Full time trauma service leads to improved Level III trauma center outcomes

Craig O. Daniel, T. A. West, Phyllis S. Craig-Blanco, John G. Myers, Ronald M. Stewart

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Background: Level III trauma centers are an effective component of a healthy trauma system. This study examined the effectiveness over time of a Level III trauma center in a predominately rural region. Methods For analysis, the data were divided into 2 equal time spans: an early period (19972002) and a late period (20032008). A dedicated trauma service was implemented in 2003. Results A total of 8,689 patient outcomes were analyzed. In those patients with an injury severity score of 15 or less, 49 of 3,307 (1.5%) patients died in the early period, and 74 of 4,244 (1.7%) died in the late period (P = .40). In those with an injury severity score greater than 15, 66 of 402 patients (16.4%) died in the early period, whereas 81 of 736 (11.0%) patients died in the late period (P = .01). Despite the increased injury severity, overall mortality rates remained unchanged. Conclusions Implementation of a full-time trauma service resulted in improved outcomes including a 33% mortality reduction in the severely injured.

Original languageEnglish (US)
Pages (from-to)734-740
Number of pages7
JournalAmerican journal of surgery
Volume200
Issue number6
DOIs
StatePublished - Dec 1 2010

Keywords

  • Injury
  • Outcomes
  • Rural
  • Trauma systems

ASJC Scopus subject areas

  • Surgery

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