National inventory of hospital trauma centers
National inventory of hospital trauma centers
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DOI：
10.1001/jama.289.12.1515
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发表时间：
2003-03-26
影响因子：
120.7
通讯作者：
Teter, H
中科院分区：
文献类型：
--
作者：
MacKenzie, EJ;Hoyt, DB;Teter, H
创伤中心每天使成千上万的受伤者受益，并在应对灾害方面发挥着关键作用。1991年对美国创伤中心的数量和分布进行了全面统计，确定了471个创伤中心。目的确定创伤中心的数量和结构，找出覆盖率的差距。（2001年9月至2002年4月），数据来自美国医院协会的年度医院调查（2000年），和美国卫生资源管理局的地区资源文件（2001年）被用来确定创伤中心医院的特点和他们在所有50个州和哥伦比亚特区服务的地理区域。创伤中心的特点进行了检查的护理水平，并与非创伤中心进行比较。医院由州或地区当局指定或认证为创伤中心，或由美国外科医生学会创伤委员会认证为创伤中心。创伤中心，只治疗儿童（n=31）被排除在外。主要结果测量创伤中心总数和创伤中心每百万population.Results在2002年，有1154创伤中心在美国，其中包括190个I级中心和263个II级中心。有几个州将每个设有急诊科的医院归类为某种创伤护理级别，而其他州则只指定了有限数量的I级和II级中心。每百万人口中一级和二级中心的数量按州从0.19到7.8不等。与非创伤中心医院相比，创伤中心更大，更有可能是教学医院，更有可能提供专门的service.Conclusions虽然创伤中心的可用性有所提高，挑战仍然存在，以确保创伤中心的最佳数量，分布和配置。必须应对这些挑战，特别是考虑到最近对医院准备和国土安全的重视。
Context Trauma centers benefit thousands of injured individuals everyday and play a critical role in responding to disasters. The last full accounting of the number and distribution of trauma centers identified 471 trauma centers in the United States in 1991.Objective To determine the number and configuration of trauma centers and identify gaps in coverage.Design, Setting, and Subjects Interviews with trauma center directors (September 2001 to April 2002), data from the American Hospital Association's Annual Survey of Hospitals (2000), and the US Health Resources Administration's Area Resource File (2001) were used to determine characteristics of trauma center hospitals and the geographic areas they serve in all 50 states and in the District of Columbia. Characteristics of trauma centers were examined by level of care and compared with nontrauma centers. Hospitals are designated or certified as trauma centers by a state or regional authority or verified as trauma centers by the American College of Surgeons Committee on Trauma. Trauma centers that treat only children (n=31) were excluded.Main Outcome Measure Total number of trauma centers and number of trauma centers per million population.Results In 2002, there were 1154 trauma centers in the United States, including 190 level I centers and 263 level II centers. Several states have categorized every hospital with an emergency department at some level of trauma care while others have designated a limited number of level I and level II centers only. The number of level I and II centers per million population ranges from 0.19 to 7.8 by state. When compared with nontrauma center hospitals, trauma centers are larger, more likely to be teaching hospitals, and more likely to offer specialized services.Conclusions Although the availability of trauma centers has improved, challenges remain to ensure the optimal number, distribution, and configuration of trauma centers. These challenges must be addressed, especially in light of the recent emphasis on hospital preparedness and homeland security.