The Economic Status of Trauma Centers on the Eve of Health Care Reform

Eastman, A. Brent; Bishop, Gregory S.; Walsh, J W; Richardson, Jeff; Rice, Charles E.

doi:10.1097/00005373-199307000-00041

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Cited by 22 publications

(13 citation statements)

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“…trauma centers in 1991. 10 Questions concerning malpractice were a part of that survey. Ninety-two percent reported no malpractice problems specific to trauma.…”

Section: Figurementioning

confidence: 99%

Trauma Surgery Malpractice Risk

et al. 2005

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“…trauma centers in 1991. 10 Questions concerning malpractice were a part of that survey. Ninety-two percent reported no malpractice problems specific to trauma.…”

Section: Figurementioning

confidence: 99%

Trauma Surgery Malpractice Risk

et al. 2005

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“…11 Jacobs 8 points out that "despite the changes that have radically altered health care delivery, costs continue to rise." He also states that, "Surgeons should clearly understand the historic and present strategies for cost-management and how they have evolved.…”

Section: Discussionmentioning

confidence: 99%

Patterns and Implications of Lower Extremity Injuries in a Community Level I Trauma Center

Fairbanks

Murphy²,

Wasser³

et al. 2004

Annals of Plastic Surgery

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This study examined specific types of lower extremity injuries, their treatment, and trends in length of stay (LOS) as seen in an academic community hospital. The authors' trauma registry was queried for lower extremity injuries requiring surgical intervention from 1992 to 2000. A total of 5567 patients were identified. A total of 574 patients with 857 injuries met the criteria. The only significant difference in injury severity score among various injury types was found between traumatic amputations and open fractures (P = 0.006). However, there was no statistical difference between these 2 groups with regard to LOS. Patients requiring 1 or 2 procedures had a significantly shorter LOS than those requiring 3 procedures (P = 0.002 and P = 0.021 respectively). In this population of patients, it was not the manner of initial reconstruction, but the number of reconstructive procedures required that had an impact on LOS. LOS reduction might be possible when patients with lower injury severity scores can be treated in a more efficient manner.

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“…[1][2][3][4][5][6][7] Unfortunately, many trauma centers have closed because of financial insolvency. [8][9][10] Others remain threatened because of rising expenses, declining reimbursements, and inability to provide emergent specialty care. [11][12][13][14][15][16] Pelvis and acetabulum fractures are among the unique services available at trauma centers.…”

Section: Introductionmentioning

confidence: 99%