Details

Autor(en) / Beteiligte

• MacKenzie, Ellen J
• Rivara, Frederick P
• Jurkovich, Gregory J
• Nathens, Avery B
• Frey, Katherine P
• Egleston, Brian L
• Salkever, David S
• Scharfstein, Daniel O

Titel

A National Evaluation of the Effect of Trauma-Center Care on Mortality

Ist Teil von

• The New England journal of medicine, 2006-01, Vol.354 (4), p.366-378

Ort / Verlag

Boston, MA: Massachusetts Medical Society

Erscheinungsjahr

2006

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• This 14-state study compared mortality rates at hospitals with a level 1 trauma center and hospitals without a trauma center among patients with moderate-to-severe injuries. After adjustment for baseline differences in patients' characteristics, the one-year mortality rate was significantly lower at trauma centers than at non–trauma centers (10 percent vs. 14 percent). This 14-state study compared mortality rates at hospitals with a level 1 trauma center and hospitals without a trauma center among patients with moderate-to-severe injuries. The one-year mortality rate was significantly lower at trauma centers than at non–trauma centers (10 percent vs. 14 percent). In 1976, the American College of Surgeons Committee on Trauma published criteria for categorizing hospitals according to the resources required to provide various levels of care for traumatic injuries. 1 Increasingly, states are using these criteria as a basis for designating trauma centers as part of a regionalized approach to trauma care. 2 However, this process has not been uniform. There is substantial variation across states in the number and geographic distribution of trauma centers, 2 – 4 owing in part to the lack of strong evidence of the effectiveness of trauma centers coupled with high costs of verifying their capabilities. 5 The existing evidence . . .