Related Experiment Video

Updated: Oct 28, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

10.1K

Established Primary Care Provider Improves Odds of Survival to Discharge for Injured Patients

Christopher J McLaughlin1, Joseph Hess2, Scott B Armen3

  • 1Department of Surgery, Penn State College of Medicine, Hershey, PA.

The Journal of Surgical Research
|July 16, 2021
PubMed

Insights

Patients with primary care providers (PCPs) had a significantly lower mortality rate after injury. Establishing primary care before trauma improves survival outcomes and should be promoted within health systems.

Area of Science:

  • Trauma Surgery
  • Health Services Research
  • Public Health

Background:

  • Increasing age and comorbidities in trauma patients impact outcomes.
  • Primary care providers (PCPs) manage pre-injury comorbidities.
  • The role of primary care in trauma systems is not well-defined.

Purpose of the Study:

  • To investigate the association between pre-injury primary care and outcomes in trauma patients.
  • To determine if having a PCP affects mortality rates in injured individuals.

Main Methods:

  • Retrospective review of an institutional trauma databank (2013-2019).
  • Case-control matching compared patients with and without PCPs.
  • Analysis included mortality rates, length of stay, and complication rates.

Main Results:

  • Patients with PCPs had a lower mortality rate (1.6% vs. 3.6%, P < 0.01).
  • PCPs were associated with an increased odds of survival to discharge (OR 2.58, P < 0.001).
  • No significant differences in complications, ICU, or ventilator days were observed.

Conclusions:

  • Pre-injury primary care is associated with significantly improved survival for trauma patients.
  • Further prospective studies are needed to explore strategies for integrating primary care into trauma systems.
Abstract

Keywords:
EpidemiologyInjury mortalityPrimary careQuality improvementTrauma outcomes

More Related Videos

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure05:16

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

328
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

17.4K

Related Concept Videos

Planning Nursing Care I01:21

Planning Nursing Care I

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...
5.1K
Discharge Summary Forms01:31

Discharge Summary Forms

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:
1.1K
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.6K
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.1K
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
69
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.5K