Blunt versus penetrating trauma: Is there a resource intensity discrepancy?
Am J Surg
; 218(6): 1201-1205, 2019 12.
Article
em En
| MEDLINE
| ID: mdl-31530378
ABSTRACT
BACKGROUND:
The rising cost of healthcare requires responsible allocation of resources. Not all trauma centers see the same types of patients. We hypothesized that patients with blunt injuries require more resources than patients with penetrating injuries.METHODS:
This was a retrospective analysis of all highest-level activation trauma patients at our busy urban Level I Trauma Center over five years. Data included demographics, injuries, hospital charges, and resources used. A p valueâ¯<â¯0.05 was significant.RESULTS:
4578 patients were included (2037 blunt and 2541 penetrating). Blunt patients were more severely injured, more often admitted, required more radiographic studies, had longer hospital, intensive care unit, and mechanical ventilation days, and therefore, higher hospital charges.CONCLUSIONS:
Within one center, patients with blunt injuries required more resources than those with penetrating injuries. Understanding this pattern will allow trauma systems to better allocate limited resources based on each center's mechanism of injury distribution.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ferimentos não Penetrantes
/
Ferimentos Penetrantes
/
Preços Hospitalares
/
Recursos em Saúde
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article