Are patients being transferred to level-I trauma centers for reasons other than medical necessity?

Journal of Bone and Joint Surgery

Volumn 88, Issue 10, 2006, Pages 2124-2132

  Koval, Kenneth J ^a   Tingey, Chad W ^b   Spratt, Kevin F ^a  

^a DARTMOUTH HITCHCOCK MEDICAL CENTER   (United States)

^b NONE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGE; AGED; ARTICLE; CHILD; COMORBIDITY; EMERGENCY HEALTH SERVICE; FEMALE; GENDER; HEALTH INSURANCE; HUMAN; INFANT; INJURY SCALE; MAJOR CLINICAL STUDY; MALE; MEDICAID; NEWBORN; PATIENT TRANSPORT; PRIORITY JOURNAL; RACE; RISK FACTOR; UNITED STATES;

EID: 33749558107     PISSN: 00219355     EISSN: None     Source Type: Journal    
DOI: 10.2106/JBJS.F.00245     Document Type: Article

References (7)

1. Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA). PL 99-272, Title IX, Section 9121,100 Stat 167 (1986).
2. Omnibus Budget Reconciliation Act of 1989 (OBRA). PL 101-239, Section 6211 (h)(2), 102 Stat 2106, 42 USC 1395dd.
3. Bitterman RA. Providing emergency care under federal law: EMTALA. Dallas: American College of Emergency Physicians; 2001.
4. Nathens AB, Maier RV, Copass MK,s Jurkovich GJ. Payer status: the unspoken triage criterion. J Trauma. 2001;50:776-83.
5. National Trauma Data Bank. Version 4.3 American College of Surgeons; 2005. http://mcrc.hitchcock.org/Cores_Projects/National %20Trauma%20Data%20Bank%204.3.pdf
6. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373-83.
7. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613-19.