TRAUMA CENTER LEVELS INDIANA VERIFICATION
In this study, we examine the association between trauma center level designation (both American College of Surgeons verification and state designation) and survival to hospital discharge of patients with MVT injuries. The aim of medical care regionalization is the improvement of patient outcomes, and therefore studies have been conducted on the impact of trauma designation and verification on different categories of patients, injuries, and procedures (9). Injuries sustained by MVT are dependent on multiple factors, including location of impact (frontal and near-side collisions or lateral impacts) and passenger restraint (6, 7, 8).
Other factors are related to the vehicle itself and the traffic environment. These can be divided into factors pertaining to passengers or pedestrians (3, 4, 5). Numerous studies have been conducted and multiple risk factors have been implicated in MVT injuries.
The economic burden of MVT injuries is also substantial, costing approximately 3% of countries’ gross domestic product (1).
They are also the leading cause of death among the younger population, and in 2013, MVT-related deaths in the United States were more than double those of other high-income countries (2). Motor vehicle transport (MVT)–related injuries, interchangeably referred to as motor vehicular collisions, accidents, and road traffic injuries, are a cause of significant mortality, reaching 1.35 million deaths annually worldwide, >50% of which are pedestrians, cyclists, and motorcyclists (1).
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