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Awarded Grant - Acute Care

Attributes of Rural Trauma Systems that Effect Outcomes

FOA Number: CE01-013: Grants for Acute Care of Injured Patients
Project Period: 09/01/01–8/31/04
Application/Grant Number: R49-CE006283-07
Principal Investigator: Richard Mullins, MD
Oregon Health Sciences University
Department of Surgery
3181 SW Sam Jackson Park Road
Mail Code L223A
Portland, OR 97201 3098
Phone: 503 494 5300
Fax: 503 494 8884


Oregon’s statewide trauma system needs provider decision rules for the acutely injured—specifically, for elderly patients and brain-injured patients in rural communities. The functional recovery of older injured patients needs to be assessed and the processes of care need to be identified. This project will develop a provider decision rule for patient transfer in an established trauma system, assess initial treatment, and identify process of care. A provider decision rule will be developed that identifies brain-injured patients in Level 3 and Level 4 trauma centers who would benefit from immediate transfer to a higher level of care. Researchers will assess the functional recovery of older injured patients, identify processes of care interventions, and measure providers’ compliance with a transfer decision. Researchers will use an SF-36 survey to measure older injured patients, and they will also identify processes of provider care decisions.