Featured Research

from universities, journals, and other organizations

Survival Rates Appear To Differ Among Level I Trauma Centers

Date:
February 18, 2008
Source:
JAMA and Archives Journals
Summary:
Trauma centers designated as level I may have significantly different results when treating patients with similar injuries, according to a new report. The average survival rate was 99 percent for patients with mild injuries, 75 percent for those with moderate injuries and 35 percent for those with severe injuries.

Trauma centers designated as level I may have significantly different results when treating patients with similar injuries, according to a new report .

Related Articles


"Decades of concerted efforts by trauma professionals and patient advocacy groups have led to the development of trauma centers in most states," the authors write as background information in the article. "A critical component of these systems is the use of explicit criteria for the availability of personnel, equipment and services through the process of trauma center verification by the American College of Surgeons (ACS)." These criteria are based on structures and processes deemed essential for providing the best care.

Shahid Shafi, M.D., M.P.H., and colleagues at the University of Texas Southwestern Medical School, Dallas, analyzed data from 211,479 patients admitted to 47 level I trauma centers between 1999 and 2003. The patients were divided into three groups based on the severity of their injuries, assessed by a number of measures such as blood pressure and the presence or absence of shock. The average percentage of patients who survived was calculated for all trauma centers; survival rates from individual centers were then compared to this average.

The average survival rate was 99 percent for patients with mild injuries, 75 percent for those with moderate injuries and 35 percent for those with severe injuries. "For mild injuries, survival at five centers (11 percent) was significantly worse than that at their counterpart centers," the authors write. "With increasing injury severity, the percentages of outcome disparities increased (15 percent of centers for moderate injuries and 21 percent of centers for severe injuries) and persisted in subgroups of patients with head injuries, patients sustaining penetrating injuries and older (more than 55 years) individuals."

"These variations in outcomes may represent a substantial quality chasm in the delivery of trauma care," they continue. It is possible that the verification process may not specify all resources needed to provide optimal care, the authors note. For example, one previous study showed that the presence of a trauma and surgical critical care fellowship program improved outcomes at level I trauma centers, though it is not a criterion required for verification.

In addition, having all the necessary resources does not ensure they will be deployed adequately. "If confirmed, our preliminary data suggest that the logical next step for the trauma community is to move beyond focusing on personnel and processes and to start focusing on the outcomes achieved by the use of those resources," the authors conclude.

Journal reference: Arch Surg. 2008;143[2]:115-119.


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Cite This Page:

JAMA and Archives Journals. "Survival Rates Appear To Differ Among Level I Trauma Centers." ScienceDaily. ScienceDaily, 18 February 2008. <www.sciencedaily.com/releases/2008/02/080218161748.htm>.
JAMA and Archives Journals. (2008, February 18). Survival Rates Appear To Differ Among Level I Trauma Centers. ScienceDaily. Retrieved October 23, 2014 from www.sciencedaily.com/releases/2008/02/080218161748.htm
JAMA and Archives Journals. "Survival Rates Appear To Differ Among Level I Trauma Centers." ScienceDaily. www.sciencedaily.com/releases/2008/02/080218161748.htm (accessed October 23, 2014).

Share This



More Health & Medicine News

Thursday, October 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Fears Keep Guinea Hospitals Empty

Ebola Fears Keep Guinea Hospitals Empty

AP (Oct. 23, 2014) Fears of Ebola are keeping doctors and patients alike away from hospitals in the West African nation of Guinea. (Oct. 23) Video provided by AP
Powered by NewsLook.com
Orthodontist Mom Jennifer Salzer on the Best Time for Braces

Orthodontist Mom Jennifer Salzer on the Best Time for Braces

Working Mother (Oct. 22, 2014) Is your child ready? Video provided by Working Mother
Powered by NewsLook.com
U.S. Issues Ebola Travel Restrictions, Are Visa Bans Next?

U.S. Issues Ebola Travel Restrictions, Are Visa Bans Next?

Newsy (Oct. 22, 2014) Now that the U.S. is restricting travel from West Africa, some are dropping questions about a travel ban and instead asking about visa bans. Video provided by Newsy
Powered by NewsLook.com
More People Diagnosed With TB In 2013, But There's Good News

More People Diagnosed With TB In 2013, But There's Good News

Newsy (Oct. 22, 2014) The World Health Organizations says TB numbers rose in 2013, but it's partly due to better detection and more survivors. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins