Management of Major Trauma Patients at Aarau Trauma Center - Evaluation of Processes and Patient Outcome

Conditions

Injury, Major Trauma, Multiple Trauma, Trauma

Keywords

trauma, major trauma, multiple trauma, outcome, quality, process Management, emergency room, trauma center

Brief summary

Quality control and improvement project: Assessment and analysis of processes and outcome in trauma emergency room and major trauma patients at the Aarau trauma center (cantonal hospital) with regard to initial emergency management, hospital processes and short- and long-term (1-and 2-year) outcome of patients (subjective and objective). Comparison of processes and outcome pre- and post- project initiative. Benchmarking with the literature and by participation in the German and Swiss Trauma registry each.

Detailed description

Registry of all emergency patients arriving at Aarau trauma center following trauma with regard to possibly injury related pre- and inhospital demographic factors, process variables and outcome Parameters.

Gross T, Amsler F.

2021-11-011 citations

10.1093/bjsopen/zrab109

Comparative analysis of MGAP, GAP, and RISC2 as predictors of patient outcome and emergency interventional need in emergency room treatment of the injured.

Zeindler M, Amsler F, Gross T.

2020-04-13

10.1007/s00068-020-01361-w

The capacity of baseline patient, injury, treatment and outcome data to predict reduced capacity to work and accident insurer costs – a Swiss prospective 4-year longitudinal trauma centre evaluation

Thomas Groß, Sabrina Morell, Stefan Scholz, Felix Amsler

Swiss Medical Weekly2019-12-175 citations

10.4414/smw.2019.20144

Prospective evaluation of the Quality of Life after Brain Injury (QOLIBRI) score: minor differences in patients with major versus no or mild traumatic brain injury at one-year follow up.

Born K, Amsler F, Gross T.

2018-07-0921 citations

10.1186/s12955-018-0966-z

Simple modification of trauma mechanism alarm criteria published for the TraumaNetwork DGU<sup>®</sup> may significantly improve overtriage - a cross sectional study.

Braken P, Amsler F, Gross T.

2018-04-2413 citations

10.1186/s13049-018-0498-x

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

OTHER

Eligibility

Sex/Gender

ALL

Healthy volunteers

No

Inclusion criteria

* major trauma: New Injury Severity Score (NISS) \>=8 * for longer-term outcome: only patients firm in German language and able to respond to the postal questionnaire by themselves

Exclusion criteria

* no Trauma * injury \>24h before arrival at Aarau Cantonal Hospital * NISS\<8 * for longer-term outcome: patients not firm in German language and not able to respond to the postal questionnaire by themselves (dead, unavailable, refusal to participate, dementia, age\<16 years ecc.); a categorising compilation of cases is supposed to exclude any possible study bias

Design outcomes

Primary

Measure	Time frame
emergency room process times	hours (<6)

Secondary

Measure	Time frame	Description
hospital mortality	30 days	—
Euro Quality of Life Group health-related quality of life on five dimensions (EQ-5D)	1 and 2 year follow-up	score
Trauma Outcome Profile (TOP)	1 and 2 year follow-up	score
medical outcomes study Short Form-36 (SF-36)	1 and 2 year follow-up	score
reduced capacity to work	1 and 2 year outcome	Value (%);e.g. see Gross T, Attenberger C, Huegli RW, Amsler F. Factors associated with reduced longer-term capacity to work in patients after polytrauma: a Swiss trauma center experience. J Am Coll Surg. 2010 Jul;211(1):81-91
Quality of Life after Brain Injury (QOLIBRI)	1 and 2 year follow-up	score

Other

Measure	Time frame	Description
invalidity	at least 4 year post-injury	% of disability to work (i.e., basis for resulting amount of insurance pension)
insurance payments	at least 4 years post-injury	Swiss Francs

Countries

Switzerland

Outcome results