Benchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB)
Background National trauma registries have helped improve patient outcomes across the world. Recently, the idea of an International Trauma Data Bank (ITDB) has been suggested to establish global comparative assessments of trauma outcomes. The objective of this study was to determine whether global t...
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| Autor*in: |
Haider, Adil H. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2014 |
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| Anmerkung: |
© Société Internationale de Chirurgie 2014 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 38(2014), 8 vom: 10. Mai, Seite 1882-1891 |
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| Übergeordnetes Werk: |
volume:38 ; year:2014 ; number:8 ; day:10 ; month:05 ; pages:1882-1891 |
| Links: |
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| DOI / URN: |
10.1007/s00268-014-2629-5 |
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SPR003448924 |
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| 520 | |a Background National trauma registries have helped improve patient outcomes across the world. Recently, the idea of an International Trauma Data Bank (ITDB) has been suggested to establish global comparative assessments of trauma outcomes. The objective of this study was to determine whether global trauma data could be combined to perform international outcomes benchmarking. Methods We used observed/expected (O/E) mortality ratios to compare two trauma centers [European high-income country (HIC) and Asian lower-middle income country (LMIC)] with centers in the North American National Trauma Data Bank (NTDB). Patients (≥16 years) with blunt/penetrating injuries were included. Multivariable logistic regression, adjusting for known predictors of trauma mortality, was performed. Estimates were used to predict the expected deaths at each center and to calculate O/E mortality ratios for benchmarking. Results A total of 375,433 patients from 301 centers were included from the NTDB (2002–2010). The LMIC trauma center had 806 patients (2002–2010), whereas the HIC reported 1,003 patients (2002–2004). The most important known predictors of trauma mortality were adequately recorded in all datasets. Mortality benchmarking revealed that the HIC center performed similarly to the NTDB centers [O/E = 1.11 (95 % confidence interval (CI) 0.92–1.35)], whereas the LMIC center showed significantly worse survival [O/E = 1.52 (1.23–1.88)]. Subset analyses of patients with blunt or penetrating injury showed similar results. Conclusions Using only a few key covariates, aggregated global trauma data can be used to adequately perform international trauma center benchmarking. The creation of the ITDB is feasible and recommended as it may be a pivotal step towards improving global trauma outcomes. | ||
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10.1007/s00268-014-2629-5 doi (DE-627)SPR003448924 (SPR)s00268-014-2629-5-e DE-627 ger DE-627 rakwb eng Haider, Adil H. verfasserin aut Benchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB) 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2014 Background National trauma registries have helped improve patient outcomes across the world. Recently, the idea of an International Trauma Data Bank (ITDB) has been suggested to establish global comparative assessments of trauma outcomes. The objective of this study was to determine whether global trauma data could be combined to perform international outcomes benchmarking. Methods We used observed/expected (O/E) mortality ratios to compare two trauma centers [European high-income country (HIC) and Asian lower-middle income country (LMIC)] with centers in the North American National Trauma Data Bank (NTDB). Patients (≥16 years) with blunt/penetrating injuries were included. Multivariable logistic regression, adjusting for known predictors of trauma mortality, was performed. Estimates were used to predict the expected deaths at each center and to calculate O/E mortality ratios for benchmarking. Results A total of 375,433 patients from 301 centers were included from the NTDB (2002–2010). The LMIC trauma center had 806 patients (2002–2010), whereas the HIC reported 1,003 patients (2002–2004). The most important known predictors of trauma mortality were adequately recorded in all datasets. Mortality benchmarking revealed that the HIC center performed similarly to the NTDB centers [O/E = 1.11 (95 % confidence interval (CI) 0.92–1.35)], whereas the LMIC center showed significantly worse survival [O/E = 1.52 (1.23–1.88)]. Subset analyses of patients with blunt or penetrating injury showed similar results. Conclusions Using only a few key covariates, aggregated global trauma data can be used to adequately perform international trauma center benchmarking. The creation of the ITDB is feasible and recommended as it may be a pivotal step towards improving global trauma outcomes. Injury Severity Score (dpeaa)DE-He213 Trauma Center (dpeaa)DE-He213 Trauma Care (dpeaa)DE-He213 Abbreviate Injury Scale (dpeaa)DE-He213 Trauma Registry (dpeaa)DE-He213 Hashmi, Zain G. aut Gupta, Sonia aut Zafar, Syed Nabeel aut David, Jean-Stephane aut Efron, David T. aut Stevens, Kent A. aut Zafar, Hasnain aut Schneider, Eric B. aut Voiglio, Eric aut Coimbra, Raul aut Haut, Elliott R. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2014), 8 vom: 10. Mai, Seite 1882-1891 (DE-627)SPR003391159 nnns volume:38 year:2014 number:8 day:10 month:05 pages:1882-1891 https://dx.doi.org/10.1007/s00268-014-2629-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 38 2014 8 10 05 1882-1891 |
| spelling |
10.1007/s00268-014-2629-5 doi (DE-627)SPR003448924 (SPR)s00268-014-2629-5-e DE-627 ger DE-627 rakwb eng Haider, Adil H. verfasserin aut Benchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB) 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2014 Background National trauma registries have helped improve patient outcomes across the world. Recently, the idea of an International Trauma Data Bank (ITDB) has been suggested to establish global comparative assessments of trauma outcomes. The objective of this study was to determine whether global trauma data could be combined to perform international outcomes benchmarking. Methods We used observed/expected (O/E) mortality ratios to compare two trauma centers [European high-income country (HIC) and Asian lower-middle income country (LMIC)] with centers in the North American National Trauma Data Bank (NTDB). Patients (≥16 years) with blunt/penetrating injuries were included. Multivariable logistic regression, adjusting for known predictors of trauma mortality, was performed. Estimates were used to predict the expected deaths at each center and to calculate O/E mortality ratios for benchmarking. Results A total of 375,433 patients from 301 centers were included from the NTDB (2002–2010). The LMIC trauma center had 806 patients (2002–2010), whereas the HIC reported 1,003 patients (2002–2004). The most important known predictors of trauma mortality were adequately recorded in all datasets. Mortality benchmarking revealed that the HIC center performed similarly to the NTDB centers [O/E = 1.11 (95 % confidence interval (CI) 0.92–1.35)], whereas the LMIC center showed significantly worse survival [O/E = 1.52 (1.23–1.88)]. Subset analyses of patients with blunt or penetrating injury showed similar results. Conclusions Using only a few key covariates, aggregated global trauma data can be used to adequately perform international trauma center benchmarking. The creation of the ITDB is feasible and recommended as it may be a pivotal step towards improving global trauma outcomes. Injury Severity Score (dpeaa)DE-He213 Trauma Center (dpeaa)DE-He213 Trauma Care (dpeaa)DE-He213 Abbreviate Injury Scale (dpeaa)DE-He213 Trauma Registry (dpeaa)DE-He213 Hashmi, Zain G. aut Gupta, Sonia aut Zafar, Syed Nabeel aut David, Jean-Stephane aut Efron, David T. aut Stevens, Kent A. aut Zafar, Hasnain aut Schneider, Eric B. aut Voiglio, Eric aut Coimbra, Raul aut Haut, Elliott R. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2014), 8 vom: 10. Mai, Seite 1882-1891 (DE-627)SPR003391159 nnns volume:38 year:2014 number:8 day:10 month:05 pages:1882-1891 https://dx.doi.org/10.1007/s00268-014-2629-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 38 2014 8 10 05 1882-1891 |
| allfields_unstemmed |
10.1007/s00268-014-2629-5 doi (DE-627)SPR003448924 (SPR)s00268-014-2629-5-e DE-627 ger DE-627 rakwb eng Haider, Adil H. verfasserin aut Benchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB) 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2014 Background National trauma registries have helped improve patient outcomes across the world. Recently, the idea of an International Trauma Data Bank (ITDB) has been suggested to establish global comparative assessments of trauma outcomes. The objective of this study was to determine whether global trauma data could be combined to perform international outcomes benchmarking. Methods We used observed/expected (O/E) mortality ratios to compare two trauma centers [European high-income country (HIC) and Asian lower-middle income country (LMIC)] with centers in the North American National Trauma Data Bank (NTDB). Patients (≥16 years) with blunt/penetrating injuries were included. Multivariable logistic regression, adjusting for known predictors of trauma mortality, was performed. Estimates were used to predict the expected deaths at each center and to calculate O/E mortality ratios for benchmarking. Results A total of 375,433 patients from 301 centers were included from the NTDB (2002–2010). The LMIC trauma center had 806 patients (2002–2010), whereas the HIC reported 1,003 patients (2002–2004). The most important known predictors of trauma mortality were adequately recorded in all datasets. Mortality benchmarking revealed that the HIC center performed similarly to the NTDB centers [O/E = 1.11 (95 % confidence interval (CI) 0.92–1.35)], whereas the LMIC center showed significantly worse survival [O/E = 1.52 (1.23–1.88)]. Subset analyses of patients with blunt or penetrating injury showed similar results. Conclusions Using only a few key covariates, aggregated global trauma data can be used to adequately perform international trauma center benchmarking. The creation of the ITDB is feasible and recommended as it may be a pivotal step towards improving global trauma outcomes. Injury Severity Score (dpeaa)DE-He213 Trauma Center (dpeaa)DE-He213 Trauma Care (dpeaa)DE-He213 Abbreviate Injury Scale (dpeaa)DE-He213 Trauma Registry (dpeaa)DE-He213 Hashmi, Zain G. aut Gupta, Sonia aut Zafar, Syed Nabeel aut David, Jean-Stephane aut Efron, David T. aut Stevens, Kent A. aut Zafar, Hasnain aut Schneider, Eric B. aut Voiglio, Eric aut Coimbra, Raul aut Haut, Elliott R. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2014), 8 vom: 10. Mai, Seite 1882-1891 (DE-627)SPR003391159 nnns volume:38 year:2014 number:8 day:10 month:05 pages:1882-1891 https://dx.doi.org/10.1007/s00268-014-2629-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 38 2014 8 10 05 1882-1891 |
| allfieldsGer |
10.1007/s00268-014-2629-5 doi (DE-627)SPR003448924 (SPR)s00268-014-2629-5-e DE-627 ger DE-627 rakwb eng Haider, Adil H. verfasserin aut Benchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB) 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2014 Background National trauma registries have helped improve patient outcomes across the world. Recently, the idea of an International Trauma Data Bank (ITDB) has been suggested to establish global comparative assessments of trauma outcomes. The objective of this study was to determine whether global trauma data could be combined to perform international outcomes benchmarking. Methods We used observed/expected (O/E) mortality ratios to compare two trauma centers [European high-income country (HIC) and Asian lower-middle income country (LMIC)] with centers in the North American National Trauma Data Bank (NTDB). Patients (≥16 years) with blunt/penetrating injuries were included. Multivariable logistic regression, adjusting for known predictors of trauma mortality, was performed. Estimates were used to predict the expected deaths at each center and to calculate O/E mortality ratios for benchmarking. Results A total of 375,433 patients from 301 centers were included from the NTDB (2002–2010). The LMIC trauma center had 806 patients (2002–2010), whereas the HIC reported 1,003 patients (2002–2004). The most important known predictors of trauma mortality were adequately recorded in all datasets. Mortality benchmarking revealed that the HIC center performed similarly to the NTDB centers [O/E = 1.11 (95 % confidence interval (CI) 0.92–1.35)], whereas the LMIC center showed significantly worse survival [O/E = 1.52 (1.23–1.88)]. Subset analyses of patients with blunt or penetrating injury showed similar results. Conclusions Using only a few key covariates, aggregated global trauma data can be used to adequately perform international trauma center benchmarking. The creation of the ITDB is feasible and recommended as it may be a pivotal step towards improving global trauma outcomes. Injury Severity Score (dpeaa)DE-He213 Trauma Center (dpeaa)DE-He213 Trauma Care (dpeaa)DE-He213 Abbreviate Injury Scale (dpeaa)DE-He213 Trauma Registry (dpeaa)DE-He213 Hashmi, Zain G. aut Gupta, Sonia aut Zafar, Syed Nabeel aut David, Jean-Stephane aut Efron, David T. aut Stevens, Kent A. aut Zafar, Hasnain aut Schneider, Eric B. aut Voiglio, Eric aut Coimbra, Raul aut Haut, Elliott R. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2014), 8 vom: 10. Mai, Seite 1882-1891 (DE-627)SPR003391159 nnns volume:38 year:2014 number:8 day:10 month:05 pages:1882-1891 https://dx.doi.org/10.1007/s00268-014-2629-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 38 2014 8 10 05 1882-1891 |
| allfieldsSound |
10.1007/s00268-014-2629-5 doi (DE-627)SPR003448924 (SPR)s00268-014-2629-5-e DE-627 ger DE-627 rakwb eng Haider, Adil H. verfasserin aut Benchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB) 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2014 Background National trauma registries have helped improve patient outcomes across the world. Recently, the idea of an International Trauma Data Bank (ITDB) has been suggested to establish global comparative assessments of trauma outcomes. The objective of this study was to determine whether global trauma data could be combined to perform international outcomes benchmarking. Methods We used observed/expected (O/E) mortality ratios to compare two trauma centers [European high-income country (HIC) and Asian lower-middle income country (LMIC)] with centers in the North American National Trauma Data Bank (NTDB). Patients (≥16 years) with blunt/penetrating injuries were included. Multivariable logistic regression, adjusting for known predictors of trauma mortality, was performed. Estimates were used to predict the expected deaths at each center and to calculate O/E mortality ratios for benchmarking. Results A total of 375,433 patients from 301 centers were included from the NTDB (2002–2010). The LMIC trauma center had 806 patients (2002–2010), whereas the HIC reported 1,003 patients (2002–2004). The most important known predictors of trauma mortality were adequately recorded in all datasets. Mortality benchmarking revealed that the HIC center performed similarly to the NTDB centers [O/E = 1.11 (95 % confidence interval (CI) 0.92–1.35)], whereas the LMIC center showed significantly worse survival [O/E = 1.52 (1.23–1.88)]. Subset analyses of patients with blunt or penetrating injury showed similar results. Conclusions Using only a few key covariates, aggregated global trauma data can be used to adequately perform international trauma center benchmarking. The creation of the ITDB is feasible and recommended as it may be a pivotal step towards improving global trauma outcomes. Injury Severity Score (dpeaa)DE-He213 Trauma Center (dpeaa)DE-He213 Trauma Care (dpeaa)DE-He213 Abbreviate Injury Scale (dpeaa)DE-He213 Trauma Registry (dpeaa)DE-He213 Hashmi, Zain G. aut Gupta, Sonia aut Zafar, Syed Nabeel aut David, Jean-Stephane aut Efron, David T. aut Stevens, Kent A. aut Zafar, Hasnain aut Schneider, Eric B. aut Voiglio, Eric aut Coimbra, Raul aut Haut, Elliott R. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2014), 8 vom: 10. Mai, Seite 1882-1891 (DE-627)SPR003391159 nnns volume:38 year:2014 number:8 day:10 month:05 pages:1882-1891 https://dx.doi.org/10.1007/s00268-014-2629-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 38 2014 8 10 05 1882-1891 |
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Recently, the idea of an International Trauma Data Bank (ITDB) has been suggested to establish global comparative assessments of trauma outcomes. The objective of this study was to determine whether global trauma data could be combined to perform international outcomes benchmarking. Methods We used observed/expected (O/E) mortality ratios to compare two trauma centers [European high-income country (HIC) and Asian lower-middle income country (LMIC)] with centers in the North American National Trauma Data Bank (NTDB). Patients (≥16 years) with blunt/penetrating injuries were included. Multivariable logistic regression, adjusting for known predictors of trauma mortality, was performed. Estimates were used to predict the expected deaths at each center and to calculate O/E mortality ratios for benchmarking. Results A total of 375,433 patients from 301 centers were included from the NTDB (2002–2010). The LMIC trauma center had 806 patients (2002–2010), whereas the HIC reported 1,003 patients (2002–2004). The most important known predictors of trauma mortality were adequately recorded in all datasets. Mortality benchmarking revealed that the HIC center performed similarly to the NTDB centers [O/E = 1.11 (95 % confidence interval (CI) 0.92–1.35)], whereas the LMIC center showed significantly worse survival [O/E = 1.52 (1.23–1.88)]. Subset analyses of patients with blunt or penetrating injury showed similar results. Conclusions Using only a few key covariates, aggregated global trauma data can be used to adequately perform international trauma center benchmarking. 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Haider, Adil H. Hashmi, Zain G. Gupta, Sonia Zafar, Syed Nabeel David, Jean-Stephane Efron, David T. Stevens, Kent A. Zafar, Hasnain Schneider, Eric B. Voiglio, Eric Coimbra, Raul Haut, Elliott R. |
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benchmarking of trauma care worldwide: the potential value of an international trauma data bank (itdb) |
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Benchmarking of Trauma Care Worldwide: The Potential Value of an International Trauma Data Bank (ITDB) |
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Background National trauma registries have helped improve patient outcomes across the world. Recently, the idea of an International Trauma Data Bank (ITDB) has been suggested to establish global comparative assessments of trauma outcomes. The objective of this study was to determine whether global trauma data could be combined to perform international outcomes benchmarking. Methods We used observed/expected (O/E) mortality ratios to compare two trauma centers [European high-income country (HIC) and Asian lower-middle income country (LMIC)] with centers in the North American National Trauma Data Bank (NTDB). Patients (≥16 years) with blunt/penetrating injuries were included. Multivariable logistic regression, adjusting for known predictors of trauma mortality, was performed. Estimates were used to predict the expected deaths at each center and to calculate O/E mortality ratios for benchmarking. Results A total of 375,433 patients from 301 centers were included from the NTDB (2002–2010). The LMIC trauma center had 806 patients (2002–2010), whereas the HIC reported 1,003 patients (2002–2004). The most important known predictors of trauma mortality were adequately recorded in all datasets. Mortality benchmarking revealed that the HIC center performed similarly to the NTDB centers [O/E = 1.11 (95 % confidence interval (CI) 0.92–1.35)], whereas the LMIC center showed significantly worse survival [O/E = 1.52 (1.23–1.88)]. Subset analyses of patients with blunt or penetrating injury showed similar results. Conclusions Using only a few key covariates, aggregated global trauma data can be used to adequately perform international trauma center benchmarking. The creation of the ITDB is feasible and recommended as it may be a pivotal step towards improving global trauma outcomes. © Société Internationale de Chirurgie 2014 |
| abstractGer |
Background National trauma registries have helped improve patient outcomes across the world. Recently, the idea of an International Trauma Data Bank (ITDB) has been suggested to establish global comparative assessments of trauma outcomes. The objective of this study was to determine whether global trauma data could be combined to perform international outcomes benchmarking. Methods We used observed/expected (O/E) mortality ratios to compare two trauma centers [European high-income country (HIC) and Asian lower-middle income country (LMIC)] with centers in the North American National Trauma Data Bank (NTDB). Patients (≥16 years) with blunt/penetrating injuries were included. Multivariable logistic regression, adjusting for known predictors of trauma mortality, was performed. Estimates were used to predict the expected deaths at each center and to calculate O/E mortality ratios for benchmarking. Results A total of 375,433 patients from 301 centers were included from the NTDB (2002–2010). The LMIC trauma center had 806 patients (2002–2010), whereas the HIC reported 1,003 patients (2002–2004). The most important known predictors of trauma mortality were adequately recorded in all datasets. Mortality benchmarking revealed that the HIC center performed similarly to the NTDB centers [O/E = 1.11 (95 % confidence interval (CI) 0.92–1.35)], whereas the LMIC center showed significantly worse survival [O/E = 1.52 (1.23–1.88)]. Subset analyses of patients with blunt or penetrating injury showed similar results. Conclusions Using only a few key covariates, aggregated global trauma data can be used to adequately perform international trauma center benchmarking. The creation of the ITDB is feasible and recommended as it may be a pivotal step towards improving global trauma outcomes. © Société Internationale de Chirurgie 2014 |
| abstract_unstemmed |
Background National trauma registries have helped improve patient outcomes across the world. Recently, the idea of an International Trauma Data Bank (ITDB) has been suggested to establish global comparative assessments of trauma outcomes. The objective of this study was to determine whether global trauma data could be combined to perform international outcomes benchmarking. Methods We used observed/expected (O/E) mortality ratios to compare two trauma centers [European high-income country (HIC) and Asian lower-middle income country (LMIC)] with centers in the North American National Trauma Data Bank (NTDB). Patients (≥16 years) with blunt/penetrating injuries were included. Multivariable logistic regression, adjusting for known predictors of trauma mortality, was performed. Estimates were used to predict the expected deaths at each center and to calculate O/E mortality ratios for benchmarking. Results A total of 375,433 patients from 301 centers were included from the NTDB (2002–2010). The LMIC trauma center had 806 patients (2002–2010), whereas the HIC reported 1,003 patients (2002–2004). The most important known predictors of trauma mortality were adequately recorded in all datasets. Mortality benchmarking revealed that the HIC center performed similarly to the NTDB centers [O/E = 1.11 (95 % confidence interval (CI) 0.92–1.35)], whereas the LMIC center showed significantly worse survival [O/E = 1.52 (1.23–1.88)]. Subset analyses of patients with blunt or penetrating injury showed similar results. Conclusions Using only a few key covariates, aggregated global trauma data can be used to adequately perform international trauma center benchmarking. The creation of the ITDB is feasible and recommended as it may be a pivotal step towards improving global trauma outcomes. © Société Internationale de Chirurgie 2014 |
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Hashmi, Zain G. Gupta, Sonia Zafar, Syed Nabeel David, Jean-Stephane Efron, David T. Stevens, Kent A. Zafar, Hasnain Schneider, Eric B. Voiglio, Eric Coimbra, Raul Haut, Elliott R. |
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Hashmi, Zain G. Gupta, Sonia Zafar, Syed Nabeel David, Jean-Stephane Efron, David T. Stevens, Kent A. Zafar, Hasnain Schneider, Eric B. Voiglio, Eric Coimbra, Raul Haut, Elliott R. |
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