Influence of the National Trauma Data Bank on the Study of Trauma Outcomes: Is It Time to Set Research Best Practices to Further Enhance Its Impact?

Haider, Adil H.; Saleem, Taimur; Leow, Jeffrey J.; Villegas, Cassandra V.; Kisat, Mehreen; Schneider, Eric B.; Haut, Elliott R.; Stevens, Kent A.; Cornwell, Edward E.; MacKenzie, Ellen J.; Efron, David T.

doi:10.1016/j.jamcollsurg.2011.12.013

Cited by 216 publications

(158 citation statements)

References 136 publications

(36 reference statements)

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“…In the Emergency Service of the Brotherhood of the São Paulo Holy Home of Mercy (ISCMSP), we carried out a prospective information collection of all trauma patients admitted to the emergency room from 2008 to 2010, with the approval of the Ethics Committee number 37690314.5.0000.5479, with Objective of forming a trauma registry for quality control of care 16,17 . Data were initially collected by surgery residents at patients' admission and subsequently by service assistants during follow-up, until discharge.…”

Section: Methodsmentioning

confidence: 99%

Relação entre o mecanismo de trauma e lesões diagnosticadas em vítimas de trauma fechado

Parreira

Rondini

Below

et al. 2017

Rev. Col. Bras. Cir.

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Section: Methodsmentioning

confidence: 99%

Relação entre o mecanismo de trauma e lesões diagnosticadas em vítimas de trauma fechado

Parreira

Rondini

Below

et al. 2017

Rev. Col. Bras. Cir.

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“…Using source codes provided by the NTDB, we merged the available data sets for the variables of interest. 7 More information about the NTDB is available at http:// www.facs.org/trauma/ntdb/.…”

Section: The Ntdbmentioning

confidence: 99%

Traumatic peripheral nerve injuries in children: epidemiology and socioeconomics

Missios

Bekelis

Spinner

2014

PED

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Object Despite the negative effects of peripheral nerve injuries (PNIs) on long-term population health, their true prevalence among pediatric trauma patients is under debate. The authors investigated the prevalence of PNIs among children involved in trauma and investigated associations between PNIs and several patient characteristics. Methods The authors performed a retrospective cohort study of pediatric trauma patients who were registered in the National Trauma Data Bank from 2009 through 2011 and who fulfilled the study inclusion criteria. They used regression techniques to investigate the association of demographic and socioeconomic factors with the rate of PNIs among these patients. Results Of the 245,470 study patients, 50,211 were involved in motor vehicle crashes, 3380 in motorcycle crashes, 20,491 in bicycle crashes, 18,262 in pedestrian accidents, 26,294 in other crashes (mainly involving all-terrain vehicles and snowmobiles), and 126,832 in falls. The respective prevalence of PNIs was 0.66% for motor vehicle crashes, 1% for motorcycle crashes, 0.38% for bicycle crashes, 0.42% for pedestrian accidents, 0.79% for other crashes, and 0.52% for falls. Multivariate logistic regression analysis demonstrated that the following were associated with an increased incidence of PNIs: increased patient age (OR 1.10, 95% CI 1.01–1.20), higher Injury Severity Score (OR 1.10, 95% CI 1.01–1.20), elevated systolic blood pressure at arrival at the emergency room (OR 1.10, 95% CI 1.01–1.20), and increased number of trauma surgeons at the institution (OR 1.10, 95% CI 1.01–1.20). The following were associated with lower incidence of PNIs: female sex (OR 0.94, 95% CI 0.87–1.02), rural hospitals (OR 0.94, 95% CI 0.87–1.02), and urban nonteaching hospitals (OR 0.94, 95% CI 0.87–1.02). Conclusions PNIs are more common than previously identified for the pediatric trauma population. These injuries are associated with older age and increased severity of the overall injury.

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“…variables of interest, using source codes provided by the NTDB 13 . More information about the NTDB is available at http://www.facs.org/trauma/ntdb/.…”

Section: Introductionmentioning

confidence: 99%

The Association of Insurance Status and Race With Transfers of Patients With Traumatic Brain Injury Initially Evaluated at Level III and IV Trauma Centers

2015

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Objective-To investigate the association of lack of insurance and African-American race with the probability of transfer to level I/II trauma centers, after evaluation in the ED of level III/IV trauma centers for TBI.Summary Background Data-The influence of non-medical factors on the disposition of TBI patients initially seen in less specialized institutions is debated.Methods-We performed a retrospective cohort study involving TBI patients, who were registered in the National Trauma Data Bank between 2009 and 2011. Regression methods were used to investigate the association of insurance status and race with the disposition of TBI patients evaluated in less specialized trauma centers.Results-During the study period, there were 26,031 TBI patients, who were registered in NTDB and met inclusion criteria. Of these, 10,572 (35.9%) were transferred to a higher level of care institution. Multivariable logistic regression after coarsened exact matching demonstrated an association of uninsured patients with increased possibility of transfer (OR, 1.22; 95% CI, 1.05-1.42). On the contrary, there was no association of African-Americans with transfers (OR, 1.27; 95% CI, 0.99-1.62). Those with GCS above 8 (OR, 1.22; 95% CI, 1.08-1.39), or ISS below 16 (OR, 1.33; 95% CI, 1.13-1.56) had a higher possibility of transfer.Conclusions-In TBI patients, lack of insurance was associated with increased possibility of transfer to higher level of care institutions, after evaluation in a level III or IV trauma center ED.

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Influence of the National Trauma Data Bank on the Study of Trauma Outcomes: Is It Time to Set Research Best Practices to Further Enhance Its Impact?

Cited by 216 publications

References 136 publications

Relação entre o mecanismo de trauma e lesões diagnosticadas em vítimas de trauma fechado

Relação entre o mecanismo de trauma e lesões diagnosticadas em vítimas de trauma fechado

Traumatic peripheral nerve injuries in children: epidemiology and socioeconomics

The Association of Insurance Status and Race With Transfers of Patients With Traumatic Brain Injury Initially Evaluated at Level III and IV Trauma Centers

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