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Related Experiment Videos

Complication rates among trauma centers.

Darwin N Ang1, Frederick P Rivara, Avery Nathens

  • 1Department of Surgery, University of Washington, Seattle, WA.

Journal of the American College of Surgeons
|October 27, 2009
PubMed
Summary
This summary is machine-generated.

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Patients treated at Level I trauma centers (TC) experience more complications than those at nontrauma centers (NTC). Aggressive treatments in TCs may contribute to higher complication rates, particularly urinary tract infections.

Area of Science:

  • Trauma Care
  • Patient Outcomes
  • Health Services Research

Background:

  • Assessing patient complications associated with trauma center care.
  • Comparing outcomes between Level I trauma centers (TC) and nontrauma centers (NTC).

Purpose of the Study:

  • To examine the association between patient complications and admission to Level I trauma centers versus nontrauma centers.

Main Methods:

  • Retrospective cohort study utilizing data from the National Study on the Costs and Outcomes of Trauma (NSCOT).
  • Analysis of patient records from 18 Level I TCs and 51 NTCs across 14 states.
  • Identification of overall and specific complication rates per patient.

Main Results:

  • Patients in TCs had a higher likelihood of any complication (adjusted RR, 1.34).

Related Experiment Videos

  • Urinary tract infection was significantly more common in TCs (RR, 1.94).
  • TC patients were more likely to experience 3 or more complications (RR, 1.83) and underwent more intensive treatments.

    • Conclusions:

    • Level I trauma centers show a slightly higher complication incidence, even after adjusting for case mix.
    • Aggressive treatment protocols in TCs appear to be a significant factor in complication rates.
    • Further research is required to establish complication benchmarks and identify causal factors.