Major Scope

  •  Colon and Rectal Surgery
  •  General Surgery
  •  Gynecologic Oncology
  •  Plastic Surgery
  •  Neurological Surgery
  •  Orthopaedic Surgery
  •  Orthopaedic Surgery of the Spine
  •  Neonatal Surgery
  •  Prenatal Surgery
  •  Trauma Surgery
  •  Surgical Intensivists, Specializing In Critical Care Patients
  •  Thoracic Surgery
  •  Congenital Cardiac Surgery
  •  Thoracic Surgery-Integrated
  •  Vascular Surgery

Abstract

Citation: Clin Surg. 2019;4(1):2374.Research Article | Open Access

Use of a Statewide Trauma Image Repository Decreases the Rate of Unnecessary Transfers to a Level 1 Trauma Center

Harris TJ, Fair LC, Jensen HK, Karim S, Imus TL, Beck WC, Bhavaraju A, Davis B, Kimbrough MK, Robertson RD, Taylor JR and Sexton KW

Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), USA

*Correspondance to: Kevin W Sexton 

 PDF  Full Text DOI: 10.25107/2474-1647.2374

Abstract

Background: We hypothesized that implementation of a statewide Trauma Image Repository (TIR) would lead to increased efficiency of care.
Methods: The state of Arkansas instituted TIR in July 2013. In this retrospective cohort study, we analyzed patients in the Arkansas trauma registry from December 2013 through May 2017, and compared patients with images loaded to the TIR with those without images in TIR.
Results: Altogether 2,354 patients were included in the study, and the utilization of the TIR increased from 44% to 74% of all transfers during the study period. The patients in the TIR group were more likely to be admitted to the ICU from the ED (25.84% vs. 18.09%, p<0.01). TIR patients had longer LOS (5.3 + 6.7 vs. 4.6 + 6.2 days, p<0.01) and a longer ICU LOS (1.8 + 4.1 vs.1.3 + 3.4 days, p<0.01). Patients in the TIR group also had a higher mean ISS (11.7 + 9.8 vs. 9.1 + 8.8, p<0.01. There was no difference in mortality between the two groups.
Conclusion: The implementation of a state-wide TIR led to a lower proportion of patients being transferred with an injury severity score less than 15. Patients with images in the TIR had more severe injuries and a higher predicted mortality. While they were shown to have longer hospital and ICU length of stay, there was no difference in mortality between the two groups. We can speculate that the increased efficiency potentially led to more seriously injured people surviving at the same rate as the less severely injured patients.

Keywords

Trauma; Imaging; Transfer Image Repository; Tertiary center

Cite the article

Harris TJ, Fair LC, Jensen HK, Karim S, Imus TL, Beck WC, et al. Use of a Statewide Trauma Image Repository Decreases the Rate of Unnecessary Transfers to a Level 1 Trauma Center. Clin Surg. 2019; 4: 2374.

Journal Basic Info

  • Impact Factor: 2.395**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
  • NLM ID: 101702548

Search Our Journal

Journal Indexed In

Articles in PubMed

Sildenafil Transiently Delays Early Alveolar Bone Healing of Tooth Extraction Sockets
 PubMed  PMC  PDF  Full Text
Voice Outcomes in Laryngotracheal Stenosis: Impact of the Montgomery T-tube
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

The Woven EndoBridge Device for Treatment of Bifurcation Aneurysms: Image-Based Computational Hemodynamic Analysis
 Abstract  PDF  Full Text
Healthy Years of Life Lost in Shaanxi Province, Western China: An Evidence from the 2018 National Health Service Survey
 Abstract  PDF  Full Text
View More...