@article{ref1,
title="Injury and mortality profiles in Level II and III trauma centers",
journal="American surgeon",
year="2021",
author="Farhat, Ali and Grigorian, Areg and Farhat, Ahmed and Chin, Theresa L. and Donnelly, Megan and Dolich, Matthew and Kuza, Catherine M. and Lekawa, Michael and Nahmias, Jeffry",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: While the benefit of admission to trauma centers compared to non-trauma centers is well-documented and differences in outcomes between Level-I and Level-II trauma centers are well-studied, data on the differences in outcomes between Level-II trauma centers (L2TCs) and Level-III trauma centers (L3TCs) are scarce. <br><br>OBJECTIVES: We sought to compare mortality risk between patients admitted to L2TCs and L3TCs, hypothesizing no difference in mortality risk for patients treated at L3TCs compared to L2TCs. <br><br>METHODS: A retrospective analysis of the 2016 Trauma Quality Improvement Program (TQIP) database was performed. Patients aged 18+ years were divided into 2 groups, those treated at American College of Surgeons (ACS) verified L2TCs and L3TCs. <br><br>RESULTS: From 74,486 patients included in this study, 74,187 (99.6%) were treated at L2TCs and 299 (.4%) at L3TCs. Both groups had similar median injury severity scores (ISSs) (10 vs 10, P <.001); however, L2TCs had a higher mean ISS (14.6 vs 11.9). There was a higher mortality rate for L2TC patients (6.0% vs 1.7%, P =.002) but no difference in associated risk of mortality between the 2 groups (OR.46, CI.14-1.50, P =.199) after adjusting predictors of mortality. L2TC patients had a longer median length of stay (5.0 vs 3.5 days, P <.001). There was no difference in other outcomes including myocardial infarction (MI) and cerebrovascular accident (CVA) (P >.05). <br><br>DISCUSSION: Patients treated at L2TCs had a longer LOS compared to L3TCs. However, after controlling for covariates, there was no difference in associated mortality risk between L2TC and L3TC patients.<p /> <p>Language: en</p>",
language="en",
issn="0003-1348",
doi="10.1177/0003134820966290",
url="http://dx.doi.org/10.1177/0003134820966290"
}