What price commitment: What benefit? The cost of a saved life in a developing level i Trauma Center

Journal of Trauma - Injury, Infection and Critical Care

Volumn 67, Issue 5, 2009, Pages 915-921

  Rotondo, Michael F ^a   Bard, Michael R ^b   Sagraves, Scott G ^b   Toschlog, Eric A ^b   Schenarts, Paul J ^b   Goettler, Claudia E ^b   Newell, Mark A ^b   Robertson, Matthew J ^b  

^a EAST CAROLINA UNIVERSITY   (United States)

^b University Health Systems of Eastern Carolina   (United States)

Author keywords

Commitment; Cost; Mortality; Outcomes; Trauma

Indexed keywords

ADULT; ARTICLE; COMPENSATION; CONTROLLED STUDY; EMERGENCY HEALTH SERVICE; FEMALE; HEALTH CARE PERSONNEL; HUMAN; INJURY; INJURY SCALE; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; OUTCOME ASSESSMENT; PATIENT CARE; PRIORITY JOURNAL; COST BENEFIT ANALYSIS; ECONOMICS; FINANCIAL MANAGEMENT; HEALTH CARE COST; HEALTH SERVICES RESEARCH; MANPOWER; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PROGRAM DEVELOPMENT; RETROSPECTIVE STUDY; SALARY AND FRINGE BENEFIT; STATISTICS; TRAUMATOLOGY; UNITED STATES; UNIVERSITY HOSPITAL;

ADULT; CONTRACT SERVICES; COST-BENEFIT ANALYSIS; EFFICIENCY, ORGANIZATIONAL; FEMALE; HEALTH CARE COSTS; HEALTH SERVICES RESEARCH; HOSPITALS, UNIVERSITY; HUMANS; INJURY SEVERITY SCORE; LENGTH OF STAY; MALE; MIDDLE AGED; NORTH CAROLINA; OUTCOME ASSESSMENT (HEALTH CARE); PROGRAM DEVELOPMENT; RETROSPECTIVE STUDIES; SALARIES AND FRINGE BENEFITS; TRAUMA CENTERS; TRAUMATOLOGY; WOUNDS AND INJURIES; YOUNG ADULT;

EID: 73649113940     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e3181b848e7     Document Type: Article

References (19)

1. Trunkey DD, Mabry CD. What price commitment? Bull Am Coll Surg. 2003;88:8-27.
2. MacKenzie EJ. Review of evidence regarding trauma system effectiveness resulting from panel studies. J Trauma. 1999;47(suppl 3):S34-S41.
3. Jurkovich GJ, Mock CN. Systematic review of trauma system effectives based on registry comparisons. J Trauma. 1999;47(suppl):S46-S55.
4. Mullins RJ, Mann NC. Population-based research assessing the effectiveness of trauma systems. J Trauma. 1999;47(suppl):S59-S66.
5. Nathans AB, Jurkovich GJ, Cummings P, Rivara FP, Maier RV. The effect of organized systems of trauma care on motor vehicle crash mortality. JAMA. 2000;283:1990-1994.
6. MacKenzie EJ, Rivara FP, Jurkovich GJ, et al. A national evaluation of the effect of trauma-center care on mortality. N Engl J Med. 2006;354: 366-378.
7. O'Keefe GE, Jurkovich GJ, Copass M, Maier RV. Ten-year trend in survival and resource utilization at a level I trauma center. Ann Surg. 1999;229:409-415.
8. O'Keefe GE, Jurkovich GJ, Maier RV. Defining excess resource utilization and identifying associated factors for trauma victims. J Trauma. 1999;46:473-478.
9. O'Kelly TJ, Westaby S. Trauma centers and the efficient use of financial resources. Br J Surg. 1991;77:1142-1144.
10. Fulda GJ, Tinkoff GH, Giberson F, Rhodes M. In-house trauma surgeons do not decrease mortality in a level I trauma center. J Trauma. 2002;53:494-500.
11. Durham R, Shapiro D, Flint L. In-house trauma attendings: is there a difference? Am J Surg. 2005;190:960-966.
12. Peitzman AB, Courcoulas AP, Stinson C, Udekwu AO, Billiar TR, Harbrecht BG. Trauma center maturation: qualification of process and outcome. Ann Surg. 1999;230:87-94.
13. Potoka DA, Schall LC, Gardner MF, Stafford PW, Peitzman AB, Ford HR. Impact of pediatric trauma centers on mortality in a statewide system. J Trauma. 2000;49:237-245.
14. Osler TM, Vane DW, Tepas JJ, Rogers FB, Shackford SR, Badger GJ. Do pediatric trauma centers have better survival rates than adult trauma centers? An examination of the National Pediatric Trauma Registry. J Trauma. 2001;50:96-101.
15. Bensard DD, McIntyre RC Jr, Moore EE, Moore FA. A critical analysis of acutely injured children managed in an adult level I trauma center. J Pediatr Surg. 1994;29:11-18.
16. Taylor MD, Tracy JK, Meyer W, Pasquale M, Napolitano LM. Trauma in the elderly: intensive care unit resource use and outcome. J Trauma. 2002;53:407-414.
17. Grossman MD, Miller D, Scaff DW, Arcona S. When is an elder old? Effect of preexisting conditions on mortality in geriatric trauma. J Trauma. 2002;52:242-246.
18. Committee on Trauma American College of Surgeons. Resources for Optimal Care of the Injured Patient: 1999. Chicago, IL: American College of Surgeons; 1998.
19. FitzPatrick MK, Reilly PM, Laborde A, et al. Maintaining patient throughput on an evolving trauma/emergency surgery service. J Trauma. 2006;60:481-488.