Byskosh A, Shi M, Helenowski I, Holl JL, Hsia RY, Liepert AE, Mackersie RC, Stey AM. Is state trauma funding associated with mortality among injured hospitalized patients?
Am J Surg 2024;
229:133-139. [PMID:
38155075 PMCID:
PMC10998441 DOI:
10.1016/j.amjsurg.2023.12.011]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 12/08/2023] [Accepted: 12/10/2023] [Indexed: 12/30/2023]
Abstract
BACKGROUND
We sought to quantify the association between state trauma funding and (1) in-hospital mortality and (2) transfers of injured patients.
METHODS
We conducted an observational cross-sectional study of states with publicly available trauma funding data. We analyzed in-hospital mortality using linked data from the Nationwide Inpatient Sample (NIS), American Hospital Association (AHA) Annual Survey, and these State Department of Public Health trauma funding data.
RESULTS
A total of 594,797 injured adult patients were admitted to acute care hospitals in 17 states. Patients in states with >$1.00 per capita state trauma funding had 0.82 (95 % CI: 0.78-0.85, p < 0.001) decreased adjusted odds of in-hospital mortality compared to patients in states with less than $1.00 per capita state trauma funding.
CONCLUSIONS
Increased state trauma funding is associated with decreased adjusted in-hospital mortality.
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