Quality of Life After the Trauma Center

Rhodes, Michael; Aronson, Judith; Moerkirk, George

doi:10.1097/00005373-198707000-00087

Cited by 13 publications

(17 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A growing body of evidence about posttraumatic stress disorder discusses depression and grief as frequent causes for decreased physical activities after trauma. 24,25,42 Likewise, anxiety about undergoing further corrective surgeries and/or hospitalization has been observed and occurred in 23% patients in the current study. Whether this factor has contributed to poor physical outcome is difficult to assess and should be subject to future studies.…”

Section: Discussionmentioning

confidence: 52%

Predictors of Late Clinical Outcome Following Orthopedic Injuries After Multiple Trauma

Pape

Probst

Lohse³

et al. 2010

Journal of Trauma: Injury, Infection &Amp; Critical Care

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 52%

Predictors of Late Clinical Outcome Following Orthopedic Injuries After Multiple Trauma

Pape

Probst

Lohse³

et al. 2010

Journal of Trauma: Injury, Infection &Amp; Critical Care

View full text Add to dashboard Cite

show abstract

“…Lower extremities are among the most frequently injured body regions in trauma patients [2-5]. The majority of foot and ankle injuries occur during sports or work; they form a leading cause of trauma hospitalizations [3-7]. As foot and ankle injuries account for over 20% of all injury patients visiting an Emergency Department (ED), research on trends in emergency attendance and health care use in this group is needed [8].…”

Section: Introductionmentioning

confidence: 99%

Health care consumption and costs due to foot and ankle injuries in the Netherlands, 1986–2010

Boer

Schepers

Panneman

et al. 2014

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundFoot and ankle injuries account for a large proportion of Emergency Department attendance. The aim of this study was to assess population-based trends in attendances due to foot and ankle injuries in the Netherlands since 1986, and to provide a detailed analysis of health care costs in these patients.MethodsAge- and gender-standardized emergency attendance rates and incidence rates for hospital admission were calculated for each year of the study. Injury cases and hospital length of stay were extracted from the National Injury Surveillance System (non-hospitalized patients) and the National Medical Registration (hospitalized patients). Data were grouped into osseous and ligamentous injuries for foot and ankle separately. An incidence-based cost model was applied to calculate associated direct health care costs.ResultsSince 1986 the overall emergency attendance rate decreased from 858 to 640 per 100,000 person years. In non-admitted patients (90% of cases), ligamentous injuries approximately halved, whereas osseous injuries increased by 28% (foot) and 25% (ankle). The incidence rate for hospital admission increased by 35%, mainly due to an almost doubling of osseous injuries. Attendance rates showed a peak in adolescents and adults until ~45 years of age in males and (less pronounced) in females. The total number of hospital days decreased to 58,708 days in 2010. Hospital length of stay (HLOS) increased with age and was highest for osseous injuries. HLOS was unaffected by gender, apart for longer stay in elderly females with an osseous ankle injury. Health care costs per case were highest for osseous injuries of the ankle (€ 3,461). Costs were higher for females and increased with age to € 6,023 in elderly males and € 10,949 in elderly females. Main cost determinants were in-hospital care (56% of total costs), rehabilitation/nursing care (15%), and physical therapy (12%).ConclusionsSince 1986, the emergency attendance rate of foot and ankle injuries in the Netherlands decreased by 25%. Throughout the years, the attendance rate of (relatively simple) ligamentous injuries strongly reduced, whereas osseous injuries nearly doubled. Attendance rates and health care costs were gender- and age-related. Main cost determinants were in-hospital care, rehabilitation/nursing care, and physical therapy.

show abstract

“…[10] A recent meta-analysis of studies regarding trauma center effectiveness concluded that regionalized trauma centers reduce trauma-related mortality by 15–20%. [1] A 2006 paper by MacKenzie et al was even more conclusive, showing a 25% reduction in mortality at level I trauma centers vs. non-level I centers after adjusting for co-morbidities and injury severity.…”

Section: Introductionmentioning

confidence: 99%

Disparities in Trauma Center Access Despite Increasing Utilization: Data From California, 1999 to 2006

Hsia

Wang

Torres

et al. 2010

Journal of Trauma: Injury, Infection &Amp; Critical Care

View full text Add to dashboard Cite

Background-While efforts have been made to address disparities in access to trauma care in the past decade, there is little evidence to show if utilization has changed. We use patient-level data to describe the changes in utilization of trauma centers in an eight-year period in California. Results-The proportion of severe injuries admitted increased by 3.6% (p < 0.05), with a concomitant rise in the proportion of trauma patients admitted to trauma centers (TCs), from 39.3% (95% CI 39.0% -39.7%) to 49.7% (49.4% -50.0%). Within the severely injured with injury severity scores > 15, 82.4% were treated in a TC if they resided in a county with a TC, compared to 30.8% of patients who did not live in a county with a TC. After adjustment, patients living greater than 50 miles away from a TC still had a likelihood ratio of 0.11 (p<0.0001) of receiving care in a TC compared to those less than 10 miles away. Similarly, even severely injured patients not living in a county with a TC had a likelihood ratio of 0.35 (p<0.0001) of being admitted to a TC compared to those residing in counties with trauma centers. Methods-We Conclusion-Admissions toTCs for all categories of injury severity are increasing. There remains, however, a large disparity in TC care depending on geographical distance and availability of a TC within county.

show abstract

Quality of Life After the Trauma Center

Cited by 13 publications

References 0 publications

Predictors of Late Clinical Outcome Following Orthopedic Injuries After Multiple Trauma

Predictors of Late Clinical Outcome Following Orthopedic Injuries After Multiple Trauma

Health care consumption and costs due to foot and ankle injuries in the Netherlands, 1986–2010

Disparities in Trauma Center Access Despite Increasing Utilization: Data From California, 1999 to 2006

Contact Info

Product

Resources

About