Survival Benefit of Transfer to Tertiary Trauma Centers for Major Trauma Patients Initially Presenting to Nontertiary Trauma Centers

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...

Veterinary trauma centers.

In this issueof the Journal,Abelsonet al1 report the results of a prospective single-centered investigation on the incidence of coagulopathy following severe acute trauma in dogs. The mere fact that the study was a prospective investigation of trauma in dogs already puts the study in a select category and serves as a reminder that focused investigations related to veterinary trauma are needed. ...

Outcomes of adult trauma patients admitted to trauma centers in Pennsylvania, 2000-2009.

OBJECTIVE To examine longitudinal trends in mortality for injured patients admitted to trauma centers. DESIGN, SETTING, AND PARTICIPANTS Retrospective cohort design of 208 866 patients admitted to level I or level II trauma centers in Pennsylvania between 2000 and 2009 using the Pennsylvania Trauma Outcome Study database. Multivariate logistic regression was used to estimate the temporal tren...

International benchmarking of tertiary trauma centers: productivity and throughput approach

BACKGROUND Care process in tertiary trauma centers consists of a chain of care phases in different departments from the emergency department (ED) to post-operative rehabilitation. The historical evolution of healthcare systems and organizations has led to variations in trauma patient processes in different countries. The present study is aimed at revealing differences in the throughput and prod...

Evacuation of trauma patients solely to level 1 centers: is the question patient or trauma center survival?