Relationship of trauma centre characteristics and patient outcomes: a systematic review
Aims and objectives To systematically review the relationship of trauma centre characteristics and trauma patient outcomes. Background Numerous studies have documented the impact of trauma centre level, trauma centre verification, volume per centre and per surgeon or resource availability on outcome...
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| Veröffentlicht in: | Journal of clinical nursing 2014-02, Vol.23 (3-4), p.301-314 |
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| container_title | Journal of clinical nursing |
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| creator | Kim, Young-Ju |
| description | Aims and objectives
To systematically review the relationship of trauma centre characteristics and trauma patient outcomes.
Background
Numerous studies have documented the impact of trauma centre level, trauma centre verification, volume per centre and per surgeon or resource availability on outcomes among trauma patients. However, there continues to be debated about whether trauma care is comparable by these trauma centre characteristics.
Design
Systematic review.
Methods
Eligible studies were identified via electronic database searches, footnote chasing and contact with clinical experts. Quality of selected studies was assessed in terms of internal and external validity using 14 questions. Two reviewers independently examined titles, s and whether each met the predefined criteria.
Results
A total of 50 studies which met criteria were selected. Ten of 17 articles showed that level I trauma centres had better patient outcomes than level II centres. The achievement of trauma centre verification by American College of Surgeons or State was beneficial to decreasing mortality and length of stay in 9 of 11 studies. High trauma admission volume was beneficial in 8 of 16 studies. The volume per trauma surgeon did not contribute to better patient outcomes in 4 of 5 studies. The availability of in‐house trauma surgeon was beneficial to lower mortality and shorter length of stay in only 2 of 9 studies.
Conclusion
This review supports that achieving the trauma centre verification by American College of Surgeons or State is definitely beneficial to patient outcomes. However, the benefit of level I centres compared with level II centres, and volume of annual trauma patients to outcomes is still debating. Further prospective study examining this relationship is required.
Relevance to clinical practice
Understanding which characteristics of trauma centre provides the best prospect for improved outcomes depending on patient need and resource availability would allow further appreciation of the processes that foster such enhancement. |
| doi_str_mv | 10.1111/jocn.12129 |
| format | Article |
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To systematically review the relationship of trauma centre characteristics and trauma patient outcomes.
Background
Numerous studies have documented the impact of trauma centre level, trauma centre verification, volume per centre and per surgeon or resource availability on outcomes among trauma patients. However, there continues to be debated about whether trauma care is comparable by these trauma centre characteristics.
Design
Systematic review.
Methods
Eligible studies were identified via electronic database searches, footnote chasing and contact with clinical experts. Quality of selected studies was assessed in terms of internal and external validity using 14 questions. Two reviewers independently examined titles, s and whether each met the predefined criteria.
Results
A total of 50 studies which met criteria were selected. Ten of 17 articles showed that level I trauma centres had better patient outcomes than level II centres. The achievement of trauma centre verification by American College of Surgeons or State was beneficial to decreasing mortality and length of stay in 9 of 11 studies. High trauma admission volume was beneficial in 8 of 16 studies. The volume per trauma surgeon did not contribute to better patient outcomes in 4 of 5 studies. The availability of in‐house trauma surgeon was beneficial to lower mortality and shorter length of stay in only 2 of 9 studies.
Conclusion
This review supports that achieving the trauma centre verification by American College of Surgeons or State is definitely beneficial to patient outcomes. However, the benefit of level I centres compared with level II centres, and volume of annual trauma patients to outcomes is still debating. Further prospective study examining this relationship is required.
Relevance to clinical practice
Understanding which characteristics of trauma centre provides the best prospect for improved outcomes depending on patient need and resource availability would allow further appreciation of the processes that foster such enhancement.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/jocn.12129</identifier><identifier>PMID: 23445123</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Clinical outcomes ; Humans ; in-house surgeon ; level of trauma centre ; Nursing ; Outcome Assessment (Health Care) ; Surgeons ; Trauma ; Trauma centers ; Trauma Centers - organization & administration ; verification ; volume</subject><ispartof>Journal of clinical nursing, 2014-02, Vol.23 (3-4), p.301-314</ispartof><rights>2013 Blackwell Publishing Ltd</rights><rights>2013 Blackwell Publishing Ltd.</rights><rights>Copyright Blackwell Publishing Ltd. Feb 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4289-47ce75a1d2284c512211ffaec7d698ac3ff1ef0904172ededf46b1708ea3b8be3</citedby><cites>FETCH-LOGICAL-c4289-47ce75a1d2284c512211ffaec7d698ac3ff1ef0904172ededf46b1708ea3b8be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocn.12129$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocn.12129$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23445123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Young-Ju</creatorcontrib><title>Relationship of trauma centre characteristics and patient outcomes: a systematic review</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aims and objectives
To systematically review the relationship of trauma centre characteristics and trauma patient outcomes.
Background
Numerous studies have documented the impact of trauma centre level, trauma centre verification, volume per centre and per surgeon or resource availability on outcomes among trauma patients. However, there continues to be debated about whether trauma care is comparable by these trauma centre characteristics.
Design
Systematic review.
Methods
Eligible studies were identified via electronic database searches, footnote chasing and contact with clinical experts. Quality of selected studies was assessed in terms of internal and external validity using 14 questions. Two reviewers independently examined titles, s and whether each met the predefined criteria.
Results
A total of 50 studies which met criteria were selected. Ten of 17 articles showed that level I trauma centres had better patient outcomes than level II centres. The achievement of trauma centre verification by American College of Surgeons or State was beneficial to decreasing mortality and length of stay in 9 of 11 studies. High trauma admission volume was beneficial in 8 of 16 studies. The volume per trauma surgeon did not contribute to better patient outcomes in 4 of 5 studies. The availability of in‐house trauma surgeon was beneficial to lower mortality and shorter length of stay in only 2 of 9 studies.
Conclusion
This review supports that achieving the trauma centre verification by American College of Surgeons or State is definitely beneficial to patient outcomes. However, the benefit of level I centres compared with level II centres, and volume of annual trauma patients to outcomes is still debating. Further prospective study examining this relationship is required.
Relevance to clinical practice
Understanding which characteristics of trauma centre provides the best prospect for improved outcomes depending on patient need and resource availability would allow further appreciation of the processes that foster such enhancement.</description><subject>Clinical outcomes</subject><subject>Humans</subject><subject>in-house surgeon</subject><subject>level of trauma centre</subject><subject>Nursing</subject><subject>Outcome Assessment (Health Care)</subject><subject>Surgeons</subject><subject>Trauma</subject><subject>Trauma centers</subject><subject>Trauma Centers - organization & administration</subject><subject>verification</subject><subject>volume</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0U9vFCEYBnBiNHatXvwAhsSLMZnKy5-B8WY2WjW1Tdpqj4RlXtJZZ4YVZqz77WXdtgcPyoUDv_cJ8BDyHNgRlPVmHf14BBx484AsQNSq4prxh2TBmppXwGp9QJ7kvGYMBOfiMTngQkoFXCzI1Tn2burimK-7DY2BTsnNg6Mexykh9dcuOT9h6vLU-Uzd2NJN8eWUxnnyccD8ljqat3nCoRx4mvBnhzdPyaPg-ozPbvdD8vXD-8vlx-rk7PjT8t1J5SU3TSW1R60ctJwb6cuVOEAIDr1u68Y4L0IADKxhEjTHFtsg6xVoZtCJlVmhOCSv9rmbFH_MmCc7dNlj37sR45wtKKa44sKI_1PZlH9jdbOjL_-i6zinsTxkp6QxStaqqNd75VPMOWGwm9QNLm0tMLtrxu6asX-aKfjFbeS8GrC9p3dVFAB7cNP1uP1HlP18tjy9C632M6Ue_HU_49J3W2uhlb06Pbbnl-qLubhg9pv4DQG4qAE</recordid><startdate>201402</startdate><enddate>201402</enddate><creator>Kim, Young-Ju</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</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>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201402</creationdate><title>Relationship of trauma centre characteristics and patient outcomes: a systematic review</title><author>Kim, Young-Ju</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4289-47ce75a1d2284c512211ffaec7d698ac3ff1ef0904172ededf46b1708ea3b8be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Clinical outcomes</topic><topic>Humans</topic><topic>in-house surgeon</topic><topic>level of trauma centre</topic><topic>Nursing</topic><topic>Outcome Assessment (Health Care)</topic><topic>Surgeons</topic><topic>Trauma</topic><topic>Trauma centers</topic><topic>Trauma Centers - organization & administration</topic><topic>verification</topic><topic>volume</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Young-Ju</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Young-Ju</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship of trauma centre characteristics and patient outcomes: a systematic review</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2014-02</date><risdate>2014</risdate><volume>23</volume><issue>3-4</issue><spage>301</spage><epage>314</epage><pages>301-314</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and objectives
To systematically review the relationship of trauma centre characteristics and trauma patient outcomes.
Background
Numerous studies have documented the impact of trauma centre level, trauma centre verification, volume per centre and per surgeon or resource availability on outcomes among trauma patients. However, there continues to be debated about whether trauma care is comparable by these trauma centre characteristics.
Design
Systematic review.
Methods
Eligible studies were identified via electronic database searches, footnote chasing and contact with clinical experts. Quality of selected studies was assessed in terms of internal and external validity using 14 questions. Two reviewers independently examined titles, s and whether each met the predefined criteria.
Results
A total of 50 studies which met criteria were selected. Ten of 17 articles showed that level I trauma centres had better patient outcomes than level II centres. The achievement of trauma centre verification by American College of Surgeons or State was beneficial to decreasing mortality and length of stay in 9 of 11 studies. High trauma admission volume was beneficial in 8 of 16 studies. The volume per trauma surgeon did not contribute to better patient outcomes in 4 of 5 studies. The availability of in‐house trauma surgeon was beneficial to lower mortality and shorter length of stay in only 2 of 9 studies.
Conclusion
This review supports that achieving the trauma centre verification by American College of Surgeons or State is definitely beneficial to patient outcomes. However, the benefit of level I centres compared with level II centres, and volume of annual trauma patients to outcomes is still debating. Further prospective study examining this relationship is required.
Relevance to clinical practice
Understanding which characteristics of trauma centre provides the best prospect for improved outcomes depending on patient need and resource availability would allow further appreciation of the processes that foster such enhancement.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>23445123</pmid><doi>10.1111/jocn.12129</doi><tpages>14</tpages></addata></record> |
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| identifier | ISSN: 0962-1067 |
| ispartof | Journal of clinical nursing, 2014-02, Vol.23 (3-4), p.301-314 |
| issn | 0962-1067 1365-2702 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Clinical outcomes Humans in-house surgeon level of trauma centre Nursing Outcome Assessment (Health Care) Surgeons Trauma Trauma centers Trauma Centers - organization & administration verification volume |
| title | Relationship of trauma centre characteristics and patient outcomes: a systematic review |
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