Survival Advantage Associated with Treatment of Injury at Designated Trauma Centers
- 1 February 2007
- journal article
- research article
- Published by SAGE Publications in Medical Care Research and Review
- Vol. 64 (1) , 83-97
- https://doi.org/10.1177/1077558706296241
Abstract
This article analyzes the effectiveness of designated trauma centers in Florida concerning reduction in the mortality risk of severely injured trauma victims. A bivariate probit model is used to compute the differential impact of two alternative acute care treatment sites. The alternative sites are defined as (1) a nontrauma center (NC) or (2) a designated trauma center (DTC). An instrumental-variables method was used to adjust for prehospital selection bias in addition to the influence of age, gender, race, risk of mortality, and type of injury. Treatment at a DTC was associated with a reduction of 0.13 in the probability of mortality.Keywords
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