Relative differences in risk, however, varied according to the severity of injury, with evidence to suggest that differences in the risk of death according to the type of hospital were primarily among patients with Abbreviated Injury Scale scores of 4 or higher. The most common reasons for exclusion in stage 2 were treatment sought more than 24 hours after injury (70.8 percent) and a lack of evidence of trauma (25.4 percent). Valley View Regional Hospital (Ada) 4. Suburban Hospital is the only designated trauma center in Montgomery County. Frederick Rescue Mission, Inc. received a $10,000 grant to support the Faith House Program to provide support to homeless mothers and children. Currently, there are 20 American College of Surgeons-certified trauma hospitals in Indiana and two hospitals "in the process" of ACS certification. Jackson County Memorial Hospital (Altus) 5. J Am Geriatr Soc 2002;50:215-222. The resulting “sampling” weights consist of the reciprocal product of two probabilities: the conditional probability of being selected and the probability of being enrolled and having data abstracted from the medical record, given that the patient was selected. The following are currently verified as trauma centers by the American College of Surgeons (ACS). Funded by a grant (R49/CCR316840) from the National Center for Injury Prevention and Control of the Centers for Disease Control and Prevention and a grant (R01/AG20361) from the National Institute on Aging of the National Institutes of Health. for their commitment to the study; to Ciprian M. Crainiceanu, Ph.D., and Zhiqiang Tan, Ph.D., for their assistance in refining our approach to the statistical analysis of the data; and, for their participation in the study, to the following hospitals: Beverly Hospital, Beverly, Mass. Injuries were characterized on the basis of their mechanism, anatomical severity, and physiological effect. We hypothesized that the risk of death would be lower at a trauma center as compared with a non–trauma center and that the effect would be largest for younger patients with more severe injuries. After adjustment for differences in the case mix, the risk of death within one year after injury was significantly lower when care was provided in a trauma center than when care was provided in a non–trauma center (10.4 percent vs. 13.8 percent; relative risk, 0.75; 95 percent confidence interval, 0.60 to 0.95) (Table 4). It also works with MedFlight , the only medical flight service in Michiana. Characteristics of Participating and Nonparticipating Hospitals According to Trauma Center Status. A new method for classifying prognostic comorbidity in longitudinal studies: development and validation. Because trauma care requires special training and equipment, only a limited number of hospitals are prepared to deliver life-saving care on a 24-hour basis. We excluded Metropolitan Statistical Areas in which large non–trauma centers collectively treated fewer than 75 patients with major trauma annually, as defined according to an Injury Severity Score of more than 15, on the basis of the diagnostic codes of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM).12,13. Only the 1000 most recent citing articles are listed here. Cynthia Lemmon, R.N., Dana McDermott, R.N., M. Christine Michaelis, R.N., Yeni Quintana, R.N., Allana Richmond, M.S., R.N.C., Carleen Sparks, R.N., Eleanor Walsh, R.N., and Karen Yuhas, R.N., M.P.H. 27. Patients were eligible for the study if they were 18 to 84 years of age, arrived alive at a participating hospital, and were treated for a moderate-to-severe injury (defined by at least one injury with a score of at least 3 on the Abbreviated Injury Scale) between July 2001 and November 2002.14 Patients who presented with no vital signs and were pronounced dead within 30 minutes after arrival were excluded, as were patients who delayed seeking treatment for more than 24 hours, patients 65 years of age or older with a first listed diagnosis of hip fracture, patients with major burns, patients who spoke neither English nor Spanish, non–U.S. WVUH-Ruby Memorial Hospital May 2004 – May 2005 1 year 1 month Gained imaging experience in Level 1 trauma center, operating rooms, and with outpatient procedures. It is verified as a Level II Trauma Center, one of only four hospitals in Maryland given that recognition by the Maryland Institute for Emergency Medical Services Systems. Hannan EL, Waller CH, Farrell LS, Rosati C. Elderly trauma inpatients in New York State: 1994-1998. Concise summaries and expert physician commentary that busy clinicians need to enhance patient care. J Trauma 2004;56:1297-1304, 31. Am J Public Health 1989;79:1278-1282, 29. Classifying trauma severity based on hospital discharge diagnoses: validation of an ICD-9CM to AIS-85 conversion table. The trauma center at Lake Charles Memorial Hospital has been verified as a Level III Trauma Center by the Verification Review Committee (VRC), an ad hoc committee of the Committee on Trauma (COT) of the American College of Surgeons (ACS). ; Boston Medical Center, Boston; Brockton Hospital, Brockton, Mass. ; Cape Fear Valley Health System, Fayetteville, N.C.; Caritas Good Samaritan Medical Center, Brockton, Mass. Healey C, Osler TM, Rogers FB, et al. Children's Hospital at Erlanger - Chattanooga, TN ; Erlanger Health System - Chattanooga, TN ; Grady Memorial Hospital - Atlanta, GA ; Sacred Heart Hospital - Pensacola, FL ; Level II. Tory Regional Trauma Centre and a multitude of specialised programs and services with trauma-related expertise. A National Evaluation of the Effect of Trauma-Center Care on Mortality. Level II Trauma Center: Beds: 483: Helipad (FAA LID: 8MD3) History; Opened: 1866: Links; Website: www.lifebridgehealth.org /sinai: Lists: Hospitals in Maryland: Sinai Hospital is an American private hospital based in Baltimore, Maryland, that was founded in 1866 as the Hebrew Hospital and Asylum. Mortality outcomes were compared among patients treated in 18 hospitals with a level 1 trauma center and 51 hospitals non–trauma centers located in 14 states. Elkview General Hospital (Hobart) 2. Long-term survival of elderly trauma patients. 554, Baltimore, MD 21205-1996, or at [email protected]. Raghunathan TE, Lepkowksi JM, Van Hoewyk J, Solenbeger P. A multivariate technique for multiply imputing missing values using a sequence of regression models. An important limitation of our study, however, was the small number of older patients with severe injuries, resulting in wide confidence intervals for this cohort. In this report, we examine the effect of care in a trauma center on the risk of death. In the second stage, we selected all 1438 patients who had died in the hospital and a sample of 8021 patients who were discharged alive, stratified within hospitals according to age (18 to 64 years vs. 65 to 84 years), ICD-9-CM–derived Injury Severity Scores (15 or less vs. more than 15); and principal body region injured, hierarchically classified beginning with the head, arms and legs, and other regions. Critical Care Registered Nurse Frederick Memorial Hospital. ; Froedtert Memorial Lutheran Hospital, Milwaukee; Garden City Hospital, Garden City, Mich.; Gaston Memorial Hospital, Gastonia, N.C.; Greater Baltimore Medical Center, Baltimore; Harborview Medical Center, Seattle; Henry Ford Hospital, Detroit; Hospital of the University of Pennsylvania, Philadelphia; Jackson Memorial Hospital, Miami; Jacobi Medical Center, Bronx N.Y.; Johns Hopkins Hospital, Baltimore; Kaiser Foundation Hospital, Woodland Hills, Calif.; Kaiser Foundation Hospital, Los Angeles; Kaiser Foundation Hospital, San Diego, Calif.; Kendall Medical Center, Miami; Los Angeles County–University of Southern California Medical Center, Los Angeles. First, administrative discharge records and emergency department logs were prospectively reviewed to identify patients with a principal ICD-9-CM diagnosis code of 800 to 959 (excluding those due to late effects, foreign bodies, complications, burns, and [among patients 65 years of age or older] hip fractures). Level II Trauma Centers. Am J Surg 2004;187:7-13, 6. Since the Charlson comorbidity index does not include either obesity or coagulopathy, both of which correlate with the risk of death after trauma,17,18 these conditions were included in the analysis as individual covariates. University of Maryland Upper Chesapeake Medical … These “adjustment” weights, often referred to as propensity scores, serve to create an “adjusted population,” which has two important characteristics: the receipt of care at a trauma center is not confounded by covariates, and the effect of care at a trauma center is the same in the adjusted population as it is in the original reference population. 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