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

Background: International 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...

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Autores: Ali Ali, Bismil, Lefering, R., Fortún Moral, Mariano, Belzunegui Otano, Tomás
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Universidad Pública de Navarra
Repositorio:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
OAI Identifier:oai:academica-e.unavarra.es:2454/27629
Acceso en línea:https://hdl.handle.net/2454/27629
Access Level:acceso abierto
Palabra clave:Severe trauma
Trauma registry
Registry comparison
Quality of trauma care
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spelling Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)Ali Ali, BismilLefering, R.Fortún Moral, MarianoBelzunegui Otano, TomásSevere traumaTrauma registryRegistry comparisonQuality of trauma careBackground: International 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. Methods: Data 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). Results: A 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. Conclusion: The 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.BioMed CentralCiencias de la SaludOsasun Zientziak2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2454/27629reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarrainstname:Universidad Pública de NavarraInglés© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.https://creativecommons.org/licenses/by/4.0/https://creativecommons.org/publicdomain/zero/1.0/info:eu-repo/semantics/openAccessoai:academica-e.unavarra.es:2454/276292026-06-17T12:41:47Z
dc.title.none.fl_str_mv Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)
title Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)
spellingShingle Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)
Ali Ali, Bismil
Severe trauma
Trauma registry
Registry comparison
Quality of trauma care
title_short Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)
title_full Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)
title_fullStr Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)
title_full_unstemmed Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)
title_sort Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)
dc.creator.none.fl_str_mv Ali Ali, Bismil
Lefering, R.
Fortún Moral, Mariano
Belzunegui Otano, Tomás
author Ali Ali, Bismil
author_facet Ali Ali, Bismil
Lefering, R.
Fortún Moral, Mariano
Belzunegui Otano, Tomás
author_role author
author2 Lefering, R.
Fortún Moral, Mariano
Belzunegui Otano, Tomás
author2_role author
author
author
dc.contributor.none.fl_str_mv Ciencias de la Salud
Osasun Zientziak
dc.subject.none.fl_str_mv Severe trauma
Trauma registry
Registry comparison
Quality of trauma care
topic Severe trauma
Trauma registry
Registry comparison
Quality of trauma care
description Background: International 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. Methods: Data 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). Results: A 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. Conclusion: The 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.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2454/27629
url https://hdl.handle.net/2454/27629
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by/4.0/
https://creativecommons.org/publicdomain/zero/1.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0/
https://creativecommons.org/publicdomain/zero/1.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
instname:Universidad Pública de Navarra
instname_str Universidad Pública de Navarra
reponame_str Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
collection Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
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