| Autor: |
Heard MA; Department of Surgery, Quillen College of Medicine, 12324East Tennessee State University, Johnson City, TN, USA., Billington AR; Department of Surgery, Quillen College of Medicine, 12324East Tennessee State University, Johnson City, TN, USA., Whitmire MH; Quillen College of Medicine, 12324East Tennessee State University, Johnson City, TN, USA., Collins HW; 4248Ballad Health Trauma Services, Johnson City, TN, USA., Burns JB; Department of Surgery, Quillen College of Medicine, 12324East Tennessee State University, Johnson City, TN, USA. |
| Abstrakt: |
With the increase in hospital consolidation over the past decade, multiple studies have been performed evaluating patient outcomes after consolidation. To date, there have not been studies performed to assess outcomes in pediatric trauma patients. The goal was to assess pediatric patient outcomes in a children's hospital after consolidation of two Level 1 Trauma centers in a rural Appalachian health system. A retrospective analysis of data from the Trauma Registry between October 2015 - September 2020 was performed. The variables included in analysis were age, injury severity score (ISS), hospital days, intensive care unit days, ventilator days, mortality, discharge disposition, consults, and hospital visit cost. Despite increased ISS, there was no difference in in-patient outcomes. However, these patients were more likely to require orthopedic evaluation and further outpatient care after discharge, suggesting more severely injured patients were evaluated by the trauma service post consolidation. |
