What is the evidence for the clinical and cost effectiveness of major trauma centres as the core component of a trauma service, compared with standard care for adults with major trauma?

McIntosh H
Record ID 32013000494
Authors' recommendations: The scoping search identified limited published secondary evidence in relation to major trauma centre care compared with usual care. Most of the primary studies included in the existing systematic reviews, identified by the scoping search and/or cited in key reports, originate from the USA, and marked variation is evident in the trauma centres and systems, comparators and selected patient populations evaluated. Consequently, much of the published literature may not be generalisable to a UK healthcare setting. The secondary sources identified did not report sufficient detail to allow exploration of the relevance of the evidence to the Scottish setting with respect to geographic demography, transport and access factors, or levels of technology (such as telehealth and diagnostics). The scoping search did not identify relevant cost-effectiveness evidence generalisable to the UK. Initial scoping suggested there is unlikely to be sufficient published secondary evidence on clinical and cost effectiveness to produce an evidence note on this topic.
Project Status: Completed
Year Published: 2013
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Scotland, United Kingdom
MeSH Terms
  • Humans
  • Trauma Centers
  • Wounds and Injuries
  • Traumatology
Organisation Name: Scottish Health Technologies Group
Contact Address: Scottish Health Technologies Group, Delta House, 50 West Nile Street, Glasgow, G1 2NP Tel: 0141 225 6998
Contact Name: his.shtg@nhs.scot
Contact Email: his.shtg@nhs.scot
Copyright: Healthcare Improvement Scotland
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