Reporting data following major trauma and analysing factors associated with outcome using the new Utstein style recommendations

• Published in: Resuscitation 2001-09, Vol.50 (3), p.263-272
• Main Authors: Lossius, Hans Morten, Langhelle, Audun, S —reide, Eldar, Pillgram-Larsen, Johan, Lossius, Tine Askvik, Laake, Petter, Steen, Petter Andreas
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Child; Child, Preschool; Data Collection - standards; Documentation - standards; Emergency and intensive care: injuries, diseases due to physical agents. Diving. Drowning. Disaster medicine; Emergency Medical Services - standards; Europe; Female; Grelha Utstein; Humans; Infant; Intensive care medicine; Male; Medical Records - standards; Medical sciences; Middle Aged; Outcome; Patient Transfer; Prognóstico; Time Factors; Trauma; Trauma Centers; Treatment Outcome; Triage; Triagem; Utstein template; Wounds and Injuries - diagnosis; Wounds and Injuries - therapy
• ISSN: 0300-9572; 1873-1570
• DOI: 10.1016/S0300-9572(01)00361-6

Study objective: To collect and present retrospectively the recommended core data from the Utstein style, analyse factors associated with outcome in major trauma, and discuss the value of the Utstein style definition of major trauma. Design: A retrospective trauma cohort study. Setting: A Norwegian trauma system with a 1200 bed combined local and referral trauma hospital without a formal trauma registry, covering a population of ≈2.0 million. Participants: 3391 injured patients admitted 12 months from January 15, 1996. Main outcome measures: Recommended core data from the Utstein style, and factors associated with outcome defined as in-hospital death within 30 days. Results: 225 patients had an injury severity score (ISS)>15. In each of the 225 patients, we were able to obtain at least 47% of the recommended core data. Age >70 years, fall as a mechanism of injury, and a Trauma Score (TS)≤14 were significantly associated with poor outcome. Of 22 with no major trauma (ISS15) did not cover all life-threatening injuries. The implementation of trauma registries based on the Utstein style recommendations could facilitate system evaluation and comparison, but definitions and categorisations should be further developed. Efforts should be made to reduce the number of core data. Objectivo do estudo: Recolher e apresentar retrospectivamente os dados nucleares segundo as recomendações do “Utstein style”, analisar factores associados com prognóstico no trauma e discutir o valor da definição de trauma major das recomendações do “Utstein style”. Tipo de estudo: Estudo retrospectivo de uma coorte de doentes com trauma. Ambiente: Sistema norueguês de trauma que conta com 1200 camas associadas entre um sistema local e um hospital de referência em trauma, sem registo formal de trauma, cobrindo uma população de 2 milhões. Participantes: 3391 traumatizados admitidos a partir de 15 de Janeiro de 1996. Medidas principais de prognóstico: Dados nucleares recomendados no Estilo Utstein e factores associados com o prognóstico definido como mortalidade hospitalar em 30 dias. Resultados: 225 pacientes tinham um ı́ndice de gravidade (ISS)>15. Em cada um deles con