Patient and process factors associated with opportunities for improvement in trauma care: a registry-based study

Albaaj, HusseinDepartment of Global Public Health, Karolinska Institutet, Solna, Sweden (författare)

Patient and process factors associated with opportunities for improvement in trauma care : a registry-based study

QC 20240109
Background Trauma is one of the leading causes of morbidity and mortality worldwide. Morbidity and mortality review of selected patient cases is used to improve the quality of trauma care by identifying opportunities for improvement (OFI). The aim of this study was to assess how patient and process factors are associated with OFI in trauma care.Methods We conducted a registry-based study using all patients between 2017 and 2021 from the Karolinska University Hospital who had been reviewed regarding the presence of OFI as defined by a morbidity and mortality conference. We used bi- and multivariable logistic regression to assess the associations between the following patient and process factors and OFI: age, sex, respiratory rate, systolic blood pressure, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), survival at 30 days, highest hospital care level, arrival on working hours, arrival on weekends, intubation status and time to first computed tomography (CT).Results OFI was identified in 300 (5.8%) out of 5182 patients. Age, missing Glasgow Coma Scale, time to first CT, highest hospital care level and ISS were statistically significantly associated with OFI.Conclusion Several patient and process factors were found to be associated with OFI, indicating that patients with moderate to severe trauma and those with delays to first CT are at the highest odds of OFI.

Attergrim, JonatanKarolinska Institutet (författare)
Strömmer, LovisaDivision of Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden (författare)
Brattström, OlofPerioperative Medicine and Intensive Care, Karolinska University Hospital, Solna, Sweden; Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden (författare)
Jacobsson, Martin,1976-KTH,Hälsoinformatik och logistik(Swepub:kth)u1art3er (författare)
Wihlke, GunillaTrauma and Reparative Medicine, Karolinska University Hospital, Solna, Sweden (författare)
Västerbo, LiselottTrauma and Reparative Medicine, Karolinska University Hospital, Solna, Sweden (författare)
Joneborg, EliasDepartment of Global Public Health, Karolinska Institutet, Solna, Sweden (författare)
Gerdin Wärnberg, MartinKarolinska Institutet (författare)
Karolinska InstitutetDepartment of Global Public Health, Karolinska Institutet, Solna, Sweden (creator_code:org_t)

Ingår i:Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine: BioMed Central (BMC)31:11757-7241

Av författaren/redakt...: Albaaj, Hussein; Attergrim, Jonat ...; Strömmer, Lovisa; Brattström, Olof; Jacobsson, Marti ...; Wihlke, Gunilla; visa fler...; Västerbo, Liselo ...; Joneborg, Elias; Gerdin Wärnberg, ...; visa färre...

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