Assessment of Survival and Hospital Care Quality in Patients with Traffic Injury in East Azerbaijan

Esmaeili, Elham Davtalab; Sadeghi‐Bazargani, Homayoun; Vahdati, Samad Shams; Shokouhi, Ghaffar; Safaiyan, Abdolrasoul; Lak, Shaker Salari

doi:10.5812/traumamon.35303

Cited by 3 publications

(5 citation statements)

References 24 publications

(19 reference statements)

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“…It has been noticed that the rate of mortalities caused by accidents was associated with the quality of hospital services. In this regard, the results of the current study are consistent with other investigations (15,22,23). The measured indices explain the role of immediate service provision for the victims and hospital service quality in the survival and recovery of traffic accident patients.…”

Section: Discussionsupporting

confidence: 93%

“…In a study carried out by Deshmukh et al (21) in India, it was observed that the number of mortalities is five cases greater than the results of the MTOS. The studies conducted by Esmaili et al (22) and Khosravi et al (23) showed seven and four mortalities higher than the MTOS findings, respectively. All of the aforementioned studies associated the low quality of hospital services with a high number of mortalities (24)(25)(26).…”

Section: Introductionmentioning

confidence: 77%

“…Esmaili et al (22) have reported the mean values of ISS as 12.4±4.3 and 36.9±8.9 in the recovered and deceased patients, respectively. In addition, they calculated the mean values of the RTS at 7.19±0.93 and 4.35±0.74 in the recovered and deceased subjects, respectively.…”

Section: Discussionmentioning

confidence: 97%

“…Esmaili et al (22) quantified the respective Z and W statistics of +0.02 and -7, respectively. In their study, more patients died in comparison to the MTOS, which was explained by poor hospital service quality.…”

Section: Discussionmentioning

confidence: 99%

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Survival and quality of hospital care for victims of car crashes in Western Azerbaijan, Iran

Garkaz

Paryab

Mehryar

et al. 2020

ircmj

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Background and aim: Car crashes are among the prevalent incidents seriously threatening public health. This study aimed to assess the survival and quality of hospital care for patients of car accidents in Western Azerbaijan, Iran. Methods: This cross-sectional study was conducted on 1,697 trauma victims admitted to Imam Khomeini hospital in Urmia, Iran, during 2016. The data, including systolic pressure, Glasgow Coma Scale, respiratory rate prior to admittance, severity of injuries based on surgery description, limbs and brain computed tomography scan, and diagnostic ultrasound by an specialist, were collected from medical records. The survival chance of patients was estimated using Trauma and Injury Severity Score (TRISS). To evaluate the quality of hospital service, Z and W statistics were utilized. Results: Out of 1,697 admitted victims, 1,226 (72.3%) and 471 (27.7%) subjects were male and female, respectively. The patients were within the age range of 15-54 years, including 901 (75%) male and 296 (25%) female subjects. The predominant educational levels were under diploma and illiterate in male and female patients, respectively. The mean values of the Revised Trauma Score for the recovered and deceased patients were 7.75±0.38 and 6.19±1.59, respectively; however, the mean values of the Injury Severity Score for the recovered and deceased patients were 14.57±13.72 and 52.03±27.02, respectively, indicating a statistically significant difference between the two groups. The number of observed mortalities was 69; nevertheless, the expected mortalities were 60 cases. Furthermore, the quantified W and Z statistics were -9 and 0.02, respectively. Conclusions: The results showed that the observed mortality exceeded the expected morality indicating the low quality of hospital care.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Survival and quality of hospital care for victims of car crashes in Western Azerbaijan, Iran

Garkaz

Paryab

Mehryar

et al. 2020

ircmj

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“…Among the various types of trauma, trauma caused by a crash is a life-threatening condition for all age groups [ 8 ]. Traffic injuries are reported to have increased from 999,000 in 1990 to more than one million deaths in 2002, and were predicted to reach about two million deaths by 2020 [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Designing and conducting initial application of a performance assessment model for in-hospital trauma care

Mousazadeh

Sadeghi‐Bazargani

Janati

et al. 2022

BMC Health Serv Res

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Background Trauma is a major cause of death worldwide, especially in Low and Middle-Income Countries (LMIC). The increase in health care costs and the differences in the quality of provided services indicates the need for trauma care evaluation. This study was done to develop and use a performance assessment model for in-hospital trauma care focusing on traffic injures. Methods This multi-method study was conducted in three main phases of determining indicators, model development, and model application. Trauma care performance indicators were extracted through literature review and confirmed using a two-round Delphi survey and experts’ perspectives. Two focus group discussions and 16 semi-structured interviews were conducted to design the prototype. In the next step, components and the final form of the model were confirmed following pre-determined factors, including importance and necessity, simplicity, clarity, and relevance. Finally, the model was tested by applying it in a trauma center. Results A total of 50 trauma care indicators were approved after reviewing the literature and obtaining the experts’ views. The final model consisted of six components of assessment level, teams, methods, scheduling, frequency, and data source. The model application revealed problems of a selected trauma center in terms of information recording, patient deposition, some clinical services, waiting time for deposit, recording medical errors and complications, patient follow-up, and patient satisfaction. Conclusion Performance assessment with an appropriate model can identify deficiencies and failures of services provided in trauma centers. Understanding the current situation is one of the main requirements for designing any quality improvement programs.

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Influential Factors in the Survival Rate of Trauma Victims until Discharge from the Hospital

Ghezeljeh

Chegini²,

Haghani

et al. 2021

IJN

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Background & Aims: Trauma is an important public health concern in the world. With the advancement of science and technology and the industrialization of societies in the past century, trauma and its complications have become an important issue. Trauma is the most common cause of death and disability in people aged 1-44 years. Furthermore, trauma is the leading cause of reduced life expectancy and years of life lost worldwide. The most important measure to be taken in the event of a crisis is to maintain the survival of the casualty, prevent permanent complications before basic treatment, return the casualty to pre-injury living conditions as soon as possible, and provide emergency assistance quickly and intelligently. Since traumatic injuries may deteriorate without intervention and time resolution, posttraumatic survival rate largely depends on time. The chances of survival after trauma in the case of severely injured patients increase with their timely transfer to treatment centers. Pre-hospital emergency medical services (EMS) are an integral part of the healthcare delivery system and play a key role in the provision of pre-hospital services and patient transfer to medical centers. The purpose of such medical services is to provide appropriate treatment at the right place and time by using available resources. The correct operation of different parts of this system results in the rapid and timely dispatch of ambulances to the patientchr('39')s bedside and the prevention of death and disabilities. Qazvin province has a strategic location in terms of transportation and industry. Qazvin is the communication route of more than 13 provinces in Iran and a bridge between the capital and the northern and western regions, as well as Caucasus and European countries. Figures related to the traffic accidents in Qazvin province show that this province has a large share of road accidents due to the small geographical area in the country. The present study aimed to determine the influential factors in the survival of trauma victims until discharge from selected hospitals in Qazvin province during 2014-2018. Materials & Methods: This retrospective correlational study was conducted on 835 trauma patients using the data of Qazvin Emergency Center during 2014-2018. All the cases of the air transport of injured patients were included in the study due to the small number of cases. Among the cases of transferring trauma patients via the ground route, the subjects were selected via stratified random sampling with an equal volume for each year of the study period. Data were collected using an information registration form consisting of data on personal characteristics, trauma characteristics, pre-hospital and hospital emergency procedures, patientchr('39')s clinical condition upon arrival at the patientchr('39')s bedside, transfer mode, consciousness level at different times, and vital signs at different times. Data collection tools were the emergency center information questionnaire and the hospital records of trauma victims. Data ...

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Assessment of Survival and Hospital Care Quality in Patients with Traffic Injury in East Azerbaijan

Cited by 3 publications

References 24 publications

Survival and quality of hospital care for victims of car crashes in Western Azerbaijan, Iran

Survival and quality of hospital care for victims of car crashes in Western Azerbaijan, Iran

Designing and conducting initial application of a performance assessment model for in-hospital trauma care

Influential Factors in the Survival Rate of Trauma Victims until Discharge from the Hospital

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