Adindu Ebubechi, Head Bryan, Bell Bryce
Baylor College of Medicine, Houston, TX.
Department of Orthopedic Surgery, Texas Children's Hospital, Houston, TX.
J Hand Surg Glob Online. 2023 Jul 22;5(6):784-786. doi: 10.1016/j.jhsg.2023.06.011. eCollection 2023 Nov.
The purpose of our study was to evaluate how the volume and severity of pediatric hand trauma is affected after enrollment into the American Society for Surgery of the Hand Trauma Center Network.
We performed a retrospective review using the patient database from our affiliated level-I pediatric trauma center. With this patient database, we compiled all emergent hand trauma transfers from February 2018 to January 2022. We compared the monthly volume, Injury Severity Score, and quarterly payor status between hand trauma transfer patients before and after enrollment into the Hand Trauma Center Network in February 2019.
The average number of monthly transfers increased after joining the Hand Trauma Center Network compared with the years after February 2019. Additionally, the percentage of patients using commercial insurance increased after joining the Hand Trauma Center Network when compared with that before February 2019. Lastly, the percentage of patients using Medicaid decreased after February 2019.
Based on our findings, we believe that new institutions and providers can expect anywhere from a 10% to a 60% increase in hand trauma burden without a significant change in the severity of the trauma cases after joining the network.
TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic IV.
我们研究的目的是评估加入美国手外科协会创伤中心网络后，小儿手部创伤的数量和严重程度受到了怎样的影响。
我们使用来自我们附属的一级小儿创伤中心的患者数据库进行了一项回顾性研究。利用这个患者数据库，我们汇总了2018年2月至2022年1月期间所有手部创伤急诊转诊病例。我们比较了2019年2月加入手部创伤中心网络之前和之后手部创伤转诊患者的月转诊量、损伤严重程度评分以及季度付款人状态。
与2019年2月之后的年份相比，加入手部创伤中心网络后每月转诊的平均数量有所增加。此外，与2019年2月之前相比，加入手部创伤中心网络后使用商业保险的患者百分比有所增加。最后，2019年2月之后使用医疗补助的患者百分比有所下降。
基于我们的研究结果，我们认为新的机构和医疗服务提供者可以预期，加入该网络后，手部创伤负担会增加10%至60%，而创伤病例的严重程度不会有显著变化。
研究类型/证据水平：预后性IV级。
