A 5-year review of a trauma-trained hospitalist program for trauma patients: A matched cohort study.

Background: Level I trauma centers have requirements on the percentage of trauma patients admitted to either a trauma surgeon or surgical subspecialist; however, surgical resources are in steady decline. Therefore, a trauma system might better utilize its surgical resources if trained hospitalists admitted a larger percentage of mild to moderately injured trauma patients. The objective of this report is to provide a 5-year evaluation of a trauma medical service (TMED) at treating mild to moderately injured trauma patients.

Effects of a nonsurgical hospitalist service on trauma patient outcomes.

Background: The American College of Surgeons criteria for Level I trauma centers calls for >90% of trauma patients to be admitted directly by a trauma surgeon or surgical subspecialist; however, the efficiency of the trauma system may be increased if patients presenting with comorbid conditions and minor injuries are treated by a hospitalist team (nonsurgical Trauma MEDical [TMED] service). We hypothesized outcomes would be equivalent for patients treated under TMED versus a surgical service.

Methods: This retrospective review compared mortality, hospital length of stay (LOS), Emergency Department (ED) LOS, placement to rehabilitation facilities, and complication rates for patients who could have been treated by TMED as identified by an algorithm.

Adiposity changes in youth with a family history of cardiovascular disease: impact of ethnicity, gender and socioeconomic status.

Objective: The purpose of this study is to describe change in the prevalence of overweightness over time in a cohort of youth with a family history of cardiovascular disease and to determine whether changes in adiposity were influenced in this group by ethnicity, gender, socioeconomic status (SES), or interactions among these factors.

Methods: Two hundred and fifty-three subjects with an average age of 8.8 years +/- 2.

Changes in overweight in youth over a period of 7 years: impact of ethnicity, gender and socioeconomic status.

Objective: To examine changes in overweight in youth over a period of 7 years, within the context of ethnicity, gender, and socioeconomic status (SES).

Methods: Participants in a longitudinal study of cardiovascular (CV) risk factor development were evaluated on 2 occasions an average of 7.2 +/- 0.