Reasons for Transfer to a Level 1 Trauma Center and Barriers to Timely Definitive Fracture Fixation
| Autor: | Meghan E. Beddow, Heather A. Vallier, Nathaniel A Parker |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Patient Transfer medicine.medical_specialty Time Factors Urban Population Fractures Bone Injury Severity Score Trauma Centers Fracture Fixation Fracture fixation Humans Medicine Orthopedics and Sports Medicine Femur Retrospective Studies Fixation (histology) Medically Uninsured business.industry Incidence (epidemiology) Trauma center Retrospective cohort study General Medicine Acetabulum Surgery Female business |
| Zdroj: | Journal of Orthopaedic Trauma. 28:e284-e289 |
| ISSN: | 0890-5339 |
| Popis: | OBJECTIVE Our purpose was to compare patients transferred from another hospital to our trauma center with those arriving directly, to identify barriers to care for similar fractures. We hypothesized that the most frequent reason for delayed definitive fixation would be interhospital transfer and that patients would be transferred primarily for 2 reasons: complex patients with more severe injuries and less complex patients without insurance. DESIGN Retrospective review. SETTING Level 1 trauma center. PATIENTS/PARTICIPANTS A total of 1549 skeletally mature patients with 1655 fractures: 379 acetabulum, 301 pelvic ring, 876 femur, and 99 spine. INTERVENTION All patients were treated surgically, with early fixation defined as |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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