TY - JOUR PY - 2010// TI - Analysis of compliance and outcomes in a trauma system with a 2-hour transfer rule JO - Archives of surgery (1960) A1 - Crandall, Marie L. A1 - Esposito, Thomas J. A1 - Reed, R. Lawrence A1 - Gamelli, Richard L. A1 - Luchette, Frederick A. SP - 1171 EP - 1175 VL - 145 IS - 12 N2 - While the majority of transfers occur at greater than the mandated 2-hour interval, the most seriously injured patients are reaching definitive care within 2 hours. Markers of acuity for patients transferred at greater than 2 hours parallel those of the general trauma patient population. These data suggest that, in this system, provider-determined transfer time that exceeds 2 hours has no adverse effect on patient outcome. It appears to accomplish recognition and rapid transport of the most seriously ill. This may obviate the need for onerous system mandates that are not feasible or have poor compliance.
Language: en
LA - en SN - 0004-0010 UR - http://dx.doi.org/10.1001/archsurg.2010.264 ID - ref1 ER -