Calidad y registros en trauma

Sánchez, F.I. Pino; Ballesteros, M.Á.; Lorenzana, L. Cordero; Guerrero-López, F.

doi:10.1016/j.medin.2014.06.008

Cited by 18 publications

(6 citation statements)

References 46 publications

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“…In 2017, mortality rates from injury were the highest in Dutch persons younger than 35 years of age compared to other ages [1]. Due to trauma registration and implementation of specialized trauma care, the quality of trauma care improved and survivorship increased [1][2][3][4][5][6]. Nevertheless, patients who were less satisfied with general health and recovery after injury needed more medical care, they had a longer hospital stay, and they visited the hospital more often [7].…”

Section: Introductionmentioning

confidence: 99%

Patients’ experiences and wellbeing after injury: A focus group study

et al. 2021

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Background Injury can have physical, psychological and social consequences. It is unclear which factors have an impact on patients’ wellbeing after injury. This study aimed to explore, using focus groups, patients’ experiences and wellbeing after injury and which factors, impede or facilitate patients’ wellbeing. Methods Trauma patients, treated in the shock room of the Elisabeth-TweeSteden Hospital, the Netherlands, participated in focus groups. Purposive sampling was used. Exclusion criteria were younger than 18 years old, severe traumatic brain injury, dementia, and insufficient knowledge of the Dutch language. The interviews were recorded, transcribed verbatim, and analyzed using coding technique open, axial, and selective coding, based on phenomenological approach. Results Six focus groups (3 to 7 participants) were held before data saturation was reached. In total, 134 patients were invited, 28 (21%) agreed to participate (Median age: 59.5; min. 18 –max. 84). Main reasons to decline were fear that the discussion would be too confronting or patients experienced no problems regarding the trauma or treatment. Participants experienced difficulties on physical (no recovery to pre-trauma level), psychological (fear of dying or for permanent limitations, symptoms of posttraumatic stress disorder, cognitive dysfunction), social (impact on relatives and social support) wellbeing. These are impeding factors for recovery. However, good communication, especially clarity about the injury and expectations concerning recovery and future perspectives could help patients in surrendering to care. Patients felt less helpless when they knew what to expect. Conclusions This is the first study that explored patients’ experiences and wellbeing after injury. Patients reported that their injury had an impact on their physical, psychological, and social wellbeing up to 12 months after injury. Professionals with the knowledge of consequences after injury could improve their anticipation on patients’ need.

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Section: Introductionmentioning

confidence: 99%

Patients’ experiences and wellbeing after injury: A focus group study

et al. 2021

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“…For successful benchmarking, meaningful performance benchmarks that can guide health policy and patient care decisions must be drawn from comprehensive, systematically collected, and valid data [ 10 ]. In Spain, data are limited at national level, and most of the well-established trauma registries are at regional or provincial level, such as the NMTR [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)

Ali

Lefering

Moral³

et al. 2017

Scand J Trauma Resusc Emerg Med

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BackgroundInternational benchmarking can help identify trauma system performance issues and determine the extent to which other countries also experience these. When problems are identified, countries can look to high performers for insight into possible responses. The objective of this study was to compare the treatment and outcome of severely injured patients in Germany and Navarra, Spain.MethodsData collected, from 2010 to 2013, in the Navarra Major Trauma Registry (NMTR) and the TraumaRegister DGU® (TR-DGU) were compared. Both registries followed the Utstein Trauma Template (European Core Dataset) for documentation of trauma patients. Adult patients (≥ 16 years) with New Injury Severity Score (NISS) being >15 points were included in this study. Patients who had been admitted to the hospital later than 24 h after the trauma, had been pronounced dead before hospital arrival, or had been injured by hanging, drowning or burns, were excluded.Demographic data, injury data, prehospital data, hospital treatment data, time intervals, and outcome were compared. The expected mortality was calculated using the Revised Injury Severity Classification score II (RISC II).ResultsA total of 646 and 43,110 patients were included in the outcome analysis from NMTR and TR-DGU, respectively. The difference between observed and expected mortality was −0.4% (standardized mortality ratio [SMR] 0.97; 95% CI 0.93–1.04) in Germany and 1.6% (SMR 1.08; 95% CI: 1.02–1.14) in Navarra. Differences in the characteristics of trauma patients and trauma systems between the regions were noted.ConclusionThe higher observed mortality in Navarra is consistent with the epidemiological characteristics of its population. However, to improve the quality of trauma care in the Navarra trauma system, certain improvements are necessary. There were less young adults with severe injuries in Navarra than in Germany. It is possible to compare data of severely injured patients from different countries if standardized registries are used.

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“…The most similar report concerns the trauma registry completed from 2002 to 2004 in San Fernando General Hospital of Trinidad and Tobago 9 . In Colombia, strategies have been developed to monitor externally inflicted wounds from which the pertinent variables related to the history of these wounds can be cataloged 10 .…”

Section: Introductionmentioning

confidence: 99%

Registro de Trauma de la Sociedad Panamericana de Trauma: Un año de experiencia en dos hospitales de en el suroccidente colombiano

et al. 2016

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Background: Emergency care information systems in trauma are essential to improve the decision making and identify potential areas of intervention. Objective: To describe the first year of experience of trauma registry in two reference trauma centers of the southwestern Colombia. Methods: A study conducted in two reference trauma centers of Cali city. There were included those patients with any injury from external causes or trauma occurred between January 1st and December 31st of 2012. Information related with demographics, injury mechanism, severity injury (ISS) and mortality were collected. We presented a descriptive analysis. Results: There were registered 17,431 patients whereof 67.8% were male with a mean of 30 (±20) years old. Workplace injuries were the 28.2% cause of emergency consultation, and falls were the most prevalent trauma mechanism. Majority of patients with a ISS ≥15 were in a range age of 18-35 years (6.4%). The 28% of patients with gunshot wounds had a ISS ≥15. An overall of 2.5% of included patients died and those who had a ISS ≥15 and gunshot wounds showed a mortality of 54%. Conclusion: Upon the implementation of the trauma registry in two main hospitals of Cali city, we identify that falls and workplace injuries were the leading cause of admission to the emergency room. Severely compromised patients are in the range age of 18-35 years old. Mortality was higher for those patients who suffered gunshot wounds.

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Calidad y registros en trauma

Cited by 18 publications

References 46 publications

Patients’ experiences and wellbeing after injury: A focus group study

Patients’ experiences and wellbeing after injury: A focus group study

Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)

Registro de Trauma de la Sociedad Panamericana de Trauma: Un año de experiencia en dos hospitales de en el suroccidente colombiano

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