Survival and Length of Stay of Patients with Major Trauma Admitted to Trauma Centers and Nontrauma Hospitals

2.50
Hdl Handle:
http://hdl.handle.net/10755/163563
Category:
Abstract
Type:
Presentation
Title:
Survival and Length of Stay of Patients with Major Trauma Admitted to Trauma Centers and Nontrauma Hospitals
Author(s):
Scheetz, Linda
Author Details:
Linda Scheetz, EdD, APRN, BC, CEN, Assistant Professor, Rutgers, The State University of New Jersey, Newark, New Jersey, USA, email: lscheetz@andromeda.rutgers.edu
Abstract:
Purpose: The premise underlying the evolution of trauma systems in the United States is that trauma centers provide a superior level of care resulting in improved outcomes for patients with major trauma. However, there is a paucity of research comparing outcomes of patients treated at trauma centers (TCs) and nontrauma hospitals (NTCs). The purpose of this study was to compare survival and length of stay (LOS) of patients with major trauma who were admitted to TCs and NTCs while controlling for the effects of age. Methods: This descriptive secondary analysis utilized New Jersey's UB-92 Patient Discharge Data for 2000. Inclusion criteria were: age > 25 years, motor vehicle trauma, TC or NTC admission, primary discharge diagnosis of traumatic injury. ICDMAP software translated discharge diagnoses to injury severity scores. Descriptive statistics, chi square analysis (stratified by age), and analysis of covariance (age as a covariate) were performed. Alpha was set at .05. Results: The final sample included 817 patients ranging in age from 25-99 (M=51.7, SD=18.27). Mean injury severity score was 22.4 (SD=8.12), with no significant difference between TC and NTC patients; mean LOS was 13.92 days (SD=19.6). One hundred twenty-one (14.8%) patients died. Of those, 105 (86.8%) had been admitted to TCs. 2 revealed that a greater proportion of TC patients died in each age group (younger group 2 = 8.71, p < .01; older group 2 = 9.05, p < .01). LOS of NTC patients was less than that for TC patients when controlling for age (F = 13.26, p < .001). Conclusions and Implications: NTC patients with major trauma had higher survival rates and shorter LOS than did TC patients, regardless of age. Further studies are needed that compare outcomes of TC and NTC patients at all injury severity levels.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
17th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
New York, New York, USA
Description:
�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New York
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleSurvival and Length of Stay of Patients with Major Trauma Admitted to Trauma Centers and Nontrauma Hospitalsen_GB
dc.contributor.authorScheetz, Lindaen_US
dc.author.detailsLinda Scheetz, EdD, APRN, BC, CEN, Assistant Professor, Rutgers, The State University of New Jersey, Newark, New Jersey, USA, email: lscheetz@andromeda.rutgers.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163563-
dc.description.abstractPurpose: The premise underlying the evolution of trauma systems in the United States is that trauma centers provide a superior level of care resulting in improved outcomes for patients with major trauma. However, there is a paucity of research comparing outcomes of patients treated at trauma centers (TCs) and nontrauma hospitals (NTCs). The purpose of this study was to compare survival and length of stay (LOS) of patients with major trauma who were admitted to TCs and NTCs while controlling for the effects of age. Methods: This descriptive secondary analysis utilized New Jersey's UB-92 Patient Discharge Data for 2000. Inclusion criteria were: age > 25 years, motor vehicle trauma, TC or NTC admission, primary discharge diagnosis of traumatic injury. ICDMAP software translated discharge diagnoses to injury severity scores. Descriptive statistics, chi square analysis (stratified by age), and analysis of covariance (age as a covariate) were performed. Alpha was set at .05. Results: The final sample included 817 patients ranging in age from 25-99 (M=51.7, SD=18.27). Mean injury severity score was 22.4 (SD=8.12), with no significant difference between TC and NTC patients; mean LOS was 13.92 days (SD=19.6). One hundred twenty-one (14.8%) patients died. Of those, 105 (86.8%) had been admitted to TCs. 2 revealed that a greater proportion of TC patients died in each age group (younger group 2 = 8.71, p < .01; older group 2 = 9.05, p < .01). LOS of NTC patients was less than that for TC patients when controlling for age (F = 13.26, p < .001). Conclusions and Implications: NTC patients with major trauma had higher survival rates and shorter LOS than did TC patients, regardless of age. Further studies are needed that compare outcomes of TC and NTC patients at all injury severity levels.en_GB
dc.date.available2011-10-27T11:09:44Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:09:44Z-
dc.conference.date2005en_US
dc.conference.name17th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationNew York, New York, USAen_US
dc.description�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New Yorken_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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