TY  - JOUR
PY  - 2012//
TI  - Outcomes of adult trauma patients admitted to trauma centers in Pennsylvania, 2000-2009
JO  - Archives of surgery (1960)
A1  - Glance, Laurent G.
A1  - Osler, Turner M.
A1  - Mukamel, Dana B.
A1  - Dick, Andrew W.
SP  - 732
EP  - 737
VL  - 147
IS  - 8
N2  - OBJECTIVE To examine longitudinal trends in mortality for injured patients admitted to trauma centers. DESIGN, SETTING, AND PARTICIPANTS Retrospective cohort design of 208 866 patients admitted to level I or level II trauma centers in Pennsylvania between 2000 and 2009 using the Pennsylvania Trauma Outcome Study database. Multivariate logistic regression was used to estimate the temporal trend for in-hospital mortality. MAIN OUTCOME MEASURES Patients were stratified by injury severity to estimate mortality trends in patients with low-severity, moderate, severe, and very severe injuries. RESULTS Comparing 2000-2001 data with 2008-2009 data, the odds of mortality decreased by 29% (adjusted odds ratio [AOR] = 0.71; 95% CI, 0.59-0.85) and the odds of major complications decreased by 32% (AOR = 0.68; 95% CI, 0.57-0.81). Between 2000 and 2009, the mortality rate for patients admitted with moderate trauma decreased by 42% (AOR = 0.58; 95% CI, 0.46-0.71) and the mortality rate for patients with severe trauma decreased by 51% (AOR = 0.49; 95% CI, 0.40-0.60). Mortality rates for patients admitted with mild trauma or with very severe trauma did not change significantly during this period. CONCLUSIONS In-hospital mortality and major complications for adult trauma patients admitted to level I or level II trauma centers declined by 30% between 2000 and 2009. After stratifying patients by injury severity, the mortality rate for patients presenting with moderate or severe injuries declined by 40% to 50%, whereas mortality rates remained unchanged in patients with the least severe or the most severe injuries.<p />  <p>Language: en</p>
LA  - en
SN  - 0004-0010
UR  - http://dx.doi.org/10.1001/archsurg.2012.1138
ID  - ref1
ER  -