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dc.contributor.authorKeijzers, Gerben B
dc.contributor.authorCampbell, Don
dc.contributor.authorHooper, Jeffrey
dc.contributor.authorBost, Nerolie
dc.contributor.authorCrilly, Julia
dc.contributor.authorSteele, Michael Craig
dc.contributor.authorDel Mar, Chris
dc.contributor.authorGeeraedts, Leo MG
dc.date.accessioned2018-10-05T01:30:42Z
dc.date.available2018-10-05T01:30:42Z
dc.date.issued2014
dc.date.modified2014-10-08T01:42:42Z
dc.identifier.issn0364-2313
dc.identifier.doi10.1007/s00268-013-2226-z
dc.identifier.urihttp://hdl.handle.net/10072/57403
dc.description.abstractOBJECTIVE: This study prospectively evaluated in-hospital and postdischarge missed injury rates in admitted trauma patients, before and after the formalisation of a trauma tertiary survey (TTS) procedure. METHODS: Prospective before-and-after cohort study. TTS were formalised in a single regional level II trauma hospital in November 2009. All multitrauma patients admitted between March-October 2009 (preformalisation of TTS) and December 2009-September 2010 (post-) were assessed for missed injury, classified into three types: Type I, in-hospital, (injury missed at initial assessment, detected within 24 h); Type II, in-hospital (detected in hospital after 24 h, missed at initial assessment and by TTS); Type III, postdischarge (detected after hospital discharge). Secondary outcome measures included TTS performance rates and functional outcomes at 1 and 6 months. RESULTS: A total of 487 trauma patients were included (pre-: n = 235; post-: n = 252). In-hospital missed injury rate (Types I and II combined) was similar for both groups (3.8 vs. 4.8 %, P = 0.61), as were postdischarge missed injury rates (Type III) at 1 month (13.7 vs. 11.5 %, P = 0.43), and 6 months (3.8 vs. 3.3 %, P = 0.84) after discharge. TTS performance was substantially higher in the post-group (27 vs. 42 %, P < 0.001). Functional outcomes for both cohorts were similar at 1 and 6 months follow-up. CONCLUSIONS: This is the first study to evaluate missed injury rates after hospital discharge and demonstrated cumulative missed injury rates >15 %. Some of these injuries were clinically relevant. Although TTS performance was significantly improved by formalising the process (from 27 to 42 %), this did not decrease missed injury rates.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoen_US
dc.publisherSpringer
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom222
dc.relation.ispartofpageto232
dc.relation.ispartofissue1
dc.relation.ispartofjournalWorld Journal of Surgery
dc.relation.ispartofvolume38
dc.rights.retentionY
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode111003
dc.subject.fieldofresearchcode1103
dc.titleA Prospective Evaluation of Missed Injuries in Trauma Patients, Before and After Formalising the Trauma Tertiary Survey
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.description.versionPublished
gro.facultyGriffith Health, School of Medicine
gro.rights.copyright© The Author(s) 2013. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
gro.date.issued2013
gro.hasfulltextFull Text
gro.griffith.authorSteele, Mike
gro.griffith.authorCrilly, Julia
gro.griffith.authorKeijzers, Gerben


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