• Med Care Res Rev · Feb 2007

    Survival advantage associated with treatment of injury at designated trauma centers: a bivariate probit model with instrumental variables.

    • Etienne E Pracht, Joseph J Tepas, Brian G Celso, Barbara Langland-Orban, and Lewis Flint.
    • University of Florida, USA.
    • Med Care Res Rev. 2007 Feb 1;64(1):83-97.

    AbstractThis article analyzes the effectiveness of designated trauma centers in Florida concerning reduction in the mortality risk of severely injured trauma victims. A bivariate probit model is used to compute the differential impact of two alternative acute care treatment sites. The alternative sites are defined as (1) a nontrauma center (NC) or (2) a designated trauma center (DTC). An instrumental-variables method was used to adjust for prehospital selection bias in addition to the influence of age, gender, race, risk of mortality, and type of injury. Treatment at a DTC was associated with a reduction of 0.13 in the probability of mortality.

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