Evaluating the Joint Theater Trauma Registry as a data source to benchmark casualty care

Just as data from civilian trauma registries have been used to benchmark and evaluate civilian trauma care, data contained within the Joint Theater Trauma Registry (JTTR) present a unique opportunity to benchmark combat care. Using the iterative steps of the benchmarking process, we evaluated data i...

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Bibliographic Details
Published in:Military medicine 2012-05, Vol.177 (5), p.546-552
Main Authors: O'Connell, Karen M, Littleton-Kearney, Marguerite T, Bridges, Elizabeth, Bibb, Sandra C
Format: Article
Language:English
Subjects:
Adolescent
Adult
Benchmarking
Benchmarks
Brain research
Casualties
Data collection
Female
Humans
Hypotension
Hypothermia
Male
Military Personnel
Mortality
Multiple Trauma - mortality
Multiple Trauma - therapy
Outcome Assessment (Health Care)
Quality of Health Care - standards
Registries
Trauma
Trauma care
Traumatic brain injury
Warfare
Wounds and Injuries - physiopathology
Wounds and Injuries - therapy
Young Adult
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Summary:Just as data from civilian trauma registries have been used to benchmark and evaluate civilian trauma care, data contained within the Joint Theater Trauma Registry (JTTR) present a unique opportunity to benchmark combat care. Using the iterative steps of the benchmarking process, we evaluated data in the JTTR for suitability and established benchmarks for 24-hour mortality in casualties with polytrauma and a moderate or severe blunt traumatic brain injury (TBI). Mortality at 24 hours was greatest in those with polytrauma and a severe blunt TBI. No mortality was seen in casualties with polytrauma and a moderate blunt TBI. Secondary insults after TBI, especially hypothermia and hypoxemia, increased the odds of 24-hour mortality. Data contained in the JTTR were found to be suitable for establishing benchmarks. JTTR data may be useful in establishing benchmarks for other outcomes and types of combat injuries.
ISSN:0026-4075
1930-613X
DOI:10.7205/MILMED-D-11-00422