Mortality, functional and return to work outcomes of major trauma patients injured from deliberate self-harm

Nguyen, Tu Q.; Simpson, Pamela; Braaf, Sandra; Gabbe, Belinda

doi:10.1016/j.injury.2016.10.038

Cited by 9 publications

(8 citation statements)

References 43 publications

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“…In contrast, other studies have demonstrated either no differences between gender and risk of death following a burn injury, or a greater risk of mortality in men 11–13 . Similar inconsistencies have been reported in other general trauma‐related injuries 14,15 . The variability in findings can in part be explained by small study samples, restriction to single‐site studies and projects investigating only a subset of patients 4,7,8,16 .…”

Section: Introductionmentioning

confidence: 84%

“…[11][12][13] Similar inconsistencies have been reported in other general trauma-related injuries. 14,15 The variability in findings can in part be explained by small study samples, restriction to single-site studies and projects investigating only a subset of patients. 4,7,8,16 The aim of this study was to assess the association between gender and in-hospital treatments and outcomes of patients with acute burn injuries admitted to burn units in Australia and New Zealand.…”

Section: Introductionmentioning

confidence: 99%

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Association between gender and outcomes of acute burns patients

Perkins

Abesamis

Cleland

et al. 2020

ANZ Journal of Surgery

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This study explored the association between gender and in‐hospital outcomes of patients with acute burn injuries admitted to burn units in Australia and New Zealand. After adjustment for key differences in case‐mix between men and women, there was an association between gender and in‐hospital mortality and no association between gender and time to death. Our findings indicate that the worse outcomes observed for women are associated with different age and patterns of injury, and provide further information to direct and inform targeted prevention measures for vulnerable populations.

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Section: Introductionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Association between gender and outcomes of acute burns patients

Perkins

Abesamis

Cleland

et al. 2020

ANZ Journal of Surgery

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“…Routine, population-based follow-up of adult trauma survivors following hospital discharge was first successfully reported in the Australian Victorian State Trauma Registry (VTSR) in 2006 [11]. The data from the VTSR has proven to be a valuable resource for international benchmarking of trauma care and for research into post-trauma PROs, with various studies and improvement projects resulting from this data [12–15]. As a result, the methodology of the VTSR has now been adapted and investigated for use with trauma registries in the United States, Hong Kong, and New Zealand [8, 16, 17].…”

Section: Introductionmentioning

confidence: 99%

Routine incorporation of longer-term patient-reported outcomes into a Dutch trauma registry

et al. 2019

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PurposeRoutine collection of post-discharge patient-reported outcomes within trauma registries can be used to benchmark quality of trauma care. This process is dependent on geographic and cultural context, but results are lacking regarding the European experience. We aimed to investigate the feasibility of routine inclusion of longer-term patient-reported health-related quality of life (HRQoL) in a Dutch National Trauma Database (DNTD) and to characterize these outcomes in a prospective cohort study.MethodsAll adult patients (≥ 18 years) who presented for traumatic injury in 2015–2016 and met the inclusion criteria of the DNTD were included. Inclusion criteria of the DNTD are presence of traumatic injury, hospital presentation within 48 h from trauma and hospital admission for treatment of traumatic injury or immediate mortality from traumatic injury after presentation. Exclusion criteria were death, mental impairment, insufficient command of Dutch language and residency outside the Netherlands. Primary outcomes were process-related measures of feasibility (response rate, response methods and reasons for non-response). Secondary outcomes were HRQoL measures [EuroQOL 5-Dimensions 3-Level (EQ-5D-3L) with added cognitive dimension and Visual Analogue Scale (EQ-VAS)].Results2025 unique patients met the initial inclusion criteria, with 1753 patients eligible for follow-up. Of these, 1315 patients participated (response rate 75%). The majority of questionnaires, 990 (75%), were completed on paper, with an additional 325 (25%) through telephone interviews. Primary reason for non-response was lack of contact information (245/438 non-responders; 56%). Median EQ-5D score was 0.81 (IQR 0.68–1.00) (mean 0.74; SD 0.31) and median EQ-VAS score was 78 (IQR 65–90). Compared to a Dutch reference population (mean EQ-5D = 0.87), EQ-5D scores were significantly lower (p < 0.001).ConclusionsRoutine collection of HRQoL is feasible within European health systems, like in the Netherlands. Further integration of these measures into trauma registries may aid worldwide benchmarking of trauma care quality.

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“…This is difficult to assess, as few existing studies have evaluated the association between ICD-10 coded mental health comorbidities and returning to work after injury. A previous study of major trauma patients using ICD-10-AM coded data reported with no significant association with returning to work [ 15 ], but this may have been attributed to limited statistical power. While the medical record may provide a high degree of detail about mental health factors that are associated with lower odds of returning to work following severe injury, this information may be incomplete when coded in the ICD-10-AM.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the performance of mental health, drug and alcohol comorbidities based on ICD-10-AM and medical records for predicting 12-month outcomes in trauma patients

Nguyen

Simpson

Braaf

et al. 2018

BMC Health Serv Res

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BackgroundMany outcome studies capture the presence of mental health, drug and alcohol comorbidities from administrative datasets and medical records. How these sources compare as predictors of patient outcomes has not been determined. The purpose of the present study was to compare mental health, drug and alcohol comorbidities based on ICD-10-AM coding and medical record documentation for predicting longer-term outcomes in injured patients.MethodsA random sample of patients (n = 500) captured by the Victorian State Trauma Registry was selected for the study. Retrospective medical record reviews were conducted to collect data about documented mental health, drug and alcohol comorbidities while ICD-10-AM codes were obtained from routinely collected hospital data. Outcomes at 12-months post-injury were the Glasgow Outcome Scale – Extended (GOS-E), European Quality of Life Five Dimensions (EQ-5D-3L), and return to work. Linear and logistic regression models, adjusted for age and gender, using medical record derived comorbidity and ICD-10-AM were compared using measures of calibration (Hosmer-Lemeshow statistic) and discrimination (C-statistic and R2).ResultsThere was no demonstrable difference in predictive performance between the medical record and ICD-10-AM models for predicting the GOS-E, EQ-5D-3L utility sore and EQ-5D-3L mobility, self-care, usual activities and pain/discomfort items. The area under the receiver operating characteristic (AUC) for models using medical record derived comorbidity (AUC 0.68, 95% CI: 0.63, 0.73) was higher than the model using ICD-10-AM data (AUC 0.62, 95% CI: 0.57, 0.67) for predicting the EQ-5D-3L anxiety/depression item. The discrimination of the model for predicting return to work was higher with inclusion of the medical record data (AUC 0.69, 95% CI: 0.63, 0.76) than the ICD-10-AM data (AUC 0.59, 95% CL: 0.52, 0.65).ConclusionsMental health, drug and alcohol comorbidity information derived from medical record review was not clearly superior for predicting the majority of the outcomes assessed when compared to ICD-10-AM. While information available in medical records may be more comprehensive than in the ICD-10-AM, there appears to be little difference in the discriminative capacity of comorbidities coded in the two sources.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3248-x) contains supplementary material, which is available to authorized users.

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Mortality, functional and return to work outcomes of major trauma patients injured from deliberate self-harm

Cited by 9 publications

References 43 publications

Association between gender and outcomes of acute burns patients

Association between gender and outcomes of acute burns patients

Routine incorporation of longer-term patient-reported outcomes into a Dutch trauma registry

Comparison of the performance of mental health, drug and alcohol comorbidities based on ICD-10-AM and medical records for predicting 12-month outcomes in trauma patients

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