Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Does a “Wallet Biopsy” Lead to Inappropriate Trauma Patient Care?

Does a “Wallet Biopsy” Lead to Inappropriate Trauma Patient Care? Research Original Investigation Factors Associated With the Disposition of Severely Injured Patients Initially Seen at Non–Trauma Center Emergency Departments Disparities by Insurance Status M. Kit Delgado, MD, MS; Michael A. Yokell, ScB; Kristan L. Staudenmayer, MD, MS; David A. Spain, MD; Tina Hernandez-Boussard, PhD, MPH; N. Ewen Wang, MD Invited Commentary page 430 IMPORTANCE Trauma is the leading cause of potential years of life lost before age 65 years in the United States. Timely care in a designated trauma center has been shown to reduce Supplemental content at mortality by 25%. However, many severely injured patients are not transferred to trauma jamasurgery.com centers after initially being seen at non–trauma center emergency departments (EDs). OBJECTIVES To determine patient-level and hospital-level factors associated with the decision to admit rather than transfer severely injured patients who are initially seen at non–trauma center EDs and to ascertain whether insured patients are more likely to be admitted than transferred compared with uninsured patients. DESIGN, SETTING, AND PARTICIPANTS Retrospective analysis of the 2009 Nationwide Emergency Department Sample. We included all ED encounters for major trauma (Injury Severity Score, >15) seen at non–trauma centers in patients aged 18 to 64 years. We excluded ED discharges and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Does a “Wallet Biopsy” Lead to Inappropriate Trauma Patient Care?

JAMA Surgery , Volume 149 (5) – May 1, 2014

Loading next page...
 
/lp/american-medical-association/does-a-wallet-biopsy-lead-to-inappropriate-trauma-patient-care-kubiNfHzef
Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2013.4403
pmid
24553994
Publisher site
See Article on Publisher Site

Abstract

Research Original Investigation Factors Associated With the Disposition of Severely Injured Patients Initially Seen at Non–Trauma Center Emergency Departments Disparities by Insurance Status M. Kit Delgado, MD, MS; Michael A. Yokell, ScB; Kristan L. Staudenmayer, MD, MS; David A. Spain, MD; Tina Hernandez-Boussard, PhD, MPH; N. Ewen Wang, MD Invited Commentary page 430 IMPORTANCE Trauma is the leading cause of potential years of life lost before age 65 years in the United States. Timely care in a designated trauma center has been shown to reduce Supplemental content at mortality by 25%. However, many severely injured patients are not transferred to trauma jamasurgery.com centers after initially being seen at non–trauma center emergency departments (EDs). OBJECTIVES To determine patient-level and hospital-level factors associated with the decision to admit rather than transfer severely injured patients who are initially seen at non–trauma center EDs and to ascertain whether insured patients are more likely to be admitted than transferred compared with uninsured patients. DESIGN, SETTING, AND PARTICIPANTS Retrospective analysis of the 2009 Nationwide Emergency Department Sample. We included all ED encounters for major trauma (Injury Severity Score, >15) seen at non–trauma centers in patients aged 18 to 64 years. We excluded ED discharges and

Journal

JAMA SurgeryAmerican Medical Association

Published: May 1, 2014

References