Wedgie-Associated Radiculitis in a Quinquagenarian

Sutherland, Courtney E.; Dvoretzky, Toban; Solomos, Nicholas J.

doi:10.1080/08998280.2016.11929479

Cited by 1 publication

(1 citation statement)

References 3 publications

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“…Such a suggestion is supported by a recent downgrade of one in this area due to a lack of volume. 28 Clearly, our proposed PBATS can provide a critical data-driven, optimization-based approach in the development and/or improvement of trauma center distribution in a region.…”

Section: Discussionmentioning

confidence: 99%

Performance-Based Assessment of Trauma Systems: Estimates for the State of Ohio

Parikh

Hirpara

et al. 2022

The American Surgeon™

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Objectives There are no widely accepted metrics to determine the optimal number and geographic distribution of trauma centers (TCs). We propose a Performance-based Assessment of Trauma System (PBATS) model to optimize the number and distribution of TCs in a region using key performance metrics. Methods The proposed PBATS approach relies on well-established mathematical programming approach to minimize the number of level I (LI) and level II (LII) TCs required in a region, constrained by prespecified system-related under-triage (srUT) and over-triage (srOT) rates and TC volume. To illustrate PBATS, we collected 6002 matched (linked) records from the 2012 Ohio Trauma and EMS registries. The PBATS-suggested network was compared to the 2012 Ohio network and also to the configuration proposed by the Needs-Based Assessment of Trauma System (NBATS) tool. Results For this data, PBATS suggested 14 LI/II TCs with a slightly different geographic distribution compared to the 2012 network with 21 LI and LII TC, for the same srUT≈.2 and srOT≈.52. To achieve UT ≤ .05, PBATS suggested 23 LI/II TCs with a significantly different distribution. The NBATS suggested fewer TCs (12 LI/II) than the Ohio 2012 network. Conclusion The PBATS approach can generate a geographically optimized network of TCs to achieve prespecified performance characteristics such as srUT rate, srOT rate, and TC volume. Such a solution may provide a useful data-driven standard, which can be used to drive incremental system changes and guide policy decisions.

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Section: Discussionmentioning

confidence: 99%