Quality Control in the Management of Major Trauma Patients at Aarau Cantonal Hospital - Evaluation of Processes and Patient Outcome
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Injury
- Sponsor
- Kantonsspital Aarau
- Enrollment
- 3800
- Locations
- 1
- Primary Endpoint
- emergency room process times
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Quality control and improvement project: Assessment and analysis of processes and outcome in trauma emergency room and major trauma patients at the Aarau trauma center (cantonal hospital) with regard to initial emergency management, hospital processes and short- and long-term (1-and 2-year) outcome of patients (subjective and objective). Comparison of processes and outcome pre- and post- project initiative. Benchmarking with the literature and by participation in the German and Swiss Trauma registry each.
Detailed Description
Registry of all emergency patients arriving at Aarau trauma center following trauma with regard to possibly injury related pre- and inhospital demographic factors, process variables and outcome Parameters.
Investigators
Thomas Gross, MD
Prof. Dr. med.
Kantonsspital Aarau
Eligibility Criteria
Inclusion Criteria
- •major trauma: New Injury Severity Score (NISS) \>=8
- •for longer-term outcome: only patients firm in German language and able to respond to the postal questionnaire by themselves
Exclusion Criteria
- •no Trauma
- •injury \>24h before arrival at Aarau Cantonal Hospital
- •for longer-term outcome: patients not firm in German language and not able to respond to the postal questionnaire by themselves (dead, unavailable, refusal to participate, dementia, age\<16 years ecc.); a categorising compilation of cases is supposed to exclude any possible study bias
Outcomes
Primary Outcomes
emergency room process times
Time Frame: hours (<6)
Secondary Outcomes
- Trauma Outcome Profile (TOP)(1 and 2 year follow-up)
- Quality of Life after Brain Injury (QOLIBRI)(1 and 2 year follow-up)
- Euro Quality of Life Group health-related quality of life on five dimensions (EQ-5D)(1 and 2 year follow-up)
- hospital mortality(30 days)
- medical outcomes study Short Form-36 (SF-36)(1 and 2 year follow-up)
- reduced capacity to work(1 and 2 year outcome)