Table 2.
Characteristics of patients with moderate-severe injuries admitted to NTC and transferred to TC
| Patients with moderate to severe injuries initially evaluated at a NTC |
p | |||
|---|---|---|---|---|
| Admissions to NTC | Transfers to TC | |||
| No patients, n(%) | 15,308 (69) | 6,869 (31) | ||
| Demographics | ||||
| Age (yr), mean± SEM | 71 years ± 0.16 | 54.8 years ± 0.27 | <0.001 | |
| Female (sex), n(%) | 8,807 (57.5) | 2,469 (36) | <0.001 | |
| Insurance | <0.001 | |||
| Commercial, n(%) | 3,020 (19.7) | 3,279 (48.1) | ||
| Medicare only, n(%) | 2,959 (19.3) | 886 (13) | ||
| Medicare medicaid, n(%) | 849 (5.6) | 134 (2) | ||
| Medicare commercial, n(%) | 7,309 (47.8) | 1,438 (21.1) | ||
| Medicaid only, n(%) | 883 (5.8) | 700 (10.3) | ||
| Uninsured, n(%) | 287 (1.9) | 377 (5.5) | ||
| Time of transfer | <0.001 | |||
| Peak time | 8,794 (57) | 2,986 (44) | ||
| Off-peak time | 6,514 (43) | 3,867 (56) | ||
| Comorbidities, mean ± SEM | 0.68 ± 0.01 | 1.34 ±0.02 | <0.001 | |
| ISS, mean±SEM | 10.3 ± 0.05 | 18.1 ± 0.11 | <0.001 | |
| Injuries | ||||
| Aortic, n(%) | 47 (0.31) | 111 (1.6) | <0.001 | |
| Cardiac, n(%) | 212 (1.4) | 71 (1.0) | 0.031 | |
| Rib fractures or pulmonary contusions, n(%) | 3,182 (20.8) | 1,261 (18.4) | <0.001 | |
| Great vessel injury, n(%) | 29 (0.2) | 70 (1.0) | <0.001 | |
| Open skull fracture, n(%) | 35 (0.2) | 116 (1.7) | <0.001 | |
| Open extremity fracture, n(%) | 25 (0.2) | 19 (0.3) | 0.08 | |
| Spinal column fracture, n(%) | 8,018 (52.4) | 2,644 (38.5) | <0.001 | |
| Spinal cord injury | 161 (1.1) | 143 (2.1) | <0.001 | |
| CNS injury, n(%) | 120 (0.8) | 126 (1.8) | <0.001 | |
| Significant torso injury with co-morbid condition, n(%) | 1,218 (8.0) | 613 (8.9) | 0.015 | |