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Effects of Trauma Center Consolidation on Adult Trauma at a Rural Level 1 Trauma Center.
Heard, Matthew A; Bray, Sheree; Archer, Allen; O'Quinn, Payton C; Wheeler, Hannah; Leonard, Matthew; Burns, J Bracken.
Afiliación
  • Heard MA; Department of Surgery, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.
  • Bray S; Department of Surgery, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.
  • Archer A; Ballad HealthTrauma Services , Johnson City, TN, USA.
  • O'Quinn PC; Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.
  • Wheeler H; Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.
  • Leonard M; Ballad HealthTrauma Services , Johnson City, TN, USA.
  • Burns JB; Ballad HealthTrauma Services , Johnson City, TN, USA.
Am Surg ; 90(7): 1899-1903, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38551609
ABSTRACT

OBJECTIVE:

The aim was to determine the impact of consolidation of two rural level 1 trauma centers on adult trauma patients presenting to the remaining level 1 trauma center. To our knowledge, a study assessing the impact of trauma center consolidation on adult trauma patients had yet to be performed.

METHODS:

A single institution, retrospective study was conducted at a rural level 1 trauma center. Adult trauma patients who presented to our center from January 2017 to January 2022 were included. The cohorts spanned 33 months pre- and post-consolidation. Multiple demographic and outcome measures were gathered. Data were analyzed using the student's t-test and Chi-squared testing.

RESULTS:

There was a 33% increase in overall trauma activations and 9% increase in transfers from outside facilities post-consolidation. The post-consolidation group was significantly older, had higher mean injury severity score, and decreased hospital-free days. The post-consolidation group also saw an increase in ICU admission and surgical intervention. While there were no significant differences in ICU-free days or ventilator days, patients in the post-consolidation group with the highest level of activation who required both surgical intervention and ICU admission experienced decreased mortality.

CONCLUSION:

The consolidation of trauma services to a single level 1 trauma center in a rural Appalachian health system led to higher trauma volume and acuity, but most importantly decreased mortality for the most severely injured trauma patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Centros Traumatológicos / Heridas y Lesiones / Puntaje de Gravedad del Traumatismo Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Centros Traumatológicos / Heridas y Lesiones / Puntaje de Gravedad del Traumatismo Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos