This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (150)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Steven R. Shackford, MD; Robert C. Mackersie, MD; David B. Hoyt, MD; William G. Baxt, MD; A. Brent Eastman, MD; Fred N. Hammill, MD; F. Barry Knotts, MD; Richard W. Virgilio, MD

Arch Surg. 1987;122(5):523-527.

Abstract
• We examined the impact of a trauma system on the survival of patients with a Trauma Score of 8 or less. We compared the observed survival with that predicted using a method that calculates the probability of survival (P_s) based on age, physiologic score, and anatomic severity of injury. Of 3394 patients triaged to trauma centers in a 12-month period, 283 (8.3%) had a Trauma Score of 8 or less. Sufficient data were available in 189 patients with blunt trauma to make the survival comparison. The P_s was 18%; the observed survival was 29%. Of 60 patients with penetrating trauma and complete data, the P_s was 8%; the observed survival was 20%. We attribute the improved survival to the integration of prehospital and hospital care and expeditious surgery.

(Arch Surg 1987;122:523-527)

Author Affiliations
From the Trauma Research and Education Foundation of San Diego.

Footnotes
Accepted for publication Jan 14, 1987.

Read before the 94th Annual Meeting of the Western Surgical Association, Dearborn, Mich, Nov 19, 1986.

Reprint requests to Division of Trauma, H-640-A, University of California, San Diego, 225 Dickinson St, San Diego, CA 92103 (Dr Shackford).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Relationship between intensive care complications and costs and initial 24 h events of trauma patients with severe haemorrhage
Husari et al.
Emerg. Med. J. 2009;26:340-343.
ABSTRACT | FULL TEXT  

Invasion vs Insurgency: US Navy/Marine Corps Forward Surgical Care During Operation Iraqi Freedom
Brethauer et al.
Arch Surg 2008;143:564-569.
ABSTRACT | FULL TEXT  

Recommendations for the Establishment of Stroke Systems of Care: Recommendations From the American Stroke Association's Task Force on the Development of Stroke Systems
Task Force Members et al.
Stroke 2005;36:690-703.
FULL TEXT  

Recommendations for the Establishment of Stroke Systems of Care: Recommendations From the American Stroke Association's Task Force on the Development of Stroke Systems
Schwamm et al.
Circulation 2005;111:1078-1091.
FULL TEXT  

Acute Traumatic Injuries in Rural Populations
Peek-Asa et al.
AJPH 2004;94:1689-1693.
ABSTRACT | FULL TEXT  

Psychiatric Morbidity Following Injury
O'Donnell et al.
Am. J. Psychiatry 2004;161:507-514.
ABSTRACT | FULL TEXT  

Use of a Field-to-Stroke Center Helicopter Transport Program to Extend Thrombolytic Therapy to Rural Residents
Silliman et al.
Stroke 2003;34:729-733.
ABSTRACT | FULL TEXT  

Lack of change in trauma care in England and Wales since 1994
Lecky et al.
Emerg. Med. J. 2002;19:520-523.
ABSTRACT | FULL TEXT  

Recommendations for Improving the Quality of Care Through Stroke Centers and Systems: An Examination of Stroke Center Identification Options: Multidisciplinary Consensus Recommendations from the Advisory Working Group on Stroke Center Identification Options of the American Stroke Association
Adams et al.
Stroke 2002;33 :e1-e7.
FULL TEXT  

Evaluation of Head Injury in a Pediatric Emergency Department: Pretrauma and Posttrauma System
Lavelle and Shaw
Arch Pediatr Adolesc Med 1998;152:1220-1224.
ABSTRACT | FULL TEXT  

The Impact of a Dedicated Trauma Program on Outcome in Severely Injured Patients
Demetriades et al.
Arch Surg 1995;130:216-220.
ABSTRACT  

Outcomes Following Injury in a Predominantly Rural-Population--Based Trauma Center
Norwood and Myers
Arch Surg 1994;129:800-805.
ABSTRACT  

Care for Victims of Urban Violence and the Education of Trauma and Critical Care Surgeons: A Troubled Partnership?
Flint and Carrico
Arch Surg 1992;127:1085-1088.
ABSTRACT  

Improvement in Outcome From Trauma Center Care
Champion et al.
Arch Surg 1992;127:333-338.
ABSTRACT  

The Effect of a Trauma System on the Outcome of Patients With Pancreatic Trauma
Voeller et al.
Arch Surg 1991;126:578-580.
ABSTRACT  

Analytic Reviews : Fluid Resuscitation in Head Injury
Shackford
J Intensive Care Med 1990;5:59-68.
ABSTRACT  

The Impact of In-House Surgeons and Operating Room Resuscitation on Outcome of Traumatic Injuries
Hoyt et al.
Arch Surg 1989;124:906-910.
ABSTRACT  

Deep Venous Thrombosis and Pulmonary Embolism in Trauma Patients
Shackford and Moser
J Intensive Care Med 1988;3:87-98.
ABSTRACT