Efficiency analysis of the early years of the first level trauma center in the Chelyabinsk region

Abstract

Aim. To assess the efficiency of first level trauma center on the base of «Chelyabinsk Regional Hospital». Methods. The data were copied out from the medical charts of road accidents victims. The majority of patients who were admitted to the first level trauma center are young people of reproductive and working age, mostly males. In most of the cases, patients suffered from combined injuries involving multiple body regions (T00-T07). Results. Admission in every fourth patient of the trauma center was inappropriate, as patients had isolated injury not accompanied by shock. In 26.8% of the studied group, no surgery was performed, also stressing inappropriate admission. Spinal and brain injuries requiring neurosurgical aid were detected only in 36.8% of cases. The analysis showed miscommunication between trauma centers of levels I and II. Significant violations of road traffic accidents victims’ hospitalization orders, as well as the presence of inappropriate patients, were discovered. Conclusion. The findings highlight problems associated with trauma centers low functioning as a whole system, requiring introduction of real-time monitoring of their activities, as well as management decisions aimed at optimizing the communicative process between trauma centers, as well as with other medical institutions, which include trauma centers.