Research Topics
| Gregory J JurkovichSummaryAffiliation: University of Washington Country: USA Publications
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Publications
Systematic review of trauma system effectiveness based on registry comparisonsG J Jurkovich
Harborview Medical Center, Trauma Services, Seattle, WA 98104, USA
J Trauma 47:S46-55. 1999..The purpose of this study was to identify these strengths and weaknesses and to determine whether registry studies provide evidence of trauma system efficacy...
Centers for Disease Control and Prevention injury research agenda: identification of acute care research topics of interest to the Centers for disease Control and Prevention--National Center for Injury Prevention and ControlGregory J Jurkovich
Harborview Injury Prevention and Research Center, American Association for the Surgery of Trauma, Seattle, Washington, USA
J Trauma 56:1166-70. 2004..The purpose of this report is to identify the most important research questions pertaining to the acute care of the injured patient using a Web-based Delphi technique to achieve expert opinion consensus...
Environmental cold-induced injuryGregory J Jurkovich
University of Washington, Seattle, WA, USA
Surg Clin North Am 87:247-67, viii. 2007..Finally, it examines cold injuries, including frostbite, chilblain, and trench foot, and makes recommendations for their treatment...
Acute care surgery: the trauma surgeon's perspectiveGregory J Jurkovich
Department of Surgery, Harborview Medical Center, University of Washington, Seattle, WA 98104, USA
Surgery 141:293-6. 2007
Validating the Western Trauma Association algorithm for managing patients with anterior abdominal stab wounds: a Western Trauma Association multicenter trialWalter L Biffl
Department of Surgery, Denver Health Medical Center University of Colorado, Denver, Colorado 80204 4507, USA
J Trauma 71:1494-502. 2011..The purpose of this study was to evaluate the safety and efficacy of the algorithm in providing timely interventions for significant injuries...
A comparison of prehospital and hospital data in trauma patientsSaman Arbabi
Department of Surgery, University of Michigan Medical Center, Ann Arbor, Michigan, USA
J Trauma 56:1029-32. 2004..We hypothesized that ED and Fd physiologic parameters are equally valid predictors of outcomes. In addition, we hypothesized that early field intubation will improve survival compared with later ED intubation...
Complication rates among trauma centersDarwin N Ang
Department of Surgery, University of Washington, Seattle, WA
J Am Coll Surg 209:595-602. 2009..The goal of this study was to examine the association between patient complications and admission to Level I trauma centers (TC) compared with nontrauma centers (NTC)...
Hypertonic resuscitation of hypovolemic shock after blunt trauma: a randomized controlled trialEileen M Bulger
Department of Surgery, Campus Box 359796, Harborview Medical Center, 325 Ninth Ave, Seattle, WA 98104, USA
Arch Surg 143:139-48; discussion 149. 2008..The purpose of this study was to evaluate the effect of hypertonicity on organ injury after blunt trauma...
National variability in out-of-hospital treatment after traumatic injuryEileen M Bulger
Harborview Injury Prevention and Research Center, Seattle, WA 98104, USA
Ann Emerg Med 49:293-301. 2007..We define the variability in the out-of-hospital treatment provided to trauma patients in the United States...
National variation in outcomes and costs for splenic injury and the impact of trauma systems: a population-based cohort studyChristian A Hamlat
Harborview Injury Prevention and Research Center, Department of Surgery, University of Washington and Harborview Medical Center, Seattle, WA, USA
Ann Surg 255:165-70. 2012..To measure national variation in splenectomy rates, mortality, and costs for hospitalized patients with splenic injury and the impact of state trauma systems on these outcomes...
Blunt traumatic thoracic aortic injuries: early or delayed repair--results of an American Association for the Surgery of Trauma prospective studyDemetrios Demetriades
Multicenter Clinical Trials Committee, American Association for the Surgery of Trauma, USA
J Trauma 66:967-73. 2009..In recent years, there has been a trend toward delayed repair, even in low-risk patients. This study evaluates the current practices in the surgical community regarding the timing of aortic repair and its effects on outcomes...
Early packed red blood cell transfusion and acute respiratory distress syndrome after traumaOnuma Chaiwat
Department of Anesthesiology, University of Washington School of Medicine, Seattle, Washington 98195 6540, USA
Anesthesiology 110:351-60. 2009..Transfusion of packed red blood cells (PRBCs) is a risk factor for acute respiratory distress syndrome (ARDS) in trauma patients. Yet, there is a paucity of information regarding the risk of ARDS with incremental PRBCs exposure...
Development and validation of the mortality risk for trauma comorbidity indexHilaire J Thompson
Department of Biobehavioral Nursing and Health Systems, Harborview Injury Prevention and Research Center, The University of Washington School of Nursing, Seattle, WA, USA
Ann Surg 252:370-5. 2010..The aim of this study was to develop and validate a comorbidity index to predict the risk of mortality associated with chronic health conditions following a traumatic injury...
Variations in rates of tracheostomy in the critically ill trauma patientAvery B Nathens
Harborview Injury Prevention and Research Center, Seattle, WA, USA
Crit Care Med 34:2919-24. 2006..The variation provides evidence of equipoise and emphasizes the need for a well-conducted randomized controlled trial to evaluate the utility of this procedure...
Evaluation of the effect of intensity of care on mortality after traumatic brain injuryHilaire J Thompson
University of Washington School of Nursing, Seattle, WA, USA
Crit Care Med 36:282-90. 2008..To evaluate the effect of age on intensity of care provided to traumatically brain-injured adults and to determine the influence of intensity of care on mortality at discharge and 12 months postinjury, controlling for injury severity...
Multisite investigation of traumatic brain injuries, posttraumatic stress disorder, and self-reported health and cognitive impairmentsDouglas F Zatzick
Harborview Injury Prevention and Research Center, University of Washington School of Medicine, Seattle, 98104, USA
Arch Gen Psychiatry 67:1291-300. 2010..Few large-scale, multisite investigations have assessed the development of posttraumatic stress disorder (PTSD) symptoms and health outcomes across the spectrum of patients with mild, moderate, and severe traumatic brain injury (TBI)...
Association between posttraumatic stress and depressive symptoms and functional outcomes in adolescents followed up longitudinally after injury hospitalizationDouglas F Zatzick
Department of Psychiatry and Behavioral Sciences, Harborview Injury Prevention and Research Center, University of Washington School of Medicine, Campus Box 359896, 325 Ninth Ave, Seattle, WA 98104, USA
Arch Pediatr Adolesc Med 162:642-8. 2008..To assess the association between early posttraumatic stress disorder (PTSD) and depressive symptoms and functional and quality-of-life outcomes among injured youth...
The evolution of the diagnostic work-up for stab wounds to the back and flankTam N Pham
Department of Surgery, University of Washington, Harborview Medical Centre, Seattle, WA 98104, United States
Injury 40:48-53. 2009..This study aims to review the evolution of the diagnostic work-up for stab wounds to the back and flank...
Predicting major hemorrhage in patients with pelvic fractureC Craig Blackmore
Harborview Injury Prevention and Research Center, University of Washington School of Public Health and Community Medicine, Seattle, Washington 98104, USA
J Trauma 61:346-52. 2006..The objective of this study is to use information available upon presentation to the trauma center to develop a clinical prediction rule to identify subjects with pelvic fracture who are at high risk of major hemorrhage...
Effect of patient load on trauma outcomes in a Level I trauma centerSaman Arbabi
Department of Surgery, University of Michigan, Ann Arbor, USA
J Trauma 59:815-8; discussion 819-20. 2005..The goal of the study was to see whether trauma patients admitted during 'high' patient-load periods, at night, or on weekends had worse outcomes...
High-intensity ultrasound treatment of blunt abdominal solid organ injury: an animal modelCarol J Cornejo
Department of Surgery, Harborview Medical Center, Univeristy of Washington, Seattle, Washington, USA
J Trauma 57:152-6. 2004..HIFU-treated sites were hemostatic at relaparotomy, with 8.6 +/- 6.2 mL/kg abdominal serosanguinous fluid recovered. CONCLUSION: HIFU is effective in producing hemostasis by direct treatment of injured parenchyma in blunt trauma...
Premorbid statin use is associated with improved survival and functional outcomes in older head-injured individualsEric B Schneider
Division of Acute Care Surgery and Adult Trauma Surgery, Department of Surgery, Center for Surgical Trials and Outcomes Research, Johns Hopkins School of Medicine, Baltimore, Maryland 21218, USA
J Trauma 71:815-9. 2011..To determine whether preinjury statin use is associated with survival and functional recovery in older adult victims of moderate/severe head trauma...
Is pediatric trauma still a surgical disease? Patterns of emergent operative intervention in the injured childStephanie P Acierno
University of Washington, Department of Surgery, Division of General and Trauma Surgery, Harborview Medical Center and the Harborview Injury Prevention and Research Center, Seattle, Washington, USA
J Trauma 56:960-4; discussion 965-6. 2004..This study examines the frequency of operative intervention among injured children and evaluates potential predictors of emergent intervention...
Patient outcomes in academic medical centers: influence of fellowship programs and in-house on-call attending surgeonSaman Arbabi
Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI, USA
Arch Surg 138:47-51; discussion 51. 2003..We were interested in 2 such policies or characteristics that are commonly implemented in academic centers: an in-house on-call attending physician policy and the existence of postgraduate medical education...
Management of patients with anterior abdominal stab wounds: a Western Trauma Association multicenter trialWalter L Biffl
Department of Surgery, Denver Health Medical Center University of Colorado Denver, Denver, Colorado 80204 4507, USA
J Trauma 66:1294-301. 2009....
Prospective payments in a regional trauma center: the case for recognition of the transfer patient in diagnostic related groupsJason A London
Division of Trauma/General Surgery, Harborview Medical Center, Department of Surgery, University of Washington, Seattle, Washington 98104, USA
J Trauma 60:390-5; discussion 395-6. 2006..These differences render conventional DRG-based mechanisms of reimbursement inadequate, suggesting a need for recognition of the transfer patient as a distinct entity by payers...
A national US study of posttraumatic stress disorder, depression, and work and functional outcomes after hospitalization for traumatic injuryDouglas Zatzick
Department of Psychiatry and Behavioral Sciences, Harborview Injury Prevention and Research Center, University of Washington School of Medicine, Box 359896, 325 Ninth Ave, Seattle, WA 98104, USA
Ann Surg 248:429-37. 2008..To examine factors other than injury severity that are likely to influence functional outcomes after hospitalization for injury...
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...
Predictors of posttraumatic stress disorder and return to usual major activity in traumatically injured intensive care unit survivorsDimitry S Davydow
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98104, USA
Gen Hosp Psychiatry 31:428-35. 2009..To assess intensive care unit (ICU)/acute care service-delivery characteristics and pre-ICU factors as predictors of posttraumatic stress disorder (PTSD) and return to usual major activity after ICU admission for trauma...
Hemostasis and sealing of air leaks in the lung using high-intensity focused ultrasoundShahram Vaezy
Department of Bioengineering, University of Washington, Seattle, WA 98195, USA
J Trauma 62:1390-5. 2007..High-intensity focused ultrasound (HIFU) has been demonstrated as a useful method for hemostasis in experimental solid organ injuries. We wished to investigate whether this could be applied to lung injuries...
Do initial radiographs agree with crash site mechanism of injury in pelvic ring disruptions? A pilot studyKen F Linnau
Department of Radiology, Harborview Medical Center, Seattle, Washington 98104 2499, USA
J Orthop Trauma 21:375-80. 2007..Our objective was to compare injury direction determined from anteroposterior (AP) pelvic radiographs with injury forces determined from crash site investigation...
The utility of early end-tidal capnography in monitoring ventilation status after severe injuryKeir J Warner
Department of Trauma Surgery, Harborview Medical Center, Seattle, Washington 98104, USA
J Trauma 66:26-31. 2009..Thus, we hypothesize that EtCO2 will demonstrate a poor reflection of actual ventilation status after severe injury...
Ethnoracial variations in acute PTSD symptoms among hospitalized survivors of traumatic injuryKari A Stephens
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195, USA
J Trauma Stress 23:384-92. 2010..Disparities in trauma history, PTSD symptoms, and event related factors emphasize the need for acute care services to incorporate culturally competent approaches for treating these diverse populations...
Adolescents' and parents' agreement on posttraumatic stress disorder symptoms and functioning after adolescent injuryAngela Ghesquiere
Department of Psychiatry and Behavioral Sciences, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA 98104 2499, USA
J Trauma Stress 21:487-91. 2008..These findings suggest caution in clinical and policy applications of parental ratings of adolescent symptomatic and functional outcomes after injury...
Emergency department ventilation effects outcome in severe traumatic brain injuryKeir J Warner
Department of Surgery, University of Washington, Harborview Medical Center, Seattle, Washington, USA
J Trauma 64:341-7. 2008..We sought to determine whether achieving ventilation into a target range would translate into better outcomes in patients with TBI...
The impact of an intensivist-model ICU on trauma-related mortalityAvery B Nathens
Department of Surgery, University of Washington and Harborview Injury Prevention and Research Center, Seattle, WA, USA
Ann Surg 244:545-54. 2006..To evaluate the effect of an intensivist-model of critical care delivery on the risk of death following injury...
The evaluation of pneumomediastinum in blunt trauma patientsSharmila Dissanaike
Division of Trauma and Critical Care Surgery, Harborview Medical Center, University of Washington, Seattle, Washington 98104, USA
J Trauma 65:1340-5. 2008..We evaluated the incidence of major injuries associated with pneumomediastinum, the accuracy of diagnostic modalities, and the results of observation versus aggressive evaluation...
Single-dose etomidate for rapid sequence intubation may impact outcome after severe injuryKeir J Warner
Department of Surgery, University of Washington, Harborview Medical Center, Seattle, Washington 98104, USA
J Trauma 67:45-50. 2009..We hypothesized that etomidate may alter the occurrence of acute respiratory distress syndrome (ARDS) in injury victims...
Preinjury statin use is associated with improved in-hospital survival in elderly trauma patientsDavid T Efron
Department of Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
J Trauma 64:66-73; discussion 73-4. 2008..Victims of severe traumatic injury share similar inflammatory cascades to those seen in septic patients. We hypothesized that elderly (aged >/=65 years) trauma patients might derive a similar outcome benefit from preinjury statin use...
Prevalence of pain in patients 1 year after major traumaFrederick P Rivara
Departments of Pediatrics and Epidemiology, Harborview Injury Prevention and Research Center, University of Washington School of Medicine, Box 359960, 325 Ninth Ave, Seattle, WA 98104, USA
Arch Surg 143:282-7; discussion 288. 2008..To describe the prevalence of pain in a large cohort of trauma patients 1 year after injury and to examine personal, injury, and treatment factors that predict the presence of chronic pain in these patients...
Oxandrolone does not improve outcome of ventilator dependent surgical patientsEileen M Bulger
Department of Surgery, University of Washington, Seattle 98104, USA
Ann Surg 240:472-8; discussion 478-80. 2004..Oxandrolone is an anabolic steroid that attenuates loss of lean body mass and improves wound healing in burn patients. We hypothesized that oxandrolone would improve outcome for ventilator-dependent surgical patients...
Urgent and emergent thoracotomy for penetrating chest traumaRiyad Karmy-Jones
Department of Surgery, Box 359796, 325 Ninth Avenue, Harborview Medical Center, Seattle, WA 98104, USA
J Trauma 56:664-8; discussion 668-9. 2004..Although the major factor in outcome is presenting physiology, the site of the TCY may influence survival, with the operating room offering a superior environment to the emergency room...
The use of neuromuscular blocking agents to facilitate prehospital intubation does not impair outcome after traumatic brain injuryEileen M Bulger
Departments of Surgery, University of Washington, Harborview Medical Center, Seattle, Washington, USA
J Trauma 58:718-23; discussion 723-4. 2005..We sought to determine the effect of the use of NMBAs to facilitate prehospital intubation on outcome after TBI...
Long-term survival of adult trauma patientsGiana H Davidson
Harborview Injury Prevention and Research Center, and Department of Surgery, University of Washington, Seattle, USA
JAMA 305:1001-7. 2011..To date, there have been few large studies evaluating long-term mortality in trauma patients and identifying predictors that increase risk for death following hospital discharge...
Inclusive trauma systems: do they improve triage or outcomes of the severely injured?Garth H Utter
Department of Surgery, Harborview Medical Center, and the Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington, USA
J Trauma 60:529-35; discussion 535-37. 2006..We postulate that inclusive systems assure that severely injured patients are more likely to be triaged to a level I or II regional trauma center, and this greater degree of participation would lead to lower mortality...
The effect of interfacility transfer on outcome in an urban trauma systemAvery B Nathens
Division of General and Trauma Surgery, Harborview Medical Center, and Department of Surgery, University of Washington, Seattle, 98104 2499, USA
J Trauma 55:444-9. 2003..We set out to evaluate whether patients initially assessed at these centers and then transferred to a Level I facility were adversely affected by delays to definitive care...
Progress in the diagnosis of appendicitis: a report from Washington State's Surgical Care and Outcomes Assessment ProgramFrederick Thurston Drake
Department of Surgery, University of Washington, 1859 NE Pacific Street, Box 356410, Seattle, WA 98195, USA
Ann Surg 256:586-94. 2012..Since 2006, accurate diagnosis of appendicitis has been a priority for SCOAP. The objective of this study was to evaluate the association between imaging and NA in the general community...
Alcohol and risk of mortality in patients with traumatic brain injuryJamie R Shandro
Harborview Injury Prevention and Research Center, University of Washington School of Medicine, Seattle, Washington 98104, USA
J Trauma 66:1584-90. 2009..The purpose of this study is to use a comprehensive trauma database to determine whether blood alcohol concentration (BAC) is associated with mortality in patients with TBI...
Clearing the cervical spine in obtunded patientsTyler J Harris
School of Medicine, University of Washington, University of Washington School of Medicine, Seattle, WA 98104 2499, USA
Spine (Phila Pa 1976) 33:1547-53. 2008..Retrospective cohort study...
Prevalence and predictors of sexual dysfunction 12 months after major trauma: a national studyMathew D Sorensen
Departments of Urology, Surgery, Pediatrics and Epidemiology, University of Washington School of Medicine, Harborview Medical Center, Seattle, Washington, USA
J Trauma 65:1045-52; discussion 1052-3. 2008..To determine the prevalence and predictors of sexual dysfunction (SDF) after moderate-to-severe trauma in a large multicenter study...
A resource-based assessment of trauma care in the United StatesAvery B Nathens
Division of Trauma and General Surgery, Harborview Medical Center and Department of Surgery, University of Washington, Seattle, 98104 2499, USA
J Trauma 56:173-8; discussion 178. 2004..The resources needed and those available to support trauma care for a given region are currently unknown. Resource use and availability were evaluated for injured subjects across a large sample of the United States...
Management of the injured patient: identification of research topics for systematic review using the delphi techniqueAvery B Nathens
Department of Surgery, Harborview Injury Prevention and Research Center, University of Washington, Seattle, 98104, USA
J Trauma 54:595-601. 2003..This study identifies the most important research questions pertaining to the acute care of the injured patient using a Web-based Delphi technique to achieve consensus of expert opinion...
Timing of femur fracture fixation: effect on outcome in patients with thoracic and head injuriesSusan I Brundage
Department of Surgery, Baylor College of Medicine, Houston, Texas 77030, USA
J Trauma 52:299-307. 2002..Optimal timing of femur fracture fixation remains controversial. This study examines the association between the timing of femur fracture fixation and outcome in patients with concomitant chest and head injuries...
Compliance with Centers for Disease Control and Prevention field triage guidelines in an established trauma systemAlexis M Gage
Department of Surgery, Harborview Medical Center, University of Washington, Seattle, WA 98104, USA
J Am Coll Surg 215:148-54; discussion 154-6. 2012..Regionalization of trauma care reduces mortality and has clear guidelines for transport to the highest level of trauma care. Whether prehospital providers follow the CDC triage algorithm remains to be determined...
Do inclusive trauma systems improve outcomes after renal trauma?Alex J Vanni
Department of Urology, University of Washington School of Medicine, Harborview Injury Prevention and Research Center, 325 9th Avenue, Seattle, WA 98104, USA
J Trauma Acute Care Surg 72:385-9. 2012..Our aim is to assess state variation in renal trauma outcomes. We hypothesize that states with more hospitals participating in a trauma system will have lower nephrectomy and mortality rates...
The delivery of critical care services in US trauma centers: is the standard being met?Avery B Nathens
Division of Trauma and General Surgery, Harborview Medical Center, Seattle, WA 98104, USA
J Trauma 60:773-83; disucssion 783-4. 2006..We set out to evaluate how critical care is delivered in Level I and II trauma centers and the extent to which these centers implement evidence-based patient care practices known to improve outcome...
Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deathsRussell L Gruen
Harborview Medical Center, University of Washington, Seattle, WA 98104, USA
Ann Surg 244:371-80. 2006..CONCLUSIONS: Preventable deaths will occur even in mature trauma systems. This review has identified error patterns that are likely common in all trauma systems, and for which policy interventions can be effectively targeted...
Residual hemothorax after chest tube placement correlates with increased risk of empyema following traumatic injuryRiyad Karmy-Jones
Department of Surgery, Harborview Medical Center, Seattle, Washington 98664, USA
Can Respir J 15:255-8. 2008..Residual fluid has also been cited as a risk factor for empyema, although the imaging technique to identify this varies...
Gossypiboma: tales of lost sponges and lessons learnedLisa K McIntyre
Department of Surgery, University of Washington, Harborview Medical Center, Seattle, Washington 98104, USA
Arch Surg 145:770-5. 2010..To review the details surrounding cases of patients found to have retained laparotomy sponges after surgical procedures and share policy changes that have led to process improvements at one academic medical center...
A nationwide US study of post-traumatic stress after hospitalization for physical injuryDouglas F Zatzick
Harborview Injury Prevention and Research Center, University of Washington School of Medicine, Seattle, WA 98104, USA
Psychol Med 37:1469-80. 2007..Injured survivors of individual and mass trauma are at risk for developing post-traumatic stress disorder (PTSD). Few investigations have assessed PTSD after injury in large samples across diverse acute care hospital settings...
Sew it up! A Western Trauma Association multi-institutional study of enteric injury management in the postinjury open abdomenClay Cothren Burlew
Department of Surgery, Denver Health Medical Center, University of Colorado, Denver, Colorado 80204, USA
J Trauma 70:273-7. 2011..The purpose of this study was to determine outcomes on the basis of management of enteric injuries in patients relegated to the postinjury open abdomen...
The impact of prehospital ventilation on outcome after severe traumatic brain injuryKeir J Warner
Department of Surgery, University of Washington, Harborview Medical Center, Seattle, Washington 98104, USA
J Trauma 62:1330-6; discussion 1336-8. 2007..We sought to determine the incidence of hyperventilation among a cohort of trauma patients undergoing prehospital intubation and the impact of ventilation on outcome after severe TBI...
Screening adolescent patients admitted to the trauma service for high-risk behaviors: who is responsible?Taraneh Shafii
Division of Adolescent Medicine, Department of Pediatrics, Center for AIDS and STD, University of Washington, Seattle, Washington 98104, USA
J Trauma 67:1288-92. 2009..The trauma team has a unique opportunity to screen for concurrent risk behaviors. The objective of this study was to assess surgeon knowledge, attitudes, and current practice of screening for high-risk behaviors in injured adolescents...
Disseminating Organizational Screening and Brief Intervention Services (DO-SBIS) for alcohol at trauma centers study designDouglas F Zatzick
Department of Psychiatry and Behavioral Sciences, Harborview Injury Prevention and Research Center, University of Washington School of Medicine, Box 359911, Seattle, WA 98104, USA
Gen Hosp Psychiatry 35:174-80. 2013....
Assessment of volume of hemorrhage and outcome from pelvic fractureC Craig Blackmore
Harborview Injury Prevention and Research Center, Department of Radiology, Harborview Medical Center, Seattle 98104, USA
Arch Surg 138:504-8; discussion 508-9. 2003..Measurement of pelvic hemorrhage on computed tomographic (CT) scans can estimate the pelvic fracture component of total patient blood loss and predict the need for angiography...
Predictors of morbidity after traumatic pancreatic injuryLillian S Kao
Department of Surgery, University of Texas Health Science Center at Houston, Houston, TX, USA
J Trauma 55:898-905. 2003....
Managing the common problem of missing data in trauma studiesTessa Rue
Department of Biostatistics, University of Washington, Seattle, USA
J Nurs Scholarsh 40:373-8. 2008..To provide guidance for managing the problem of missing data in clinical studies of trauma in order to decrease bias and increase the validity of findings for subsequent use...
Towards improving the outcomes of injured childrenFrederick P Rivara
Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington, USA
J Trauma 63:S155-6. 2007
Prior studies comparing outcomes from trauma care at children's hospitals versus adult hospitalsChristian Ochoa
Harborview Medical Center, University of Washington, Seattle, WA, USA
J Trauma 63:S87-91; discussion S92-5. 2007....
The morbidity of penetrating colon injuryEileen M Bulger
Department of Surgery, Harborview Medical Center, University of Washington, Box 359796, 325 Ninth Avenue, Seattle, WA 98104, USA
Injury 34:41-6. 2003..The purpose of this study is to define the current morbidity and mortality associated with penetrating colon injury and to determine the impact of management strategy on outcome...
Management of severe head injury: institutional variations in care and effect on outcomeEileen M Bulger
Department of Surgery, University of Washington, Seattle, WA, USA
Crit Care Med 30:1870-6. 2002..An "aggressive" management strategy is associated with decreased mortality rate for patients with severe head injury, with no significant difference in functional status at discharge among survivors...
Blunt chest traumaRiyad Karmy-Jones
Harborview Medical Center, University of Washington, Seattle, Washington, USA
Curr Probl Surg 41:211-380. 2004
The shape of things to come: results from a national survey of trauma surgeons on issues concerning their futureThomas J Esposito
Division of Trauma, Burns and Critical Care, Department of Surgery, University Medical Center, Loyola Stritch School of Medicine, 2160 S First Avenue, Maywood, IL 60153, USA
J Trauma 60:8-16. 2006..This study seeks to characterize the opinions of practicing surgeons as a basis for formulating a plan to restructure the discipline of trauma surgery and its training path...
Predicting posttraumatic distress in hospitalized trauma survivors with acute injuriesDouglas F Zatzick
Department of Psychiatry, University of California Davis, USA
Am J Psychiatry 159:941-6. 2002..Few investigations have comprehensively screened for posttraumatic symptomatic distress or identified predictors of posttraumatic stress disorder (PTSD) in representative samples of surgical inpatients...
Posttraumatic stress, problem drinking, and functional outcomes after injuryDouglas F Zatzick
Harborview Injury Prevention and Research Center and Department of Psychiatry, University of Washington School of Medicine, Seattle, WA 98104 2499
Arch Surg 137:200-5. 2002..Patients undergoing trauma surgery for injury who have subsequent posttraumatic stress disorder (PTSD) or problem drinking will demonstrate significant impairments in functional outcomes compared with patients without these disorders...
Failure of nonoperative management of splenic injuries: causes and consequencesLisa K McIntyre
The Department of Surgery, University of Washington and the Harborview Injury Prevention Research Center, Seattle 98104, USA
Arch Surg 140:563-8; discussion 568-9. 2005..Presenting patient characteristics can predict which patients will fail nonoperative therapy of blunt splenic injuries...
Postinjury enteral tolerance is reliably achieved by a standardized protocolRosemary A Kozar
Department of Surgery, University of Texas-Houston, Houston, Texas, USA
J Surg Res 104:70-5. 2002..Moderate intolerance was associated with high gastric output and may be lessened by feeding distal to the ligament of Treitz...
Comparison of trauma center patient self-reports and proxy reports on the Alcohol Use Identification Test (AUDIT)Dennis M Donovan
University of Washington Alcohol and Drug Abuse Institute, University of Washington School of Medicine Seattle, WA 98105 4631, USA
J Trauma 56:873-82. 2004..The present study evaluated the level of agreement between trauma patients' self-report and proxy report on the Alcohol Use Disorders Identification Test (AUDIT)...
Risk factors for venous thromboembolism in pediatric traumaMonica S Vavilala
Department of Anesthesiology, University of Washington, Harborview Injury Prevention and Research Center, Seattle, Washington 98104, USA
J Trauma 52:922-7. 2002..Although the incidence and risk factors for VTE after trauma in adults have been well described, similar data regarding pediatric patients are lacking...
Do trauma centers have the capacity to respond to disasters?Frederick P Rivara
Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington 98104, USA
J Trauma 61:949-53. 2006..Our objective was to examine the capacity of current centers to handle an increased load from a mass casualty disaster...
Should the trauma surgeon do the emergency surgery?Frederick W Endorf
Department of Surgery, University of Washington, Harborview Medical Center, Seattle, WA, USA
Adv Surg 41:155-63. 2007..It may be that "Should the trauma surgeon do the emergency surgery?" is the wrong question. A better question may be "How best can we train surgeons for this new specialty"?..
Reinforced silicone elastomer sheeting, an improved method of temporary abdominal closure in damage control laparotomyHugh M Foy
Department of Surgery, Harborview Medical Center, University of Washington, Box 359796, 325 9th Avenue, Seattle, WA 98104, USA
Am J Surg 185:498-501. 2003..We report our results using this technique in a large cohort of critically ill surgical patients...
Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter StudyDemetrios Demetriades
J Trauma 64:561-70; discussion 570-1. 2008....
Spleen hemostasis using high-intensity ultrasound: survival and healingMisty L Noble
Center for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, Seattle 98105, USA
J Trauma 53:1115-20. 2002..Histologic examination up to 60 days posttreatment revealed scarring and spleen tissue regeneration at the treatment site. CONCLUSION: HIFU provides an effective and safe method of achieving hemostasis after acute splenic injury...
Variation in the rates of do not resuscitate orders after major trauma and the impact of intensive care unit environmentAvery B Nathens
Department of Surgery, St Michael s Hospital, University of Toronto, Toronto, Canada
J Trauma 64:81-8; discussion 88-91. 2008..We postulated that these differences in perceptions or practice might lead to significant variation in the use of do not resuscitate (DNR) orders and sought to identify institutional characteristics associated with their use...
The impact of trauma-center care on functional outcomes following major lower-limb traumaEllen J MacKenzie
Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Room 462, Baltimore, MD 21205, USA
J Bone Joint Surg Am 90:101-9. 2008....
Evaluation of the necessity of clinical observation of high-energy trauma patients without significant injury after standardized emergency room stabilizationKoen W W Lansink
Trauma Unit, Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands
J Trauma 57:1256-9. 2004..The necessity of this observation period is not evidence based. The goal of this study was to identify patients who revealed an initially undiagnosed injury during the observation period...
Randomized, prospective trial of antioxidant supplementation in critically ill surgical patientsAvery B Nathens
Division of Trauma and General Surgery, Harborview Medical Center and the Department of Surgery, University of Washington, Seattle, Washington, USA
Ann Surg 236:814-22. 2002..To determine the effectiveness of early, routine antioxidant supplementation using alpha-tocopherol and ascorbic acid in reducing the rate of pulmonary morbidity and organ dysfunction in critically ill surgical patients...
Pediatric trauma care: an overview of pediatric trauma systems and their practices in 18 US statesMaria Segui-Gomez
Johns Hopkins Bloomberg School of Public Health, Center for Injury Research and Policy, Baltimore, MD 21205-1996, USA
J Pediatr Surg 38:1162-9. 2003..CONCLUSIONS: Even in states with trauma systems, a large proportion of severely injured children are treated in nontrauma center facilities...
A national evaluation of the effect of trauma-center care on mortalityEllen J MacKenzie
Johns Hopkins Bloomberg School of Public Health, Center for Injury Research and Policy, Baltimore, MD 21205 1996, USA
N Engl J Med 354:366-78. 2006..To address this gap, we examined differences in mortality between level 1 trauma centers and hospitals without a trauma center (non-trauma centers)...
Renal injury and operative management in the United States: results of a population-based studyHunter Wessells
Department of Urology, Harborview Medical Center and University of Washington Medical School, Seattle, 98104, USA
J Trauma 54:423-30. 2003..To evaluate the extent to which nonoperative renal trauma management has been adopted, we determined the incidence of renal injury and the rate of operative management across the United States...
The concept of acute care surgery: a vision for the not-so-distant futureGeorge C Velmahos
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
Surgery 141:288-90. 2007
Timing of surgery after multisystem injury with traumatic brain injury: effect on neuropsychological and functional outcomeMarjorie C Wang
Department of Neurosurgery, Medical College ofWisconsin, Milwaukee 53226, USA
J Trauma 62:1250-8. 2007..We sought to determine whether 6-month neuropsychological and functional outcome was associated with timing of noncranial surgery after traumatic brain injury...
Trauma surgery in the era of nonoperative management: the Dutch modelJ Carel Goslings
Trauma Unit, Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands
J Trauma 61:111-4; discussion 115. 2006..This study describes the type and number of operative procedures performed by a group of trauma surgeons at a trauma center in Amsterdam, The Netherlands...
Diagnosis and treatment of blunt thoracic aortic injuries: changing perspectivesDemetrios Demetriades
AAST Multi institutional Thoracic Aortic Injury Study Group, Los Angeles, California, USA
J Trauma 64:1415-8; discussion 1418-9. 2008..The present study compares clinical practices and results between an earlier prospective multicenter study by the American Association for the Surgery of Trauma completed in 1997 (AAST1) and a new similar study completed in 2007 (AAST2)...
