Mortality among Seriously Injured Patients Treated in Remote Rural Trauma Centers before and after Implementation of a Statewide Trauma System

Background. Injury mortality in rural regions remains high with little evidence that trauma system implementation has benefited rural populations. Objective. To evaluate risk-adjusted mortality in remote regions of Oregon before and after implementation of a statewide trauma system. Research Design....

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Veröffentlicht in:	Medical care 2001-07, Vol.39 (7), p.643-653
Hauptverfasser:	Mann, N. Clay, Mullins, Richard J., Hedges, Jerris R., Rowland, Donna, Arthur, Melanie, Zechnich, Andrew D.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Cohort Studies Craniocerebral trauma Death Female Glasgow coma scale Health outcomes Hospital admissions Humans Logistic Models Male Matched-Pair Analysis Medical records Mortality Multivariate Analysis Oregon - epidemiology Patient Transfer - organization & administration Physical trauma Program Evaluation Regional Medical Programs Retrospective Studies Risk Adjustment Rural areas Rural Health Services - organization & administration Survival Rate Trauma centers Trauma Centers - organization & administration Trauma Severity Indices Wounds and Injuries - mortality
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Beschreibung
Zusammenfassung:	Background. Injury mortality in rural regions remains high with little evidence that trauma system implementation has benefited rural populations. Objective. To evaluate risk-adjusted mortality in remote regions of Oregon before and after implementation of a statewide trauma system. Research Design. A retrospective cohort study assessing injury mortality through 30 days after hospital discharge. Setting. Nine rural Oregon hospitals serving counties with populations
ISSN:	0025-7079 1537-1948
DOI:	10.1097/00005650-200107000-00001