World J Surg. 2017 Oct 25. doi: 10.1007/s00268-017-4292-0.
Abstract: https://www.ncbi.nlm.nih.gov/pubmed/29071424
- A systematic review of evidence around components which contribute to the effectiveness of trauma systems.
- Two studies recommended trauma system components were associated with reduced odds of mortality: inclusive design (odds ratio [OR] = 0.72 [0.65-0.80]) and helicopter transport (OR = 0.70 [0.55-0.88]).
- Pre-Hospital Advanced Trauma Life Support was associated with a significant reduction in hospital days (mean difference [MD] = 5.7 [4.4-7.0]) but a nonsignificant reduction in mortality (OR = 0.78 [0.44-1.39]).
- Population density of surgeons was associated with a nonsignificant decrease in mortality (MD = 0.58 [-0.22 to 1.39]).
- Trauma system maturity was associated with a significant reduction in mortality (OR = 0.76 [0.68-0.85]).
- Quality of evidence was low or very low for mortality and healthcare utilization.
