Print Get Citation Citation AMA Citation Ramjaun A. Ramjaun A Ramjaun, Aliya. "Quick Take: Differing risk of mortality in trauma patients with stab wounds to the torso: treating hospital matters." 2 Minute Medicine, 17 September 2019. McGraw-Hill, New York, NY, 2019. AccessSurgery. http://accesssurgery.mhmedical.com/updatesContent.aspx?gbosid=497647§ionid=227075293 MLA Citation Ramjaun A. Ramjaun A Ramjaun, Aliya.. "Quick Take: Differing risk of mortality in trauma patients with stab wounds to the torso: treating hospital matters." 2 Minute Medicine New York, NY: McGraw-Hill, 2019, http://accesssurgery.mhmedical.com/updatesContent.aspx?gbosid=497647§ionid=227075293. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager Mendeley © Copyright Clip Full Chapter Figures Only Tables Only Videos Only Supplementary Content Top Quick Take: Differing risk of mortality in trauma patients with stab wounds to the torso: treating hospital matters by Aliya Ramjaun Listen +Originally published by 2 Minute Medicine® (view original article). Reused on AccessMedicine with permission. +Stab wounds are managed operatively and, in select cases, non-operatively, depending on a patient’s hemodynamic stability, the anatomic location of the stabbing, and whether the patient demonstrates peritoneal signs. While some studies have demonstrated that patients with injuries associated with high mortality are more likely to achieve better survival and functional outcomes at level I centers, a more recent analysis found no difference in mortality for patients with penetrating trauma presenting to a level I versus level II center. In this retrospective cohort study, 17,245 adult patients admitted to an American College of Surgeons-verified level I or II center after a torso stab wound (2010-2016) were followed up to compare time to surgical intervention and mortality rates. Of the patients included in the study, 73.2% were treated at level I centers. Patients treated at either level I or level II centers had comparable injury severity scores. Researchers found that level I centers had a higher rate of laparotomy (25.5% vs. 21.4%, p<0.001) and shorter time to laparotomy (p=0.01). There was no difference in time to thoracotomy (p=0.86). Rates of mortality after thoracotomy, however, were decreased in patients treated at level I centers (p=0.04). Overall, patients treated at level I centers had a decreased risk of mortality when compared to patients at level II centers (OR 0.67, 95% CI 0.54 to 0.85, p<0.001). This study therefore shows that patients with torso stab wounds treated at level I centers have a lower risk of mortality and decreased time to laparotomy. +Click to read the study in JAMA Surgery +©2019 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.