@article{ref1,
title="Trauma - It is a party, but is everyone invited? A single center retrospective analysis of trauma patients at risk for early discharge after transfer",
journal="American journal of surgery",
year="2023",
author="Nix, Sean and Watkins, Madelynn and Benedict, Andrew and Nix, Heather and Torres, Kabir and Gazzetta, Joshua and Fesmire, Alyssa and Kennedy, Kevin and Spertus, John A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Transferred trauma patients frequently are discharged after short stays without undergoing treatments. Strategies to decrease unnecessary transfers are needed. <br><br>METHODS: We conducted a retrospective analysis of patients transferred to our level I center from 2019 to 2021. We identified patients discharged within 24 h without interventions and compared demographic, activation, injury, and mechanism of injury characteristics with patients requiring more care. A risk score was developed from these factors. <br><br>RESULTS: Of 2424 patients transferred, 463(19%) were discharged within 24 h. In an integer score, age (1 pt), Injury Severity Score (<6 = 5 pts, 7-9 = 2 pts), recreational mechanism (3 pts), no hypertension (1 pt), no diabetes (2 pts), no dementia (3 pts), chest (1 pt), external (4 pts), face (5 pts) and Head/neck trauma (2 pts) were associated with early discharge. The score stratified risk of early discharge from 4.8% (score <7) to 67% (score >15). <br><br>CONCLUSION: When prospectively validated the risk score may identify patients who can be managed without transfer.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2023.07.006",
url="http://dx.doi.org/10.1016/j.amjsurg.2023.07.006"
}