Management of Major Trauma Patients at Aarau Trauma Center - Evaluation of Processes and Patient Outcome

Completed

• Conditions: Injury; Trauma; Major Trauma; Multiple Trauma

• Registration Number: NCT02165137
• Lead Sponsor: Kantonsspital Aarau

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.

Study Timeline

• Study Start: 2010-01
• Study First Submitted: 2014-06-11
• Study First Submitted QC: 2014-06-13
• Study First Posted: 2014-06-17
• Primary Completion: 2019-12
• Study Completion: 2020-12
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-12
• Last Update Posted: 2024-03-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 3800

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
• NISS<8
• 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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
emergency room process times	hours (<6)

Secondary Outcome Measures

Name	Time	Method
Trauma Outcome Profile (TOP)	1 and 2 year follow-up	score
hospital mortality	30 days
Quality of Life after Brain Injury (QOLIBRI)	1 and 2 year follow-up	score
Euro Quality of Life Group health-related quality of life on five dimensions (EQ-5D)	1 and 2 year follow-up	score
medical outcomes study Short Form-36 (SF-36)	1 and 2 year follow-up	score
reduced capacity to work	1 and 2 year outcome	Value (%);e.g. see Gross T, Attenberger C, Huegli RW, Amsler F. Factors associated with reduced longer-term capacity to work in patients after polytrauma: a Swiss trauma center experience. J Am Coll Surg. 2010 Jul;211(1):81-91

Trial Locations

Locations (1)

Aarau Cantonal Hospital; 🇨🇭 Aarau, Aargau, Switzerland