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To determine if there is an association between trauma guideline compliance and mortality rates in moderately and severely injured patients, researchers performed a retrospective review of 3867 patients admitted to five Level 1 trauma centers in the U.S. The practice management guidelines were developed by major organizations and focused on the initial evaluation, resuscitation, operative care, critical care, rehabilitation, and injury prevention associated with traumatic brain injury, hemorrhagic shock, pelvic fractures, and long-bone extremity fractures.
Median compliance with the 22 individual recommended clinical practices was 83% overall and ranged from 67% to 100% at the different centers. After adjusting for patient demographics and i…