The influence of inter-hospital transfers on mortality in severely injured patients.

ABSTRACT:

Purpose

The importance of treating severely injured patients in higher-level trauma centers is undisputable. However, it is uncertain whether severely injured patients that were initially transported to a lower-level trauma center (i.e., undertriage) benefit from being transferred to a higher-level trauma center.

Methods

This observational study included all severely injured patients (i.e., Injury Severity Score ≥ 16) that were initially transported to a lower-level trauma center within eight ambulance regions. The exposure of interest was whether a patient was transferred to a higher-level trauma center. Primary outcomes were 24-h and 30-day mortality. Generalized linear models including inverse probability weights for several potential confounders were constructed to evalu

SUBMITTER: Waalwijk JF 

PROVIDER: S-EPMC9925487 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature