dc.contributor.author | Keijzers, Gerben B | |
dc.contributor.author | Campbell, Don | |
dc.contributor.author | Hooper, Jeffrey | |
dc.contributor.author | Bost, Nerolie | |
dc.contributor.author | Crilly, Julia | |
dc.contributor.author | Steele, Michael Craig | |
dc.contributor.author | Del Mar, Chris | |
dc.contributor.author | Geeraedts, Leo MG | |
dc.date.accessioned | 2018-10-05T01:30:42Z | |
dc.date.available | 2018-10-05T01:30:42Z | |
dc.date.issued | 2014 | |
dc.date.modified | 2014-10-08T01:42:42Z | |
dc.identifier.issn | 0364-2313 | |
dc.identifier.doi | 10.1007/s00268-013-2226-z | |
dc.identifier.uri | http://hdl.handle.net/10072/57403 | |
dc.description.abstract | OBJECTIVE: 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.peerreviewed | Yes | |
dc.description.publicationstatus | Yes | |
dc.language | English | |
dc.language.iso | en_US | |
dc.publisher | Springer | |
dc.publisher.place | United States | |
dc.relation.ispartofstudentpublication | N | |
dc.relation.ispartofpagefrom | 222 | |
dc.relation.ispartofpageto | 232 | |
dc.relation.ispartofissue | 1 | |
dc.relation.ispartofjournal | World Journal of Surgery | |
dc.relation.ispartofvolume | 38 | |
dc.rights.retention | Y | |
dc.subject.fieldofresearch | Clinical Nursing: Secondary (Acute Care) | |
dc.subject.fieldofresearch | Clinical Sciences | |
dc.subject.fieldofresearchcode | 111003 | |
dc.subject.fieldofresearchcode | 1103 | |
dc.title | A Prospective Evaluation of Missed Injuries in Trauma Patients, Before and After Formalising the Trauma Tertiary Survey | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dcterms.license | http://creativecommons.org/licenses/by/4.0/ | |
dc.description.version | Published | |
gro.faculty | Griffith 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.issued | 2013 | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Steele, Mike | |
gro.griffith.author | Crilly, Julia | |
gro.griffith.author | Keijzers, Gerben | |