Journal article
Professionalism of Admitting and Consulting Services and Trauma Patient Outcomes
Annals of surgery, Vol.275(5), pp.883-890
05/01/2022
DOI: 10.1097/SLA.0000000000005416
PMID: 35185124
Abstract
To determine whether trauma patients managed by an admitting or consulting service with a high proportion of physicians exhibiting patterns of unprofessional behaviors are at greater risk of complications or death.
Trauma care requires high-functioning interdisciplinary teams where professionalism, particularly modeling respect and communicating effectively, is essential.
This retrospective cohort study used data from 9 level I trauma centers that participated in a national trauma registry linked with data from a national database of unsolicited patient complaints. The cohort included trauma patients admitted January 1, 2012 through December 31, 2017. The exposure of interest was care by 1 or more high-risk services, defined as teams with a greater proportion of physicians with high numbers of patient complaints. The study outcome was death or complications within 30 days.
Among the 71,046 patients in the cohort, 9553 (13.4%) experienced the primary outcome of complications or death, including 1875 of 16,107 patients (11.6%) with 0 high-risk services, 3788 of 28,085 patients (13.5%) with 1 high-risk service, and 3890 of 26,854 patients (14.5%) with 2+ highrisk services (P < 0.001). In logistic regression models adjusting for relevant patient, injury, and site characteristics, patients who received care from 1 or more high-risk services were at 24.1% (95% confidence interval 17.2% to 31.3%; P < 0.001) greater risk of experiencing the primary study outcome.
Trauma patients who received care from at least 1 service with a high proportion of physicians modeling unprofessional behavior were at an increased risk of death or complications.
Details
- Title: Subtitle
- Professionalism of Admitting and Consulting Services and Trauma Patient Outcomes
- Creators
- William O Cooper - Vanderbilt University Medical CenterGerald B Hickson - Vanderbilt University Medical CenterOscar D Guillamondegui - Vanderbilt University Medical CenterJeremy W Cannon - University of PennsylvaniaAnthony G Charles - University of North Carolina School of MedicineJ Jason Hoth - Wake Forest UniversityHasan B Alam - Northwestern UniversityAreti Tillou - Department of Surgery, University of California Los Angeles, Los Angeles, CAFrederick A Luchette - Loyola University Medical CenterDionne A Skeete - University of IowaHenry J Domenico - Vanderbilt University Medical CenterJ Wayne Meredith - Wake Forest UniversityTheresa M H Brennan - University of IowaBrian P Smith - University of PennsylvaniaRachel R Kelz - University of PennsylvaniaBen E Biesterveld - University of MichiganAshley Busuttil - Department of Medicine, University of California Los Angeles, Los Angeles, CAJeffrey K Jopling - Stanford UniversityJoseph R Hopkins - Stanford UniversityCynthia L Emory - Wake Forest UniversityPatricia G Sullivan - University of Pennsylvania Health SystemR Shayn Martin - Wake Forest UniversityRussell M Howerton - Wake Forest UniversityHenry M Cryer - Department of Surgery, University of California Los Angeles, Los Angeles, CAHeather A Davidson - Vanderbilt University Medical CenterRichard P Gonzalez - Northwestern UniversityDavid A Spain - Stanford University
- Resource Type
- Journal article
- Publication Details
- Annals of surgery, Vol.275(5), pp.883-890
- DOI
- 10.1097/SLA.0000000000005416
- PMID
- 35185124
- NLM abbreviation
- Ann Surg
- ISSN
- 0003-4932
- eISSN
- 1528-1140
- Language
- English
- Date published
- 05/01/2022
- Academic Unit
- Cardiovascular Medicine; Surgery; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984322925502771
Metrics
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