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Is state trauma funding associated with mortality among injured hospitalized patients?
Alexandria Byskosh1, Meilynn Shi1, Irene Helenowski1
1Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Background:
We sought to quantify the association between state trauma funding and (1) in-hospital mortality and (2) transfers of injured patients.
Methods:
We conducted an observational cross-sectional study of states with publicly available trauma funding data. We analyzed in-hospital mortality using linked data from the Nationwide Inpatient Sample (NIS), American Hospital Association (AHA) Annual Survey, and these State Department of Public Health trauma funding data.
Results:
A total of 594,797 injured adult patients were admitted to acute care hospitals in 17 states. Patients in states with >$1.00 per capita state trauma funding had 0.82 (95 % CI: 0.78-0.85, p < 0.001) decreased adjusted odds of in-hospital mortality compared to patients in states with less than $1.00 per capita state trauma funding.
Conclusions:
Increased state trauma funding is associated with decreased adjusted in-hospital mortality.
