AI Article Synopsis
- The study analyzed complication rates between American College of Surgeons (ACS)-verified Level 1 and Level 2 trauma centers (TCs) using data from the National Trauma Data Bank.
- ACS Level 1 TCs had higher complication rates (13.5%) compared to Level 2 TCs (10.1%), while state-designated Level 1 TCs also had a higher rate (4.4% vs. 1.6%).
- The results suggest that both ACS and state Level 2 TCs have significantly lower complication rates than their Level 1 counterparts, indicating a need for further research to understand the reasons behind these differences.
Article Abstract
Background: Complication rates may be indicative of trauma center (TC) performance. The complication rates between Level 1 and 2 TCs at the national level are unknown. Our study aimed to determine the relationship between American College of Surgeons (ACS)-verified and state-designated TCs and complications.
Study Design And Methods: This was a cohort review of the National Sample Program (NSP) from the National Trauma Data Bank, the world's largest validated trauma database. TCs were categorized by ACS or state Level 1 or 2. TCs not categorized as Level 1 or 2 were excluded. All 22 complications provided by the NSP were analyzed. Chi-squared analysis was used with statistical significance defined as < 0.05.
Results: Of the 94 TCs in the NSP, 67 had ACS and 80 had state designations of Level 1 or 2. There were 38 ACS Level 1 TCs treating 87,340 patients and 29 ACS Level 2 TCs treating 35,763. There were 45 state Level 1 TCs treating 106,640 and 35 state Level 2 TCs treating 43,290. ACS Level 1 TCs had significantly higher complications compared to ACS Level 2 TCs (13.5% [11,776/87,340] vs. 10.1% [3,606/35,763], < 0.0001). In addition, state Level 1 TCs had significantly more complications compared to state Level 2 TCs (4.4% [4,681/106,640] vs. 1.6% [673/43,290], < 0.0001).
Conclusion: Both ACS and state Level 2 TCs had significantly lower complication rates than ACS and state Level 1 TCs. Further investigations should look for the source and impact of this difference.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7717469 | PMC |
| http://dx.doi.org/10.4103/JETS.JETS_49_19 | DOI Listing |
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