Quality management of interdisciplinary treatment of polytrauma. Possibilities and limits of retrospective routine data collection

The purpose of this study was to evaluate the quality of interdisciplinary multiple trauma management using routinely taken data. A retrospective analysis of all multiple traumatized patients [Injury Severity Score (ISS)>15] in a university hospital (n=172; time period 01.01.1997-31.12.1999) was...

Full description

Saved in:
Bibliographic Details
Published in:Der Anaesthesist 2007-07, Vol.56 (7), p.673-678
Main Authors: Hirschmann, M T, Uike, K-N, Kaufmann, M, Huegli, R, Regazzoni, P, Gross, T
Format: Article
Language:ger
Subjects:
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Analysis of Variance
Blood Gas Analysis
Blood Pressure
Blood Transfusion
Child
Child, Preschool
Data Collection
Female
Glasgow Coma Scale
Hospitals, University
Humans
Male
Middle Aged
Multiple Trauma - chemically induced
Multiple Trauma - mortality
Multiple Trauma - therapy
Patient Care Team - standards
Patient Care Team - statistics & numerical data
Prognosis
Quality Assurance, Health Care - standards
Quality Assurance, Health Care - statistics & numerical data
Retrospective Studies
Shock - therapy
Treatment Outcome
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The purpose of this study was to evaluate the quality of interdisciplinary multiple trauma management using routinely taken data. A retrospective analysis of all multiple traumatized patients [Injury Severity Score (ISS)>15] in a university hospital (n=172; time period 01.01.1997-31.12.1999) was carried out concerning epidemiological and clinical variables and hospital outcome (p74 years, hypotension, decreasing hemoglobin level and prothrombin time, decreased Glasgow Coma Scale and the number of erythrocyte or plasma concentrates received in the initial period of treatment. The comparison of our results with the data of the German Association for Trauma Surgery registry demonstrated comparable results with respect to management sequence and outcome. In the quality management of multiple trauma patients retrospective analysis of routinely registered parameters can be a reliable and practical alternative to time-consuming prospective studies when based on prognostic relevant data. Such a procedure allows a preliminary critical comparison with other centers.
ISSN:0003-2417
DOI:10.1007/s00101-007-1192-y