Navigation Links
Change in trauma level designation associated with improved patient survival
Date:1/21/2008

Death rates among patients admitted to a Colorado trauma center appeared to decrease after the centers designation was upgraded, according to a report in the January issue of Archives of Surgery, one of the JAMA/Archives journals.

Trauma centers are accredited through the American College of Surgeons, according to background information in the article. Level designations are based on factors such as surgeon and nurse availability, protocols and research. Level 1 is the highest level of trauma center and most studies report improvements in survival and outcomes for patients admitted to these centers as compared with lower-level centers and non-trauma centers, although some have found no difference between level 1 and level 2 centers.

The trauma center at Swedish Medical Centera community hospital in Englewood, Colo.was upgraded from level 2 to level 1 in 2002. Kristin Scarborough, B.S., and colleagues at the hospital studied all 17,413 trauma patients consecutively admitted to the trauma center between 1998 and 2007. The researchers compared death rates of the 9,511 patients admitted when the center was designated level 2 (Jan. 1, 1998, to Dec. 31, 2002) to those of the 7,902 patients admitted after the upgrade to level 1 (Jan. 1, 2003, to March 31, 2007).

After adjusting for several other factorsincluding age, sex, injury severity, low blood pressure on hospital admission, breathing rate and co-occurring illnesses3.48 percent of patients admitted during level 2 designation died, compared with 2.5 percent of those admitted during level 1 designation. Among severely injured patients, 14.11 percent of those admitted during the level 2 designation died, compared with 8.99 percent of those admitted during level 1 designation.

Patients admitted during a level 1 designation with a severe head, chest or abdominal or pelvic injury diagnosis had a significant decrease in mortality [death] (9.96 percent vs. 14.51 percent, 7.14 percent vs. 11.27 percent, and 6.76 percent vs. 17.05 percent, respectively), as did patients who developed acute respiratory distress syndrome during their hospital stay (9.51 percent vs. 26.87 percent), the authors write.

The results suggest that modifying protocols to send trauma patients to the appropriate trauma facility may improve survival, the authors note. The number of patients needed to be treated at a level 1 trauma center over a level 2 trauma center to save one life is as follows: overall, 70 patients; injury severity score of 15 or more [severely injured], 22 patients; head injury, 17 patients; chest injury, 20 patients; and abdominal or pelvic injury, eight patients, they write. In addition, every fourth patient who developed acute respiratory distress syndrome may have been saved had the patient been triaged to a level 1 trauma center.


'/>"/>

Contact: Julie Lonborg
303-826-7170
JAMA and Archives Journals
Source:Eurekalert

Related medicine news :

1. New buffer resists pH change, even as temperature drops
2. Climate change, gender differences, health among EurekAlert! 10 Most Popular Stories in 2007
3. Small Lifestyle Changes Can Boost Longevity
4. American Stock Exchange LLC to Delist Securities of Samaritan Pharmaceuticals, Inc.
5. No Change in Cancer Care Race Gap Since 1990s
6. QED International Associates Announces Changes to the HealthShares(TM) Emerging Cancer Index
7. Torchmark Corporation Announces Change in Domicile State of Insurance Subsidiaries to Nebraska
8. RxElite Registration Statement Declared Effective by Securities and Exchange Commission
9. URAC Calls for Comments on Changes to Standards for Health Web Site, HIPAA Privacy and Security Accreditation Programs
10. Significant changes in plastic surgery expected in 2008
11. Standard & Poors Announces Changes to U.S. Indices
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/28/2017)... Church, VA (PRWEB) , ... June 28, 2017 , ... ... http://www.fdanews.com/fdaeumdregs      , No matter on which side of the Atlantic devicemakers ... medical device regulations they have to follow. , In addition to the full text ...
(Date:6/28/2017)... IL (PRWEB) , ... June 28, 2017 , ... David B. Sosin, a ... Park, Illinois, took over the post of 2nd Vice President for the Illinois State ... was installed as the ISBA’s 3rd Vice President in 2016 following a state-wide election and ...
(Date:6/28/2017)... ... June 28, 2017 , ... Canadian Zeolite Corp. ... a two year study conducted by the University of Saskatchewan in partnership with ... remediating potash brine-impacted groundwater. As a part of the study, batch adsorption experiments ...
(Date:6/28/2017)... , ... June 28, 2017 , ... ... firm servicing communities throughout the greater Cincinnati metropolitan area, is teaming up with ... lodgings for families with children receiving treatment in nearby hospitals. , Ronald McDonald ...
(Date:6/27/2017)... ... ... Harbour , a DAO (decentralized autonomous organization) that harnesses the wisdom ... technical specifications . , 2017 has seen an explosion of token launches by ... offerings will garner the greatest ROI. Dean Eigenmann, Co-founder and CEO of Harbour, said, ...
Breaking Medicine News(10 mins):
(Date:6/13/2017)... Ind. , June 13, 2017 Zimmer Biomet ... musculoskeletal healthcare, today announced that the U.S. Food and Drug ... dated June 3, 2015 relating to its Zhejiang, ... "The successful clearance of the ... manufacturing facility is a measure of the progress ...
(Date:6/10/2017)... Burchfield, DPM, is recognized by Continental Who,s Who as a Pinnacle ... Alabama . Dr. Burchfield serves as a ... 20 years of experience, as well as expertise in the areas ... "The podiatry professional   ... welcome you to his practice," the company,s website states. "We want ...
(Date:6/8/2017)... Fla. , June 8, 2017  Less than ... that hit more than 200,000 companies, including hospital networks, ... being heralded as one of the largest online extortion ... in the healthcare market, it is imperative that providers ... protect their data from this — and many other ...
Breaking Medicine Technology: