Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)
Abstract 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 st...
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doaj-748782de35214d1db45ce4069a283a482020-11-24T21:18:32ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412017-11-0125111210.1186/s13049-017-0453-2Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®)B. Ali Ali0R. Lefering1M. Fortun Moral2T. Belzunegui Otano3Department of Accident and Emergency, Complejo Hospitalario de Navarra, Health Service of Navarra – OsasunbideaInstitute for Research in Operative Medicine (IFOM), University of Witten/HerdeckeDepartment of Accident and Emergency, Hospital of Tudela, Health Service of Navarra– OsasunbideaDepartment of Accident and Emergency, Complejo Hospitalario de Navarra, Health Service of Navarra – OsasunbideaAbstract 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.http://link.springer.com/article/10.1186/s13049-017-0453-2Severe traumaTrauma registryRegistry comparisonQuality of trauma care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
B. Ali Ali R. Lefering M. Fortun Moral T. Belzunegui Otano |
spellingShingle |
B. Ali Ali R. Lefering M. Fortun Moral T. Belzunegui Otano Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®) Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Severe trauma Trauma registry Registry comparison Quality of trauma care |
author_facet |
B. Ali Ali R. Lefering M. Fortun Moral T. Belzunegui Otano |
author_sort |
B. Ali Ali |
title |
Epidemiological comparison between the Navarra Major Trauma Registry and the German Trauma Registry (TR-DGU®) |
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®) |
publisher |
BMC |
series |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
issn |
1757-7241 |
publishDate |
2017-11-01 |
description |
Abstract 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. |
topic |
Severe trauma Trauma registry Registry comparison Quality of trauma care |
url |
http://link.springer.com/article/10.1186/s13049-017-0453-2 |
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