centralisation, polytrauma care, quality and quantity of trauma care, mixed-methods study
Conditions
Interventions
This mixed-methods study has been set up with qualitative interviews, focus group discussions, description of patient journeys, and prospective observational data collection.
Sponsors
Network Acute Care Limburg
Eligibility
Inclusion criteria
Inclusion criteria: 1. Health care professionals - core members of the primary trauma care chain (ambulance nurses, MMT staff, nursing centralists ambulance, emergency roon physicians, trauma surgeons, anesthesiologists, rehabilitation physicians) 2. Patient journeys - patients admitted to emergency department because of traumatic injury - hospital admission - transfer from regional hospital to trauma center - 3-6 months after trauma - Dutch language in word and writing 3. Patients included in Dutch Trauma Registry - Included in Dutch Trauma Registry: admitted to emergency department because of traumatic injury, hospital admission, transfer from other location or hospital to trauma center
Exclusion criteria
Exclusion criteria: 2/3. Patient journeys and PROMs - Age < 18 years - Incapacitated
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Qualitative interviews with health care professionals - Expected positive and negative effects of centralisation of polytrauma care, leading to solutions for bottlenecks 2. Qualitative interviews with patients - Patients' experience with centralisation of polytrauma care 3. Quantitative data collection - Distribution of (poly)trauma patients in Limburg, The Netherlands - Patient reported outcome measures (quality of life - EQ5D and SF36) | — |
Secondary
| Measure | Time frame |
|---|---|
| 3. Quantitative data collection - Structure indicators (hospital location, availability of operating room, intensive care bed) - Proces indicators (number of polytraumapatients directly presented to the trauma center, number of polytrauma patients) - Outcome indicators (mortality at 30 and 90 days after trauma, duration till first CT scan, duration till first intervention, triage, ambulance response time, duration of transport, number of secundary transports, duration of treatment at emergency department, presence of trauma team, number of intensive care recordings, recording time intensive care and hospital | — |
Contacts
Public ContactAudrey Fiddelers
Network Acute Care Limburg P. Debeyelaan 25
Outcome results
None listed