Emergency Trauma Providers as Equal Partners: From 'Proof of Concept' to 'Outcome Parity'

Autor: Kathryn C, Kelley, Alex, Alers, Charles, Bendas, Peter G, Thomas, James, Cipolla, Brian A, Hoey, William S, Hoff, Rebecca, Wilde-Onia, Holly, Weber, Stanislaw P, Stawicki
Rok vydání: 2019
Předmět:
Zdroj: The American surgeon. 85(9)
ISSN: 1555-9823
Popis: Enmeshment of emergency trauma providers (ETPs) into the United States health-care fabric resulted in the establishment of a formalized surgical critical care fellowship and certification for emergency medicine trainees. The aim of this study was to compare trauma outcomes for surgery-trained providers (STPs) and ETPs at our institution, hypothesizing patient outcome equivalency. We performed an institutional review board-exempt institutional registry review (January 1, 2004 to August 1, 2018), comparing 74 STPs and 6 ETPs. Comparator variables included all-cause mortality, all-cause morbidity, CT imaging studies per provider, time in ED (min), hospital/ICU lengths of stay, ICU admissions, and functional outcomes on discharge. Statistical comparisons included chi-square test for categorical data and analysis of covariance for continuous data (adjustments made for patient age, Injury Severity Score, and trauma mechanism; all
Databáze: OpenAIRE