Traumatic injury is a leading cause of death and disability and requires time-sensitive triage and transport to specialized trauma center hospitals to optimize outcomes. Absent the ability to conduct randomized control trials, observational research is
needed to guide trauma systems on optimal triage, transport, inter-hospital transfer strategies. This talk will cover a series of studies using instrumental variable analysis to best determine the causal effects of triage and transport strategies for serious
traumatic injury. This will include using geographic proximity measures to determine the comparative effectiveness of initial triage to trauma center vs. non-trauma center and using hourly weather data to determine the mortality benefit from helicopter vs.
ground ambulance inter-hospital transfer. Novel instrumental variable approaches including near-far matching will be discussed.
M. Kit Delgado, MD, MS, is an Assistant Professor of Emergency Medicine and Epidemiology and a practicing trauma center emergency physician. He leads the Behavioral Science & Analytics For Injury Reduction (BeSAFIR) lab, which applies data science and behavioral
economics for preventing injuries and improving trauma and emergency care. First, he conducts observational comparative effectiveness analyses to optimize trauma and emergency care systems. Second, he is testing behavioral economic interventions to promote
opioid stewardship for acute and post-operative pain management. Finally, he has developed a novel line of research leveraging smartphone technology and behavioral economic interventions for injury prevention with a focus on reducing motor vehicle crashes
due to distracted and alcohol-impaired driving. His work is funded by the National Institutes of Health, the U.S. Department of Transportation, and the Agency for Health Care Research and Quality. He is a Leonard Davis Institute Health Economics (LDI) Senior
Fellow and a faculty member in Center for Emergency Care Policy and Research (CECPR), the Center for Health Incentives and Behavioral Economics (CHIBE), the Penn Injury Science Center (PISC), and the Children’s Hospital of Philadelphia Center for Injury Research
and Prevention (CIRP). He is also a member of the National Academies of Sciences, Engineering, and Medicine Committee on Accelerating Progress to Reduce Alcohol-Impaired Driving Fatalities.