Comparison of survival outcomes among older adults with major trauma after trauma center versus non-trauma center care in the United States.

ABSTRACT:

Objective

To compare level 1 and 2 trauma centers with similarly sized non-trauma centers on survival after major trauma among older adults.

Data sources and study setting

We used claims of 100% of 2012-2017 Medicare fee-for-service beneficiaries who received hospital care after major trauma.

Study design

Survival differences were estimated after applying propensity-score-based overlap weights. Subgroup analyses were performed for ambulance-transported patients and by external cause. We assessed the roles of prehospital care, hospital quality, and volume.

Data collection

Data were obtained from the Centers for Medicare and Medicaid Services.

Principal findings

Thirty-day mortality was higher overall at level 1 versus non-trauma centers by 2.2 (95% confid

SUBMITTER: Nguyen JK 

PROVIDER: S-EPMC10315386 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature