Effect of Patient Volume and American College of Surgeons Trauma Level Designation on Mortality: A National Trauma Data Bank Study

Scant literature investigates potential outcome differences between Level I trauma centers. We compared overall survival and survival after acute respiratory distress syndrome (ARDS) in patients admitted to American College of Surgeons (ACS)-verified versus state-verified Level I trauma centers. Using the National Trauma Data Bank Version 7.0, incident codes associated with admission to an ACS-verified facility were extracted and compared with the group admitted to state-verified centers. Overall, there were 382,801 (73.7%) patients admitted to ACS and 136,601 (26.3%) admitted to state centers. There was no adjusted survival advantage after admission to either type (4.9% for ACS vs 4.8% for state centers; 1.014 [95% CI, 0.987 to 1.042], P = 0.311). However, in the 3,088 cases of ARDS, mortality for admission to the ACS centers was 20.3 per cent (451 of 2,220) versus 27.1 per cent (235 of 868) for state centers. Adjusting for injury severity and facility size, admission to an ACS center was associated with a significantly greater survival after ARDS (0.75 [0.654 to 0.860]; P < 0.001). Level I verification does not necessarily imply similar outcomes in all subgroups. Federal oversight may become necessary to ensure uniformity of care, maximizing outcomes across all United States trauma systems. Further study is needed.

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The Increasing Use of Vena Cava Filters in Adult Trauma Victims: Data From the American College of Surgeons National Trauma Data Bank

Journal of Trauma and Acute Care Surgery ◽

10.1097/01.ta.0000240444.14664.5f ◽

2007 ◽

Vol 63 (4) ◽

pp. 764-769 ◽

Cited By ~ 31

Author(s):

Steven R. Shackford ◽

Alan Cook ◽

Frederick B. Rogers ◽

Benjamin Littenberg ◽

Turner Osler

Keyword(s):

Vena Cava ◽

Data Bank ◽

National Trauma ◽

Vena Cava Filters ◽

National Trauma Data Bank ◽

American College Of Surgeons ◽

Trauma Victims

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Knee dislocation and associated injuries: an analysis of the American College of Surgeons National Trauma Data Bank

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-019-05712-y ◽

2019 ◽

Vol 28 (2) ◽

pp. 568-575 ◽

Cited By ~ 3

Author(s):

Majid Chowdhry ◽

Daniel Burchette ◽

Danny Whelan ◽

Avery Nathens ◽

Paul Marks ◽

...

Keyword(s):

Knee Dislocation ◽

Data Bank ◽

Associated Injuries ◽

National Trauma ◽

National Trauma Data Bank ◽

American College Of Surgeons

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Demographics, Mechanisms of Injury, and Concurrent Injuries Associated With Calcaneus Fractures: A Study of 14 516 Patients in the American College of Surgeons National Trauma Data Bank

Foot & Ankle Specialist ◽

10.1177/1938640016679703 ◽

2016 ◽

Vol 10 (5) ◽

pp. 402-410 ◽

Cited By ~ 7

Author(s):

Daniel D. Bohl ◽

Nathaniel T. Ondeck ◽

Andre M. Samuel ◽

Pablo J. Diaz-Collado ◽

Stephen J. Nelson ◽

...

Keyword(s):

Lumbar Spine ◽

Head Injuries ◽

Data Bank ◽

National Sample ◽

Spine Fractures ◽

National Trauma ◽

Close Proximity ◽

National Trauma Data Bank ◽

American College Of Surgeons ◽

Calcaneus Fractures

Background. This study uses the American College of Surgeons National Trauma Data Bank (NTDB) to update the field on the demographics, injury mechanisms, and concurrent injuries among a national sample of patients admitted to the hospital department with calcaneus fractures. Methods. Patients with calcaneus fractures in the NTDB during 2011-2012 were identified and assessed. Results. A total of 14 516 patients with calcaneus fractures were included. The most common comorbidity was hypertension (18%), and more than 90% of fractures occurred via traffic accident (49%) or fall (43%). A total of 11 137 patients had concurrent injuries. Associated lower extremity fractures had the highest incidence and occurred in 61% of patients (of which the most common were other foot and ankle fractures). Concurrent spine fractures occurred in 23% of patients (of which the most common were lumbar spine fractures). Concurrent nonorthopaedic injuries included head injuries in 18% of patients and thoracic organ injuries in 15% of patients. Conclusion. This national sample indicates that associated injuries occur in more than three quarters calcaneus fracture patients. The most common associated fractures are in close proximity to the calcaneus. Although the well-defined association of calcaneus fractures with lumbar spine fractures was identified, the data presented highlight additional strong associations of calcaneus fractures with other orthopaedic and nonorthopaedic injuries. Levels of Evidence: Prognostic, Level III: Retrospective review of a prospectively collected cohort

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