ArticleTrauma surgery & acute care open2021
Improving length of stay on a trauma service.
Article in Trauma surgery & acute care open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 18 citations in OpenAlex.
- Determinants of Hospital Length of Stay Among Trauma Patients in Sudan: A Retrospective Study (2009-2014).Cureus · 2026Article
- Integrating advanced practice providers in acute care surgery: considerations, solutions, and fresh perspectives.Trauma surgery & acute care open · 2026Article
- Prolonged Length of Stay at Out-of-State Trauma Centers: Potential Role for Repatriation.Journal of the American College of Surgeons · 2025Article
- Low falls and inpatient complications increase risk for longer length of stay in older persons admitted following trauma.BMC geriatrics · 2025Article
- Optimizing trauma laparotomy outcomes: the role of Enhanced Recovery After Surgery protocols in reducing hospital length of stay.Trauma surgery & acute care open · 2025Article
- Understanding hospital length of stay in trauma laparotomy patients: a National Trauma Database Study.Trauma surgery & acute care open · 2025Article
- Applying enhanced recovery principles to emergency laparotomy in penetrating abdominal trauma: a case-matched study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Mortality burden from variation in provision of surgical care in emergency general surgery: a cohort study using the National Inpatient Sample.Trauma surgery & acute care open · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReducing length of stay (LOS) is a major healthcare initiative. While LOS is closely linked to the diagnosis and procedure in elective surgery, many additional factors influence LOS on a trauma service. We hypothesized that more standardized patient management would lead to decreased LOS.
methodsRetrospective analysis of Trauma Registry data compared LOS before (PRE) and after (POST) implementation of standardized processes on a trauma service. Patients were subdivided by age (over and under 65 years). Data were compared using unpaired t-test, χ
results1613 PRE and 1590 POST patients were compared. Although age and Injury Severity Score were similar, median LOS decreased by 1 day for the group overall (p<0.0001), and for subgroups over and under the age of 65 years (p<0.0001). Older patients were discharged home 13% more often in POST, compared with 4% more for younger patients.
conclusionsImproved standardization of processes on a trauma service reduced LOS in patients of all ages. A prospective study may identify specific factors associated with prolonged LOS, to allow further improvement. LEVEL OF EVIDENCE: III. STUDY TYPE: Therapeutic/Care management.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.