Institutional and provider factors impeding access to trauma center care: An analysis of transfer practices in a regional trauma system

Journal of Trauma and Acute Care Surgery

Volumn 73, Issue 5, 2012, Pages 1288-1293

  Gomez, David ^a,c   Haas, Barbara ^a,c   De Mestral, Charles ^a,c   Sharma, Sunjay ^c   Hsiao, Marvin ^a,c   Zagorski, Brandon ^d   Rubenfeld, Gordon ^b   Ray, Joel G ^c,d   Nathens, Avery B ^a,c,d  

^a Division of General Surgery   (Canada)

^b SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^c ST MICHAEL'S HOSPITAL   (Canada)

^d INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES   (Canada)

Author keywords

Access to trauma center care; Emergency department length of stay; Interfacility transfer

Indexed keywords

ADULT; AGED; ARTICLE; COHORT ANALYSIS; COMPUTED TOMOGRAPHY SCANNER; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; HEALTH CARE ACCESS; HEALTH CARE UTILIZATION; HUMAN; INJURY SEVERITY; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL STAFF; ORTHOPEDIC SURGEON; PATIENT TRANSPORT; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SURGEON;

ADULT; AGED; AGED, 80 AND OVER; FEMALE; HEALTH SERVICES ACCESSIBILITY; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; ONTARIO; PATIENT TRANSFER; REFERRAL AND CONSULTATION; REGIONAL MEDICAL PROGRAMS; RETROSPECTIVE STUDIES; TRAUMA CENTERS; TRAUMATOLOGY; WOUNDS AND INJURIES; YOUNG ADULT;

EID: 84869883253     PISSN: 21630755     EISSN: 21630763     Source Type: Journal    
DOI: 10.1097/TA.0b013e318265cec2     Document Type: Article

References (20)

1. 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.
2. Mackenzie EJ, Rivara FP, Jurkovich GJ, et al. The impact of trauma-center care on functional outcomes following major lower-limb trauma. J Bone Joint Surg Am. 2008;90: 101-109.
3. Sasser SM, Hunt RC, Sullivent EE, et al. Guidelines for field triage of injured patients. Recommendations of the National Expert Panel on Field Triage. MMWR Recomm Rep. 2009;58: 1-35.
4. Hill AD, Fowler RA, Nathens AB. Impact of interhospital transfer on outcomes for trauma patients: a systematic review. J Trauma. 2011;71: 1885-1901.
5. Nathens AB, Jurkovich GJ, MacKenzie EJ, et al. A resource-based assessment of trauma care in the United States. J Trauma. 2004;56: 173-178; discussion 178.
6. Nathens AB, Maier RV, Copass MK, et al. Payer status: the unspoken triage criterion. J Trauma. 2001;50: 776-783.
7. Newgard CD, McConnell KJ, Hedges Jr. Variability of trauma transfer practices among non-tertiary care hospital emergency departments. Acad Emerg Med. 2006;13: 746-754.
8. Selassie AW, McCarthy ML, Pickelsimer EE. The influence of insurance, race, and gender on emergency department disposition. Acad Emerg Med. 2003;10: 1260-1270.
9. Selassie AW, Pickelsimer EE, Frazier L Jr, et al. The effect of insurance status, race, and gender on ED disposition of persons with traumatic brain injury. Am J Emerg Med. 2004;22: 465-473.
10. Utter GH, Victorino GP, Wisner DH. Interhospital transfer occurs more slowly for elderly acute trauma patients. J Emerg Med. 2008;35: 415-420.
11. Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14: 187-196.
12. Haas B, Xiong W, Brennan-Barnes M, Gomez D, Nathens AB.Overcoming barriers to population-based injury research: development and validation of an ICD-10 to Injury Severity Score crosswalk. Can J Surg. 2012;55: 21-26.
13. Bhimani M, Dickie G, McLeod S, et al. Emergency medicine training demographics of physicians working in rural and regional southwestern Ontario emergency departments. CJEM. 2007;9: 449-452.
14. Canadian Institute for Health Information. Canadian Classification of Health Interventions. Ottawa, ON; 2009.
15. Association for the Advancement of Automotive Medicine. The Abbreviated Injury Scale: 1990 RevisionVupdate 1998. Des Plaines; 1998.
16. Mackenzie EJ, Rivara FP, Jurkovich GJ, et al. The national study on costs and outcomes of trauma. J Trauma. 2007;63:S54YS67; discussion S81YS56.
17. Haas B, Jurkovich GJ,Wang J, et al. Survival advantage in trauma centers: expeditious intervention or experience? J Am Coll Surg. 2009;208: 28-36.
18. Nathens AB, Rivara FP, MacKenzie EJ, et al. The impact of an intensivistmodel ICU on trauma-related mortality. Ann Surg. 2006;244: 545-554.
19. MacKenzie EJ. Review of evidence regarding trauma system effectiveness resulting from panel studies. J Trauma. 1999;47:S34-41.
20. Haas B, Gomez D, Zagorski B, et al. Survival of the fittest: the hidden cost of undertriage of major trauma. J Am Coll Surg. 2010;211: 804-811