Survival advantage for elderly trauma patients treated in a designated trauma center.
The Journal of trauma · 2011-07-01 · Observational study
Abstract
BACKGROUND: This article analyzes the effectiveness of designated trauma centers (DTCs) in Florida concerning reduction in the mortality risk of severely injured elderly trauma victims. METHODS: Inpatient hospital data collected by the Agency for Health Care Administration were used to identify elderly trauma patients. An instrumental variables method was used to adjust for prehospital selection bias in addition to the influence of age, gender, race, risk of mortality, comorbidities, and type of injury. The model was estimated using a bivariate probit full information maximum likelihood model to determine the impact of triage to a trauma center as opposed to a nontrauma hospital. RESULTS: After adjusting for confounding influences, treatment at a DTC was associated with a statistically significant reduction of 0.072, 0.040, and 0.036 in the probability of mortality for patients in the age groups 65 years to 74 years, 75 years to 84 years, and ≥ 85 years, respectively. CONCLUSIONS: Treatment of severely injured elderly trauma patients in DTCs is associated with statistically significant gains in the probability of survival.
Abstract © the authors or publisher, via PubMed. Reuse and removal
Tags
Mortality & survival · Older adults
Related articles
- Effects of Transport to Trauma Centers on Survival Outcomes Among Severe Trauma Patients in Korea: Nationwide Age-Stratified Analysis. (J Korean Med Sci, 2024)
- A comparison of major trauma patient transport destination in metropolitan Perth, Western Australia. (Australas Emerg Care, 2020)
- Evaluation and management of geriatric trauma: an Eastern Association for the Surgery of Trauma practice management guideline. (J Trauma Acute Care Surg, 2012)
- Is level 1 trauma care necessary for all severely injured older patients? Evaluating undertriage and feasibility of care in major and non-major trauma centres in the Netherlands. (Eur J Trauma Emerg Surg, 2025)
- The futility of closed chest compressions after trauma: A multi-institutional study. (J Trauma Acute Care Surg, 2023)
- Prehospital emergency life-saving technicians promote the survival of trauma patients: A retrospective cohort study. (Am J Emerg Med, 2022)