Outcomes after severe XXXX : a National @entity130 Data Bank-based comparison of Level I and Level II @entity130 centers.

@entity1 @entity55 @entity542 @entity772 @entity1151 @entity1150 @entity130
Severely head-injured @entity1 require significant resources across the continuum of care. The objective of this study is to analyze the impact of the level of @entity130 center designation on the outcome of the severely head-injured @entity1 . The National @entity130 Data Bank between 2001 and 2006 (NTDB 6.2) was queried for all @entity1 with isolated @entity542 and Glasgow @entity772 Score (GCS) less than 9. Comparisons between Level I and Level II @entity130 centers were made reviewing hospital length of stay (LOS), intensive care unit LOS, ventilator days, major complication rate ( @entity1151 , @entity55 , lower extremity @entity1150 ), mortality, and discharge status. Chi-square and Student t tests were used to determine statistical significance defined as P < 0.05. There were 31,736 @entity1 from 258 facilities who met the inclusion criteria during the study period. Level I @entity130 centers had approximately twice as many @entity1 admissions as Level II centers. However, the severity of @entity130 and @entity1 ' characteristics identified by the emergency department GCS as well as the probability of survival score showed no difference between Level I and Level II centers. The comparisons between Level I and Level II @entity130 centers shows that Level II centers are not inferior to Level I in terms of outcomes and complication rate. Level II @entity130 centers encounter @entity1 with isolated @entity542 less often but with outcomes and complication rates comparable to that of Level I centers. The transport of head-injured @entity1 should not bypass Level II in favor of Level I.
