Operative Trauma Volume is Not Related to Risk-Adjusted Mortality Rates Among PA Trauma Centers


A recent study featuring PISC Senior Scholar Elinore Kaufman, MD, MSHP, and Internal Advisory Board Member Daniel Holena, MD, explores the association between center-level operative volume and operative trauma mortality rates. Data encompassing 3,650 injured adult patients at 29 trauma centers was drawn from the Pennsylvania Trauma Outcomes Study database. All participants underwent operative trauma surgery within six hours of admission. Results indicate that mortality rates in trauma centers with varying operative volumes have an approximate overall mortality rate of 15.9%. Common operative procedures include pulmonary, vascular, abdominopelvic, and multiple procedures. No significant differences were found between each trauma center. The team concludes that “efforts to standardize the care of seriously injured patients in Pennsylvania may ensure that even lower volume centers are prepared to generate satisfactory outcomes.”


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