Specifications for calculation of risk-adjusted odds of death using trauma registry data
Logistic regression models, with coefficients developed from normative populations, can be applied to a trauma registry cohort to predict the risk-adjusted frequency of death. Quality of care is judged based on differences between predicted and observed mortality frequency. The goal of these analyse...
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Veröffentlicht in: | The American journal of surgery 1997-05, Vol.173 (5), p.422-425 |
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creator | Mullins, Richard J. Clay Mann, N. Brand, Dawn M. Lenfesty, Barbara S. |
description | Logistic regression models, with coefficients developed from normative populations, can be applied to a trauma registry cohort to predict the risk-adjusted frequency of death. Quality of care is judged based on differences between predicted and observed mortality frequency. The goal of these analyses was to determine if decedents who died in the emergency department had independent variables associated with risk of death identical to those who died after hospital admission.
This case-control study is based upon decedents in a trauma registry matched to survivors. Backward stepwise linear logistic regression models contained independent variables selected to reflect patients' status before treatment.
Beta coefficients and independent variables selected for models of expired emergency department patients were different from those of hospital death patients.
To achieve a more precise determination of risk-adjusted mortality for injured patients at a trauma center, two separate analyses are appropriate: death in emergency department and death after hospital admission. |
doi_str_mv | 10.1016/S0002-9610(97)89581-5 |
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This case-control study is based upon decedents in a trauma registry matched to survivors. Backward stepwise linear logistic regression models contained independent variables selected to reflect patients' status before treatment.
Beta coefficients and independent variables selected for models of expired emergency department patients were different from those of hospital death patients.
To achieve a more precise determination of risk-adjusted mortality for injured patients at a trauma center, two separate analyses are appropriate: death in emergency department and death after hospital admission.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(97)89581-5</identifier><identifier>PMID: 9168081</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Analysis. Health state ; Biological and medical sciences ; Case-Control Studies ; Death ; Emergency medical care ; Emergency medical services ; Emergency Service, Hospital ; Epidemiology ; Female ; General aspects ; Health risks ; Hospital Mortality ; Hospitals ; Humans ; Independent variables ; Injury analysis ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Mortality ; Odds Ratio ; Patients ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Regression Analysis ; Regression models ; Risk ; Risk assessment ; Risk Factors ; Sex Factors ; Trauma ; Wounds and Injuries - mortality</subject><ispartof>The American journal of surgery, 1997-05, Vol.173 (5), p.422-425</ispartof><rights>1997 Excerpta Medica, Inc.</rights><rights>1997 INIST-CNRS</rights><rights>1997. Excerpta Medica, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-c3d368165c67ba34cd23c4ed20d67f9aee6f80030ae85900c5abf1401dcbf0603</citedby><cites>FETCH-LOGICAL-c386t-c3d368165c67ba34cd23c4ed20d67f9aee6f80030ae85900c5abf1401dcbf0603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2847457324?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995,64385,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2685062$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9168081$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mullins, Richard J.</creatorcontrib><creatorcontrib>Clay Mann, N.</creatorcontrib><creatorcontrib>Brand, Dawn M.</creatorcontrib><creatorcontrib>Lenfesty, Barbara S.</creatorcontrib><title>Specifications for calculation of risk-adjusted odds of death using trauma registry data</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Logistic regression models, with coefficients developed from normative populations, can be applied to a trauma registry cohort to predict the risk-adjusted frequency of death. Quality of care is judged based on differences between predicted and observed mortality frequency. The goal of these analyses was to determine if decedents who died in the emergency department had independent variables associated with risk of death identical to those who died after hospital admission.
This case-control study is based upon decedents in a trauma registry matched to survivors. Backward stepwise linear logistic regression models contained independent variables selected to reflect patients' status before treatment.
Beta coefficients and independent variables selected for models of expired emergency department patients were different from those of hospital death patients.
To achieve a more precise determination of risk-adjusted mortality for injured patients at a trauma center, two separate analyses are appropriate: death in emergency department and death after hospital admission.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Analysis. Health state</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Death</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Emergency Service, Hospital</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Health risks</subject><subject>Hospital Mortality</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Independent variables</subject><subject>Injury analysis</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Odds Ratio</subject><subject>Patients</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Regression Analysis</subject><subject>Regression models</subject><subject>Risk</subject><subject>Risk assessment</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Trauma</subject><subject>Wounds and Injuries - mortality</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkEtrGzEQgEVJSR23PyEgaA7JYdPRaqXVnkIxeYGhh7TQm5ClkSvX3nUkbSH_vvIDX3PRoJlvHnyEXDK4ZcDktxcAqKtOMrju2hvVCcUq8YFMmGq7iinFz8jkhHwiFymtypexhp-T845JBYpNyO-XLdrggzU5DH2ifojUmrUd1_sEHTyNIf2tjFuNKaOjg3Npl3Vo8h86ptAvaY5m3BgacRlSjm_UmWw-k4_erBN-OcYp-fVw_3P2VM1_PD7Pvs8ry5XM5XVcKiaFle3C8Ma6mtsGXQ1Otr4ziNIrAA4GlegArDALzxpgzi48SOBT8vUwdxuH1xFT1qthjH1ZqWvVtI1oed0UShwoG4eUInq9jWFj4ptmoHc69V6n3rnSXav3OrUofZfH6eNig-7UdfRX6lfHuklFm4-mtyGdsFoqAbIu2N0Bw2LiX8Cokw3YW3Qhos3aDeGdQ_4Dw2ORkw</recordid><startdate>19970501</startdate><enddate>19970501</enddate><creator>Mullins, Richard J.</creator><creator>Clay Mann, N.</creator><creator>Brand, Dawn M.</creator><creator>Lenfesty, Barbara S.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope></search><sort><creationdate>19970501</creationdate><title>Specifications for calculation of risk-adjusted odds of death using trauma registry data</title><author>Mullins, Richard J. ; Clay Mann, N. ; Brand, Dawn M. ; Lenfesty, Barbara S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-c3d368165c67ba34cd23c4ed20d67f9aee6f80030ae85900c5abf1401dcbf0603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Analysis. Health state</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Death</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Emergency Service, Hospital</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Health risks</topic><topic>Hospital Mortality</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Independent variables</topic><topic>Injury analysis</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Odds Ratio</topic><topic>Patients</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Regression Analysis</topic><topic>Regression models</topic><topic>Risk</topic><topic>Risk assessment</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Trauma</topic><topic>Wounds and Injuries - mortality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mullins, Richard J.</creatorcontrib><creatorcontrib>Clay Mann, N.</creatorcontrib><creatorcontrib>Brand, Dawn M.</creatorcontrib><creatorcontrib>Lenfesty, Barbara S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mullins, Richard J.</au><au>Clay Mann, N.</au><au>Brand, Dawn M.</au><au>Lenfesty, Barbara S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Specifications for calculation of risk-adjusted odds of death using trauma registry data</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1997-05-01</date><risdate>1997</risdate><volume>173</volume><issue>5</issue><spage>422</spage><epage>425</epage><pages>422-425</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Logistic regression models, with coefficients developed from normative populations, can be applied to a trauma registry cohort to predict the risk-adjusted frequency of death. Quality of care is judged based on differences between predicted and observed mortality frequency. The goal of these analyses was to determine if decedents who died in the emergency department had independent variables associated with risk of death identical to those who died after hospital admission.
This case-control study is based upon decedents in a trauma registry matched to survivors. Backward stepwise linear logistic regression models contained independent variables selected to reflect patients' status before treatment.
Beta coefficients and independent variables selected for models of expired emergency department patients were different from those of hospital death patients.
To achieve a more precise determination of risk-adjusted mortality for injured patients at a trauma center, two separate analyses are appropriate: death in emergency department and death after hospital admission.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9168081</pmid><doi>10.1016/S0002-9610(97)89581-5</doi><tpages>4</tpages></addata></record> |
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subjects | Adolescent Adult Age Factors Aged Analysis. Health state Biological and medical sciences Case-Control Studies Death Emergency medical care Emergency medical services Emergency Service, Hospital Epidemiology Female General aspects Health risks Hospital Mortality Hospitals Humans Independent variables Injury analysis Logistic Models Male Medical sciences Middle Aged Mortality Odds Ratio Patients Public health. Hygiene Public health. Hygiene-occupational medicine Regression Analysis Regression models Risk Risk assessment Risk Factors Sex Factors Trauma Wounds and Injuries - mortality |
title | Specifications for calculation of risk-adjusted odds of death using trauma registry data |
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