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A role in trauma care for advanced practice clinicians
Kelly L Sherwood1, Raymond R Price, Thomas W White
1Trauma Service, Department of Surgery, Intermountain Medical Center, Salt Lake City, Utah, USA.
Summary
Advanced practice clinicians (APCs) provide safe and effective trauma care, comparable to traditional models. This study found APCs achieved shorter hospital stays and lower mortality rates in trauma patients.
Area of Science:
- Trauma Surgery
- Healthcare Delivery Models
Background:
- Advanced practice clinicians (APCs) are increasingly involved in trauma care.
- Concerns exist regarding the quality of care provided by APCs compared to surgical residents.
Purpose of the Study:
- To evaluate the safety and efficacy of APCs in delivering trauma care.
- To compare outcomes of an APC-led trauma care model with traditional surgical resident models.
Main Methods:
- Comparative analysis of outcomes between an APC-staffed trauma center and the National Trauma Data Bank (NTDB).
- Key parameters included mechanism of injury (MOI), length of hospital stay (LOS), injury severity score (ISS), and mortality.
- Statistical comparison based on MOI and ISS.
Main Results:
- Similar patient distribution and data availability when stratified by MOI.
- APC-staffed trauma center showed shorter LOS across all ISS categories.
- Lower overall mortality rates observed in the APC-staffed trauma center, particularly for severely injured patients (ISS >24).
Conclusions:
- APC trauma-care delivery models can achieve outcomes comparable to traditional models.
- APCs demonstrate safe and effective trauma care, with potential benefits in reduced LOS and mortality.
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