Nontrauma surgeons can safely take call at an academic, rural level I trauma center

American Journal of Surgery
Nathan LourasNeil Hyman

Abstract

Care protocols can facilitate effective management of injured patients across a spectrum of providers. It is uncertain whether patient care is compromised when a full time trauma surgeon is not on call in the rural setting, where manpower may be a challenge. A retrospective cohort study was performed at an academic medical center with a level I trauma center. Patients admitted to the trauma service from 2007 to 2012 were compared with respect to mortality, missed injuries, delay in diagnosis, and length of stay based on whether they were admitted to the trauma service when a full-time trauma surgeon was on call. A total of 2,571 injured patients were admitted during the study period; 1,621 directly to the trauma service. Of those, 1,415 patients were initially seen by a trauma surgeon (group A) and 206 by a nontrauma surgeon (group B). Demographics were similar except that the trauma attending patients were somewhat older (44.7 vs 39.4 years, P = .002). There was no difference in the mean injury severity score (17.0 vs 16.0, P = .13) or Glasgow Coma Scale (12.7 vs 12.3, P = .7) between the 2 groups. There were 128 deaths; mortality rate in group A was 7.9% versus 7.7% for group B (P = .54). There was no difference in the incide...Continue Reading

References

Oct 1, 1978·Seminars in Nuclear Medicine·C E Metz
Jul 12, 2003·The Journal of Trauma·Patrick J OffnerCharles Maines
May 5, 2010·Journal of Pediatric Surgery·Dana MihaliczIoana Bratu
Mar 15, 2011·Journal of the American College of Surgeons·Mehul V RavalClifford Y Ko
Oct 4, 2013·World Journal of Emergency Surgery : WJES·Bonnie TsangSandy L Widder
Feb 20, 2014·Journal of Emergencies, Trauma, and Shock·Ari M LipskyRoger J Lewis
Apr 16, 2014·World Journal of Emergency Surgery : WJES·Jianyi YinJieshou Li

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Citations

May 30, 2016·American Journal of Surgery·Sharmila Dissanaike
Sep 16, 2021·JAMA Surgery·Mark W BowyerEric A Elster

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