1999
DOI: 10.1016/s1072-7515(98)00312-3
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Longitudinal analysis of the impact of a level 1 trauma center designation at a university hospital

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Cited by 8 publications
(2 citation statements)
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“…A significant number of trauma admissions can greatly influence the operations of an ICU. After 1 medical center received level 1 trauma center designation, the ICU admission rate remained stable coincident with a greater severity of illness and fewer admissions with lesser needs for ICU care [20].…”
Section: Icu Subpopulationsmentioning
confidence: 98%
“…A significant number of trauma admissions can greatly influence the operations of an ICU. After 1 medical center received level 1 trauma center designation, the ICU admission rate remained stable coincident with a greater severity of illness and fewer admissions with lesser needs for ICU care [20].…”
Section: Icu Subpopulationsmentioning
confidence: 98%
“…This null finding is puzzling but not altogether surprising. As the medical literature shows, at a minimum, knowing a trauma center's startup date is important; for many years after implementation, individual centers may become "magnets" for trauma cases with high fatality rates, channeling and concentrating their distribution from previously broader, regional dispersions (Hammond & Breckenridge, 1999;Nathens et al, 2000;O'Keefe et al, 1999). In estimating trauma center effects, it would also be helpful to know which level of trauma care these trauma centers represent, and whether and how they are certified.…”
Section: Analysis 3: County-level Lethality and Medicalmentioning
confidence: 99%