Published case series and cohort comparison studies of patients treated in regions where planned trauma systems are in place compared to regions without trauma systems, or before and after instituting a trauma system, conclude that mortality is reduced after major trauma in patients treated in a trauma system. For optimal care of neurotrauma, neurosurgeons should be involved in the planning and implementation of trauma systems and in support of a system once it is in place.
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A 2000 study studied this question.
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