Analysis of statewide discharge data shows that trauma centers significantly reduce risk-adjusted mortality rates and complications, such as acute kidney injury and pulmonary embolism, compared to non-trauma facilities. However, they report higher rates of ventilator-associated pneumonia and surgical site infections. Notably, while trauma centers predominantly treat pediatric patients and those with severe injuries, geriatric patients with proximal femur fractures saw no mortality benefit from trauma center care, underscoring the need for inclusive trauma systems.
Journal Article by Udekwu PO, Luo W, Stiles A and Schiro S in Am Surg