Research Topics
| Jose J DiazSummaryAffiliation: Vanderbilt University Country: USA Publications
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Publications
Are five-view plain films of the cervical spine unreliable? A prospective evaluation in blunt trauma patients with altered mental statusJose J Diaz
Department of Surgery, Trauma Paatient Care Center, Banderbilt University Medical Center, Nashville, Tennessee 37212, USA
J Trauma 55:658-63; discussion 663-4. 2003....- Practice management guidelines for the screening of thoracolumbar spine fractureJose J Diaz
Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee, 37212, USA
J Trauma 63:709-18. 2007..The Eastern Association for the Surgery of Trauma organization Practice Management Guidelines committee set out to develop an EBM guideline for the diagnosis of TLS fractures... - Acute care surgery: a functioning program and fellowship trainingJose J Diaz
Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN 37212, USA
Surgery 141:310-6. 2007 
Morbid obesity is not a risk factor for mortality in critically ill trauma patientsJose J Diaz
Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN 37212, USA
J Trauma 66:226-31. 2009..Our aim was to which risk factors had the highest risk of death in the critically ill trauma patient...- Multi-institutional experience using human acellular dermal matrix for ventral hernia repair in a compromised surgical fieldJose J Diaz
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, 404 Medical Arts Bldg 1211, 21st Ave S, Nashville, TN 37212, USA
Arch Surg 144:209-15. 2009..In this clinical scenario, primary fascia closure carries a 50% risk of developing a hernia. The other option is a planned ventral hernia with delayed repair... - Acute care surgery program: mentoring fellows and patient outcomesJose J Diaz
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
J Surg Res 160:202-7. 2010..EGS patient outcomes and the mentoring of fellows on EGS service have not been previously studied. We hypothesize that EGS patient outcomes would not differ by provider on a service driven by evidence-based medicine (EBM) protocols... - Guidelines for management of small bowel obstructionJose J Diaz
Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee, USA
J Trauma 64:1651-64. 2008 - The early work-up for isolated ligamentous injury of the cervical spine: does computed tomography scan have a role?Jose J Diaz
Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
J Trauma 59:897-903; discussion 903-4. 2005..Helical computed tomography (HCT) scan is the preferred modality for diagnosing fractures of the cervical spine in blunt trauma. We hypothesize that HCT can be used as a screening tool for isolated ligamentous injury (LI) in blunt trauma... - The management of the open abdomen in trauma and emergency general surgery: part 1-damage controlJose J Diaz
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, 1211 21st Avenue South, 404 Medical Arts Building, Nashville, TN 37212, USA
J Trauma 68:1425-38. 2010..Only damage control is presented in this study. Part 1 is divided into indications for the open abdomen, temporary abdominal closure, staged abdominal repair, and nutrition support of the open abdomen... - Triaging to a regional acute care surgery center: distance is criticalJose J Diaz
Division of Trauma and Surgical Critical Care, Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
J Trauma 70:116-9. 2011..We hypothesized that distance to a referral center and severity of illness (SOI) would be predictors of death... - Does regionalization of acute care surgery decrease mortality?Jose J Diaz
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
J Trauma 71:442-6. 2011..We hypothesize that a matured regional EGS service would show decreasing mortality and length of stay (LOS) over time... - Bedside laparotomy for trauma: are there risks?Jose J Diaz
Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
Surg Infect (Larchmt) 5:15-20. 2004..We hypothesized that patients undergoing bedside laparotomy (BSL) and managed with the abdomen left open would have an unacceptably high mortality or intra-abdominal complications... - Duration of time on intensive insulin therapy predicts severe hypoglycemia in the surgically critically ill populationNathan T Mowery
Department of Surgery, Wake Forest University Medical Center, Medical Center Boulevard, Winston Salem, NC 27101, USA
World J Surg 36:270-7. 2012..We sought to determine the incidence, independent predictors, and effect on outcome of severe hypoglycemia (≤ 40 mg/dl) in a surgical population... - Severe hypoglycemia while on intensive insulin therapy is not an independent predictor of death after traumaNathan T Mowery
Department of Surgery, Wake Forest Baptist Medical Center, Winston Salem, North Carolina, USA
J Trauma 68:342-7. 2010..We hypothesized that severe hypoglycemia (SH; <or=40 mg/dL) was not an independent predictor of mortality in the trauma population... - Intensive insulin therapy in practice: can we do it?Lesly A Dossett
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, TN 37212, USA
JPEN J Parenter Enteral Nutr 33:14-20. 2009..The authors' objective was to quantify adherence to an IIT protocol in a practice setting, and to describe how adherence impacts overall blood glucose (BG) control... - Glucose metabolism, not obesity, predicts mortality in critically ill surgical patientsNathan T Mowery
Department of Surgery, Wake Forest Baptist Medical Center, Winston Salem, North Carolina 27157, USA
Am Surg 76:1377-83. 2010..Obesity is not an independent risk factor for mortality in the surgical critical care population. Insulin resistance and subsequent hyperglycemia are increased in obesity and are independent predictors of mortality... - Colon anastomosis after damage control laparotomy: recommendations from 174 trauma colectomiesMickey M Ott
From the Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
J Trauma 70:595-602. 2011..We hypothesized that colonic anastomosis for trauma patients requiring an open abdomen (OA) would have a higher anastomotic leak (AL) rate when compared with patients having an immediate abdominal closure following trauma laparotomy... - Acellular dermal allograft for ventral hernia repair in the compromised surgical fieldJose J Diaz
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
Am Surg 72:1181-7; discussion 1187-8. 2006..Wound infection in the contaminated surgical field occurred 33.3 per cent of the time. Some (18.7%) of the cases required SM management, and 35.7 per cent of these required removal of the AHD... - The open abdomen in trauma: do infectious complications affect primary abdominal closure?Todd R Vogel
Section of Surgical Sciences, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN 37212, USA
Surg Infect (Larchmt) 7:433-41. 2006.... - Provision of balanced nutrition protects against hypoglycemia in the critically ill surgical patientRondi M Kauffmann
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
JPEN J Parenter Enteral Nutr 35:686-94. 2011..The authors hypothesized that the provision of balanced nutrition (enteral nutrition [EN] or parenteral nutrition [PN]) would be more protective against hypoglycemia (≤50 mg/dL) than carbohydrate alone... - Complications after 344 damage-control open celiotomiesRichard S Miller
Section of Surgical Sciences, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
J Trauma 59:1365-71; discussion 1371-4. 2005..We reviewed our experience with the open abdomen and hypothesized that the known high wound complication rates were related to the timing and method of wound closure... - Insulin resistance despite tight glucose control is associated with mortality in critically ill surgical patientsNathan T Mowery
Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
J Intensive Care Med 24:242-51. 2009..The hyperglycemic state following trauma and surgery is related partially to insulin resistance (IR). The objective is to determine if critically ill surgical patients vary in their extent of IR and is IR associated with mortality... 
Obesity and pulmonary complications in critically injured adultsLesly A Dossett
Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN, USA
Chest 134:974-80. 2008..Whether or not obesity contributes to pulmonary complications after critical injury is poorly understood...- Creating an emergency general surgery service enhances the productivity of trauma surgeons, general surgeons and the hospitalMary T Austin
Department of Surgery, the Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN, USA
J Trauma 58:906-10. 2005.... - Critical care issues in managing complex open abdominal woundWilliam D Dutton
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, TN 37221, USA
J Intensive Care Med 27:161-71. 2012..If unable to proceed to fascial closure, then considerations should be made for planned ventral hernia and subsequent abdominal wall reconstruction... - Cervical spine evaluation in urban trauma centers: lowering institutional costs and complications through helical CT scanEric L Grogan
Departments of Surgery, Vanderbilt University, Nashville, TN, USA
J Am Coll Surg 200:160-5. 2005.... - Protocol for bedside laparotomy in trauma and emergency general surgery: a low return to the operating roomJose J Diaz
Section of Surgical Sciences, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
Am Surg 71:986-91. 2005..3 per cent. Primary fascial closure of the abdomen had a significantly reduced hospital stay. BSL allowed trauma OR charges of dollar 5,300 per cases with 2.12 hours per cases savings... - Outcome of necrotizing skin and soft tissue infectionsOliver L Gunter
Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
Surg Infect (Larchmt) 9:443-50. 2008..Management of necrotizing skin and soft tissue infections (nSSTI) remains difficult, and the mortality rate has been high. We hypothesized that management of nSSTI by an emergency general surgery (EGS) service would improve outcomes... - Influence of broad-spectrum antibiotic prophylaxis on intracranial pressure monitor infections and subsequent infectious complications in head-injured patientsAddison K May
Division of Trauma and Surgical Critical Care, Section of Surgical Sciences, Vanderbilt University Medical Center, Nashville, TN 37212, USA
Surg Infect (Larchmt) 7:409-17. 2006..In April 2002, a protocol change was instituted that substituted cefazolin for ceftriaxone as single-agent prophylaxis for ICP monitors... - Repair of giant abdominal hernias: does the type of prosthesis matter?Jose J Diaz
Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
Am Surg 70:396-401; discussion 401-2. 2004..2) There was a trend toward a higher wound infection in the GT (44.4%) versus NG (24.3%), but it did not reach statistical significance... - Practice management guidelines for identification of cervical spine injuries following trauma: update from the eastern association for the surgery of trauma practice management guidelines committeeJohn J Como
Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA
J Trauma 67:651-9. 2009..Since that time a large volume of literature has been published. As a result, the Practice Management Guidelines Committee set out to develop updated guidelines for the identification of CS injury... - Twenty-year analysis of surgical resident operative trauma experiencesMayur B Patel
Veterans Affairs VA Tennessee Valley Healthcare System, Nashville VA Medical Center, Surgical Service, Nashville, Tennessee, USA
J Surg Res 180:191-5. 2013..S. residency programs beginning on July 1, 2003. The ACGME-mandated work-hour reform may have affected operative trauma case volumes of general surgery residents... - All trauma surgeons are not created equal: asymmetric distribution of malpractice claims riskKaushik Mukherjee
Department of General Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37221, USA
J Trauma 69:549-54; discussion 554-6. 2010..Unsolicited patient complaints (UPCs) can predict increased malpractice risk. An ex ante analysis of UPCs was performed to determine the risk profile for trauma surgeons compared with nontrauma surgeons... - Laparoendoscopic evaluation and treatment of massive pneumoperitoneum occurring 1 year after gastrostomy tube removalWilliam P Riordan
Vanderbilt University Medical Center, Nashville, TN, USA
Surg Laparosc Endosc Percutan Tech 18:601-3. 2008..A laparoendoscopic approach to evaluation and treatment of pneumoperitoneum in this setting is described... - Glucose control and the inflammatory responseBryan Collier
Division of Trauma and Surgical Critical Care, 1211 21st Avenue, Department of Surgery, Vanderbilt University Medical Center, 404 Medical Arts Building, Nashville, TN 37212, USA
Nutr Clin Pract 23:3-15. 2008..Understanding the pathophysiology driving stress hyperglycemia--the stress response and modulation of the inflammatory process-seems to be the key to improving the care of the most critically ill and injured patients...