A comparison of transferred versus direct admission orthopedic trauma patients.
Trauma patients with orthopedic injuries transferred to Harborview Medical Center (HMC) were compared with all trauma patients directly admitted to HMC and with a set of matched controls regarding Injury Severity Score (ISS) and age, if >=50 years old.
Groups were compared on ISS, Revised Trauma Score (RTS), ICU stay, length of stay (LOS), total charges, reimbursement, payors, and outcome.
Comparison of all transferred patients and directly admitted patients showed significant differences in ISS, LOS, ICU stay, and total charges.
Despite a higher ISS, transferred patients had no differences in RTS or survival outcome.
Comparison of matched transferred patients and directly admitted patients on ISS and age if >=50 years old showed a statistically significant increase in LOS, reimbursement, and charges.
Mots-clés Pascal : Traumatisme, Système ostéoarticulaire pathologie, Epidémiologie, Pronostic, Traitement, Homme, Etude comparative, Admission hôpital, Prise en charge
Mots-clés Pascal anglais : Trauma, Diseases of the osteoarticular system, Epidemiology, Prognosis, Treatment, Human, Comparative study, Hospital admission
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0350525
Code Inist : 002B16H. Création : 199406.