Journal article
Financial Impact of Minor Injury Transfers on a Level 1 Trauma Center
The Journal of surgical research, Vol.233, pp.403-407
Jan 2019
PMID: 30502277
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Trauma centers frequently accept patients from other institutions who are being sent due to the need for a higher level of care. We hypothesized that patients with minor traumatic injuries who are transferred from outside institutions would impart a negative financial impact on the receiving trauma center.
We performed a retrospective review of all trauma patients admitted to our urban level I trauma center from October 1, 2011, through September 30, 2013. Patients were categorized as minor trauma if they did not require operation within 24 h of arrival, did not require ICU admission, did not die, and had a hospital length of stay <24 h. Transferred patients and nontransfers (those received directly from the field) were compared with respect to injury severity, insurance status, and hospital net margin. Student's t-test and z-test for proportions were performed for data analysis.
A total of 6951 trauma patients were identified (transfer n = 2228, nontransfer n = 4724). Minor injury transfers (n = 440) were compared to nontransfers (n = 689). Hospital net margin of transferred patients and nontransferred patients were $2227 and $2569, respectively (P = 0.22). Percentages of uninsured/underinsured for transfers and nontransfers were 27.3% and 36.1%, respectively (P = 0.002).
During our study period, 19.7% of transfers and 14.6% of nontransfers can be categorized as having minor trauma. Minor trauma transfer patients are associated with a positive hospital net margin for the trauma center that is similar to that of the nontransfer group. The data also demonstrate a lower percentage of uninsured/underinsured in the transferred group.
Metrics
1 Record Views
Details
- Title
- Financial Impact of Minor Injury Transfers on a Level 1 Trauma Center
- Creators
- Nikolas S. Kappy - Cooper University HospitalJoshua P. Hazelton - Cooper University HospitalLisa Capano-Wehrle - Cooper University HospitalRobert Gibbs - Cooper University HospitalMichael K. Dalton - Saint Barnabas Medical CenterSteven E. Ross - Cooper University Hospital
- Publication Details
- The Journal of surgical research, Vol.233, pp.403-407
- Publisher
- Elsevier Inc
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000451335500056
- Scopus ID
- 2-s2.0-85053472137
- Other Identifier
- 991022056905304721
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Web of Science research areas
- Surgery