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The Bottom Line: Trauma Center Viability During COVID-19
Christina Colosimo1, Lilly Sirover1, John Porter1
1Cooper University Hospital, Trauma, Camden, New Jersey.
The Journal of Surgical Research
|March 14, 2023
Summary
The COVID-19 pandemic impacted trauma centers, increasing patient acuity and revenue. Trauma centers remained financially viable, highlighting their crucial role in health systems.
Area of Science:
- Trauma Surgery
- Health Systems Management
- Pandemic Response
Background:
- The COVID-19 pandemic posed a significant threat to the operational and financial viability of trauma centers and healthcare systems.
- Understanding the pandemic's impact on trauma center patient characteristics, volume, finances, and overall viability is crucial.
Purpose of the Study:
- To investigate the association between the COVID-19 pandemic and patient demographics, trauma center volume, financial performance, and viability.
- To analyze changes in trauma center operations and financial contributions during the pandemic compared to pre-pandemic periods.
Main Methods:
- A retrospective review of 6375 patients admitted to a verified Level 1 trauma center.
- Data collected from pre-COVID (Feb 2019-Feb 2020) and COVID (Mar 2020-Mar 2021) periods.
- Analysis included case-mix index (CMI), contribution margin, insurance status, patient demographics, and injury mechanisms.
Main Results:
- Trauma admissions initially declined but subsequently surpassed pre-COVID levels.
- Significant increases in trauma revenue and patient acuity were observed during the pandemic.
- A notable decrease in the proportion of underinsured patients occurred during the COVID-19 period.
- The trauma center emerged as the highest revenue contributor among all hospital service lines.
Conclusions:
- Trauma centers demonstrated resilience, remaining financially unaffected despite pandemic-related disruptions to other services.
- Trauma care significantly contributed to the financial stability of the health system.
- Maintaining and enhancing trauma center resources and staffing is essential for optimal patient care.
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