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High-quality care associated with lower cost in trauma
Date:2/22/2011

to a disease of the elderly," noted Glance, who conducts a wide range of health outcomes research.

Glance's team analyzed data from the largest inpatient database in the United States, focusing on 67,124 patients admitted to 73 trauma centers across the country in 2006. Most patients were between 40 and 50 years old, male, and admitted to a trauma center following a car crash, fall, gunshot or stab wound, or other type of serious injury.

Researchers determined hospital quality by comparing a hospital's predicted mortality rate to its actual mortality rate. Information on the injury severity, age, gender, and pre-existing illness of a hospital's patients is used to estimate a hospital's predicted mortality rate. Trauma centers whose actual mortality rates are significantly greater than their expected mortality rates are classified as low-quality hospitals. For high-quality hospitals, actual mortality rates are significantly lower than expected mortality rates.

The research team then used mathematical models to explore the association between hospital death rates and costs.

The main limitation of the study is its design it only provides a snapshot of trauma care quality and cost in the United States. Researchers cannot conclude increasing quality will result in lower costs. Glance said more research is needed to explore the link.


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Contact: Emily Boynton
emily_boynton@urmc.rochester.edu
585-273-1757
University of Rochester Medical Center
Source:Eurekalert

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