Evaluating an Inclusive Trauma System Using Linked Population-Based Data
BACKGROUND:Federal and professional programs require “inclusive” trauma systems. We wished to evaluate an inclusive trauma system using administrative data combined from multiple sources. METHODS:Ambulance reports, outpatient/inpatient discharge data, and/or death certificates were obtained for pers...
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| Veröffentlicht in: | The Journal of trauma, injury, infection, and critical care injury, infection, and critical care, 2004-09, Vol.57 (3), p.501-509 |
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| container_issue | 3 |
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| container_title | The Journal of trauma, injury, infection, and critical care |
| container_volume | 57 |
| creator | Clark, David E. Anderson, Katherine L. Hahn, David R. |
| description | BACKGROUND:Federal and professional programs require “inclusive” trauma systems. We wished to evaluate an inclusive trauma system using administrative data combined from multiple sources.
METHODS:Ambulance reports, outpatient/inpatient discharge data, and/or death certificates were obtained for persons with injury diagnoses who received hospital services and/or died in Maine during 1998 to 2000. Records were unduplicated and joined using probabilistic record-linkage software. Case outcomes, determined from one or more linked records, included place of hospitalization, discharge status, and 30-day mortality.
RESULTS:Per 100,000 population annually, 11,100 injured persons were treated and released, 573 were admitted, and 51.3 died. Trauma centers received 37.0% of major cases directly and another 15.4% in transfer; 51.4% of injury deaths occurred without medical intervention, 21.2% occurred in trauma centers, 20.4% occurred in other hospitals, and 7.0% occurred after discharge from a hospital. Database queries produced comparative hospital statistics and identification of questionable outcomes.
CONCLUSION:Record linkage allows inexpensive description of an inclusive trauma system and may contribute to quality improvement. |
| doi_str_mv | 10.1097/01.TA.0000141027.45623.8C |
| format | Article |
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METHODS:Ambulance reports, outpatient/inpatient discharge data, and/or death certificates were obtained for persons with injury diagnoses who received hospital services and/or died in Maine during 1998 to 2000. Records were unduplicated and joined using probabilistic record-linkage software. Case outcomes, determined from one or more linked records, included place of hospitalization, discharge status, and 30-day mortality.
RESULTS:Per 100,000 population annually, 11,100 injured persons were treated and released, 573 were admitted, and 51.3 died. Trauma centers received 37.0% of major cases directly and another 15.4% in transfer; 51.4% of injury deaths occurred without medical intervention, 21.2% occurred in trauma centers, 20.4% occurred in other hospitals, and 7.0% occurred after discharge from a hospital. Database queries produced comparative hospital statistics and identification of questionable outcomes.
CONCLUSION:Record linkage allows inexpensive description of an inclusive trauma system and may contribute to quality improvement.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/01.TA.0000141027.45623.8C</identifier><identifier>PMID: 15454794</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Child ; Child, Preschool ; Diseases of the osteoarticular system ; Evaluation Studies as Topic ; Female ; Humans ; Infant ; Maine - epidemiology ; Male ; Medical Records Systems, Computerized ; Medical sciences ; Middle Aged ; Registries ; Transportation of Patients - statistics & numerical data ; Trauma Centers - statistics & numerical data ; Traumas. Diseases due to physical agents ; Wounds and Injuries - epidemiology ; Wounds and Injuries - mortality ; Wounds and Injuries - therapy</subject><ispartof>The Journal of trauma, injury, infection, and critical care, 2004-09, Vol.57 (3), p.501-509</ispartof><rights>2004 Lippincott Williams & Wilkins, Inc.</rights><rights>2004 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3886-12c1a575d4a7b801e22f06834fe85b009e748ce62d2dac0fb7301c2b2c8456863</citedby><cites>FETCH-LOGICAL-c3886-12c1a575d4a7b801e22f06834fe85b009e748ce62d2dac0fb7301c2b2c8456863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16170457$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15454794$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clark, David E.</creatorcontrib><creatorcontrib>Anderson, Katherine L.</creatorcontrib><creatorcontrib>Hahn, David R.</creatorcontrib><title>Evaluating an Inclusive Trauma System Using Linked Population-Based Data</title><title>The Journal of trauma, injury, infection, and critical care</title><addtitle>J Trauma</addtitle><description>BACKGROUND:Federal and professional programs require “inclusive” trauma systems. We wished to evaluate an inclusive trauma system using administrative data combined from multiple sources.
METHODS:Ambulance reports, outpatient/inpatient discharge data, and/or death certificates were obtained for persons with injury diagnoses who received hospital services and/or died in Maine during 1998 to 2000. Records were unduplicated and joined using probabilistic record-linkage software. Case outcomes, determined from one or more linked records, included place of hospitalization, discharge status, and 30-day mortality.
RESULTS:Per 100,000 population annually, 11,100 injured persons were treated and released, 573 were admitted, and 51.3 died. Trauma centers received 37.0% of major cases directly and another 15.4% in transfer; 51.4% of injury deaths occurred without medical intervention, 21.2% occurred in trauma centers, 20.4% occurred in other hospitals, and 7.0% occurred after discharge from a hospital. Database queries produced comparative hospital statistics and identification of questionable outcomes.
CONCLUSION:Record linkage allows inexpensive description of an inclusive trauma system and may contribute to quality improvement.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diseases of the osteoarticular system</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Maine - epidemiology</subject><subject>Male</subject><subject>Medical Records Systems, Computerized</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Registries</subject><subject>Transportation of Patients - statistics & numerical data</subject><subject>Trauma Centers - statistics & numerical data</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Wounds and Injuries - epidemiology</subject><subject>Wounds and Injuries - mortality</subject><subject>Wounds and Injuries - therapy</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkU1v1DAQhi0EokvhL6BwgFvC-Ns5LttCK60EEtuzNXEcGuoki5206r_H211pfbE8el6P5hlCPlGoKNT6K9Bqt64gHyooMF0JqRivzOYVWVHJ6tIYqF-TFQBjpWSGXZB3Kf3NvBDcvCUXVAopdC1W5Ob6EcOCcz_-KXAsbkcXltQ_-mIXcRmw-P2cZj8Ud-kAbPvxwbfFr2m_hByZxvIbply4whnfkzcdhuQ_nO5Lcvf9ere5Kbc_f9xu1tvScWNUSZmjKLVsBerGAPWMdaAMF503sgGovRbGecVa1qKDrtEcqGMNcyYPaRS_JF-O_-7j9G_xabZDn5wPAUc_LckqVbMsg2awPoIuTilF39l97AeMz5aCPWi0QO1ubc8a7YtGazY5-_HUZGkG356TJ28Z-HwCMDkMXcTR9enMKapBSJ05ceSepjD7mB7C8uSjvfcY5vuX1pJrXrK8GajzqzyUFP8PS4mJUQ</recordid><startdate>200409</startdate><enddate>200409</enddate><creator>Clark, David E.</creator><creator>Anderson, Katherine L.</creator><creator>Hahn, David R.</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</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>7X8</scope></search><sort><creationdate>200409</creationdate><title>Evaluating an Inclusive Trauma System Using Linked Population-Based Data</title><author>Clark, David E. ; Anderson, Katherine L. ; Hahn, David R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3886-12c1a575d4a7b801e22f06834fe85b009e748ce62d2dac0fb7301c2b2c8456863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diseases of the osteoarticular system</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Maine - epidemiology</topic><topic>Male</topic><topic>Medical Records Systems, Computerized</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Registries</topic><topic>Transportation of Patients - statistics & numerical data</topic><topic>Trauma Centers - statistics & numerical data</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wounds and Injuries - epidemiology</topic><topic>Wounds and Injuries - mortality</topic><topic>Wounds and Injuries - therapy</topic><toplevel>online_resources</toplevel><creatorcontrib>Clark, David E.</creatorcontrib><creatorcontrib>Anderson, Katherine L.</creatorcontrib><creatorcontrib>Hahn, David R.</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>MEDLINE - Academic</collection><jtitle>The Journal of trauma, injury, infection, and critical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clark, David E.</au><au>Anderson, Katherine L.</au><au>Hahn, David R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating an Inclusive Trauma System Using Linked Population-Based Data</atitle><jtitle>The Journal of trauma, injury, infection, and critical care</jtitle><addtitle>J Trauma</addtitle><date>2004-09</date><risdate>2004</risdate><volume>57</volume><issue>3</issue><spage>501</spage><epage>509</epage><pages>501-509</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><abstract>BACKGROUND:Federal and professional programs require “inclusive” trauma systems. We wished to evaluate an inclusive trauma system using administrative data combined from multiple sources.
METHODS:Ambulance reports, outpatient/inpatient discharge data, and/or death certificates were obtained for persons with injury diagnoses who received hospital services and/or died in Maine during 1998 to 2000. Records were unduplicated and joined using probabilistic record-linkage software. Case outcomes, determined from one or more linked records, included place of hospitalization, discharge status, and 30-day mortality.
RESULTS:Per 100,000 population annually, 11,100 injured persons were treated and released, 573 were admitted, and 51.3 died. Trauma centers received 37.0% of major cases directly and another 15.4% in transfer; 51.4% of injury deaths occurred without medical intervention, 21.2% occurred in trauma centers, 20.4% occurred in other hospitals, and 7.0% occurred after discharge from a hospital. Database queries produced comparative hospital statistics and identification of questionable outcomes.
CONCLUSION:Record linkage allows inexpensive description of an inclusive trauma system and may contribute to quality improvement.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>15454794</pmid><doi>10.1097/01.TA.0000141027.45623.8C</doi><tpages>9</tpages></addata></record> |
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| identifier | ISSN: 0022-5282 |
| ispartof | The Journal of trauma, injury, infection, and critical care, 2004-09, Vol.57 (3), p.501-509 |
| issn | 0022-5282 1529-8809 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Biological and medical sciences Child Child, Preschool Diseases of the osteoarticular system Evaluation Studies as Topic Female Humans Infant Maine - epidemiology Male Medical Records Systems, Computerized Medical sciences Middle Aged Registries Transportation of Patients - statistics & numerical data Trauma Centers - statistics & numerical data Traumas. Diseases due to physical agents Wounds and Injuries - epidemiology Wounds and Injuries - mortality Wounds and Injuries - therapy |
| title | Evaluating an Inclusive Trauma System Using Linked Population-Based Data |
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