Significant Variations in Mortality Occur at Similarly Designated Trauma Centers
نویسندگان
چکیده
منابع مشابه
Undertriage of elderly trauma patients to state-designated trauma centers.
OBJECTIVE To determine whether age bias is a factor in triage errors. DESIGN Retrospective analysis of 10 years (1995-2004) of prospectively collected data in the statewide Maryland Ambulance Information System followed by surveys of emergency medical services (EMS) and trauma center personnel at regional EMS conferences and level I trauma centers, respectively. PATIENTS Trauma patients wer...
متن کاملDo pediatric patients with trauma in Florida have reduced mortality rates when treated in designated trauma centers?
OBJECTIVE The purposes of the study were to compare the survival 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 designated pediatric and nonpediatric trauma centers. METHODS Trauma-related inpatient hospital discharge r...
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This article analyzes the effectiveness of designated trauma centers in Florida concerning reduction in the mortality risk of severely injured trauma victims. A bivariate probit model is used to compute the differential impact of two alternative acute care treatment sites. The alternative sites are defined as (1) a nontrauma center (NC) or (2) a designated trauma center (DTC). An instrumental-v...
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background Recent studies have demonstrated the vital influence of commensal microbial communities on human health. The central role of the gut in the response to injury is well described; however, no prior studies have used culture-independent profiling techniques to characterize the gut microbiome after severe trauma. We hypothesized that in critically injured patients, the gut microbiome wou...
متن کاملHealth care reform at trauma centers--mortality, complications, and length of stay.
OBJECTIVE The Trauma Quality Improvement Program has demonstrated existence of significant variations in risk-adjusted mortality across trauma centers. However, it is unknown whether centers with lower mortality rates also have reduced length of stay (LOS), with associated cost savings. We hypothesized that LOS is not primarily determined by unmodifiable factors, such as age and injury severity...
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ژورنال
عنوان ژورنال: Archives of Surgery
سال: 2009
ISSN: 0004-0010
DOI: 10.1001/archsurg.2008.509