TY - JOUR
T1 - Population-based research assessing the effectiveness of trauma systems
AU - Mullins, Richard J.
AU - Mann, N. Clay
PY - 1999/9
Y1 - 1999/9
N2 - Objective: To review published evidence regarding the effectiveness of trauma systems by using population-based data. Design: A systematic review of peer-reviewed literature assessing the influence of trauma system implementation on the outcome of all injured patients. Materials and Methods: Literature available in MEDLINE, HealthSTAR, and CINHAL was reviewed for studies that use population-based data to assess the benefit of trauma system development. Studies were included that assessed trauma systems in North America and used a comparison or control group in the analysis. Main Results: Published evidence, reported for eight of the nine trauma systems evaluated, demonstrates improved outcomes, principally measured as hospital survival. Improvement occurred after the trauma system or some component of a trauma system (e.g., sophisticated prehospital care) was established. Conclusion: Population-based evidence supports a 15 to 20% improved survival rate among seriously injured patients with trauma system implementation. Future study is required to determine whether trauma systems improve the outcome of all injured patients, not just high-risk subsets of the population.
AB - Objective: To review published evidence regarding the effectiveness of trauma systems by using population-based data. Design: A systematic review of peer-reviewed literature assessing the influence of trauma system implementation on the outcome of all injured patients. Materials and Methods: Literature available in MEDLINE, HealthSTAR, and CINHAL was reviewed for studies that use population-based data to assess the benefit of trauma system development. Studies were included that assessed trauma systems in North America and used a comparison or control group in the analysis. Main Results: Published evidence, reported for eight of the nine trauma systems evaluated, demonstrates improved outcomes, principally measured as hospital survival. Improvement occurred after the trauma system or some component of a trauma system (e.g., sophisticated prehospital care) was established. Conclusion: Population-based evidence supports a 15 to 20% improved survival rate among seriously injured patients with trauma system implementation. Future study is required to determine whether trauma systems improve the outcome of all injured patients, not just high-risk subsets of the population.
KW - Historical background
KW - Trauma Systems
UR - http://www.scopus.com/inward/record.url?scp=0032829807&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032829807&partnerID=8YFLogxK
U2 - 10.1097/00005373-199909001-00013
DO - 10.1097/00005373-199909001-00013
M3 - Article
C2 - 10496613
AN - SCOPUS:0032829807
SN - 0022-5282
VL - 47
SP - S59-S66
JO - Journal of Trauma - Injury, Infection and Critical Care
JF - Journal of Trauma - Injury, Infection and Critical Care
IS - 3 SUPPL.
ER -