trauma centers

Summary

Summary: Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients.

Top Publications

  1. pmc Blood product ratio in acute traumatic coagulopathy--effect on mortality in a Scandinavian level 1 trauma centre
    Jesper Dirks
    Department of Anesthesia, Centre of Head and Orthopedics, Copenhagen University Hospital, Blegdamsvej 9, DK 2100 Copenhagen, Denmark
    Scand J Trauma Resusc Emerg Med 18:65. 2010
  2. 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
  3. ncbi A systematic review and meta-analysis comparing outcome of severely injured patients treated in trauma centers following the establishment of trauma systems
    Brian Celso
    Department of Surgery, University of Florida, Jacksonville, Florida, USA
    J Trauma 60:371-8; discussion 378. 2006
  4. ncbi Motivational interviewing versus feedback only in emergency care for young adult problem drinking
    Peter M Monti
    Providence VA Medical Center, RI, USA
    Addiction 102:1234-43. 2007
  5. ncbi Nonoperative management of blunt splenic injury: a 5-year experience
    James M Haan
    R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, Maryland 21201, USA
    J Trauma 58:492-8. 2005
  6. ncbi Epidemiology and early predictive factors of mortality and outcome in children with traumatic severe brain injury: experience of a French pediatric trauma center
    Sarah C Ducrocq
    Division of Pediatric Anesthesia and Neurocritical Care Unit, Hopital Necker Enfants Malades, Universite Rene Descartes Paris 5, France
    Pediatr Crit Care Med 7:461-7. 2006
  7. ncbi Acute coagulopathy of trauma: hypoperfusion induces systemic anticoagulation and hyperfibrinolysis
    Karim Brohi
    Department of Surgery, The Royal London Hospital, London, United Kingdom
    J Trauma 64:1211-7; discussion 1217. 2008
  8. ncbi Relationship between trauma center volume and outcomes
    A B Nathens
    Harborview Medical Center, Box 359796, 325 Ninth Ave, Seattle, WA 98104 2499, USA
    JAMA 285:1164-71. 2001
  9. ncbi Injury trends and mortality in adult patients with major trauma in New South Wales
    Kate A Curtis
    Sydney Nursing School, University of Sydney, Sydney, NSW, Australia
    Med J Aust 197:233-7. 2012
  10. ncbi Long-lasting performance improvement after formalization of a dedicated trauma service
    Sigrid Groven
    Department of Traumatology, Oslo University Hospital, Ulleval, Norway
    J Trauma 70:569-74. 2011

Detail Information

Publications341 found, 100 shown here

  1. pmc Blood product ratio in acute traumatic coagulopathy--effect on mortality in a Scandinavian level 1 trauma centre
    Jesper Dirks
    Department of Anesthesia, Centre of Head and Orthopedics, Copenhagen University Hospital, Blegdamsvej 9, DK 2100 Copenhagen, Denmark
    Scand J Trauma Resusc Emerg Med 18:65. 2010
    ..Several studies report that higher ratios improve survival in massively bleeding patients. Here, the aim was to investigate the potential effect of increased FFP and PLT to RBC on mortality in trauma patients...
  2. 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.
  3. ncbi A systematic review and meta-analysis comparing outcome of severely injured patients treated in trauma centers following the establishment of trauma systems
    Brian Celso
    Department of Surgery, University of Florida, Jacksonville, Florida, USA
    J Trauma 60:371-8; discussion 378. 2006
    ..We systematically reviewed the published literature to assess if outcome from severe traumatic injury is improved for patients following the establishment of a trauma system...
  4. ncbi Motivational interviewing versus feedback only in emergency care for young adult problem drinking
    Peter M Monti
    Providence VA Medical Center, RI, USA
    Addiction 102:1234-43. 2007
    ..To establish the efficacy of a brief motivational intervention compared to feedback only when delivered in an emergency department for reducing alcohol use and problems among young adults...
  5. ncbi Nonoperative management of blunt splenic injury: a 5-year experience
    James M Haan
    R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, Maryland 21201, USA
    J Trauma 58:492-8. 2005
    ..The purpose of this study was to examine the success rate of nonoperative management of blunt splenic injury in an institution using splenic embolization...
  6. ncbi Epidemiology and early predictive factors of mortality and outcome in children with traumatic severe brain injury: experience of a French pediatric trauma center
    Sarah C Ducrocq
    Division of Pediatric Anesthesia and Neurocritical Care Unit, Hopital Necker Enfants Malades, Universite Rene Descartes Paris 5, France
    Pediatr Crit Care Med 7:461-7. 2006
    ..To describe the results of an integrated pre- and in-hospital approach to critical care in a large population of children with severe traumatic brain injury and to identify the early predictors of their outcome...
  7. ncbi Acute coagulopathy of trauma: hypoperfusion induces systemic anticoagulation and hyperfibrinolysis
    Karim Brohi
    Department of Surgery, The Royal London Hospital, London, United Kingdom
    J Trauma 64:1211-7; discussion 1217. 2008
    ..The coagulopathy has recently been associated with systemic activation of the protein C pathway. This study was designed to characterize the thrombotic, coagulant and fibrinolytic derangements of trauma-induced shock...
  8. ncbi Relationship between trauma center volume and outcomes
    A B Nathens
    Harborview Medical Center, Box 359796, 325 Ninth Ave, Seattle, WA 98104 2499, USA
    JAMA 285:1164-71. 2001
    ..However, whether a relationship exists between institutional volume and trauma outcomes remains unknown...
  9. ncbi Injury trends and mortality in adult patients with major trauma in New South Wales
    Kate A Curtis
    Sydney Nursing School, University of Sydney, Sydney, NSW, Australia
    Med J Aust 197:233-7. 2012
    ..To examine trends in mechanism and outcome of major traumatic injury in adults since the implementation of the New South Wales trauma monitoring program, and to identify factors associated with mortality...
  10. ncbi Long-lasting performance improvement after formalization of a dedicated trauma service
    Sigrid Groven
    Department of Traumatology, Oslo University Hospital, Ulleval, Norway
    J Trauma 70:569-74. 2011
    ..Few studies have evaluated intrainstitutional improvement of trauma care. We hypothesized that the formalization of a dedicated multidisciplinary trauma service in a major Scandinavian trauma center in 2005 would result in improved outcome...
  11. ncbi Trauma system development in a theater of war: Experiences from Operation Iraqi Freedom and Operation Enduring Freedom
    Brian J Eastridge
    Brooke Army Medical Center, Department of Surgery, US Army Institute for Surgical Research, San Antonio, Texas 78234, USA
    J Trauma 61:1366-72; discussion 1372-3. 2006
    ..Operation Iraqi Freedom represents the first protracted, large-scale, armed conflict since the advent of civilian trauma systems in which to evaluate a similar paradigm on the battlefield...
  12. ncbi Outcomes of adult trauma patients admitted to trauma centers in Pennsylvania, 2000-2009
    Laurent G Glance
    Department of Anesthesiology, University of Rochester Medical Center, 601 Elmwood Ave, PO Box 604, Rochester, NY 14642, USA
    Arch Surg 147:732-7. 2012
    To examine longitudinal trends in mortality for injured patients admitted to trauma centers.
  13. ncbi Telemedicine: a solution to the followup of rural trauma patients?
    B Boulanger
    Department of Surgery and Kentucky TeleCare, University of Kentucky Medical Center, Lexington 40536 0084, USA
    J Am Coll Surg 192:447-52. 2001
    ..Our hypothesis was that telemedicine-based followup of trauma patients discharged to remote areas is feasible and is associated with high patient and physician satisfaction...
  14. ncbi Assessment of a new trauma workflow concept implementing a sliding CT scanner in the trauma room: the effect on workup times
    P H Ping Fung Kon Jin
    Trauma Unit Department of Surgery, Academic Medical Center, VU University Medical Center, Amsterdam, The Netherlands
    J Trauma 64:1320-6. 2008
    ..This enables us to perform a complete diagnostic trauma workup, without leaving the shockroom. In this study, we assess the effect of the new Trauma Workflow Concept on the initial diagnostic workup times in the trauma room...
  15. pmc Disseminated intravascular coagulation or acute coagulopathy of trauma shock early after trauma? An observational study
    Pär I Johansson
    Section for Transfusion Medicine, Capital Region Blood Bank, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, DK 2100 Copenhagen, Denmark
    Crit Care 15:R272. 2011
    ..This study investigated the prevalence of overt DIC and ACoTS in trauma patients and characterized these conditions based on their biomarker profiles...
  16. ncbi Spinal cord injuries without radiographic abnormality at two pediatric trauma centers in Ontario
    T Trigylidas
    Division of Neurosurgery, Children s Hospital of Eastern Ontario, Ottawa, Ont, Canada
    Pediatr Neurosurg 46:283-9. 2010
    ..MRI has become essential in the diagnosis and evaluation of trauma patients and in predicting the long-term neurological outcome...
  17. ncbi Trauma care in Germany
    J Westhoff
    Department of Trauma, Hannover Medical School MHH, D 30625, Hannover, Germany
    Injury 34:674-83. 2003
    ..Therefore, enormous efforts in financing, basic research and quality management have been undertaken during recent years to create such a sophisticated rescue system...
  18. ncbi 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...
  19. pmc Precision of field triage in patients brought to a trauma centre after introducing trauma team activation guidelines
    Marius Rehn
    Department of Research and Development, Norwegian Air Ambulance Foundation, Drobak, Norway
    Scand J Trauma Resusc Emerg Med 17:1. 2009
    ..Previous informal trauma team activation (TTA) at Ulleval University Hospital (UUH) caused imprecise triage. We have analyzed triage precision after introduction of TTA guidelines...
  20. ncbi American Association for the Surgery of Trauma Organ Injury Scale I: spleen, liver, and kidney, validation based on the National Trauma Data Bank
    Glen Tinkoff
    Department of Surgery, Christiana Care Health System, Newark, DE, USA
    J Am Coll Surg 207:646-55. 2008
    ..This study attempts to validate the American Association for the Surgery of Trauma (AAST) Organ Injury Scale (OIS) for spleen, liver, and kidney injuries using the National Trauma Data Bank (NTDB)...
  21. ncbi Alcohol intake and the pattern of trauma in young adults and working aged people admitted after trauma
    Olli Savola
    Department of Neurology, Oulu University Hospital, Oulu, Finland
    Alcohol Alcohol 40:269-73. 2005
    ..To investigate the relationship of different patterns of alcohol intake to various types of trauma...
  22. pmc The mixed evidence for brief intervention in emergency departments, trauma care centers, and inpatient hospital settings: what should we do?
    Craig A Field
    Health Behavior Research and Training Institute, University of Texas, Austin, Texas 78732, USA
    Alcohol Clin Exp Res 34:2004-10. 2010
    ....
  23. ncbi Blood transfusion rates in the care of acute trauma
    John J Como
    R Adams Cowley Shock Trauma Center and the Department of Pathology, University of Maryland Medical Center, Baltimore, Maryland 21201, USA
    Transfusion 44:809-13. 2004
    ..Understanding patterns of RBC use is important. Routine resource allocation, planning for mass casualty situations, designing research, and optimizing triage all can be usefully informed...
  24. ncbi Characteristics and outcome of injured patients treated in urban trauma centers in Iran
    M Moini
    Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Iran
    J Trauma 48:503-7. 2000
    ..We used the most suitable model to evaluate the trauma care in our centers...
  25. ncbi Marked improvement in adherence to traumatic brain injury guidelines in United States trauma centers
    Dale C Hesdorffer
    Gertrude H Sergievsky Center, Columbia University, New York, NY, USA
    J Trauma 63:841-7; discussion 847-8. 2007
    ..We conducted a survey of US trauma centers to evaluate guideline adherence, to examine predictors of adherence, and to compare our results with similar ..
  26. ncbi 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...
  27. ncbi Major trauma CT scanning: the experience of a regional trauma centre in the UK
    Christopher M Smith
    Clinical Sciences Research Institute University of Warwick, University Hospitals Coventry and Warwickshire, Coventry, UK
    Emerg Med J 28:378-82. 2011
    ..Trauma remains a major cause of mortality and morbidity, particularly among young adults. A major trauma (whole-body) CT protocol based upon mechanism of injury was investigated in a busy emergency department...
  28. ncbi Old age as a criterion for trauma team activation
    D Demetriades
    Department of Surgery, Division of Trauma and Critical Care, University of Southern California, Keck School of Medicine, Los Angeles, California, USA
    J Trauma 51:754-6; discussion 756-7. 2001
    ..Age alone is not a criterion for trauma team activation (TTA). In the present study, we evaluated the role of age > or = 70 years as a criterion for TTA...
  29. ncbi The efficacy of a two-tiered trauma activation system at a level I trauma center
    Natalia Kouzminova
    Division of Trauma, Department of Surgery, Santa Clara Valley Medical Center, San Jose, California 95128, USA
    J Trauma 67:829-33. 2009
    ..For minor trauma patients, respiratory therapy, operating room staff, and blood bank do not respond. The current study evaluated this triage system...
  30. ncbi Early coagulopathy predicts mortality in trauma
    Jana B A MacLeod
    Jackson Memorial Hospital and Department of Surgery, University of Miami School of Medicine, Miami, Florida 33101, USA
    J Trauma 55:39-44. 2003
    ..Our objective was to measure the predictive value of the initial coagulopathy profile for trauma-related mortality...
  31. ncbi Homicide as a medical outcome: racial disparity in deaths from assault in US Level I and II trauma centers
    Anthony R Harris
    Department of Sociology, UMass Amherst, Massachusetts 01012, USA
    J Trauma Acute Care Surg 72:773-82. 2012
    ..But research on the question of such disparities in the medical treatment of injury from assault-matters of public safety, considerable public expense, and policy debate-is lacking...
  32. ncbi Assessing quality of care in a trauma referral center: benchmarking performance by TRISS-based statistics or by analysis of stratified ISS data?
    Nils O Skaga
    Department of Anesthesiology, Ulleval University Hospital, Oslo, Norway
    J Trauma 60:538-47. 2006
    ..Using prospectively collected data from Ulleval University Hospital in Norway, standard TRISS-based methods with case mix correction were compared with analysis based on ISS stratified data...
  33. ncbi Organized trauma care: does volume matter and do trauma centers save lives?
    Osvaldo Chiara
    Emergency Department and Trauma Center, Ospedale Niguarda Ca Granda Milano University of Milano, Postgraduated School in General and Emergency Surgery, Milan, Italy
    Curr Opin Crit Care 9:510-4. 2003
    ..1970s, organized systems for trauma care, including a prehospital emergency medical system and a network of hospitals designated as trauma centers, have been developed. The model of the trauma system and its efficacy have been reviewed.
  34. pmc Accuracy of single-pass whole-body computed tomography for detection of injuries in patients with major blunt trauma
    Dirk Stengel
    Centre for Clinical Research, Unfall krankenhaus Berlin, Berlin, Germany
    CMAJ 184:869-76. 2012
    ..We sought to determine the accuracy of this method, focusing on the reliability of negative results...
  35. ncbi Quality of multiple trauma care in 33 German and Swiss trauma centers during a 5-year period: regular versus on-call service
    Stephan Guenther
    J Trauma 54:973-8. 2003
    ..The purpose of this study was to evaluate process and outcome quality of severely injured patients admitted during on-call (OC) versus regular trauma service (RS)...
  36. pmc Association between a single-pass whole-body computed tomography policy and survival after blunt major trauma: a retrospective cohort study
    Martin Hutter
    Department of Trauma and Orthopedic Surgery, Berufsgenossenschaftliche Unfallklinik Murnau, Prof Küntscher Str 8, 82418 Murnau, Germany
    Scand J Trauma Resusc Emerg Med 19:73. 2011
    ..We hypothesized that a liberal pan-scan policy is mainly an indicator of enhanced process quality of emergency care that may lead to improved survival regardless of the actual use of the method...
  37. pmc Complication rates among trauma centers
    Darwin 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).
  38. ncbi Leadership structures in emergency care settings: a study of two trauma centers
    Aleksandra Sarcevic
    School of Communication and Information, Rutgers University, 4 Huntington Street, New Brunswick, NJ 08901, USA
    Int J Med Inform 80:227-38. 2011
    Trauma resuscitation involves multidisciplinary teams under surgical leadership in most US trauma centers. Because many trauma centers have also incorporated emergency department (ED) physicians, shared and cross-disciplinary leadership ..
  39. pmc Implementation and scale-up of psycho-trauma centers in a post-conflict area: a case study of a private-public partnership in northern Uganda
    Etheldreda Nakimuli-Mpungu
    Makerere University, College of Health Sciences, Department of Psychiatry, Kampala, Uganda
    PLoS Med 10:e1001427. 2013
    As one article in an ongoing series on Global Mental Health Practice, Etheldreda Nakimuli-Mpungu and colleagues describe a private-public partnership that implemented and scaled psycho-trauma centers in Northern Uganda.
  40. ncbi Barriers to interventions for alcohol problems in trauma centers
    H Gill Cryer
    Department of Surgery, Section of Trauma and Critical Care, University of California Los Angeles Medical Center, Los Angeles, CA 90095, USA
    J Trauma 59:S104-11; discussion S124-33. 2005
    ..b>Trauma centers are uniquely positioned to address this problem because of the high percentage of alcohol-impaired patients ..
  41. ncbi Abdominal injuries in pregnancy: a 155-month study at two level 1 trauma centers
    Patrizio Petrone
    Division of Acute Care Surgery Trauma, Emergency Surgery and Surgical Critical Care, Department of Surgery, University of Southern California, Keck School of Medicine, LAC USC Medical Center, Los Angeles, CA, United States
    Injury 42:47-9. 2011
    ..Trauma in pregnancy is the leading cause of non-obstetrical maternal death and remains a major cause of fetal demise. The objective of this study was to examine the outcomes of pregnant patients sustaining abdominal injury...
  42. ncbi Access to trauma centers in the United States
    Charles C Branas
    Center for Clinical Epidemiology and Biostatistics, Leonard Davis Institute of Health Economics, University of Pennsylvania School of Medicine, Philadelphia 19104 6021, USA
    JAMA 293:2626-33. 2005
    Previous studies have reported that the number and distribution of trauma centers are uneven across states, suggesting large differences in access to trauma center care.
  43. ncbi Trauma systems
    David B Hoyt
    Department of Surgery, University of California, Irvine School of Medicine, City Tower, 333 City Boulevard West, 700, Orange, CA 92868, USA
    Surg Clin North Am 87:21-35, v-vi. 2007
    ..Disaster preparedness also is an important function of trauma systems, and using an established trauma system network facilitates the care of victims of natural disasters or terrorist attacks...
  44. ncbi Epidemiology of suicide and the impact on Western trauma centers
    Trina P V Steljes
    Department of Surgery, University of Nevada School of Medicine, Las Vegas, Nevada, USA
    J Trauma 58:772-7. 2005
    ..Most suicides are a result of self-directed injury and are commonly treated in trauma centers. The purpose of this article is to characterize the epidemiology of suicide in the Western Mountain states and ..
  45. ncbi High-volume trauma centers have better outcomes treating traumatic brain injury
    Joseph J Tepas
    College of Medicine Jacksonville, University of Florida, Jacksonville, FL 32209, USA
    J Trauma Acute Care Surg 74:143-7; discussion 147-8. 2013
    Survival and discharge status from severe traumatic brain injury (TBI) patients treated during the past 11 years in seven state-designated Level I trauma centers was analyzed to test for a relationship between patient volume and outcome.
  46. ncbi 'Talk and die' patients presenting to a major trauma centre over a 10 year period: a critical review
    Tony Goldschlager
    Departments of Neurosurgery and Surgery, Monash University, The Alfred Hospital, Commercial Rd, Prahran, 3181, Victoria, Australia
    J Clin Neurosci 14:618-23; discussion 624. 2007
    ..The small number of patients precludes inferences regarding causal relationships, although potentially preventable factors, which could have been contributory to patient deterioration, were identified...
  47. ncbi Identification and evaluation of patients with mild traumatic brain injury: results of a national survey of level I trauma centers
    Paul Blostein
    Trauma Surgery Service, Bronson Methodist Hospital, Kalamazoo, Michigan 49007, USA
    J Trauma 55:450-3. 2003
    ..A survey was conducted to characterize the current practices of identification and management of patients with MTBI at Level I trauma centers in the United States.
  48. ncbi Mechanism of injury and special consideration criteria still matter: an evaluation of the National Trauma Triage Protocol
    Joshua B Brown
    Department of Surgery, University of Rochester School of Medicine, Rochester, New York 14642 8410, USA
    J Trauma 70:38-44; discussion 44-5. 2011
    ..The study objective was to analyze whether trauma center need (TCN) was accurately predicted solely by the PHY and ANA criteria using national data...
  49. ncbi Increasing organ recovery from level I trauma centers: the in-house coordinator intervention
    Teresa J Shafer
    LifeGift Organ Donation Center, Houston, Tex, USA
    Prog Transplant 14:250-63. 2004
    Daily presence of organ procurement organization staff in level I trauma centers combined with early family contact and interaction can increase donation rates.
  50. ncbi Chest injuries transferred to trauma centers after the 1999 Taiwan earthquake
    W Yi-Szu
    Department of Emergency, Taichung Veterans General Hosptial, Taiwan, ROC
    Am J Emerg Med 18:825-7. 2000
    ..For evacuation of overwhelming casualties and for support of medical resources, transportation by helicopter is suggested in aftermath of a large earthquake...
  51. pmc Benchmarking the incidence of organ failure after injury at trauma centers and nontrauma centers in the United States
    Matthew Benns
    From the Center for Clinical Epidemiology and Biostatistics M J K, Perelman School of Medicine, University of Pennsylvania B C, C A S, Philadelphia, Pennsylvania University of Louisville M B, Louisville, Kentucky
    J Trauma Acute Care Surg 75:426-31. 2013
    ..We sought to benchmark the incidence of organ failure following injury at trauma centers and nontrauma centers using a nationally representative sample of hospital discharges...
  52. ncbi Ventilator-associated pneumonia rates at major trauma centers compared with a national benchmark: a multi-institutional study of the AAST
    Christopher P Michetti
    Department of Surgery, Inova Regional Trauma Center, Falls Church, Virginia 22042, USA
    J Trauma Acute Care Surg 72:1165-73. 2012
    ..Healthcare Safety Network (NHSN) are used as a benchmark and quality measure, yet different rates are reported from many trauma centers. This multi-institutional study was undertaken to elucidate VAP rates at major trauma centers.
  53. ncbi Undertriage of elderly trauma patients to state-designated trauma centers
    David C Chang
    Department of Surgery, Johns Hopkins School of Medicine, 600 N Wolfe St, Baltimore, MD 21287, USA
    Arch Surg 143:776-81; discussion 782. 2008
    ..To determine whether age bias is a factor in triage errors...
  54. ncbi Level I versus Level II trauma centers: an outcomes-based assessment
    Michael T Cudnik
    Department of Emergency Medicine, The Ohio State University, Columbus, Ohio, USA
    J Trauma 66:1321-6. 2009
    b>Trauma centers improve outcomes compared with nontrauma centers, although the relative benefit of different levels of major trauma centers (Level I vs. Level II hospitals) remains unclear...
  55. ncbi The Survival Measurement and Reporting Trial for Trauma (SMARTT): background and study design
    Laurent G Glance
    Department of Anesthesiology, University of Rochester Medical Center, 601 Elmwood Avenue, Box 604, Rochester, NY 14642, USA
    J Trauma 68:1491-7. 2010
    ..The Survival Measurement and Reporting Trial for Trauma explores the feasibility of using the National Trauma Data Bank as a platform for measuring and improving trauma outcomes...
  56. ncbi Significant variations in mortality occur at similarly designated trauma centers
    Shahid Shafi
    Department of Surgery, Division of Burns, Trauma, and Surgical Critical Care, University of Texas Southwestern Medical School, Dallas, TX 75390 9158, USA
    Arch Surg 144:64-8. 2009
    Mortality rates vary across designated trauma centers (TC), even after controlling for injury severity.
  57. ncbi Improved functional outcome for severely injured children treated at pediatric trauma centers
    D A Potoka
    Department of Surgery, University of Pittsburgh, and Children's Hospital of Pittsburgh Pittsburgh, Pennsylvania, USA
    J Trauma 51:824-32; discussion 832-4. 2001
    BACKGROUND: Controversy exists regarding the impact of pediatric trauma centers (PTC) on survival for injured children...
  58. ncbi Emergency department visits: the cost of trauma centers
    Kyung Hye Kim
    Severance Hospital, Seoul, South Korea
    Health Care Manag Sci 12:243-51. 2009
    ..A hospital cost function approach is taken to evaluate average and marginal costs of EDs designated as trauma centers. Data comes from acute care hospitals in Texas for the period 1998-2004...
  59. ncbi Epidemic increases in cocaine and opiate use by trauma center patients: documentation with a large clinical toxicology database
    C A Soderstrom
    R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, 22 S Greene St, Baltimore, MD 21201, USA
    J Trauma 51:557-64. 2001
    ..We assessed substance use trends in a large cohort of patients admitted to a regional Level I adult trauma center between July 1984 and June 2000...
  60. ncbi The emerging crisis in trauma care: a history and definition of the problem
    Donald D Trunkey
    Department of Surgery, Oregon Health and Science University, Portland, Oregon, USA
    Clin Neurosurg 54:200-5. 2007
    ..At last count, there were 190 Level I trauma centers in the United States, of which, 48 have been verified by the American College of Surgeons...
  61. pmc Rationale and design of the plate or pin (POP) study for dislocated midshaft clavicular fractures: study protocol for a randomised controlled trial
    Frans J G Wijdicks
    Department of Surgery, Diakonessenhuis, Utrecht, The Netherlands
    Trials 12:177. 2011
    ..To describe the rationale and design of a future study comparing results of plate fixation and Elastic Stable Intramedullary Nailing (ESIN) with a Titanium Elastic Nail (TEN) for adults with a dislocated midshaft clavicular fracture...
  62. ncbi Trauma stat and trauma minor: are we making the call appropriately?
    Li Ern Chen
    Division of Pediatric Surgery, Department of Surgery, Washington University School of Medicine and St Louis Children s Hospital, St Louis, MO 63110, USA
    Pediatr Emerg Care 20:421-5. 2004
    ..We reviewed our experience at a level 1 pediatric trauma center, where a 2-tiered trauma activation protocol is used in treating children with significant injuries...
  63. ncbi Perseverance: the creation of a voluntary inclusive statewide trauma system
    Carol Immermann
    Mayo Clinic, Rochester, MN, USA
    J Trauma Nurs 17:137-41. 2010
    ....
  64. ncbi [Mortality among severely injured patients before and after establishment of a trauma center in Aarhus]
    Erika Frischknecht Christensen
    Anaestesiologisk intensiv afdeling, Arhus Kommunehospital, Nørrebrogade 44, DK 8000 Arhus C
    Ugeskr Laeger 165:4296-9. 2003
  65. ncbi A multidisciplinary quality management system for the early treatment of severely injured patients: implementation and results in two trauma centers
    Steffen Ruchholtz
    Department of Trauma Surgery, University Hospital of Essen, Hufelandstrasse 55, 45122 Essen, Germany
    Intensive Care Med 28:1395-404. 2002
    ..The impact of a multidisciplinary quality management system (MQMS) on the early treatment of severely injured patients was tested...
  66. ncbi Combined orthopedic and vascular lower extremity injuries: sequence of care and outcomes
    Pratik Desai
    Department of Orthopaedics and Rehabilitation, University of Florida Health Science Center, Jacksonville, USA
    Am J Orthop (Belle Mead NJ) 41:182-6. 2012
    ....
  67. ncbi Treatment outcomes of injured children at adult level 1 trauma centers: are there benefits from added specialized care?
    Tolulope A Oyetunji
    Department of Surgery, Howard University College of Medicine, Washington, DC, USA
    Am J Surg 201:445-9. 2011
    ..The authors hypothesized that no mortality difference should exist between children seen at ATC (adult trauma centers) versus ATC with added qualifications in pediatrics (ATC-AQ).
  68. ncbi Computed tomographic angiography as the primary diagnostic modality in penetrating lower extremity vascular injuries: a level I trauma experience
    Dina Wallin
    Department of Surgery, Harbor UCLA Medical Center, Torrance, CA, USA
    Ann Vasc Surg 25:620-3. 2011
    ..The purpose of this study was to evaluate the outcomes with this imaging modality at a high-volume Level I trauma center...
  69. pmc Variability in the characteristics and quality of care for injured youth treated at trauma centers
    Douglas F Zatzick
    Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98104, USA
    J Pediatr 159:1012-6. 2011
    To survey US level I trauma centers to assess the characteristics of child and adolescent psychosocial service delivery.
  70. ncbi Evaluation of a tiered trauma call system in a level 1 trauma centre
    Kate Curtis
    St George Hospital Trauma Service, Australia
    Injury 42:57-62. 2011
    ..This study describes the incidence and impact of undertriage on the trauma patient in the context of an Australian level 1 trauma centre with a tiered trauma call system...
  71. ncbi The role of performing life support courses in rural areas in improving pre-hospital physiologic conditions of patients with penetrating injuries
    Masoud Saghafi Nia
    Trauma Research Center, Baqiyatallah Medical Sciences University, Molla Sadra Avenue, Vanak Square, Tehran, Iran
    J Coll Physicians Surg Pak 18:538-41. 2008
    ..To evaluate the impact of animal model based medical training courses for village healthcare workers on prehospital physiologic condition and prognosis of patients with penetrating injuries...
  72. ncbi Situation analysis of trauma based on Arizona trauma center standards in university hospitals of Tehran, Iran
    Mahdi Sharif-Alhoseini
    Sina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran 11365 3876, Iran
    Chin J Traumatol 12:279-84. 2009
    ..This study deliberates the trauma resources and capacities in university hospitals of Tehran based on Arizona trauma center standards, which are suitable for the assessment of trauma centers.
  73. ncbi Alcohol and injury: American College of Surgeons Committee on trauma requirements for trauma center intervention
    Larry M Gentilello
    University of Texas Southwestern Medical Center, Dallas, TX, USA
    J Trauma 62:S44-5. 2007
  74. ncbi The association between cost and quality in trauma: is greater spending associated with higher-quality care?
    Laurent G Glance
    Department of Anesthesiology, University of Rochester School of Medicine, University of Rochester Medical Centre, Rochester, NY, USA
    Ann Surg 252:217-22. 2010
    ..To examine the association between trauma center quality and costs...
  75. ncbi Secondary triage of the injured pediatric patient within the trauma center: support for a selective resource-sparing two-stage system
    Bruce Simon
    Pediatric Trauma Service, Baystate Medical Center, Springfield, MA, USA
    Pediatr Emerg Care 20:5-11. 2004
    ..it is generally agreed that pediatric trauma patients exposed to high-risk injury mechanisms should be sent to trauma centers, many patients seen with full trauma alerts are determined to have minimal injury...
  76. ncbi Randomized clinical trial comparing the effect of computed tomography in the trauma room versus the radiology department on injury outcomes
    T P Saltzherr
    Trauma Unit, Department of Surgery, Biostatistics and Bioinformatics, Academic Medical Centre, Amsterdam, The Netherlands
    Br J Surg 99:105-13. 2012
    ..It was hypothesized that CT in the trauma room would improve patient outcome and workflow...
  77. ncbi Pediatric trauma nurse practitioners provide excellent care with superior patient satisfaction for injured children
    Kaaren Fanta
    Division of Pediatric and Thoracic Surgery, Cincinnati Children s Hospital Medical Center, Cincinnati, OH 45229 3039, USA
    J Pediatr Surg 41:277-81. 2006
    ..We hypothesized that a PNP can provide injured children a level of care commensurate with a resident (RES)...
  78. ncbi Emergency department thoracotomy for penetrating injuries of the heart and great vessels: an appraisal of 283 consecutive cases from two urban trauma centers
    Mark J Seamon
    Division of Trauma and Surgical Critical Care, Department of Surgery, Temple University School of Medicine, Philadelphia, PA 19104, USA
    J Trauma 67:1250-7; discussion 1257-8. 2009
    ..Our primary study objective was to determine which patients requiring EDT for penetrating cardiac or great vessel (CGV) injury are salvageable...
  79. ncbi A simplified set of trauma triage criteria to safely reduce overtriage: a prospective study
    Ryan Lehmann
    Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431 1100, USA
    Arch Surg 144:853-8. 2009
    ..Many trauma systems have adopted complex triage algorithms that are difficult to use and contain poorly validated variables...
  80. ncbi Quality indicators used by trauma centers for performance measurement
    Maria Jose Santana
    Department Medicine, University of Calgary, Calgary, Alberta, Canada
    J Trauma Acute Care Surg 72:1298-302; discussion 12303. 2012
    To describe the quality indicators (QIs) that trauma centers use for quality measurement and performance improvement. Measuring and reporting quality of care is a critical step to improve the quality of care...
  81. ncbi Evolution of Maryland trauma: from death lab to statewide system
    Deana L Holler
    R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD, USA
    J Trauma Nurs 17:153-7. 2010
    ..This article addresses the evolution of a vision and its implementation, the critical elements necessary to create a statewide system and charting the course through future challenges...
  82. ncbi Midlevel providers in a Level I trauma service: experience at Wesley Medical Center
    Sue M Nyberg
    Department of Physician Assistant, Wichita State University, Wichita, Kansas, USA
    J Trauma 63:128-34. 2007
    ..This type of care model is unusual because the trauma service no longer utilizes surgical residents to provide trauma coverage...
  83. ncbi Predictors of compliance with the evidence-based guidelines for traumatic brain injury care: a survey of United States trauma centers
    Dale C Hesdorffer
    GH Sergievsky Center, Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA
    J Trauma 52:1202-9. 2002
    ..In 1995, evidence-based guidelines for the management of severe traumatic brain injury (TBI) were published and disseminated. Information regarding their implementation is limited...
  84. ncbi Use of focused abdominal sonography for trauma at pediatric and adult trauma centers: a survey
    Eric R Scaife
    Division of Pediatric Surgery, Primary Children s Medical Center, Salt Lake City, Utah 84113, USA
    J Pediatr Surg 44:1746-9. 2009
    ..We sought to understand the scope of practice on a national level with specific attention to its use in the pediatric age group...
  85. ncbi Lower extremity traumatic vascular injury at a level II trauma center: an analysis of limb loss risk factors and outcomes
    F Zaraca
    Department of Vascular and Thoracic Surgery, Regional Hospital Bolzano, Bolzano, Italy
    Minerva Chir 66:397-407. 2011
    ....
  86. pmc Reconfiguration of surgical, emergency, and trauma services in the United Kingdom
    Andy Black
    BMJ 328:178-9. 2004
  87. ncbi Do pediatric patients with trauma in Florida have reduced mortality rates when treated in designated trauma centers?
    Etienne E Pracht
    University of South Florida College of Public Health, Tampa, FL 33601, USA
    J Pediatr Surg 43:212-21. 2008
    ..associated with treatment of seriously injured patients with pediatric trauma in Florida at designated trauma centers (DTCs) with nontrauma center (NCs) acute care hospitals and to evaluate differences in mortality between ..
  88. ncbi Do pediatric trauma centers have better survival rates than adult trauma centers? An examination of the National Pediatric Trauma Registry
    T M Osler
    University of Vermont, Fletcher Health Care Center, 111 Colchester Avenue, FL 466, MCHV Campus, Burlington, VT 05401, USA
    J Trauma 50:96-101. 2001
    Pediatric trauma centers (PTCs) were developed to improve the survival of injured children, but it is currently unknown if children admitted to PTCs are more likely to survive than those admitted to adult trauma centers (ATCs).
  89. ncbi 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...
  90. ncbi A statewide analysis of level I and II trauma centers for patients with major injuries
    T V Clancy
    Department of Surgery, The University of North Carolina at Chapel Hill, USA
    J Trauma 51:346-51. 2001
    This study examines statewide outcomes and resource use in Level I and II trauma centers for patients with major injuries.
  91. ncbi Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Chapter 2: Trauma systems, pediatric trauma centers, and the neurosurgeon
    P David Adelson
    University of Pittsburgh Children s Hospital, USA
    Pediatr Crit Care Med 4:S5-8. 2003
  92. ncbi Survival advantage in trauma centers: expeditious intervention or experience?
    Barbara Haas
    Department of Surgery, University of Toronto, Toronto, ON, Canada
    J Am Coll Surg 208:28-36. 2009
    Trauma patients who receive care at designated trauma centers have a decreased risk of death, but the processes of care that lead to improved outcomes are unknown...
  93. ncbi Physiologic trauma triage criteria in adult trauma patients: are they effective in saving lives by transporting patients to trauma centers?
    Edward L Hannan
    Department of Health Policy, Management, and Behavior, University at Albany School of Public Health, Albany, NY 12144, USA
    J Am Coll Surg 200:584-92. 2005
    ..We are unaware of any studies that have directly examined the ability of these criteria to reduce short-term mortality by transporting patients to trauma centers rather than to noncenters.
  94. ncbi The retrospective prevalence of community-acquired methicillin-resistant Staphylococcus aureus in soft tissue abscesses at two military level I trauma centers
    Gary W Dufresne
    Emergency Department, Brooke Army Medical Center, San Antonio Uniformed Services Education Consortium, 3851 Roger Brook Drive, Fort Sam Houston, TX 78234, USA
    Mil Med 173:945-8. 2008
    ..Our objective is to estimate the period prevalence of CAMRSA in cases of soft tissue abscesses seen in the emergency departments of two major military hospitals...
  95. ncbi The volume-outcomes relationship for United States Level I trauma centers
    Kyla M Bennett
    Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA
    J Surg Res 167:19-23. 2011
    ..Previous studies of the center volume-outcomes relationship for severe trauma care have yielded conflicting findings regarding the presence or nature of such a relationship. Few studies have confined their analysis to Level I centers...
  96. ncbi Trauma centers and trauma systems
    Donald D Trunkey
    JAMA 289:1566-7. 2003
  97. ncbi A descriptive study of the perceptions of workplace violence and safety strategies of nurses working in level I trauma centers
    Martha Catlette
    Mid Delta Health Systems, Belzoni, Miss 39038, USA
    J Emerg Nurs 31:519-25. 2005
    ..The purpose of this research was to study the phenomenon of workplace violence by interviewing emergency nurses who had experienced violence while on duty...
  98. ncbi Outcome analysis of Pennsylvania trauma centers: factors predictive of nonsurvival in seriously injured patients
    M D Pasquale
    Department of Surgery, Lehigh Valley Hospital, Allentown, Pennsylvania, USA
    J Trauma 50:465-72; discussion 473-4. 2001
    ..of prospectively collected data from 1992 to 1996 on patients older than 14 years of age from 24 accredited trauma centers in Pennsylvania was performed...
  99. ncbi Transfusion practice in military trauma
    J R Hess
    Department of Pathology, University of Maryland School of Medicine, Baltimore, Maryland, USA
    Transfus Med 18:143-50. 2008
    Modern warfare causes severe injuries, and despite rapid transportation to theater regional trauma centers, casualties frequently arrive coagulopathic and in shock...
  100. ncbi The status of massive transfusion protocols in United States trauma centers: massive transfusion or massive confusion?
    Kevin M Schuster
    Department of Surgery, Section of Trauma, Surgical Critical Care and Surgical Emergencies, Yale University School of Medicine, New Haven, Connecticut 06520 8062, USA
    Transfusion 50:1545-51. 2010
    ..Massive transfusion protocol (MTP) utilization and makeup is unknown...
  101. ncbi Availability of trauma specialists in level I and II trauma centers: a national survey
    Young Ju Kim
    Program in Trauma and Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland, USA
    J Trauma 63:676-83. 2007
    ..variability of practices in both the composition of trauma teams and timing of specialist availability across trauma centers. The purpose of the study was to determine the availability of trauma team personnel in Level I and II trauma ..

Research Grants64

  1. Decompressive craniotomy versus medical therapy for refractory intracranial hyper
    Raminder Nirula; Fiscal Year: 2010
    ..This proposal will solicit retrospective data from 10 Level One adult and pediatric trauma centers with the support of the American Association of the Surgery of Trauma and its Multi-Institutional Trials ..
  2. Plasma iNOS IVD Prognosticates Sepsis Prior to Organ Damage and Dysfunction
    Robert J Webber; Fiscal Year: 2010
    ..clinical study on 560 subjects, 360 trauma patients admitted to intensive care units (ICUs) at three regional trauma centers and 200 exempt "unlinked, diagnostic specimens" from normal healthy blood donors after blood donation ..
  3. Prospective Validation and Cost Analysis of the National Guidelines for Field Tri
    Craig D Newgard; Fiscal Year: 2011
    ..component of trauma systems and the primary mechanism for concentrating seriously injured patients in major trauma centers, yet the triage guidelines have never been rigorously validated or subject to formal cost analysis...
  4. Analysis and Characterization of Trauma-Induced Coagulopathy
    Stephen R Wisniewski; Fiscal Year: 2013
    ..Early translation of laboratory results into useful technology will be enabled by a set of 5 TACTIC trauma centers. Simultaneous with these studies, interactions with clinical centers engaged in DoD clinical trials will be ..
  5. Pediatric Traumatic Brain Injury in Latin America
    Nancy A Carney; Fiscal Year: 2013
    ..We propose to conduct a study of TBI in pediatric patients in Latin America. It will take place in five trauma centers;three in Argentina, one in Bolivia, and one in Ecuador...
  6. County Trauma Systems and Outcomes Disparities
    David E Clark; Fiscal Year: 2010
    ..trauma system characteristics;traffic safety legislation in effect;mean distance from air ambulances or trauma centers;mean EMS response and transport times for fatal traffic crashes...
  7. Capacity Building for Decompressive Craniotomy in Colombia
    Juan Carlos Puyana; Fiscal Year: 2013
    ..propose to develop capacity for ongoing neurotrauma research in Colombia, by conducting a pilot study in three trauma centers in which we will develop and introduce an algorithm for the care of sTBI patients...
  8. Statistical Methodology Development in Blood Transfusion Protocol Research
    Mohammad H Rahbar; Fiscal Year: 2013
    ..While 25% of patients admitted to level 1 trauma centers receive at least one unit of RBCs, those receiving massive transfusion (MT), defined as 10 or more units ..
  9. Resource Over Utilization Due To Serious Alcohol Related Injuries
    Bahman Sayyar Roudsari; Fiscal Year: 2011
    ..to the necessity of improving existing or implementing new alcohol screening programs in large urban level I trauma centers that are responsible for providing care to the most disadvantaged groups of the population...
  10. Injury, Ischemia and Inflammation: A Translational Approach to Trauma Treatment
    Martin G Schwacha; Fiscal Year: 2012
    ..institutions;an established congressionally-supported clinical cooperative of the city's three Level I trauma centers and United States Army Institute of Surgical Research (USAISR), a unique research laboratory in the Department ..
  11. Alcohol Involvement in a Cohort of Trauma Patients: Trends and Future Mortality
    GORDON STEPHEN SMITH; Fiscal Year: 2013
    ..role in injury causation and use this information to better target alcohol treatment services in trauma centers to reduce the number of deaths from recurrent trauma and alcohol-related disease...
  12. Low-Voltage Nerve Electrophoresis In Vivo: Role in Peripheral Nerve Regeneration
    ROGER DALE MADISON; Fiscal Year: 2013
    ..peripheral nerve injuries are common, accounting for approximately 5% of all patients admitted to Level I trauma centers. Since only 10% of adults will recover normal nerve function using state-of-the-art current techniques a ..
  13. Traumatic Brain Injury Clinical Trials Network
    Howard M Eisenberg; Fiscal Year: 2010
    ..While this procedure is being done in some trauma centers, specific criteria have not been determined and efficacy with regard to both short and long term outcome is ..
  14. SF-NETT: San Francisco Neurological Emergencies Trials Network
    JESSE CLAUDE HEMPHILL; Fiscal Year: 2013
    ..Between the hub and participating spoke hospitals, there are 4 designated trauma centers, 7 comprehensive stroke centers, and 4 EMS systems...
  15. Traumatic Brain Injury Clinical Trials Network
    CHRISTOPHER LOFTUS; Fiscal Year: 2010
    ..It is one of the busiest Level 1 trauma centers in the state and annually treats approximately 100 moderate to severe head injury patients - both adult and ..
  16. The Ohio State University Neurological Emergencies Treatment Trials (OSU NETT) N*
    Michel T Torbey; Fiscal Year: 2013
    ..OSUNETT is supported by 5 Level I Trauma Centers and 6 Primary Stroke Centers...
  17. Field Triage of Older Adults Who Experience Traumatic Brain Injury
    Manish N Shah; Fiscal Year: 2013
    ..multi-county catchment area that includes multiple EMS agencies, urban and rural environments, as well as trauma centers and non-trauma centers...
  18. Time-pressured decision making in trauma triage
    Deepika Mohan; Fiscal Year: 2013
    ..Regionalization, the transfer of moderately to severely injured patients to high level, academic trauma centers, improves outcomes...
  19. Comparative effectiveness of care for the injured child by hospital type
    SAGE RENEE MYERS; Fiscal Year: 2011
    ..Injured children can be cared for at trauma centers, which have demonstrated a commitment to trauma and the availability of appropriate personnel and equipment, ..
  20. The impact of pediatric trauma centers on the outcome of injured children in Ohio
    Laura D Cassidy; Fiscal Year: 2013
    ..However, only a small proportion of acute care hospitals are characterized as trauma centers (TC), and even fewer are pediatric trauma centers (PTC)...
  21. Greater Philadelphia Southern New Jersey NETT Network
    JILL MARJORIE BAREN; Fiscal Year: 2013
    ..The network includes trauma centers, community hospitals, certified stroke centers and a regional pediatric center, providing access to a broad ..
  22. Device for Measuring Capillary Blood Flow and the Onset of Shock
    David E Wolf; Fiscal Year: 2011
    ..provided by applicant): The onset of hemorrhagic shock is a major cause of death in emergency departments and trauma centers. Currently there is no clinically accepted quantitative monitor of the onset of hemorrhagic shock...
  23. PILOT STUDY TO DEVELOP A PEDIATRIC CERVICAL SPINE INJURY RISK ASSESSMENT TOOL
    Julie Leonard; Fiscal Year: 2013
    ..Coordination: This work will be conducted at 3 level-one pediatric trauma centers and their affiliated EMS-systems within the PECARN Hospitals of the Midwest Emergency Research Node (HOMERUN): ..
  24. Development of a Regional Health Image Exchange Service
    BARTON LUCIUS GUTHRIE; Fiscal Year: 2010
    ..Furthermore, patients that arrive at busy trauma centers which often require remote experts providing instructions...
  25. Multicenter Investigation of the Mechanical Determinants of Post-Traumatic OA
    J Lawrence Marsh; Fiscal Year: 2013
    ..METRC is a collaboration of 23 core civilian trauma centers, 4 military treatment facilities, and 38 satellite centers throughout the United States...
  26. The comparative effectiveness of time-adjusted trauma center care on mortality
    Brendan G Carr; Fiscal Year: 2013
    ..on injury mortality, and (3) to investigate the impact of prehospital time on the relationship between trauma centers and injury mortality...
  27. Implementation Science to Increase Use of Evidence Based Pediatric Brain Injury G
    Monica S Vavilala; Fiscal Year: 2013
    ..Hypothesis # 1: Data abstracted from charts at 5 pediatric trauma centers and the Healthcare Cost and Utilization Project's (HCUP) child inpatient database (KID) will show that ..
  28. The Boston NETT Group
    Joshua N Goldstein; Fiscal Year: 2013
    ..Our group includes all adult Level I trauma centers in the city of Boston...
  29. Erythropoietin for Neuroregeneration
    John Elfar; Fiscal Year: 2013
    ..nerve injuries represent a major public health problem, seen frequently in patients admitted to level I trauma centers and in as many as 30% of individuals with traumatic brain injuries...
  30. The Dorsal Wrist: Function in the Normal & Injured State
    Rita Patterson; Fiscal Year: 2007
    ..Major trauma centers report that 29% of all injuries involve the hand or wrist...
  31. Transfusion Medicine/Hemostasis Clinical Research Network
    Darrell J Triulzi; Fiscal Year: 2012
    ..afforded by the UPMCHS hospitals including a Pittsburgh Cancer Institute (PCI), adult and pediatric level I trauma centers, a large organ transplant program, a children's hospital, a women's hospital and outpatient ..
  32. APPLIED REGIONALIZATION OF EMERGENCY CARE
    Charles Branas; Fiscal Year: 2004
    ..The TRAMAH can be used to locate both trauma centers and helicopter depots for State trauma care systems...
  33. A National Analysis of Time Adjusted Outcomes for Pediatric Trauma Care
    Brendan G Carr; Fiscal Year: 2010
    ..Injured children may be treated at pediatric trauma centers, adult trauma centers, and non-trauma center hospitals...
  34. Clinical Prediction rule for Pelvic Fracture Hemorrage
    C Blackmore; Fiscal Year: 2004
    ..Blackmore will establish a network of regional trauma centers that will facilitate future investigations...
  35. Latent Classes and Transitions for Brief Alcohol Interventions in Trauma Settings
    GERALD T COCHRAN; Fiscal Year: 2012
    ..Support for brief alcohol interventions is such that accreditation standards for Level-1 trauma centers require SBI service delivery. However, SBI does not appear to be effective with all injured patients...
  36. Multidisciplinary Approach to Reduce Injury and Substance Abuse
    Mary Marden Velasquez; Fiscal Year: 2012
    PROJECT SUMMARY/ABSTRACT The American College of Surgeons (ACS) recently established requirements for Level I Trauma Centers to provide screening and brief intervention (SBI) for alcohol problems...
  37. Improving the trauma systems response to disasters
    Charles Branas; Fiscal Year: 2007
    ..To date, this role has largely proceeded on an ad hoc basis with little attention to preparing multiple trauma centers to work together in a network should an overwhelming disaster occur...
  38. In-field FAST Procedure Support and Automation
    Sharif Razzaque; Fiscal Year: 2013
    ..The target for our initial deployment of the system is level 3 and 4 trauma centers. These centers must often serve areas spanning hundreds and even thousands of miles;however, they are ..
  39. ED Use Patterns Antecedents and Consequences in Older Adults
    FREDRIC WOLINSKY; Fiscal Year: 2009
    ..the IOM bluntly declared that there is a national epidemic of overcrowded EDs [Emergency Departments] and trauma centers. In simple economic terms, a critical imbalance exists between supply and demand...
  40. National Study of Undertriage of Trauma Patients
    Huiyun Xiang; Fiscal Year: 2013
    ..Furthermore, a high proportion of severely injured patients who are treated in EDs of non-trauma centers are not triaged to a higher level trauma center (undertriage)...
  41. The Study of the Impact of a Terrorist Attack on Individual Trauma Centers
    Connie Potter; Fiscal Year: 2005
    b>Trauma Centers have historically functioned as critical medical resources and communication hubs for both natural and human-caused catastrophes of mass scale...
  42. CENTER FOR RESEARCH IN CRITICAL CARE NURSING
    Jacqueline Dunbar Jacob; Fiscal Year: 1991
    ..area of research as the academic health center houses over 200 intensive care beds, Level I regional resource trauma centers and a major transplant service...
  43. Midwest Information System for Trauma Evaluation & Asse*
    David Parker; Fiscal Year: 2001
    ..Data will be complied from multiple sources including regional trauma centers, the MDH Trauma Registry, and the Department of Labor and Industry...
  44. COMPUTER-ASSISTED TRAUMA MANAGEMENT IN RURAL COMMUNITIES
    Robert Fraser; Fiscal Year: 1992
    ..a literature search, interviews with six health-care professionals in two rural clinics and two regional trauma centers, development of an expert-system trauma advisor for head injuries based on these interviews and evaluation of ..
  45. BRIEF STRATEGIES--ALCOHOL RELATED NONTRAFFIC
    Janice Dyehouse; Fiscal Year: 1999
    ..Trauma services from two (2) regional Level I Trauma Centers will enroll a total of 350 subjects, with the expectation that 225 subjects will be retained across the 12 ..
  46. Brain Trauma Assessment System
    John Sewell; Fiscal Year: 2005
    ..BTAS through decreasing misdiagnosis will reduce unnecessary transports to trauma centers and will allow more timely, critical treatment of legitimate TBI's, hopefully diminishing death and serious ..
  47. Center for Safety in Emergency Care
    Robert Wears; Fiscal Year: 2003
    ..touching many disciplines in emergency care: medical, nursing, pre-hospital care, emergency departments, trauma centers, intensive care units, and cardiac arrest teams, for example...
  48. Regional Adiposity and Syndrome X in Spinal Cord Injury
    Carol Braunschweig; Fiscal Year: 2004
    ..cross sectional investigation of community dwelling males (N = 60) recruited from urban SCI rehabilitation and trauma centers to determine whether the volume of VAAT, its anthropometric surrogates (WC and/or sagittal diameter), and/or ..
  49. Nat. Alcohol Screening Day: Academic E.M. Collaboration
    Arthur Kellermann; Fiscal Year: 2004
    ..S. AA/AD burdens U.S. emergency departments (EDs). The estimated prevalence of ANAD in trauma centers ranges between 25- 50% of patient populations...
  50. COMPACT MULTIBAND SPECTROGRAPH FOR BURN INJURY ANALYSIS
    Allan Wang; Fiscal Year: 1999
    ..real- time, accurate, portable, and affordable burn analyzer can be used in hospitals, emergency rooms, trauma centers, emergency vehicles, doctors offices, and burn units, and also at ambulatory centers, or accident sites...
  51. RESEARCH IN TRAUMA OUTCOMES USING THE MTOS DATABASE
    Howard Champion; Fiscal Year: 1992
    Since 1982 more than 150 hospitals, primarily North American Level I and Level II trauma centers, have submitted data on more than 170,000 seriously injured patients to the American College of Surgeons Committee on Trauma Major Trauma ..
  52. PREVENTION OF DUI RECIDIVISM AFTER TRAUMA
    Carol Schermer; Fiscal Year: 2004
    ..under the influence (DUI) of alcohol is one of the most preventable health problems in the United States, yet trauma centers that routinely care for injured intoxicated drivers rarely have formal alcohol intervention programs...
  53. Are Volume Standards Accurate Measures of Quality?
    Laurent Glance; Fiscal Year: 2005
    ..abstract_text> ..
  54. URBAN TRAUMA--HEALTH SERVICES AND EFFECTIVENESS TRIALS
    Douglas Zatzick; Fiscal Year: 2002
    ..The award provide support for ongoing development as an investigator, clinical, and educator so that the applicant may ultimately become a productive clinical- scientist in an academic department of psychiatry. ..
  55. Early Combined Intervention After Traumatic Injury
    Douglas F Zatzick; Fiscal Year: 2010
    ..abstract_text> ..
  56. 'Costs & Effectiveness of Trauma Care in the Elderly'
    Ellen Mackenzie; Fiscal Year: 2004
    ..the delivery of trauma care (with triage of the more acutely injured to designated tertiary care facilities or trauma centers) is widely advocated for improving these outcomes, there is substantial evidence to suggest that one half to ..
  57. Improving Trauma Outcomes:A Patient Centered Approach
    Ellen Mackenzie; Fiscal Year: 2008
    ..A total of 324 patients will be enrolled[unreadable] prior to implementation of the TSN at two Level I trauma centers. These individuals will serve as the control[unreadable] groupand their outcomes assessed at 9 months post-..
  58. OUTCOMES FOLLOWING LIMB RECONSTRUCTION VS AMPUTATION
    Ellen Mackenzie; Fiscal Year: 2003
    ..In addition, they propose to extend analysis of the 2-year data to address several important clinical and methodological issues. ..
  59. Effect of leukoreduction on infection risk in trauma
    Avery Nathens; Fiscal Year: 2004
    ..abstract_text> ..
  60. Clinical Decision Rule to Identify Children with Intra-Abdominal Injuries
    James Holmes; Fiscal Year: 2008
    ..unreadable]..
  61. Maternal HIV: Intervention to Assist Disclosure to Children
    Debra Murphy; Fiscal Year: 2009
    ..Few interventions, other than for prevention or medication adherence, are available for women living with HIV;this study will evaluate an intervention that will help HIV-positive mothers deal with a serious family issue. ..
  62. Evaluating Hospital Outcomes for Injured Patients
    David Clark; Fiscal Year: 2008
    unreadable] DESCRIPTION (Provided by Applicant): The nation depends upon its trauma centers for everyday emergencies as well as potential disasters...
  63. MEDICATION ADHERENCE INTERVENTION FOR HIV+ PERSONS
    Debra Murphy; Fiscal Year: 2002
    ....