[Care Management for Polytrauma Patients in a Level-1 Trauma Centre].

[Care Management for Polytrauma Patients in a Level-1 Trauma Centre]. Praxis (Bern 1994). 2020 Aug 13;:1-11 Authors: Jukema GN, Farokhzad F, Volbracht J, Steigmiller K, Held U, Bretscher B, Jucker F, Pape HC Abstract Care Management for Polytrauma Patients in a Level-1 Trauma Centre Abstract. In our level-1 trauma institution, polytrauma patients with an Injury Severity Score of 16 or higher are facing waiting times for transfer to a rehabilitation facility, causing a negative financial outcome for our institution. The purpose of this study is to stimulate rapid transfer to a rehabilitation facility. In a single-centre case study, care management for (poly)trauma patients was started to ensure time-directed treatment for trauma patients related to Diagnosis-Related Groups (DRG). In the period of 2013-2018 there was an increase in trauma admissions up to 14 % (n = 16 157) with a mean length of hospital stay of 6.4 days, together with a reduction in the number of trauma bed capacity from 50 to 42. In relation to the DRGs, regular trauma patients who were not in need of a stationary rehabilitation facility stayed in line with the expected time of hospital stay. But (poly)trauma patients (n = 1831) with the need of a stationary stay in a rehabilitation centre were faced with waiting times before they could be transferred. The average excess waiting time in relation to DRG for polytrauma patients was 5.1 days. Trauma patients for a rehabi...
Source: Praxis - Category: General Medicine Authors: Tags: Praxis (Bern 1994) Source Type: research