Analysis of risk factors in thoracic trauma patients with a comparison of a modern trauma centre: a mono-centre study

IntroductionThe introduction of trauma systems that began in the 1970s resulted in improved trauma care and a decreased rate of morbidity and mortality of trauma patients. Worldwide, little is known about the effectiveness of trauma care system at different stages of development, from establishing a trauma centre, to implementing a trauma system and as trauma systems mature. The objective of this study is to extract and analyse data from research that evaluates mortality rates according to different stages of trauma system development globally.Methods and analysisThe proposed review will comply with the checklist of the ‘Preferred reporting items for systematic review and meta-analysis’. In this review, only peer-reviewed articles written in English, human-related studies and published between January 2000 and December 2020 will be included. Articles will be retrieved from MEDLINE, EMBASE and CINAHL. Additional articles will be identified from other sources such as references of included articles and author lists. Two independent authors will assess the eligibility of studies as well as critically appraise and assess the methodological quality of all included studies using the Cochrane Risk of Bias for Non-randomised Studies of Interventions tool. Two independent authors will extract the data to minimise errors and bias during the process of data extraction using an extraction tool developed by the authors. For analysis calculation, effect sizes will be expressed as risk ratios or ORs for dichotomous data or weighted (or standardised) mean differences and 95% CIs for continuous data in this systematic review.Ethics and disseminationThis systematic review will use secondary data only, therefore, research ethics approval is not required. The results from this study will be submitted to a peer-review journal for publication and we will present our findings at national and international conferences.PROSPERO registration numberCRD42019142842.

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Thoracic trauma in small animals: road traffic accidents

The Veterinary Nurse ◽

10.12968/vetn.2021.12.1.15 ◽

2021 ◽

Vol 12 (1) ◽

pp. 15-19

Author(s):

Kate Sheard

Keyword(s):

Traffic Accidents ◽

Thoracic Trauma ◽

Road Traffic ◽

Positive Outcome ◽

Multiple Organ ◽

Trauma Patients ◽

Small Animals ◽

Road Traffic Accidents ◽

Blunt Force Trauma ◽

Organ Systems

Thoracic trauma is common in small animals and can be caused by a variety of insults from penetrating wounds to blunt force trauma. Patients that have sustained any form of thoracic trauma require immediate attention and intensive nursing care in order to have a positive outcome for the patient. These cases can prove challenging as multiple organ systems can be affected and surgery is often required. However, combined with the appropriate medical care, the outcome can be successful.

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Clinical and economic effects of selective radiological evaluation of high-energy trauma patients: a prospective experience of a level 1 busy trauma centre

Emergency Medicine Journal ◽

10.1136/emermed-2014-204083 ◽

2014 ◽

Vol 32 (7) ◽

pp. 535-538 ◽

Cited By ~ 2

Author(s):

Shahram Paydar ◽

Armin Ahmadi ◽

Behnam Dalfardi ◽

Alireza Shakibafard ◽

Hamidreza Abbasi ◽

...

Keyword(s):

High Energy ◽

Trauma Centre ◽

Economic Effects ◽

Trauma Patients ◽

Radiological Evaluation ◽

High Energy Trauma ◽

Level 1

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Admission of elderly blunt thoracic trauma patients directly to the intensive care unit improves outcomes

Journal of Surgical Research ◽

10.1016/j.jss.2017.06.054 ◽

2017 ◽

Vol 219 ◽

pp. 334-340 ◽

Cited By ~ 13

Author(s):

Owen J. Pyke ◽

Jerry A. Rubano ◽

James A. Vosswinkel ◽

Jane E. McCormack ◽

Emily C. Huang ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Thoracic Trauma ◽

Trauma Patients ◽

Blunt Thoracic Trauma

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Comparison of routine blood alcohol tests and ICD-10-AM coding of alcohol involvement for major trauma patients

Health Information Management Journal ◽

10.1177/18333583211037171 ◽

2021 ◽

pp. 183335832110371

Author(s):

Georgina Lau ◽

Belinda J Gabbe ◽

Biswadev Mitra ◽

Paul M Dietze ◽

Sandra Braaf ◽

...

Keyword(s):

Administrative Data ◽

Major Trauma ◽

Blood Alcohol Concentration ◽

Trauma Centre ◽

Trauma Patients ◽

Blood Alcohol ◽

Alcohol Involvement ◽

Preventable Risk Factor ◽

Major Trauma Centre ◽

Icd 10

Background: Alcohol use is a key preventable risk factor for serious injury. To effectively prevent alcohol-related injuries, we rely on the accurate surveillance of alcohol involvement in injury events. This often involves the use of administrative data, such as International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) coding. Objective: To evaluate the completeness and accuracy of using administrative coding for the surveillance of alcohol involvement in major trauma injury events by comparing patient blood alcohol concentration (BAC) with ICD-10-AM coding. Method: This retrospective cohort study examined 2918 injury patients aged ≥18 years who presented to a major trauma centre in Victoria, Australia, over a 2-year period, of which 78% ( n = 2286) had BAC data available. Results: While 15% of patients had a non-zero BAC, only 4% had an ICD-10-AM code suggesting acute alcohol involvement. The agreement between blood alcohol test results and ICD-10-AM coding of acute alcohol involvement was fair ( κ = 0.33, 95% confidence interval: 0.27–0.38). Of the 341 patients with a non-zero BAC, 82 (24.0%) had ICD-10-AM codes related to acute alcohol involvement. Supplementary factors Y90 Evidence of alcohol involvement determined by blood alcohol level codes, which specifically describe patient BAC, were assigned to just 29% of eligible patients with a non-zero BAC. Conclusion: ICD-10-AM coding underestimated the proportion of alcohol-related injuries compared to patient BAC. Implications: Given the current role of administrative data in the surveillance of alcohol-related injuries, these findings may have significant implications for the implementation of cost-effective strategies for preventing alcohol-related injuries.

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