TY  - BOOK
AU  - Blitzer, David N
TI  - Trauma Service Utilization Increases Cost But Does Not Add Value for Minimally Injured Patients
SN  - 1098-3015
PY  - 2020///
KW  - *Emergency Service, Hospital/ec [Economics]
KW  - *Hospital Costs/sn [Statistics & Numerical Data]
KW  - *Trauma Centers/ec [Economics]
KW  - *Wounds and Injuries/th [Therapy]
KW  - Adolescent
KW  - Adult
KW  - Aged
KW  - Aged, 80 and over
KW  - Cost-Benefit Analysis
KW  - Health Care Costs/sn [Statistics & Numerical Data]
KW  - Humans
KW  - Injury Severity Score
KW  - Length of Stay
KW  - Middle Aged
KW  - Retrospective Studies
KW  - Time Factors
KW  - Wounds and Injuries/ec [Economics]
KW  - Wounds and Injuries/pp [Physiopathology]
KW  - Young Adult
KW  - MedStar Union Memorial Hospital
KW  - Surgery
KW  - Journal Article
N2  - CONCLUSIONS: TS involvement for minimally injured patients does not increase value. Reducing TS involvement while avoiding trauma undertriage may  reduce costs to the healthcare system without affecting outcomes. Copyright (c) 2020 ISPOR-The Professional Society for Health Economics and Outcomes  Research. Published by Elsevier Inc. All rights reserved; METHODS: Minimally injured patients admitted to a trauma center were propensity matched and compared by involvement versus no involvement of the  trauma service (TS). Demographics, injury severity, complications, length of emergency department stay, mortality, and hospital costs and charges were  studied; OBJECTIVE: Trauma care provides value to the critically injured. Our aim was to assess whether trauma team involvement adds value to the care of  minimally injured patients and to define its costs; RESULTS: A total of 1253 patients were enrolled, with 308 propensity matched to the following groups: TS (n = 102) and no TS (n = 206). TS  demonstrated a 30% increase in total charges and costs with no difference in complications. TS did demonstrate decreased time in the emergency department  but had an increased delay to operation. Findings were similar when stratified for only lower extremity injuries
UR  - https://dx.doi.org/10.1016/j.jval.2020.02.009
ER  -