Staff commitment to trauma care improves mortality and length of stay at a level i trauma center

Journal of Trauma - Injury, Infection and Critical Care

Volumn 66, Issue 5, 2009, Pages 1315-1320

  Mains, Charles ^a   Scarborough, Kristin ^a,b   Baror, Raphael ^a,b   Hawkes, Allison ^a   Huber, Jeffery ^a   Bourg, Pamela ^a   Bar Or, David ^a,b  

^a St Anthony Central Hospital   (United States)

^b SWEDISH MEDICAL CENTER   (United States)

Author keywords

Length of stay; Mortality; Physician assistant; Staff; Trauma center

Indexed keywords

ADULT; AGE DISTRIBUTION; ARTICLE; CHI SQUARE TEST; CONTROLLED STUDY; EMERGENCY HEALTH SERVICE; FEMALE; HEAD INJURY; HOSPITALIZATION; HUMAN; INJURY SCALE; INJURY SEVERITY; INTENSIVE CARE UNIT; LENGTH OF STAY; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MEDIAN TEST; MEDICAL STAFF; MORTALITY; MULTIPLE LINEAR REGRESSION ANALYSIS; OUTCOME ASSESSMENT; PATIENT CARE; PERSONNEL MANAGEMENT; PHYSICIAN ASSISTANT; PRIORITY JOURNAL; RESIDENT; STUDENT T TEST; SURGEON; TRAUMATOLOGY; CAUSE OF DEATH; CHI SQUARE DISTRIBUTION; DOCTOR PATIENT RELATION; EVALUATION; FOLLOW UP; HEALTH PERSONNEL ATTITUDE; INJURY; MIDDLE AGED; MULTIVARIATE ANALYSIS; NURSE PATIENT RELATIONSHIP; ORGANIZATION AND MANAGEMENT; PROBABILITY; RETROSPECTIVE STUDY; RISK ASSESSMENT; STATISTICAL MODEL; TREATMENT OUTCOME;

ADULT; ATTITUDE OF HEALTH PERSONNEL; CAUSE OF DEATH; CHI-SQUARE DISTRIBUTION; FEMALE; FOLLOW-UP STUDIES; HOSPITAL MORTALITY; HUMANS; INJURY SEVERITY SCORE; LENGTH OF STAY; LINEAR MODELS; LOGISTIC MODELS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; NURSE-PATIENT RELATIONS; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT CARE TEAM; PHYSICIAN-PATIENT RELATIONS; PROBABILITY; RETROSPECTIVE STUDIES; RISK ASSESSMENT; TRAUMA CENTERS; TREATMENT OUTCOME; WOUNDS AND INJURIES;

EID: 85047682236     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e31819d96d8     Document Type: Article

References (18)

1. Cooper DJ, McDermott FT, Cordner SM, Tremayne AB. Quality assessment of the management of road traffic fatalities at a level I trauma center compared with other hospitals in Victoria, Australia. Consultative Committee on Road Traffic Fatalities in Victoria. J Trauma. 1998;45:772-779.
2. Demetriades D, Martin M, Salim A, Rhee P, Brown C, Chan L. The effect of trauma center designation and trauma volume on outcome in specific severe injuries. Ann Surg. 2005;242:512-517.
3. Demetriades D, Martin M, Salim A, et al. Relationship between American College of Surgeons trauma center designation and mortality in patients with severe trauma (injury severity score >15). J Am Coll Surg. 2006;202:212-215.
4. Kreis DJ Jr, Plasencia G, Augenstein D, et al. Preventable trauma deaths: Dade County, Florida. J Trauma. 1986;26:649-654.
5. MacKenzie FJ, 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.
6. Nirula R, Brasel K. Do trauma centers improve functional outcomes: a national trauma databank analysis? J Trauma. 2006;61:268-271.
7. Smith JS Jr, Martin LF, Young WW, Macioce DP. Do trauma centers improve outcome over non-trauma centers: the evaluation of regional trauma care using discharge abstract data and patient management categories. J Trauma. 1990;30:1533-1538.
8. Scarborough K, Slone DS, Uribe P, Craun M, Bar-Or R, Bar-Or D. Reduced mortality at a community hospital trauma center: the impact of changing trauma designation from II to I. Arch Surg. 2008; 143:22-27.
9. Miller W, Riehl E, Napier M, Barber K, Dabideen H. Use of physician assistants as surgery/trauma house staff at an American College of Surgeons-verified Level JJ trauma center. J Trauma. 1998;44:372-376.
10. Nyberg SM, Waswick W, Wynn T, Keuter K. Midlevel providers in a Level I trauma service: experience at Wesley Medical Center. J Trauma. 2007;63:128-134.
11. Offner PJ, Hawkes A, Madayag R, Seale F, Maines C. General surgery residents improve efficiency but not outcome of trauma care. J Trauma. 2003;55:14-19.
12. Haut ER, Chang DC, Efron DT, Cornwell EE III. Injured patients have lower mortality when treated by "full-time" trauma surgeons vs. surgeons who cover trauma "part-time." J Trauma. 2006; 61:272-278.
13. Christmas AB, Reynolds J, Hodges S, et al. Physician extenders impact trauma systems. J Trauma. 2005;58:917-920.
14. Mathur M, Rampersad A, Howard K, Goldman GM. Physician assistants as physician extenders in the pediatric intensive care unit setting. A 5-year experience. Pediatr Crit Care Med. 2005;6:14-19.
15. Oswanski MF, Sharma OP, Raj SS. Comparative review of use of physician assistants in a level I trauma center. Am Surg. 2004; 70:272-279.
16. Goldstein MJ, Kim E, Widmann WD, Hardy MA. A 360 degrees evaluation of a night-float system for general surgery: a response to mandated work-hours reduction. Curr Surg. 2004;61:445-451.
17. Cornwell EE III, Chang DC, Phillips J, Campbell KA. Enhanced trauma program commitment at a level I trauma center: effect on the process and outcome of care. Arch Surg. 2003;138:838-843.
18. American College of Surgeons Committee on Trauma. Resources for Optimal Care of the Injured Patient. Chicago, IL: American College of Surgeons Committee on Trauma; 2006:17, 22.