Trauma population | Treatment provider | |||
---|---|---|---|---|
Variables | Total sample | Trauma surgeon (Control) | ED physician (Intervention) | p* |
Number (%) | 243 | 113 (47) | 130 (53) | .28 |
Patient demographics | ||||
?Mean age (CI) | 33.9 (31.1 - 36.6) | 31.9 (28.3 - 35.5) | 35.5 (31.4 - 39.6) | .20 |
?Sex: Males (%) | 126 (51.9) | 54 (47.8) | 72 (55.4) | .29 |
?Injury: MVC/Accident (%) | 137 (56.4) | 69 (61.1) | 68 (52.3) | .27 |
?Injury: Fall (%) | 55 (22.6) | 25 (22.1) | 30 (23.1) | -- |
?Injury: Other (%) | 51(21.0) | 19 (16.8) | 32 (24.6) | -- |
Clinical characteristics (n=232) | ||||
?GCS‡=14 (%) | 38 (15.8) | 20 (17.9) | 18 (14.0) | .41† |
?GCS‡=15 (%) | 203 (84.2) | 92 (82.1) | 111 (86.0) | |
?ISS§ =1-4 (%) | 116 (50.0) | 49 (46.7) | 67 (52.8) | .36† |
?ISS§ =5-18 (%) | 116 (50.0) | 56 (53.3) | 60 (47.2) | |
Minutes to care by | ||||
?Physician evaluation | 1.9 (1.0 - 2.7) | 2.1 (1.0 - 3.1) | 1.7 (.33 - 3.1) | .66 |
?Chest X-ray (n=150) | 11.8 (9.1 - 14.5) | 9.2 (7.4 - 10.9) (n=89) | 15.7 (9.6 - 21.8) (n=61) | .02 |
?Head CT (n=127) | 13.2 (9.6 - 16.7) | 10.7 (8.0 - 12.3) (n=63) | 16.1 (9.4 - 22.8) (n=64) | .10 |
ED length of stay (minutes) | 102 (96–109) | 93 (84–102) | 111 (102–121) | .006 |
Disposition | ||||
?Discharged (%) | 99 (40.7) | 26 (23.2) | 72 (55.8) | <.001 |
?Admitted (%) | 144 (59.3) | 86 (76.8) | 57 (44.2) | -- |
Readmission rates (%) | 3 (1) | 2 (2) | 1 (<1) | .48 |