Trauma Registry: Trauma Quality indicators analysis in hospitalized patients
ABSTRACT Purpose: to consolidate a Trauma Register (TR) trough REDCap data acquisition platform and to validate, in this context, local Quality Indicators (QI) as improvement opportunities in trauma management. Methods: continuous data acquisition of all patients admitted in Irmandade da Santa C...
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgiões
2024-04-01
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| Series: | Revista do Colégio Brasileiro de Cirurgiões |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912024000100201&lng=en&tlng=en |
| _version_ | 1797216748180602880 |
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| author | LUCA GIOVANNI ANTONIO PIVETTA PEDRO DE SOUZA LUCARELLI ANTUNES GIOVANNA MENNITTI SHIMODA JOSÉ GUSTAVO PARREIRA JACQUELINE ARANTES GIANNINNI PERLINGEIRO JOSE CESAR ASSEF |
| author_facet | LUCA GIOVANNI ANTONIO PIVETTA PEDRO DE SOUZA LUCARELLI ANTUNES GIOVANNA MENNITTI SHIMODA JOSÉ GUSTAVO PARREIRA JACQUELINE ARANTES GIANNINNI PERLINGEIRO JOSE CESAR ASSEF |
| author_sort | LUCA GIOVANNI ANTONIO PIVETTA |
| collection | DOAJ |
| description | ABSTRACT Purpose: to consolidate a Trauma Register (TR) trough REDCap data acquisition platform and to validate, in this context, local Quality Indicators (QI) as improvement opportunities in trauma management. Methods: continuous data acquisition of all patients admitted in Irmandade da Santa Casa de Misericórdia de São Paulo adult Trauma bay and it’s validation in REDCap platform; 6 months retrospective cohort of QI impact in length of hospitalar stay, complications and mortality. Fisher, Chi-squared, Wilcoxon and Kruskal-Wallis tests were used to correlate QIs fails with the endpoints, considering p<0.05 and CI <95% as statically significant. Results: 465 were admitted in Trauma bay, with 137 patients hospitalized (29.5%); the number of QIs compromised were related with more complications (p=0.075) and increased length of stay (p=0.028), especially the delay in open fracture’s surgical management, which increased the severe complications’ incidence (p=0.005). Conclusion: the REDCap data acquisition platform is useful as a tool for multi center TR implementation, from ethical and logistical point of view; nevertheless, the proposed QIs are validated as attention points in trauma management, allowing improvements in traumatized patients treatment. |
| first_indexed | 2024-04-24T11:50:53Z |
| format | Article |
| id | doaj.art-21f973117a61422aa4dd14682469fc75 |
| institution | Directory Open Access Journal |
| issn | 1809-4546 |
| language | English |
| last_indexed | 2024-04-24T11:50:53Z |
| publishDate | 2024-04-01 |
| publisher | Colégio Brasileiro de Cirurgiões |
| record_format | Article |
| series | Revista do Colégio Brasileiro de Cirurgiões |
| spelling | doaj.art-21f973117a61422aa4dd14682469fc752024-04-09T07:47:13ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-45462024-04-015110.1590/0100-6991e-20243604-enTrauma Registry: Trauma Quality indicators analysis in hospitalized patientsLUCA GIOVANNI ANTONIO PIVETTAhttps://orcid.org/0000-0001-7895-4048PEDRO DE SOUZA LUCARELLI ANTUNEShttps://orcid.org/0000-0001-5224-9893GIOVANNA MENNITTI SHIMODAhttps://orcid.org/0009-0003-5986-2959JOSÉ GUSTAVO PARREIRAhttps://orcid.org/0000-0001-5883-9296JACQUELINE ARANTES GIANNINNI PERLINGEIROhttps://orcid.org/0000-0003-3730-8933JOSE CESAR ASSEFhttps://orcid.org/0000-0001-7341-9003ABSTRACT Purpose: to consolidate a Trauma Register (TR) trough REDCap data acquisition platform and to validate, in this context, local Quality Indicators (QI) as improvement opportunities in trauma management. Methods: continuous data acquisition of all patients admitted in Irmandade da Santa Casa de Misericórdia de São Paulo adult Trauma bay and it’s validation in REDCap platform; 6 months retrospective cohort of QI impact in length of hospitalar stay, complications and mortality. Fisher, Chi-squared, Wilcoxon and Kruskal-Wallis tests were used to correlate QIs fails with the endpoints, considering p<0.05 and CI <95% as statically significant. Results: 465 were admitted in Trauma bay, with 137 patients hospitalized (29.5%); the number of QIs compromised were related with more complications (p=0.075) and increased length of stay (p=0.028), especially the delay in open fracture’s surgical management, which increased the severe complications’ incidence (p=0.005). Conclusion: the REDCap data acquisition platform is useful as a tool for multi center TR implementation, from ethical and logistical point of view; nevertheless, the proposed QIs are validated as attention points in trauma management, allowing improvements in traumatized patients treatment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912024000100201&lng=en&tlng=enTraumatologyTrauma Severity IndicesQuality of Health Care |
| spellingShingle | LUCA GIOVANNI ANTONIO PIVETTA PEDRO DE SOUZA LUCARELLI ANTUNES GIOVANNA MENNITTI SHIMODA JOSÉ GUSTAVO PARREIRA JACQUELINE ARANTES GIANNINNI PERLINGEIRO JOSE CESAR ASSEF Trauma Registry: Trauma Quality indicators analysis in hospitalized patients Revista do Colégio Brasileiro de Cirurgiões Traumatology Trauma Severity Indices Quality of Health Care |
| title | Trauma Registry: Trauma Quality indicators analysis in hospitalized patients |
| title_full | Trauma Registry: Trauma Quality indicators analysis in hospitalized patients |
| title_fullStr | Trauma Registry: Trauma Quality indicators analysis in hospitalized patients |
| title_full_unstemmed | Trauma Registry: Trauma Quality indicators analysis in hospitalized patients |
| title_short | Trauma Registry: Trauma Quality indicators analysis in hospitalized patients |
| title_sort | trauma registry trauma quality indicators analysis in hospitalized patients |
| topic | Traumatology Trauma Severity Indices Quality of Health Care |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912024000100201&lng=en&tlng=en |
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