Reduced mortality at a community hospital trauma center - The impact of changing trauma level designation from II to I
Reduced mortality at a community hospital trauma center - The impact of changing trauma level designation from II to I
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DOI：
10.1001/archsurg.2007.2-b
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发表时间：
2008-01-01
影响因子：
--
通讯作者：
Bar-Or, David
中科院分区：
文献类型：
--
作者：
Scarborough, Kristin;Slone, Denetta Sue;Bar-Or, David
Objective: To determine if a change in trauma designation from level II (L2) to level I (L1) in the same institution reduces mortality.Design, Setting, and Patients: A retrospective cohort study of all patients consecutively admitted to a community hospital trauma center.Intervention: The upgrade to trauma L1 designation (January 1, 2003-March 31, 2007) (n=7902) from trauma L2 designation (January 1, 1998-December 31, 2002) (n=9511).Main Outcome Measure: Adjusted overall mortality and adjusted mortality for severely injured patients, patients with complications, and patients with severe sites of injury.Results: After adjusting for age, sex, Injury Severity Score, mechanism of injury, hypotension on admission, respirations, and comorbidities, there was a significant decrease in overall mortality during L1 designation compared with L2 designation (2.50% vs 3.48%; P=.001). Severely injured patients (Injury Severity Score of ? 15) admitted during an L1 trauma designation had a significant reduction in mortality compared with patients admitted during an L2 designation (8.99% vs 14.11%; P
