Secondary Undertriage of Severely Injured Trauma Patients Across the US
1 in 3 severely injured trauma patients in the US are first treated at level III or NTCs, of which over half are not transferred to higher level trauma centers. Hospital factors including metropolitan location and Level III designation were the strongest predictors of non-transfer. These findings support the development of inclusive state trauma systems, that incorporate all acute care hospitals - including NTCs - in trauma registries and regional quality improvement initiatives.
Authors
- Brian T. Bucher (ORCID: https://orcid.org/0000-0001-8376-9752)
- Marta L. McCrum (ORCID: https://orcid.org/0000-0003-2543-1635)
- Stephanie E. Iantorno (ORCID: https://orcid.org/0000-0001-9934-7730)
- Jack H Scaife (ORCID: https://orcid.org/0000-0002-8597-1580)
- Meng Yang (ORCID: https://orcid.org/0000-0001-6439-2873)
- Jacoby R. Bryce
Institutions
- University of Utah (US)
Publication Details
- Journal
- Journal of the American College of Surgeons
- Published
- 2025-08-19
- DOI
- https://doi.org/10.1097/xcs.0000000000001580
- Citations
- 3
- Primary Topic
- Trauma and Emergency Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 6.76