Assessing Futile Trauma Transfers in Rural Appalachia Following a Regional Health Care System Consolidation.

Autor: Everly MA; East Tennessee State University, Quillen College of Medicine, Johnson City, TN, USA., Archer A; East Tennessee State University, Quillen College of Medicine, Johnson City, TN, USA., Heard M; Department of Surgery, East Tennessee State University, Quillen College of Medicine, Johnson City, TN, USA., Roche K; Department of Surgery, East Tennessee State University, Quillen College of Medicine, Johnson City, TN, USA., Burns JB; Department of Surgery, East Tennessee State University, Quillen College of Medicine, Johnson City, TN, USA.
Jazyk: angličtina
Zdroj: The American surgeon [Am Surg] 2024 Jul; Vol. 90 (7), pp. 1922-1924. Date of Electronic Publication: 2024 Mar 22.
DOI: 10.1177/00031348241241719
Abstrakt: This study sought to define and analyze rates of futile trauma transfers (FTTs) after the consolidation of two rural level 1 trauma centers into one. Data was extracted from the regional trauma registry for a period of 5 years (2017-2022) for all trauma patients transferred into our level 1 trauma center (n = 3369). An FTT was defined as a transfer that (1) received no major interventions and (2) died or was discharged to a hospice facility within 72 hours. Out of the 3369 transfer patients analyzed during the 33-month pre-consolidation and 33-month post-consolidation periods, 34 patients met the criteria of an FTT within the transfer-to-discharge window. The pre-consolidation category contained 12, and the post-consolidation category contained 22. Chi-square analysis indicated no significant difference in FTT rate between categories. Furthermore, the post-consolidation FTT rate of 1.1% remained consistent with the estimated national average of 1.5%.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE
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