%0 Journal Article %T Effects of a trauma center on early mortality after trauma in a regional city in Japan: a population-based study %A Goro Tajima %A Kazunori Yamashita %A Kenichiro Inoue %A Kensuke Takahashi %A Makoto Osaki %A Naoya Matsumoto %A Osamu Tasaki %A Shuhei Yamano %A Shuntaro Sato %A Takamitsu Inokuma %A Takashi Miyamoto %A Tomohito Hirao %A Yoshihiro Nozaki %A Yuji Takahashi %J Archive of "Trauma Surgery & Acute Care Open". %D 2019 %R 10.1136/tsaco-2018-000291 %X Although the effects of the trauma center(TC) were researched in several studies, there have been few studies on changes in the regional mortality due to the implementation of a TC. An emergency medical center (EMC) and TC were implemented at Nagasaki University Hospital (NUH) for the first time in the Nagasaki medical region of Japan in April 2010 and October 2011, respectively, and they have cooperated with each other in treating trauma patients. The purpose of this study was to investigate the effects on the early mortality at population level of a TC working in cooperation with an EMC %K trauma center %K population %K mortality %K japan %K emergency medical service %K observational study %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6560472/