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Updated: Jun 16, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Trauma attending physician continuity: does it make a difference?

David G Jacobs1, Jennifer L Sarafin, Karen E Head

  • 1F. H. Sammy Ross Trauma Institute, Carolinas Medical Center, Charlotte, North Carolina 28232, USA. david.jacobs@carolinashealthcare.org

The American Surgeon
|February 9, 2010
PubMed
Summary
This summary is machine-generated.

Shorter trauma attending (TA) rotations, specifically one week, were associated with improved patient morbidity and longer hospital stays. Longer TA rotations do not necessarily enhance continuity of care or patient outcomes.

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Last Updated: Jun 16, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Area of Science:

  • Trauma Surgery
  • Surgical Education
  • Healthcare Management

Background:

  • Continuity of care is crucial for optimal trauma patient outcomes.
  • The ideal duration for a trauma attending (TA) rotation remains undetermined.
  • This study investigates the impact of TA rotation length on patient outcomes.

Purpose of the Study:

  • To evaluate the effect of TA rotation length on trauma patient outcomes.
  • To determine if longer TA rotations improve continuity of care.
  • To assess the relationship between TA rotation duration and patient morbidity, mortality, and length of stay.

Main Methods:

  • Retrospective comparison of trauma patient outcomes over a 12-month period.
  • Transition from 1-month TA rotations to 1-week TA rotations.
  • Statistical analysis using Wilcoxon rank sum test and chi-squared test.

Main Results:

  • Overall morbidity was lower in the 1-week TA group (18.6%) compared to the 1-month TA group (23.2%).
  • Hospital length of stay was higher in the 1-week TA group (9.07 days) versus the 1-month TA group (8.41 days).
  • Mortality, patient charges, and standard of care violations were similar between groups.

Conclusions:

  • A 1-week TA rotation is linked to improved patient morbidity despite a longer hospital stay.
  • Extended TA rotations do not inherently guarantee better continuity of care or improved patient outcomes.
  • Rotation length may not be the primary determinant of optimal trauma care delivery.