TY  - JOUR
PY  - 2004//
TI  - Evaluating an inclusive trauma system using linked population-based data
JO  - Journal of trauma
A1  - Clark, David E.
A1  - Anderson, Kristin L.
A1  - Hahn, David R.
SP  - 501
EP  - 509
VL  - 57
IS  - 3
N2  - BACKGROUND:: Federal and professional programs require "inclusive" trauma systems. We wished to evaluate an inclusive trauma system using administrative data combined from multiple sources. METHODS:: Ambulance reports, outpatient/inpatient discharge data, and/or death certificates were obtained for persons with injury diagnoses who received hospital services and/or died in Maine during 1998 to 2000. Records were unduplicated and joined using probabilistic record-linkage software. Case outcomes, determined from one or more linked records, included place of hospitalization, discharge status, and 30-day mortality. RESULTS:: Per 100,000 population annually, 11,100 injured persons were treated and released, 573 were admitted, and 51.3 died. Trauma centers received 37.0% of major cases directly and another 15.4% in transfer; 51.4% of injury deaths occurred without medical intervention, 21.2% occurred in trauma centers, 20.4% occurred in other hospitals, and 7.0% occurred after discharge from a hospital. Database queries produced comparative hospital statistics and identification of questionable outcomes. CONCLUSION:: Record linkage allows inexpensive description of an inclusive trauma system and may contribute to quality improvement.
LA  - 
SN  - 0022-5282
UR  - http://dx.doi.org/
ID  - ref1
ER  -