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Charges, length of stay, and complication associations with trauma center ownership in adult patients with mild to moderate trauma
Journal article

Charges, length of stay, and complication associations with trauma center ownership in adult patients with mild to moderate trauma

Astrid Botty Van den Bruele, Jessica Ryan, Justine Broecker, Johanna McCracken, Brian Yorkgitis, Andrew Kerwin and Marie Crandall
The American Journal of Surgery, Vol.223(1), pp.22-27
01/2022
DOI: https://doi.org/10.1016/j.amjsurg.2021.07.031
Web of Science ID: WOS:000731653700008

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Abstract

Background: For-profit (FP) trauma centers (TCs) charge more for trauma care than not-for-profit (NFP) centers. We sought to determine charges, length of stay (LOS), and complications associations with TC ownership status (FP, NFP, and government) for three diagnoses among patients with overall low injury severity. Methods: Adult patients treated at TCs with an International Classification of Diseases-based injury severity score (ICISS) survival probability ≥ 0.85 were identified. Only those who with a principal diagnosis of femur, tibial or rib fractures were included. Results: Total charges were significantly higher at FP centers than NFP and lower at government centers (89.6% and -12.8%, respectively). FP TCs had a 12.5% longer LOS and government TCs had a 20.4% longer LOS than NFP TCs. Conclusion: Patients presenting to FP TCs with mild/moderate femur, tibial, or rib fractures experienced higher charges and increased LOS compared with government or NFP centers. There was no difference in overall complication rates.

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