Relationship of trauma centre characteristics and patient outcomes: a systematic review

Abstract

Understanding which characteristics of trauma centre provides the best prospect for improved outcomes depending on patient need and resource availability would allow further appreciation of the processes that foster such enhancement.

The volume-outcome relationship in severely injured patients: A systematic review and meta-analysis

“…Two previously published systematic reviews on the impact of volume on outcome did not find a clear benefit for severely injured patients in high volume centers (10,11). However, both studies did not perform a meta-analysis and looked at a smaller amount of studies.…”

“…These volume requirements are originally based on the volume-outcome relationship in other surgical specialties such as cardiothoracic surgery (7)(8)(9). Two previously published systematic reviews on the impact of volume on outcome concluded that the benefit of high volume of annually admitted trauma patients in terms of health outcomes remains unclear (10,11) .…”

Comparison of trauma care systems in Asian countries: A systematic literature review

“…Survival outcomes can be improved with higher‐quality trauma care, resources, training and organised systems of care. Studies have shown that verified and well‐equipped trauma centres lead to lower mortality . While there are many studies that focus on the assessment and evaluation of trauma care systems, few of them are dedicated to those in Asian countries …”

The impact of level of the American College of Surgeons Committee on Trauma verification and state designation status on trauma center outcomes

“…Interestingly Kim [15] performed a systematic review of the relationship of TC and ACS verification and concluded that achieving ACS verification is beneficial to outcomes. Additionally, they found disagreement in the literature on whether Level 1 or 2 can deliver similar care.…”