Table 2.
Patient group | Trauma activations (TA) | Trauma consults from ED | Trauma resource upgraded to TA | Trauma resource admitted to trauma service | Trauma resource admitted to non-trauma service | Trauma resource discharged home |
N | 684 | 187 | 5 | 52 | 40 | 221 |
Mean age±SD in years | 47.2±22.2 | 57.0±23.8 | 50.6±32.4 | 60.4±23.7* | 70.8±21.9 | 47.4±24.7 |
% Male | 67 | 58 | 40 | 62 | 48 | 62 |
% Falls | 35 | 56 | 40 | 52† | 82.5 | 44 |
Mean ISS±SD | 10.2±8.9 | 9.9±4.5 | 15.2±7.8 | 9.7±5.3 | NA | NA |
Hospital LOS±SD in days | 4.7±7.8 | 4.2±4.1 | 4.4±4.4 | 3.4±1.6 | 3.1±3.7 | 0 |
Mortality | 28 (4.1%) | 2 (1.1%) | 0 | 1 (1.9%) | NA | NA |
Door to MD Eval time±SD in minutes | 0.4±1.4 | 9.4+13 | 1.0±2.2 | 11.5±15.1* | 5.9±7.7 | 6.3±9.7 |
Door to CT time±SD in minutes | 25.9±15.8 | 83.2±53.7 | 33.4+5.7 | 76.2±40.5* | 65.8±33.5 | 66.7±32.9 |
Time to disposition±SD in minutes | 132±74 | 98±59 | 74±31 | 79±24*‡ | NA | NA |
Door to physician Eval time is the time from arrival to ED to evaluation by a board certified ED physician or trauma surgeon
Door to CT time is the time from arrival to ED to the time CT performed.
Time to disposition is the time from trauma surgeon contact with patient until admission to Interventional Radiology, operating room, intensive care unit, step-down unit, or floor bed.
*Statistically significant difference compared with TA group, p<0.0001.
†Statistically significant difference compared with TA group, p=0.0166.
‡Statistically significant difference compared with trauma consults from ED group, p=0.0242.
ED, emergency department; ISS, Injury Severity Score; LOS, length of stay; NA, not available.