Improved functional outcomes for major trauma patients in a regionalized, inclusive trauma system

Annals of Surgery
B J GabbeP A Cameron

Abstract

To describe outcomes of major trauma survivors managed in an organized trauma system, including the association between levels of care and outcomes over time. Trauma care systems aim to reduce deaths and disability. Studies have found that regionalization of trauma care reduces mortality but the impact on quality of survival is unknown. Evaluation of a trauma system should include mortality and morbidity. Predictors of 12-month functional (Glasgow Outcome Scale-Extended) outcomes after blunt major trauma (Injury Severity Score >15) in an organized trauma system were explored using ordered logistic regression for the period October 2006 to June 2009. Data from the population-based Victorian State Trauma Registry were used. There were 4986 patients older than 18 years. In-hospital mortality decreased from 11.9% in 2006-2007 to 9.9% in 2008-2009. The follow-up rate at 12 months was 86% (n = 3824). Eighty percent reported functional limitations. Odds of better functional outcome increased in the 2007-2008 [adjusted odds ratio (AOR): 1.22; 95% CI: 1.05, 1.41] and 2008-2009 (AOR: 1.16; 95% CI: 1.01, 1.34) years compared with 2006-2007. Cases managed at major trauma services (MTS) achieved better functional outcome (AOR: 1.22; 95% CI:...Continue Reading

References

Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
Feb 1, 1995·Archives of Surgery·D DemetriadesT R DeMeester
Apr 1, 1996·Journal of Neurology, Neurosurgery, and Psychiatry·B Jennett
Aug 20, 2003·Epidemiologic Reviews·Maria Segui-Gomez, Ellen J MacKenzie
Nov 25, 2003·Emergency Medicine·Belinda J GabbeCaroline F Finch
Jun 3, 2004·Lancet·Avery B NathensRonald V Maier
Jun 12, 2004·ANZ Journal of Surgery·Peter A CameronJohn J McNeil
Jan 28, 2005·The Journal of Trauma·Wouter J VlesLoek P H Leenen
Apr 5, 2005·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Belinda J GabbePeter A Cameron
Sep 30, 2005·Annals of Surgery·Demetrios DemetriadesLinda Chan
Jan 6, 2006·The Journal of Trauma·Peter A CameronThomas Kossmann
Jan 27, 2006·The New England Journal of Medicine·Ellen J MacKenzieDaniel O Scharfstein
Jan 26, 2007·Injury·H R HoltslagChr Van der Werken
Apr 12, 2007·The Journal of Trauma·Herman R HoltslagLoek P H Leenen
Jul 4, 2007·The Medical Journal of Australia·Belinda J GabbeMartin D Richardson
Jul 11, 2007·Statistical Methods in Medical Research·Stef van Buuren
Dec 22, 2007·The Journal of Trauma·Ellen J MackenzieDaniel O Scharfstein
Jan 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Ellen J MackenzieDaniel O Scharfstein
Apr 12, 2008·The Journal of Trauma·Ian A HarrisMichael J Solomon
Nov 18, 2008·The Medical Journal of Australia·Peter A CameronJohn McNeil
Feb 11, 2009·The Medical Journal of Australia·Phebe A O'MullanePeter A Cameron
Nov 4, 2010·The Journal of Trauma·Akkie N RingburgInger B Schipper

❮ Previous
Next ❯

Citations

Aug 7, 2013·Annales Françaises D'anesthèsie Et De Rèanimation·K TazarourteB Vigué
Aug 6, 2013·Annales Françaises D'anesthèsie Et De Rèanimation·A HarroisB Vigué
Mar 4, 2014·Burns : Journal of the International Society for Burn Injuries·J WasiakB Gabbe
Nov 1, 2013·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Jan O JansenUNKNOWN (on behalf of the GEOS Investigators)
Jan 15, 2014·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Jonathan J MorrisonJan O Jansen
Jul 25, 2012·Annals of Surgery·Belinda J GabbePeter A Cameron
Jan 29, 2013·BMC Health Services Research·Belinda J GabbeUNKNOWN Victorian Orthopaedic Trauma Outcomes Registry
Jul 23, 2014·PloS One·Karen HoffmanKarim Brohi
Mar 26, 2014·The Journal of Trauma and Acute Care Surgery·Jan O JansenMarion K Campbell
Jun 26, 2014·British Journal of Anaesthesia·P A CameronB Mitra
Sep 1, 2012·World Journal of Surgery·Pietro BrambillascaLuca Ansaloni
Jan 21, 2014·Journal of Pediatric Surgery·Keith T Oldham
Dec 4, 2012·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Belinda J Gabbe, Peter A Cameron
Nov 10, 2015·Prehospital and Disaster Medicine·Adam R AluisioChristina Bloem
Nov 13, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Oddvar UlebergPål Klepstad
Mar 17, 2016·Traffic Injury Prevention·W WeijermarsH Stipdonk
Nov 14, 2015·Archives of Trauma Research·Masoumeh Abedzadeh-KalahroudiMohsen Asadi Lari
Dec 8, 2014·Irish Journal of Medical Science·H M MohanD C Winter
Apr 4, 2017·Journal of Neurotrauma·Vanessa K NoonanUNKNOWN RHSCIR Network
Jul 30, 2014·Injury·Silvana MarascoMichael Bailey
Aug 15, 2014·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Belinda J GabbePeter A Cameron
Mar 25, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Nita KhandelwalMiriam M Treggiari
Jan 24, 2017·Acta Anaesthesiologica Scandinavica·O UlebergP Klepstad
Jun 16, 2017·Emergency Medicine Australasia : EMA·Mark FitzgeraldBiswadev Mitra
Dec 20, 2017·Journal of Neurotrauma·Ben BeckBelinda J Gabbe
Oct 27, 2017·World Journal of Surgery·Lynne MooreUNKNOWN International Injury Care Improvement Initiative
Jan 26, 2018·The Journal of Trauma and Acute Care Surgery·Jan O JansenAngela Sauaia
Jun 8, 2017·The Journal of Trauma and Acute Care Surgery·Stephanie Laura Wilson, Vinay Gangathimmaiah
May 10, 2018·Emergency Medicine Australasia : EMA·Jeffrey V RosenfeldMichael C Reade
Oct 13, 2017·The British Journal of Surgery·C S PalmerP A Cameron
Oct 8, 2016·Health Services Research·Urbano L França, Michael L McManus
Feb 2, 2018·World Journal of Surgery·S LombardoR Price
Feb 17, 2018·World Journal of Surgery·Michael B Mwandri, Timothy C Hardcastle
May 2, 2015·Stroke; a Journal of Cerebral Circulation·Kyle M FargenJ Mocco
Sep 1, 2015·PM & R : the Journal of Injury, Function, and Rehabilitation·Gregory NemunaitisMelvin Mejia

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.