Patients with blunt intestinal injuries benefit from surgery in high-volume trauma centers, reducing delays and complications.

• Patients in low-volume hospitals had an average surgery wait of 18 hours, compared to 15 hours in high-volume centers (p<0.001).
• High-volume facilities saw a 42% lower risk of post-injury sepsis (aOR 0.58).

Surgeons should prioritize referral to high-volume centers to enhance patient outcomes in these complex cases.

• Similar trends were noted with high blunt trauma and overall trauma volumes linked to reduced delays in surgery.