Trauma registry in assessing severely injured patients' treatment and outcome at a tertiary trauma centre

Research output: ThesisDoctoral ThesisCollection of Articles

Abstract

Background: Trauma is responsible for an annual five million deaths worldwide, as well as for long-lasting morbidity and disability, especially in younger patients. In the acute care of severely injured patients, randomized controlled studies are practically impossible. Trauma registries collect detailed information on severe injuries, treatment, and outcome, and thus serve as an important tool in evaluating quality care. Aim: To evaluate severely injured patients’ treatment and outcome at a tertiary trauma centre (the trauma unit of Helsinki University Hospital, HUH Trauma Unit) by means of both internal and international trauma registry comparisons, and to explore roles, challenges, limitations, and possible future applications of trauma registries in benchmarking and quality control in Finland. Methods: This retrospective analysis is based on the trauma registry of Helsinki University Hospital (TR-THEL) and the German Trauma Registry (TR-DGU) and analyses injuries, treatment, and outcome of severely injured adult patients (New Injury Severity Score ≥16) treated at the HUH Trauma Unit and at German level-one trauma centres between 2006-13. It assesses a prognostic model for outcome adjustment by internal and external validation, and analyses the effect of a massive transfusion protocol (MTP) in the treatment and outcome of haemodynamically compromised trauma patients (systolic blood pressure
Original languageEnglish
Place of PublicationHelsinki
Publisher
Print ISBNs978-951-51-2911-6
Electronic ISBNs978-951-51-2912-3
Publication statusPublished - 2017
MoE publication typeG5 Doctoral dissertation (article)

Fields of Science

  • 3126 Surgery, anesthesiology, intensive care, radiology
  • 3112 Neurosciences

Cite this

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title = "Trauma registry in assessing severely injured patients' treatment and outcome at a tertiary trauma centre",
abstract = "Background: Trauma is responsible for an annual five million deaths worldwide, as well as for long-lasting morbidity and disability, especially in younger patients. In the acute care of severely injured patients, randomized controlled studies are practically impossible. Trauma registries collect detailed information on severe injuries, treatment, and outcome, and thus serve as an important tool in evaluating quality care. Aim: To evaluate severely injured patients’ treatment and outcome at a tertiary trauma centre (the trauma unit of Helsinki University Hospital, HUH Trauma Unit) by means of both internal and international trauma registry comparisons, and to explore roles, challenges, limitations, and possible future applications of trauma registries in benchmarking and quality control in Finland. Methods: This retrospective analysis is based on the trauma registry of Helsinki University Hospital (TR-THEL) and the German Trauma Registry (TR-DGU) and analyses injuries, treatment, and outcome of severely injured adult patients (New Injury Severity Score ≥16) treated at the HUH Trauma Unit and at German level-one trauma centres between 2006-13. It assesses a prognostic model for outcome adjustment by internal and external validation, and analyses the effect of a massive transfusion protocol (MTP) in the treatment and outcome of haemodynamically compromised trauma patients (systolic blood pressure",
keywords = "Blood Transfusion, +trends, Brain Injuries, +classification, +therapy, Emergency Medical Services, Germany, Hemorrhage, Hospital Mortality, Injury Severity Score, Isotonic Solutions, +administration & dosage, Multiple Trauma, +mortality, Prognosis, Registries, Resuscitation, Retrospective Studies, Survival Rate, Time-to-Treatment, Transportation of Patients, Trauma Centers, Treatment outcome, Unconsciousness, Wounds and Injuries, 3126 Surgery, anesthesiology, intensive care, radiology, 3112 Neurosciences",
author = "Tuomas Brinck",
note = "M1 - 70 s. + liitteet Volume: Proceeding volume:",
year = "2017",
language = "English",
isbn = "978-951-51-2911-6",
publisher = "[T. Brinck]",
address = "Finland",

}

Trauma registry in assessing severely injured patients' treatment and outcome at a tertiary trauma centre. / Brinck, Tuomas.

Helsinki : [T. Brinck], 2017. 70 p.

Research output: ThesisDoctoral ThesisCollection of Articles

TY - THES

T1 - Trauma registry in assessing severely injured patients' treatment and outcome at a tertiary trauma centre

AU - Brinck, Tuomas

N1 - M1 - 70 s. + liitteet Volume: Proceeding volume:

PY - 2017

Y1 - 2017

N2 - Background: Trauma is responsible for an annual five million deaths worldwide, as well as for long-lasting morbidity and disability, especially in younger patients. In the acute care of severely injured patients, randomized controlled studies are practically impossible. Trauma registries collect detailed information on severe injuries, treatment, and outcome, and thus serve as an important tool in evaluating quality care. Aim: To evaluate severely injured patients’ treatment and outcome at a tertiary trauma centre (the trauma unit of Helsinki University Hospital, HUH Trauma Unit) by means of both internal and international trauma registry comparisons, and to explore roles, challenges, limitations, and possible future applications of trauma registries in benchmarking and quality control in Finland. Methods: This retrospective analysis is based on the trauma registry of Helsinki University Hospital (TR-THEL) and the German Trauma Registry (TR-DGU) and analyses injuries, treatment, and outcome of severely injured adult patients (New Injury Severity Score ≥16) treated at the HUH Trauma Unit and at German level-one trauma centres between 2006-13. It assesses a prognostic model for outcome adjustment by internal and external validation, and analyses the effect of a massive transfusion protocol (MTP) in the treatment and outcome of haemodynamically compromised trauma patients (systolic blood pressure

AB - Background: Trauma is responsible for an annual five million deaths worldwide, as well as for long-lasting morbidity and disability, especially in younger patients. In the acute care of severely injured patients, randomized controlled studies are practically impossible. Trauma registries collect detailed information on severe injuries, treatment, and outcome, and thus serve as an important tool in evaluating quality care. Aim: To evaluate severely injured patients’ treatment and outcome at a tertiary trauma centre (the trauma unit of Helsinki University Hospital, HUH Trauma Unit) by means of both internal and international trauma registry comparisons, and to explore roles, challenges, limitations, and possible future applications of trauma registries in benchmarking and quality control in Finland. Methods: This retrospective analysis is based on the trauma registry of Helsinki University Hospital (TR-THEL) and the German Trauma Registry (TR-DGU) and analyses injuries, treatment, and outcome of severely injured adult patients (New Injury Severity Score ≥16) treated at the HUH Trauma Unit and at German level-one trauma centres between 2006-13. It assesses a prognostic model for outcome adjustment by internal and external validation, and analyses the effect of a massive transfusion protocol (MTP) in the treatment and outcome of haemodynamically compromised trauma patients (systolic blood pressure

KW - Blood Transfusion

KW - +trends

KW - Brain Injuries

KW - +classification

KW - +therapy

KW - Emergency Medical Services

KW - Germany

KW - Hemorrhage

KW - Hospital Mortality

KW - Injury Severity Score

KW - Isotonic Solutions

KW - +administration & dosage

KW - Multiple Trauma

KW - +mortality

KW - Prognosis

KW - Registries

KW - Resuscitation

KW - Retrospective Studies

KW - Survival Rate

KW - Time-to-Treatment

KW - Transportation of Patients

KW - Trauma Centers

KW - Treatment outcome

KW - Unconsciousness

KW - Wounds and Injuries

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KW - 3112 Neurosciences

M3 - Doctoral Thesis

SN - 978-951-51-2911-6

PB - [T. Brinck]

CY - Helsinki

ER -