Related Experiment Video
Updated: Dec 28, 2025
08:25
Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
773
Non-Trauma Service Admissions: Should We Care?
Brandon J Fumanti1, Lisa Szydziak1, Michael D Grossman2
1From the *Division of Acute Care Surgery, Department of Surgery, Northwell Health Southside Hospital, Bay Shore, New York.
The American Surgeon
|February 21, 2020
Summary
Trauma centers must review non-trauma service (NTS) admissions. NTS-appropriate patients had similar mortality and complications but longer stays and poorer discharge outcomes compared to trauma service (TS) admissions.
Area of Science:
- Trauma Surgery
- Healthcare Management
- Patient Outcomes
Background:
- The American College of Surgeons Committee on Trauma mandates reviews for non-trauma service (NTS) admissions exceeding 10% of injured patients.
- A previously developed algorithm assesses the appropriateness of NTS admissions.
Purpose of the Study:
- To compare patient outcomes and care processes between trauma service (TS) and NTS-admitted patients identified as appropriate for NTS.
Main Methods:
- Retrospective analysis of a trauma registry.
- Inclusion of patients meeting the algorithm criteria for NTS appropriateness.
- Comparison of demographic, clinical, and outcome data between TS and NTS groups.
Main Results:
- 941 patients met NTS appropriateness criteria; 694 admitted to TS, 247 to NTS.
- NTS patients were older, with similar Injury Severity Scores and comorbidities.
- NTS patients experienced similar mortality and complication risks but had longer hospital stays and less favorable discharge dispositions.
Conclusions:
- NTS admissions appear appropriate regarding mortality and complication risks.
- Differences in care processes may explain longer length of stay and disposition disparities.
- Minimally injured elderly patients are a significant group in both NTS and TS admissions.
Related Concept Videos
01:31Discharge Summary Forms
1.2K
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.2K
01:21Planning Nursing Care I
5.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.4K
01:14SBAR II: Application of SBAR
5.5K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
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...
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...
5.5K
01:18Types of Records II: Educational and Administrative Records
957
Maintaining nurses' educational and administrative records in healthcare settings, including hospitals and nursing schools, is paramount. Here's a breakdown of the types of academic records mentioned:
957
01:29Nursing Assessment
8.9K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
8.9K
01:30Specialized Care Centers and Settings-II
1.1K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.1K