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Collecting core data in severely injured patients using a consensus trauma template: an international multicentre
Kjetil Gorseth Ringdal1, Hans Morten Lossius, J Mary Jones
1Department of Research, Norwegian Air Ambulance Foundation, Holterveien 24, N-1440 Drøbak, Norway. kjetil.ringdal@norskluftambulanse.no
Critical Care (London, England)
|October 14, 2011
Summary
The Utstein Trauma Template is feasible for collecting data in international trauma centers, though definitions for survival and injury coding vary. This study highlights data collection attainability for a future European trauma registry.
Area of Science:
- Trauma care research
- International health data standards
- Injury severity scoring systems
Background:
- Lack of standardized definitions for documenting and comparing data from severely injured trauma patients globally.
- Need for a consistent framework to improve trauma patient data collection and analysis.
Purpose of the Study:
- To evaluate the feasibility of collecting data variables using the international consensus-derived Utstein Trauma Template.
- To assess data completeness, identify differences in data collection, and gauge the difficulty of data collection across international trauma centers.
Main Methods:
- Trauma centers from three continents participated, submitting Utstein Trauma Template core data for consecutive trauma patients.
- Inclusion criteria: directly admitted patients with a New Injury Severity Score (NISS) ≥ 16.
- Outcome variables: data completeness, data differences, and data collection difficulty.
Main Results:
- Data from 783 patients across 20 European, 3 North American, and 1 Australian center were analyzed.
- 13 out of 36 Utstein variables (36%) were collected by all centers; age, gender, and Abbreviated Injury Scale (AIS) were documented for all patients.
- Data completeness exceeded 80% for 28 variables, and 46% of centers used non-standard definitions for survival outcomes.
Conclusions:
- The Utstein Trauma Template is largely feasible across international trauma centers, with challenges in collecting certain physiological and time-sensitive variables.
- Significant variations were observed in the definitions of survival and in AIS coding practices.
- Findings indicate the attainability of data and support the development of a European trauma registry.
