1. Charges, length of stay, and complication associations with trauma center ownership in adult patients with mild to moderate trauma.
- Author
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Van den Bruele AB, Ryan J, Broecker J, McCracken J, Yorkgitis B, Kerwin A, and Crandall M
- Subjects
- Adolescent, Adult, Female, Fracture Fixation adverse effects, Fracture Fixation statistics & numerical data, Fractures, Bone diagnosis, Fractures, Bone economics, Government Programs economics, Government Programs statistics & numerical data, Hospital Charges statistics & numerical data, Hospitals, Private economics, Hospitals, Private statistics & numerical data, Hospitals, Public economics, Hospitals, Public statistics & numerical data, Humans, Injury Severity Score, Length of Stay economics, Length of Stay statistics & numerical data, Male, Middle Aged, Postoperative Complications economics, Postoperative Complications etiology, Trauma Centers economics, Trauma Centers organization & administration, Young Adult, Fracture Fixation economics, Fractures, Bone surgery, Ownership economics, Postoperative Complications epidemiology, Trauma Centers statistics & numerical data
- Abstract
Background: For-profit (FP) trauma centers (TCs) charge more for trauma care than not-for-profit (NFP) centers. We sought to determine charges, length of stay (LOS), and complications associations with TC ownership status (FP, NFP, and government) for three diagnoses among patients with overall low injury severity., Methods: Adult patients treated at TCs with an International Classification of Diseases-based injury severity score (ICISS) survival probability ≥ 0.85 were identified. Only those who with a principal diagnosis of femur, tibial or rib fractures were included., Results: Total charges were significantly higher at FP centers than NFP and lower at government centers (89.6% and -12.8%, respectively). FP TCs had a 12.5% longer LOS and government TCs had a 20.4% longer LOS than NFP TCs., Conclusion: Patients presenting to FP TCs with mild/moderate femur, tibial, or rib fractures experienced higher charges and increased LOS compared with government or NFP centers. There was no difference in overall complication rates., (Copyright © 2021 Elsevier Inc. All rights reserved.)
- Published
- 2022
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