Status of Trauma Care in U.S. Army Hospitals
Source: Military Medicine, Volume 170, Number 2, February 2005 , pp. 141-148(8)
Abstract:Objective: This study documents the recent trends and current state of inpatient trauma care in U.S. Army hospitals. Methods: Inpatient trauma cases from Army hospitals worldwide from October 1988 through April 2001 were analyzed. Facilities included 3 Certified Trauma Centers (CTCs), 7 non-CTC Army Medical Centers, and 42 Army Community Hospitals. Logistic regression identified mortality risk factors. Results: Overall, the Army treated 166,124 trauma cases, with a mortality rate of 0.8% (trend of 0.66% to 1.18% in fiscal years 1989–2000, p < 0.0001). The number of Army hospitals decreased by 44% and the number of trauma cases decreased by nearly 75%. Injury severity, patient age, hospital trauma volume, beneficiary category, hospital type, and a resource intensity measure were all significantly associated with the probability of death. Conclusions: The overall trauma mortality rate at Army hospitals during the study period was lower than that reported for civilian trauma centers. However, changes in patient profiles, increased average severity, and decreased trauma volume might have contributed to a 13% increase in mortality rates at CTCs.
Document Type: Research Article
Affiliations: 1: Center for Army Medical Department Strategic Studies, U.S. Army Medical Department Center and School, Fort Sam Houston, TX 78234-5047. 2: U.S. Army Institute of Surgical Research, Fort Sam Houston, TX 78234-6315.
Publication date: 2005-02-01
- Military Medicine is the Association's official monthly journal. The objective of the Journal is to promote awareness of Federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to Federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members' writings.
Military Medicine's 5-year Impact Factor: 1.061
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