University of Maryland School of Medicine logo
Emergency Medicine
All Departments
UMSOM Assistant
UMEM Educational Pearls
  • Home
  • Departments
  • Emergency Medicine
  • CME
  • UMEM Educational Pearls
  • CME
  • Courses and Conferences
  • Free Open Access Medical Education
  • UMEM Educational Pearls

Search

Title: Mortality at level 1 vs 3 centers

Category: Trauma

Posted: 7/9/2026 by Robert Flint, MD (Updated: 7/21/2026)

Intuitively, both younger and older patients would have better outcomes at level 1 vs level 3 centers. This was true in younger patients in this large trauma  database study. It was only true for older patients with traumatic brain injury and a high injury severity score.  Is this a function of care delivery being better at level 3 or less geriatric focus at level 1 trauma centers? 
 

References

Impact of trauma centers on survival in older vs younger adults: A propensity-weighted comparison of level 1 and level 3 trauma centers in the NTDB

  • Yan Shen
  • Alessandro Orlando
  • Timothy Scott
  • Samir M. Fakhry

orcid icon

Authors and Affiliations

Journal of Trauma and Acute Care Surgery Publish Ahead of Print, July 9, 2026. | DOI: 10.1097/TA.0000000000005109


University of Maryland School of Medicine logo
  • Departments
  • Programs
  • Research Centers
  • Institutes
  • Graduate Education
  • CIBR Cores
  • Offices of the Dean
    • University of Maryland, Baltimore
    • University of Maryland Medical Center
    • Medical Alumni Association of the University of Maryland
    • Health Sciences and Human Services Library
University of Maryland School of Medicine
655 W. Baltimore Street
Baltimore, MD 21201
Contact Us

© University of Maryland School of Medicine

    • Webmaster
    • Web Accessibility
    • Site Index
    • UMB Hotline
    • Employment
    • Map