Status of Trauma Care in U.S. Army Hospitals.

摘要

This study documents the recent trends and current state of inpatient trauma care in U.S. Army hospitals. Methods: Inpatient trauma cases from Army hospitals worldwide from October 1988 through April 2001 were analyzed. Facilities included 3 Certified Trauma Centers (CTCs), 7 non- CTC Army Medical Centers, and 42 Army Community Hospitals. Logistic regression identified mortality risk factors. Results: Overall, the Army treated 166,124 trauma cases, with a mortality rate of 0.8% (trend of 0.66% to 1.18% in fiscal years 1989 2000, p 0.0001). The number of Army hospitals decreased by 44% and the number of trauma cases decreased by nearly 75%. Injury severity, patient age, hospital trauma volume, beneficiary category, hospital type, and a resource intensity measure were all significantly associated with the probability of death.