Bank
    Steven R Shackford
    Departments of Surgery and Medicine, University of Vermont College of Medicine, Burlington, Vermont, USA
    J Trauma 63:764-9. 2007
  2. ncbi request reprint Limb salvage after complex repairs of extremity arterial injuries is independent of surgical specialty training
    Steven R Shackford
    Scripps Mercy Hospital, San Diego, California 92103, USA
    J Trauma Acute Care Surg 74:716-23; discussion 723-4. 2013
  3. ncbi request reprint Is risk-adjusted mortality an indicator of quality of care in general surgery?: a comparison of risk adjustment to peer review
    Steven R Shackford
    Department of Surgery, College of Medicine, University of Vermont, Burlington, VT, USA
    Ann Surg 252:452-8; discussion 458-9. 2010
  4. doi request reprint The impact of preinjury anticoagulants and prescription antiplatelet agents on outcomes in older patients with traumatic brain injury
    Kimberly A Peck
    From the Trauma Service, Scripps Mercy Hospital, San Diego, California
    J Trauma Acute Care Surg 76:431-6. 2014
  5. ncbi request reprint Pulmonary embolism without deep venous thrombosis: De novo or missed deep venous thrombosis?
    Jan Michael Van Gent
    From the Trauma Service, Scripps Mercy Hospital, San Diego, California
    J Trauma Acute Care Surg 76:1270-4. 2014
  6. doi request reprint Delayed intracranial hemorrhage after blunt trauma: are patients on preinjury anticoagulants and prescription antiplatelet agents at risk?
    Kimberly A Peck
    Trauma Service, Scripps Mercy Hospital, San Diego, California 92103, USA
    J Trauma 71:1600-4. 2011
  7. doi request reprint The changing nature of death on the trauma service
    Jessica E Kahl
    Trauma Service, Scripps Mercy Hospital, San Diego, California 92103, USA
    J Trauma Acute Care Surg 75:195-201. 2013
  8. doi request reprint Resource commitment to improve outcomes and increase value at a level I trauma center
    C Beth Sise
    Trauma Service, Scripps Mercy Hospital, 4077 5th Avenue, San Diego, CA 92103, USA
    J Trauma 70:560-8. 2011
  9. ncbi request reprint Isolated traumatic brain injury and venous thromboembolism
    Jan Michael Van Gent
    From the Trauma Service, Scripps Mercy Hospital, San Diego, California
    J Trauma Acute Care Surg 77:238-42. 2014
  10. doi request reprint The value of lower-extremity duplex surveillance to detect deep vein thrombosis in trauma patients
    Jesse Bandle
    Division of Trauma, Department of Surgery, Scripps Mercy Hospital, San Diego, California, USA
    J Trauma Acute Care Surg 74:575-80. 2013

Collaborators

Detail Information

Publications29

  1. ncbi request reprint The increasing use of vena cava filters in adult trauma victims: data from the American College of Surgeons National Trauma Data Bank
    Steven 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...
  2. ncbi request reprint Limb salvage after complex repairs of extremity arterial injuries is independent of surgical specialty training
    Steven R Shackford
    Scripps Mercy Hospital, San Diego, California 92103, USA
    J Trauma Acute Care Surg 74:716-23; discussion 723-4. 2013
    ..We hypothesized that general surgeons without specialty training in vascular surgery would have outcomes equivalent to surgeons with vascular training in the management of extremity arterial injuries requiring interposition grafting...
  3. ncbi request reprint Is risk-adjusted mortality an indicator of quality of care in general surgery?: a comparison of risk adjustment to peer review
    Steven R Shackford
    Department of Surgery, College of Medicine, University of Vermont, Burlington, VT, USA
    Ann Surg 252:452-8; discussion 458-9. 2010
    ..We sought to determine the validity of this approach by comparing the risk-adjusted predicted mortality to the findings of concurrent peer review and retrospective chart review of deaths that occur on a general surgery service...
  4. doi request reprint The impact of preinjury anticoagulants and prescription antiplatelet agents on outcomes in older patients with traumatic brain injury
    Kimberly A Peck
    From the Trauma Service, Scripps Mercy Hospital, San Diego, California
    J Trauma Acute Care Surg 76:431-6. 2014
    ..We hypothesized that TBI patients on preinjury ACAP agents would have worse outcomes than non-ACAP patients...
  5. ncbi request reprint Pulmonary embolism without deep venous thrombosis: De novo or missed deep venous thrombosis?
    Jan Michael Van Gent
    From the Trauma Service, Scripps Mercy Hospital, San Diego, California
    J Trauma Acute Care Surg 76:1270-4. 2014
    ..We examined the relationship between DVT and PE in trauma patients screened for DVT with duplex sonography (DS). We sought to validate the incidence of PE without evidence of DVT and to examine the clinical significance of this entity...
  6. doi request reprint Delayed intracranial hemorrhage after blunt trauma: are patients on preinjury anticoagulants and prescription antiplatelet agents at risk?
    Kimberly A Peck
    Trauma Service, Scripps Mercy Hospital, San Diego, California 92103, USA
    J Trauma 71:1600-4. 2011
    ..We hypothesized that among patients with no traumatic findings on CT1 and a normal or unchanged interval neurologic examination, the incidence of clinically significant delayed ICH would be zero...
  7. doi request reprint The changing nature of death on the trauma service
    Jessica E Kahl
    Trauma Service, Scripps Mercy Hospital, San Diego, California 92103, USA
    J Trauma Acute Care Surg 75:195-201. 2013
    ..We hypothesized that this increase in elderly injured patients may have combined with recent care innovations to alter the causes of death after trauma...
  8. doi request reprint Resource commitment to improve outcomes and increase value at a level I trauma center
    C Beth Sise
    Trauma Service, Scripps Mercy Hospital, 4077 5th Avenue, San Diego, CA 92103, USA
    J Trauma 70:560-8. 2011
    ..We examined the impact of creating a dedicated trauma care unit (TCU) and adding advanced practice nurses on the quality and cost of care at an adult Level I trauma center...
  9. ncbi request reprint Isolated traumatic brain injury and venous thromboembolism
    Jan Michael Van Gent
    From the Trauma Service, Scripps Mercy Hospital, San Diego, California
    J Trauma Acute Care Surg 77:238-42. 2014
    ..However, the role of TBI severity in VTE risk has not been determined. We hypothesized that increased severity of brain injury in patients with isolated TBI (iTBI) is associated with an increased incidence of VTE...
  10. doi request reprint The value of lower-extremity duplex surveillance to detect deep vein thrombosis in trauma patients
    Jesse Bandle
    Division of Trauma, Department of Surgery, Scripps Mercy Hospital, San Diego, California, USA
    J Trauma Acute Care Surg 74:575-80. 2013
    ..We sought to determine the value (quality/cost) of VDS in trauma patients stratified by risk for venous thromboembolism...
  11. doi request reprint Early intubation in the management of trauma patients: indications and outcomes in 1,000 consecutive patients
    Michael J Sise
    Division of Trauma, Scripps Mercy Hospital, San Diego, CA 92103, USA
    J Trauma 66:32-9; discussion 39-40. 2009
    ..However, EI have not been clinically validated. Many intubations are performed for other discretionary indications (DI). We evaluated early intubation to assess the incidence and outcomes of those performed for both EI and DI...
  12. ncbi request reprint Withdrawal of care: a 10-year perspective at a Level I trauma center
    Michael J Sise
    Trauma Service, Scripps Mercy Hospital, San Diego, California 92103, USA
    J Trauma Acute Care Surg 72:1186-93. 2012
    ..We reviewed 10 years of deaths at our adult Level I trauma center to identify the patients undergoing WLC and to describe the process of trauma surgeon-managed WLC...
  13. doi request reprint Back to the future: reducing reliance on torso computed tomography in the initial evaluation of blunt trauma
    Michael J Sise
    Trauma Service, Scripps Mercy Hospital, San Diego, California 92103, USA
    J Trauma Acute Care Surg 74:92-7; discussion 97-9. 2013
    ..Our trauma surgeon group (TSG) modified its practice to limit the use of CAP. We evaluated the effect of this practice change on patient radiation exposure and diagnostic accuracy...
  14. ncbi request reprint Toward optimal recording of surgical complications: concurrent tracking compared to the discharge data set
    Daniel J Bertges
    Department of Surgery, Fletcher Allen Health Care and University of Vermont College of Medicine, Burlington, VT 05401, USA
    Surgery 141:19-31. 2007
    ..The accuracy of these data in detecting vascular complications has never been validated...
  15. ncbi request reprint 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
    ....
  16. ncbi request reprint 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...
  17. doi request reprint Death after bowel resection: patient disease, not surgeon error
    Neil H Hyman
    Department of Surgery, University of Vermont College of Medicine, Fletcher Allen Health Care, Fletcher House 301, 111 Colchester Avenue, Burlington, VT 05401, USA
    J Gastrointest Surg 13:137-41. 2009
    ..We sought to use a rigorous prospective quality database incorporating standardized peer review, to define how often patients die from provider-related causes...
  18. ncbi request reprint Current trends in vena caval filtration with the introduction of a retrievable filter at a level I trauma center
    Christopher S Morris
    Department of Radiology, University of Vermont College of Medicine, Fletcher Allen Health Care, Burlington, Vermont, USA
    J Trauma 57:32-6. 2004
    ..The purpose of this study was to document the initial experience, indications, technical success, and complications with an optional vena caval filter at a Level I trauma center...
  19. doi request reprint "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...
  20. ncbi request reprint A simple mathematical modification of TRISS markedly improves calibration
    Turner M Osler
    University of Vermont, Fletcher, Allen Health Care, Burlington 05401, USA
    J Trauma 53:630-4. 2002
    ....
  21. doi request reprint 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...
  22. ncbi request reprint Improving the Glasgow Coma Scale score: motor score alone is a better predictor
    C Healey
    Department of Surgery, University of Vermont, College of Medicine, Burlington 05401, USA
    J Trauma 54:671-8; discussion 678-80. 2003
    ..g., TRISS and Acute Physiology and Chronic Health Evaluation), but it has not been rigorously examined as a predictor of outcome...
  23. ncbi request reprint A 10-year analysis of venous thromboembolism on the surgical service: the effect of practice guidelines for prophylaxis
    Steven R Shackford
    Department of Surgery, University of Vermont College of Medicine, Burlington, Vermont 05401, USA
    Surgery 144:3-11. 2008
    ....
  24. ncbi request reprint The future of trauma surgery--a perspective
    Steven R Shackford
    Department of Surgery, University of Vermont College of Medicine, Burlington, Vermont, USA
    J Trauma 58:663-7. 2005
  25. ncbi request reprint Complications in surgical patients
    Mark A Healey
    Department of Surgery, University of Vermont College of Medicine, Fletcher 4, 111 Colchester Ave, Burlington, VT 05401, USA
    Arch Surg 137:611-7; discussion 617-8. 2002
    ..Complications are common in hospitalized surgical patients. Provider error contributes to a significant proportion of these complications...
  26. doi request reprint Preemptive craniectomy with craniotomy: what role in the management of severe traumatic brain injury?
    Gabrielle M Paci
    Trauma Service, Scripps Mercy Hospital, San Diego, California 92103, USA
    J Trauma 67:531-6. 2009
    ....
  27. doi request reprint Tracking outcomes of anorectal surgery: the need for a disease-specific quality assessment tool
    Neil H Hyman
    Department of Surgery, Fletcher Allen Health Care, University of Vermont College of Medicine, Burlington, Vermont 05401, USA
    Dis Colon Rectum 51:1221-4; discussion 1224. 2008
    ..We sought to determine the nature and timing of complications after common anorectal operations by using a prospective quality tracking tool...
  28. ncbi request reprint Surgeon-performed bedside organ assessment with sonography after trauma (BOAST): a pilot study from the WTA Multicenter Group
    Grace S Rozycki
    Department of Surgery, Emory University School of Medicine, Grady Memorial Hospital, Atlanta, GA 30303, USA
    J Trauma 59:1356-64. 2005
    ....
  29. ncbi request reprint 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
    ....