Background: The American College of Surgeons Committee on Trauma (ACS COT) delineates trauma center standards, one of which limits the number of injured patients admitted to nonsurgical services. Performance improvement review of nonsurgical admissions (NSAs), particularly those with Injury Severity Score (ISS) > 9, is required.
Objective: To examine trauma patients with NSA for appropriateness of admission and any potential clinical effect as a result of NSA.