Patients treated at Level I hospitals were more likely to be discharged home (OR 1.14, 95% CI 1.05-1.25), or a rehabilitation center or skilled nursing facility (OR 1.39, 95% CI 1.27-1.52).
Similar results were seen when restricting the analyses to patients with serious injuries (Injury Severity Score > 15 EMS Glasgow Coma Score < 9). In adjusted analyses, patients taken to Level I hospitals had improved survival compared with Level II centers (odds ratio 0.75, 95% confidence interval 0.56-0.98). Patients taken to Level I centers had more severe injuries, more penetrating injuries, more complications, yet similar unadjusted mortality compared with Level II centers. How many trauma centers are there in the US Although some states adopt a three-tier scale of trauma levels, others acknowledge five different levels of trauma centers. Outcomes included in-hospital mortality and discharge destination (skilled nursing facility, rehabilitation center, home).Ī total of 18,103 patients were included in the analysis 10,070 (56%) were transported to a Level I center. Level I, II, III, IV or V) refer to the kinds of resources available in a trauma center and the number of patients admitted yearly. After controlling for injury severity score, age, GCS, and shock. A propensity-adjusted multivariable logistic regression model was used to test the association between trauma center level and patient outcomes. Patients transported directly to the level I hospital were younger and more severely injured. II) and included age, emergency medical services (EMS) Glasgow Coma Score, comorbidities, EMS systolic blood pressure, injury type, injury severity, EMS procedures, emergency department procedures, gender, insurance status, and race. Propensity score adjustment was used to adjust for nonrandom selection of hospital destination (I vs. We sought to determine whether there was a difference in the patient outcome in trauma victims taken to Level I versus Level II trauma centers.Ī multicenter, retrospective cohort analysis of all patients with trauma (>15 years), meeting State of Ohio trauma criteria, transported directly from the scene to a Level I or a Level II hospital (27 centers) between January 2003 and December 2006. Typically have sufficient resources to stabilize the patient and transfer to a higher level center.Trauma centers improve outcomes compared with nontrauma centers, although the relative benefit of different levels of major trauma centers (Level I vs. Typically have resources to stabilize and treat most patients but will have to transfer patients for more in depth or specialized care. Seriously injured patients have an increased survival rate of 25% in comparison to those not treated at a Level 1 center. Level 1 Trauma Centers provide the highest level of trauma care to critically ill or injured patients. For example, a trauma center classified as Level I in one. Treat more than 750 trauma patients each year Although there are five different levels for trauma centers, they can vary from state to state.Support a Surgical Residency program, another way in which team members stay current with the latest treatment methods.Provide ongoing educational opportunities for every member of the trauma team.Participate in research programs to ensure that the latest treatment and care methods are provided.An extensive process improvement program to ensure the highest quality is required as well as to continuously monitor the process of accessing and delivering the highest quality patient care.Īdditional requirements for Level 1 designation: Transfer of patients occurs only on rare occasions when an extremely specialized service is required, but this is rare. Level 1 Trauma Centers are required to have immediately available all resources to stabilize and definitively treat even the most complex traumatic injuries. Conemaugh Memorial Medical Center's Level 1 Regional Resource Trauma Center has maintained the highest level of designation since 2002. Trauma centers range from the highest level designation, Level 1, to the lowest, Level 4.
0 kommentar(er)
