Impact of a Dedicated Trauma Service on the Quality and Cost of Care Provided to Injured Patients at an Urban Teaching Hospital

Cohen, Max M.; Fath, John A.; Chung, Ray S. K.; Ammon, Adelaide A.; Matthews, Judy

doi:10.1097/00005373-199906000-00028

Cited by 39 publications

(11 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous publications have described an increase in severely injured patients treated in a newly implemented trauma center. 4,5 However, the designation as a trauma center did not expand the catchment area of the hospital. Furthermore, the number of inhabitants of the region has only increased by 7% from 1.6 million in the mid 1980s to 1.7 million in 2002.…”

Section: Increased Patient Loadmentioning

confidence: 99%

“…For example, international literature describes a range from unchanged to improved outcomes after trauma center implementation. [3][4][5][6] However, we think that the Dutch trauma population, with its low proportion of penetrating injuries, differs from most published populations. The aim of our study was to assess in which way the sustained efforts have altered trauma mechanisms, occurrence of injuries, treatment, and outcome in two cohorts of severely injured trauma patients, almost two decades apart.…”

mentioning

confidence: 93%

See 1 more Smart Citation

Two Cohorts of Severely Injured Trauma Patients, Nearly Two Decades Apart: Unchanged Mortality But Improved Quality of Life Despite Higher Age

Nijboer

Sluis²,

Naalt³

et al. 2007

Journal of Trauma: Injury, Infection &Amp; Critical Care

View full text Add to dashboard Cite

show abstract

Section: Increased Patient Loadmentioning

confidence: 99%

mentioning

confidence: 93%

Two Cohorts of Severely Injured Trauma Patients, Nearly Two Decades Apart: Unchanged Mortality But Improved Quality of Life Despite Higher Age

Nijboer

Sluis²,

Naalt³

et al. 2007

Journal of Trauma: Injury, Infection &Amp; Critical Care

View full text Add to dashboard Cite

show abstract

“…It is ideal that in the polytrauma patient where multiple clinical specialties may be involved in inpatient management, a consultant-led trauma service team co-ordinates effective care [45]. Dedicated trauma service care provided in an MTC or equivalent has been reported to improve outcome in the US [72][73][74], Canada [75], Australia [76] and England [77]. A clear relationship exists between trauma centre volume and outcome [6] and current UK guidelines suggest that systems should be organised so that the MTC manages at least 400 cases of major trauma per year and should therefore serve a minimum population Anaesthesia 2013, 68 (Suppl.…”

Section: Trauma Centresmentioning

confidence: 99%

Trauma system development

Lendrum

Lockey

2012

Anaesthesia

View full text Add to dashboard Cite

SummaryThe word ‘trauma’ describes the disease entity resulting from physical injury. Trauma is one of the leading causes of death worldwide and deaths due to injury look set to increase. As early as the 1970s, it became evident that centralisation of resources and expertise could reduce the mortality rate from serious injury and that organisation of trauma care delivery into formal systems could improve outcome further. Internationally, trauma systems have evolved in various forms, with widespread reports of mortality and functional outcome benefits when major trauma management is delivered in this way. The management of major trauma in England is currently undergoing significant change. The London Trauma System began operating in April 2010 and others throughout England became operational this year. Similar systems exist internationally and continue to be developed. Anaesthetists have been and continue to be involved with all levels of trauma care delivery, from the provision of pre‐hospital trauma and retrieval teams, through to chronic pain management and rehabilitation of patients back into society. This review examines the international development of major trauma care delivery and the components of a modern trauma system.

show abstract

“…Most Norwegian hospitals that receive severely injured patients have established predefined multidisciplinary trauma teams 2. As an integrated part of regionalized trauma systems such teams have been shown to improve outcomes of severely injured patients 3. However, trauma team activation can cause ripple effects throughout a hospital, as team members have to set other work aside.…”

Section: Introductionmentioning

confidence: 99%

What is optimal timing for trauma team alerts? A retrospective observational study of alert timing effects on the initial management of trauma patients

Lillebo¹,

Seim²,

Vinjevoll³

et al. 2012

JMDH

View full text Add to dashboard Cite

BackgroundTrauma teams improve the initial management of trauma patients. Optimal timing of trauma alerts could improve team preparedness and performance while also limiting adverse ripple effects throughout the hospital. The purpose of this study was to evaluate how timing of trauma team activation and notification affects initial in-hospital management of trauma patients.MethodsData from a single hospital trauma care quality registry were matched with data from a trauma team alert log. The time from patient arrival to chest X-ray, and the emergency department length of stay were compared with the timing of trauma team activations and whether or not trauma team members received a preactivation notification.ResultsIn 2009, the trauma team was activated 352 times; 269 times met the inclusion criteria. There were statistically significant differences in time to chest X-ray for differently timed trauma team activations (P = 0.003). Median time to chest X-ray for teams activated 15–20 minutes prearrival was 5 minutes, and 8 minutes for teams activated <5 minutes before patient arrival. Timing had no effect on length of stay in the emergency department (P = 0.694). We found no effect of preactivation notification on time to chest X-ray (P = 0.474) or length of stay (P = 0.684).ConclusionProactive trauma team activation improved the initial management of trauma patients. Trauma teams should be activated prior to patient arrival.

show abstract

Impact of a Dedicated Trauma Service on the Quality and Cost of Care Provided to Injured Patients at an Urban Teaching Hospital

Abstract: A dedicated trauma service has a positive impact on the quality of care.

Cited by 39 publications

References 12 publications

Two Cohorts of Severely Injured Trauma Patients, Nearly Two Decades Apart: Unchanged Mortality But Improved Quality of Life Despite Higher Age

Two Cohorts of Severely Injured Trauma Patients, Nearly Two Decades Apart: Unchanged Mortality But Improved Quality of Life Despite Higher Age

Trauma system development

What is optimal timing for trauma team alerts? A retrospective observational study of alert timing effects on the initial management of trauma patients

Contact Info

Product

Resources

About