Trauma, Physician's Role
Conditions
Brief summary
In 2016 and 2017 the investigators conducted two clinical trials in which emergency medicine physicians were randomized either to an intervention (customized, theoretically-based video games) or to a control (nothing or text-based education). This study will now assess long-term outcomes for physicians enrolled in those two trials to evaluate the effect of the interventions on triage practices for trauma patients who presented initially to non-trauma centers in the US between December 2016 and November 2018.
Interventions
BEHAVIORALVideo games
See arm description
Sponsors
National Library of Medicine (NLM)
University of Pittsburgh
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
25 Years to 100 Years
Inclusion criteria
* Participated in two prior clinical trials (Physician) * ≥65 years old (Patient) * enrolled in Medicare fee-for-service * sustained a moderate-severe injury (i.e. ISS \[injury severity score\] \>15) (Patient) * treated by physician enrolled in prior clinical trials (Patient)
Exclusion criteria
* Did not participate in two prior clinical trials (Physician) * \<65 years old (Patient)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients triaged to trauma centers | 1 year following the intervention | The investigators will use Medicare claims to measure the number of patients, treated by study participants, who present initially to non-trauma centers after a moderate-severe injury and are transferred to a Level I/II trauma center during that episode of care. They will compare triage patterns for patients treated by physicians in the intervention and in the control groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of moderate-severely injured patients who die 30-days after initial evaluation | 1 year following the intervention | Patient mortality 30-days after evaluation for a moderate-severe injury by a physician enrolled in the trial, compared among intervention and control groups. |
| Frequency of resources used for patients with moderate-severe injuries treated by participants | 1 year following intervention | Frequency of resources used (e.g. ICU admission, mechanical ventilation, disposition status) after initial presentation for a moderate-severe injury and treatment by a participating physician, compared among intervention and control groups. |
Countries
United States
Outcome results
None listed