Featured Research

from universities, journals, and other organizations

Transferring trauma patients may take longer than two hours -- but not for the most serious injuries

Date:
December 20, 2010
Source:
JAMA and Archives Journals
Summary:
Many trauma patients in Illinois who are transferred to another facility for care are not transported within the state-mandated two-hour window, but the most seriously injured patients appear to reach care more quickly, according to a new study.

Many trauma patients in Illinois who are transferred to another facility for care are not transported within the state-mandated two-hour window, but the most seriously injured patients appear to reach care more quickly, according to a report in the December issue of Archives of Surgery, one of the JAMA/Archives journals.

Related Articles


"Trauma systems have been designed to optimize the outcomes of injured patients by encouraging providers to triage patients to appropriate levels of care, defining pre-hospital and interhospital transport patterns and educating caregivers in the recognition of actual and potentially life-threatening injuries that may exceed the capabilities of local resources and require transfer for definite care," the authors write as background information in the article. "Long delays in the transfer of injured patients to higher levels of care are felt to be undesirable and associated with suboptimal outcomes." The Illinois state trauma system defines a two-hour window in which patients who need to be transferred should reach definitive care (recommended treatment).

Marie L. Crandall, M.D., M.P.H., of Feinberg School of Medicine, Northwestern University, Chicago and colleagues analyzed data from the state trauma registry from 1999 to 2003. This registry includes data from 64 trauma centers in Illinois. Over the study period, there were 22,447 transfers between facilities -- a transfer rate of about 10.4 percent. Information about the time to transfer was available for between 50 percent and 60 percent of the cases each year.

Overall, the median (midpoint) time to transfer was approximately two hours and 21 minutes. About 20 percent (4,502) of the transfers occurred within two hours. For all years studied, the Injury Severity Scores were significantly higher and same-day operations were more common among patients transferred within two hours than for those whose transfers took longer. Patients who were transferred within two hours were also more likely to die, whereas death rates among patients transferred after more than two hours were similar to those for all trauma patients.

Patients with head injuries and orthopedic injuries were the most commonly transferred. In general, the proportion of patients who were self-paying was greater among those transferred in the first two hours vs. other same-day transfers or all trauma patients.

"This study demonstrates that in a state trauma system where transfer of patients thought to require a higher level of care is mandated to occur within two hours, the majority of transfers do not comply with this time standard. Despite this, the most seriously injured patients do appear to be reaching definitive care within that two-hour time frame," the authors write.

"These data suggest that, in this system, provider-determined transfer time that exceeds two hours has no adverse effect on patient outcome," they conclude. "It appears to accomplish recognition and rapid transport of the most seriously ill. This may obviate the need for onerous system mandates that are not feasible or have poor compliance."


Story Source:

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


Journal Reference:

  1. Marie L. Crandall; Thomas J. Esposito; R. Lawrence Reed; Richard L. Gamelli; Frederick A. Luchette. Analysis of Compliance and Outcomes in a Trauma System With a 2-Hour Transfer Rule. Arch Surg, 2010; 145 (12): 1171-1175 DOI: 10.1001/archsurg.2010.264

Cite This Page:

JAMA and Archives Journals. "Transferring trauma patients may take longer than two hours -- but not for the most serious injuries." ScienceDaily. ScienceDaily, 20 December 2010. <www.sciencedaily.com/releases/2010/12/101220163105.htm>.
JAMA and Archives Journals. (2010, December 20). Transferring trauma patients may take longer than two hours -- but not for the most serious injuries. ScienceDaily. Retrieved October 30, 2014 from www.sciencedaily.com/releases/2010/12/101220163105.htm
JAMA and Archives Journals. "Transferring trauma patients may take longer than two hours -- but not for the most serious injuries." ScienceDaily. www.sciencedaily.com/releases/2010/12/101220163105.htm (accessed October 30, 2014).

Share This



More Health & Medicine News

Thursday, October 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Mind-Controlled Prosthetic Arm Restores Amputee Dexterity

Mind-Controlled Prosthetic Arm Restores Amputee Dexterity

Reuters - Innovations Video Online (Oct. 29, 2014) A Swedish amputee who became the first person to ever receive a brain controlled prosthetic arm is able to manipulate and handle delicate objects with an unprecedented level of dexterity. The device is connected directly to his bone, nerves and muscles, giving him the ability to control it with his thoughts. Matthew Stock reports. Video provided by Reuters
Powered by NewsLook.com
Google To Use Nanoparticles, Wearables To Detect Disease

Google To Use Nanoparticles, Wearables To Detect Disease

Newsy (Oct. 29, 2014) Google X wants to improve modern medicine with nanoparticles and a wearable device. It's all an attempt to tackle disease detection and prevention. Video provided by Newsy
Powered by NewsLook.com
Can Drinking Milk Lead To Early Death?

Can Drinking Milk Lead To Early Death?

Newsy (Oct. 29, 2014) Researchers in Sweden released a study showing heavy milk drinkers face an increased mortality risk from a variety of causes. Video provided by Newsy
Powered by NewsLook.com
Obama: The US Will Not 'run and Hide' From Ebola

Obama: The US Will Not 'run and Hide' From Ebola

AP (Oct. 29, 2014) Surrounded by health care workers in the White House East Room, President Barack Obama said the U.S. will likely see additional Ebola cases in the weeks ahead. But he said the nation can't seal itself off in the fight against the disease. (Oct. 29) Video provided by AP
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