Related Experiment Video
Updated: Aug 19, 2026

System for Focal, Closed-System Central Nervous System Injury
Published on: November 29, 2024
Status of trauma care in U.S. Army hospitals
Barbara E Wojcik1, Catherine R Stein, Raymond B Devore
1Center for Army Medical Department Strategic Studies, U.S. Army Medical Department Center and School, Fort Sam Houston, TX 78234-5047, USA.
Objective:
This study documents the recent trends and current state of inpatient trauma care in U.S. Army hospitals.
Methods:
Inpatient trauma cases from Army hospitals worldwide from October 1988 through April 2001 were analyzed. Facilities included 3 Certified Trauma Centers (CTCs), 7 non-CTC Army Medical Centers, and 42 Army Community Hospitals. Logistic regression identified mortality risk factors.
Results:
Overall, the Army treated 166,124 trauma cases, with a mortality rate of 0.8% (trend of 0.66% to 1.18% in fiscal years 1989-2000, p < 0.0001). The number of Army hospitals decreased by 44% and the number of trauma cases decreased by nearly 75%. Injury severity, patient age, hospital trauma volume, beneficiary category, hospital type, and a resource intensity measure were all significantly associated with the probability of death.
Conclusions:
The overall trauma mortality rate at Army hospitals during the study period was lower than that reported for civilian trauma centers. However, changes in patient profiles, increased average severity, and decreased trauma volume might have contributed to a 13% increase in mortality rates at CTCs.
Related Concept Videos
Traumatic Brain Injury l: Introduction
Hospitals-I
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Standards of Care I
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Tertiary Healthcare System
