Table 3. Adjusted mortality during national surgery meetings compared with non-meeting periods by American College of Surgeons (ACS) trauma verification level, injury characteristics, and state trauma verification level for hospitals without ACS trauma verification (n = 94,655).
| Odds ratio | 95% CI | P value | |
|---|---|---|---|
| Trauma verification level | |||
| Injury characteristic | |||
| Overall | 1.0 | 0.9–1.1 | 0.88 |
| Blunt | 1.0 | 0.9–1.1 | 0.89 |
| Blunt hypotensive* | 1.2 | 0.9–1.6 | 0.36 |
| Penetrating | 0.9 | 0.6–1.3 | 0.61 |
| ACS level I | |||
| Injury characteristic | |||
| Overall | 0.9 | 0.8–1.1 | 0.32 |
| Blunt | 1.0 | 0.8–1.1 | 0.58 |
| Blunt hypotensive* | 1.2 | 0.9–1.8 | 0.24 |
| Penetrating | 0.8 | 0.5–1.3 | 0.34 |
| ACS level II | |||
| Injury characteristic | |||
| Overall | 0.9 | 0.7–1.1 | 0.27 |
| Blunt | 0.9 | 0.7–1.2 | 0.57 |
| Blunt hypotensive* | 0.9 | 0.4–2.3 | 0.87 |
| Penetrating | 0.5 | 0.3–1.1 | 0.10 |
| ACS NA | |||
| Injury characteristic | |||
| Overall | 1.2 | 1.1–1.4 | 0.008 |
| Blunt | 1.2 | 1.0–1.3 | 0.06 |
| Blunt hypotensive* | 0.9 | 0.5–1.7 | 0.84 |
| Penetrating | 2.5 | 1.3–4.9 | 0.006 |
| State level I, ACS level NA | |||
| Injury characteristic | |||
| Overall | 1.3 | 1.1–1.5 | 0.001 |
| Blunt | 1.2 | 1.1–1.4 | 0.008 |
| Blunt hypotensive* | 0.8 | 0.4–1.5 | 0.53 |
| Penetrating | 3.1 | 1.5–6.1 | 0.001 |
| State level II, ACS level NA | |||
| Injury characteristic | |||
| Overall | 0.8 | 0.4–1.5 | 0.48 |
| Blunt | 0.8 | 0.4–1.5 | 0.45 |
| Blunt hypotensive* | 0.1 | 0.0–2.4 | 0.17 |
| Penetrating | 0.7 | 0.1–9.2 | 0.78 |
| State level NA, ACS level NA | |||
| Injury characteristic | |||
| Overall | 0.4 | 0.1–1.0 | 0.05 |
| Blunt | 0.4 | 0.1–1.0 | 0.06 |
| Blunt hypotensive* | — | — | — |
| Penetrating | — | — | — |
*Hypotensive = initial systolic blood pressure < 90
“—” Model unable to converge