Jenkins, Peter C.Painter, ScottBell, Teresa M.Kline, Jeffrey A.Zarzaur, Ben L.2019-08-082019-08-082019-03-26Jenkins, P. C., Painter, S., Bell, T. M., Kline, J. A., & Zarzaur, B. L. (2019). The conference effect: National surgery meetings are associated with increased mortality at trauma centers without American College of Surgeons verification. PloS one, 14(3), e0214020. doi:10.1371/journal.pone.0214020https://hdl.handle.net/1805/20247BACKGROUND: Thousands of physicians attend scientific conferences each year. While recent data indicate that variation in staffing during such meetings impacts survival of non-surgical patients, the association between treatment during conferences and outcomes of a surgical population remain unknown. The purpose of this study was to examine mortality resulting from traumatic injuries and the influence of hospital admission during national surgery meetings. STUDY DESIGN: Retrospective analysis of in-hospital mortality using data from the Trauma Quality Improvement Program (2010-2011). Identified patients admitted during four annual meetings and compared their mortality with that of patients admitted during non-conference periods. Analysis included 155 hospitals with 12,256 patients admitted on 42 conference days and 82,399 patients admitted on 270 non-conference days. Multivariate analysis performed separately for hospitals with different levels of trauma center verification by state and American College of Surgeons (ACS) criteria. RESULTS: Patient characteristics were similar between meeting and non-meeting dates. At ACS level I and level II trauma centers during conference versus non-conference dates, adjusted mortality was not significantly different. However, adjusted mortality increased significantly for patients admitted to trauma centers that lacked ACS trauma verification during conferences versus non-conference days (OR 1.2, p = 0.008), particularly for patients with penetrating injuries, whose mortality rose from 11.6% to 15.9% (p = 0.006). CONCLUSIONS: Trauma mortality increased during surgery conferences compared to non-conference dates for patients admitted to hospitals that lacked ACS trauma level verification. The mortality difference at those hospitals was greatest for patients who presented with penetrating injuries.en-USAttribution-NonCommercial-NoDerivs 3.0 United StatesScientific conferencesTraumatic injuriesTrauma Quality Improvement ProgramHospitalsArticle