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