Comparison of the effectiveness of trauma services provided by secondary and tertiary hospitals in Malaysia.

Study Objective: The trauma services provided by 6 hospitals operating at 2 levels of care (4 secondary or district general hospitals and 2 tertiary care hospitals) in Malaysia are compared in terms of mortality and disability for direct admissions to emergency departments to test the hypothesis that care at a tertiary care hospital is better than at a district general hospital.

Methods: All cases were recruited prospectively for 1 year. The hospitals were purposefully selected as typical for Malaysia.

Comparison of the effectiveness of major trauma services provided by tertiary and secondary hospitals in malaysia.

Background: The effectiveness of trauma services provided by three hospitals operating at different levels of care, district general (DGH), tertiary care, and central tertiary, were compared in Malaysia.

Methods: Cases were recruited prospectively for 1 month. Outcome measures included death or, among survivors, disability at discharge.