Helsinki Trauma Outcome Study 2005: Audit on Outcome in Trauma Management in Adult Patients in Southern Part of Finland

Abstract

The outcome performance of the adult patients trauma care in Helsinki University Hospital was compared with a sample of English hospitals. This was a first time such an audit on trauma care was conducted in Finland. Helsinki University Hospital submitted the Trauma Audit and Research Network (TARN, UK) data of adult trauma patients during 1 year period (from 1 September 2004 to 31 August 2005). Patients younger than 16 years were excluded. The outcome performance was assessed by TARN prediction model using the TARN database as reference. There were total of 1,717 patients in Helsinki and 16,774 patients in English hospitals fulfilling the study inclusion criteria, and 1,635 (95.2% of total) eligible patients in Helsinki and 15,269 (91.0% of total) in England were used for analysis. The patients were older and the mean ISS was higher in Helsinki (mean ISS in Helsinki 14 vs. 11 in England). The standardized W statistic (a measure of survival variation from the expected mean, per 100 patients) was + 3.0 (confidence intervals + 2.3 to + 3.8) for Helsinki University Hospital and + 0.2 (confidence intervals -0.1 to 0.4) for English hospitals. These results suggest that the organization of trauma care in Helsinki University Hospital area is more effective in preventing death after trauma in adults than that covering the present sample of English hospitals.

Diagnostic performance of CT and the use of GI contrast material for detection of hollow viscus injury after penetrating abdominal trauma. Experience from a level 1 Nordic trauma center

“…Penetrating trauma generally has a low incidence in most European countries (15–17). In Finland, Sweden, and Norway, penetrating trauma comprises approximately 5%–10% of injuries in large trauma centers with blunt trauma responsible for the remaining 90%–95% (18–20). Penetrating trauma has, however, increased during the recent years in Sweden from 7.6% to 8.4% between 2014 and 2016 (20).…”

Imaging of penetrating thoracic trauma in a large Nordic trauma center

“…The majority of severe civilian trauma in Europe is due to blunt traumatic injury, whereas in the United States gunshot wounds (GSW) are often encountered (1). In Finland and Norway, for example, penetrating trauma is not very commonly seen—an estimate of 5%–10% of all injuries in large trauma centers (2–4). Stab injuries are relatively rare in most European countries, but are common in international conflicts, terrorist attacks, and in large city hospitals around the world (5–7).…”

Pre-notification of arriving trauma patient at trauma centre: A retrospective analysis of the information in 700 consecutive cases

“…Töölö hospital, Helsinki University Hospital's trauma centre, provides the acute care for vast majority of major blunt traumas excluding patients younger than 16 years not having a suspected brain injury and patients with a major penetrating torso trauma. Töölö hospital is the largest trauma centre in Finland, and one of the largest in Scandinavia, with annual number of patients having ISS>15 and > 22 being 550 and 350, respectively [ 6 ].…”