Objective: Provide a systematic review of the published literature assessing the affect of
trauma center/system implementation on patient outcomes. Data Sources: A bibliographic …

BACKGROUND: Risk-adjusted analyses are critical in evaluating trauma outcomes. The
National Trauma Data Bank (NTDB) is a statistically robust registry that allows such …

Ephraim PL, Dillingham TR, Sector M, Pezzin LE, MacKenzie EJ. Epidemiology of limb loss
and congenital limb deficiency: a review of the literature. Arch Phys Med Rehabil 2003; 84 …

Background Hospitals have difficulty justifying the expense of maintaining trauma centers
without strong evidence of their effectiveness. To address this gap, we examined differences …

Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the
prevalence of limb loss in the United States: 2005 to 2050. OBJECTIVE: To estimate the …

Background. The purpose of this study was to provide a comprehensive perspective on the
epidemiology and time trends in the incidence of limb amputations and limb deficiency in the …

Background Limb salvage for severe trauma has replaced amputation as the primary
treatment in many trauma centers. However, long-term outcomes after limb reconstruction or …

Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE. Phantom pain, residual
limb pain, and back pain in amputees: results of a national survey. OBJECTIVES: To …

ContextThe premise underlying regionalization of trauma care is that larger volumes of
trauma patients cared for in fewer institutions will lead to improved outcomes. However …

ContextPrevious studies have reported that the number and distribution of trauma centers
are uneven across states, suggesting large differences in access to trauma center care …