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

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...

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Autores principales: Albaaj, Hussein, Attergrim, Jonatan, Strömmer, Lovisa, Brattström, Olof, Jacobsson, Martin, Wihlke, Gunilla, Västerbo, Liselott, Joneborg, Elias, Gerdin Wärnberg, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680227/
https://www.ncbi.nlm.nih.gov/pubmed/38012791
http://dx.doi.org/10.1186/s13049-023-01157-y
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author Albaaj, Hussein
Attergrim, Jonatan
Strömmer, Lovisa
Brattström, Olof
Jacobsson, Martin
Wihlke, Gunilla
Västerbo, Liselott
Joneborg, Elias
Gerdin Wärnberg, Martin
author_facet Albaaj, Hussein
Attergrim, Jonatan
Strömmer, Lovisa
Brattström, Olof
Jacobsson, Martin
Wihlke, Gunilla
Västerbo, Liselott
Joneborg, Elias
Gerdin Wärnberg, Martin
author_sort Albaaj, Hussein
collection PubMed
description 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.
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spelling pubmed-106802272023-11-27 Patient and process factors associated with opportunities for improvement in trauma care: a registry-based study Albaaj, Hussein Attergrim, Jonatan Strömmer, Lovisa Brattström, Olof Jacobsson, Martin Wihlke, Gunilla Västerbo, Liselott Joneborg, Elias Gerdin Wärnberg, Martin Scand J Trauma Resusc Emerg Med Original Research 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. BioMed Central 2023-11-27 /pmc/articles/PMC10680227/ /pubmed/38012791 http://dx.doi.org/10.1186/s13049-023-01157-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Original Research
Albaaj, Hussein
Attergrim, Jonatan
Strömmer, Lovisa
Brattström, Olof
Jacobsson, Martin
Wihlke, Gunilla
Västerbo, Liselott
Joneborg, Elias
Gerdin Wärnberg, Martin
Patient and process factors associated with opportunities for improvement in trauma care: a registry-based study
title Patient and process factors associated with opportunities for improvement in trauma care: a registry-based study
title_full Patient and process factors associated with opportunities for improvement in trauma care: a registry-based study
title_fullStr Patient and process factors associated with opportunities for improvement in trauma care: a registry-based study
title_full_unstemmed Patient and process factors associated with opportunities for improvement in trauma care: a registry-based study
title_short Patient and process factors associated with opportunities for improvement in trauma care: a registry-based study
title_sort patient and process factors associated with opportunities for improvement in trauma care: a registry-based study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680227/
https://www.ncbi.nlm.nih.gov/pubmed/38012791
http://dx.doi.org/10.1186/s13049-023-01157-y
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