AI Article Synopsis
- The study aimed to evaluate how the consolidation of two rural trauma centers into one affected adult trauma patients at that center, as such an assessment had not been previously conducted.
- Results showed a 33% increase in trauma patients and a 9% rise in transfers from other facilities after consolidation, with the post-consolidation group being older and more severely injured, leading to more ICU admissions and surgeries.
- The conclusion indicated that consolidating trauma services improved patient outcomes, resulting in higher overall trauma volume and reduced mortality among the most severely injured patients.
Article Abstract
Objective: The aim was to determine the impact of consolidation of two rural level 1 trauma centers on adult trauma patients presenting to the remaining level 1 trauma center. To our knowledge, a study assessing the impact of trauma center consolidation on adult trauma patients had yet to be performed.
Methods: A single institution, retrospective study was conducted at a rural level 1 trauma center. Adult trauma patients who presented to our center from January 2017 to January 2022 were included. The cohorts spanned 33 months pre- and post-consolidation. Multiple demographic and outcome measures were gathered. Data were analyzed using the student's t-test and Chi-squared testing.
Results: There was a 33% increase in overall trauma activations and 9% increase in transfers from outside facilities post-consolidation. The post-consolidation group was significantly older, had higher mean injury severity score, and decreased hospital-free days. The post-consolidation group also saw an increase in ICU admission and surgical intervention. While there were no significant differences in ICU-free days or ventilator days, patients in the post-consolidation group with the highest level of activation who required both surgical intervention and ICU admission experienced decreased mortality.
Conclusion: The consolidation of trauma services to a single level 1 trauma center in a rural Appalachian health system led to higher trauma volume and acuity, but most importantly decreased mortality for the most severely injured trauma patients.
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| http://dx.doi.org/10.1177/00031348241241703 | DOI Listing |
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