The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · May 2014
Multicenter StudyDerivation and validation of a quality indicator for 30-day unplanned hospital readmission to evaluate trauma care.
Unplanned readmissions represent 20% of all admissions and cost $12 billion annually in the United States. Despite the burden of injuries for the health care system, no quality indicator (QI) based on readmissions is available to evaluate trauma care. The objective of this study was to derive and internally validate a QI for a 30-day unplanned hospital readmission to evaluate trauma care. ⋯ Prognostic study, level III.
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J Trauma Acute Care Surg · May 2014
Multicenter Study Comparative StudyVenovenous extracorporeal life support improves survival in adult trauma patients with acute hypoxemic respiratory failure: a multicenter retrospective cohort study.
Venovenous extracorporeal life support (VV ECLS) has been reported in adult trauma patients with severe respiratory failure; however, ECLS is not available in many trauma centers, few trauma surgeons have experience initiating ECLS and managing ECLS patients, and there is currently little evidence supporting its use in severely injured patients. This study seeks to determine if VV ECLS improves survival in such patients. ⋯ Therapeutic study, level III.
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J Trauma Acute Care Surg · May 2014
Multicenter StudyBenchmarking trauma centers on mortality alone does not reflect quality of care: implications for pay-for-performance.
Trauma centers are currently benchmarked on mortality outcomes alone. However, pay-for-performance measures may financially penalize centers based on complications. Our objective was to determine whether the results would be similar to the current standard method of mortality-based benchmarking if trauma centers were profiled on complications. ⋯ Prognostic/epidemiologic study, level III.