Recommendations for uniform reporting of data following major trauma — the Utstein style

Dick, W.; Baskett, Peter

doi:10.1016/s0300-9572(99)00102-1

Cited by 104 publications

(26 citation statements)

References 56 publications

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“…There is a need for researchers to adopt the Utstein type age categories [13,14] in order to fully understand injury risk across the age spectrum in China. Two studies failed to report the patient sex, both of these being retrospective studies; these same studies reported patient age in a limited manner.…”

Section: Resultsmentioning

confidence: 99%

“…Despite the limitations in the data reported in these studies, the detail relating to injury mechanism age can provide public health specialists with sufficiently high level information to develop targeted intervention campaigns. The ability to undertake planning and quality assurance processes would however be significantly enhanced by the adoption of uniform standards in the collection and reporting of clinical data, such as the Utstein template [13,14] and the ACS Guidelines [9], a need clearly highlighted by this Review .…”

Section: Discussionmentioning

confidence: 99%

“…As the primary interest was in determining the comparability of reported data with internationally recognized best practice, the fields of interest were motivated by reference to the Utstein Style 'R ecommendations for uniform reporting of data following major trauma' [13] and its subsequent revision [14], the Australia and New Zealand National Trauma Registry [15] and the American College of Surgeons National Trauma Databank [16] and Resources of Optimal Care of the Injured Patient [9]. The identified data fields are presented in Table 3 and each study included in the Review is compared across these data fields.…”

Section: Methodsmentioning

confidence: 99%

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Injury in China: a systematic review of injury surveillance studies conducted in Chinese hospital emergency departments

Fitzharris

Hammond

et al. 2011

BMC Emerg Med

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BackgroundInjuries represent a significant and growing public health concern in China. This Review was conducted to document the characteristics of injured patients presenting to the emergency department of Chinese hospitals and to assess of the nature of information collected and reported in published surveillance studies.MethodsA systematic search of MEDLINE and China Academic Journals supplemented with a hand search of journals was performed. Studies published in the period 1997 to 2007 were included and research published in Chinese was the focus. Search terms included emergency, injury, medical care.ResultsOf the 268 studies identified, 13 were injury surveillance studies set in the emergency department. Nine were collaborative studies of which eight were prospective studies. Of the five single centre studies only one was of a prospective design. Transport, falls and industrial injuries were common mechanisms of injury. Study strengths were large patient sample sizes and for the collaborative studies a large number of participating hospitals. There was however limited use of internationally recognised injury classification and severity coding indices.ConclusionDespite the limited number of studies identified, the scope of each highlights the willingness and the capacity to conduct surveillance studies in the emergency department. This Review highlights the need for the adoption of standardized injury coding indices in the collection and reporting of patient health data. While high level injury surveillance systems focus on population-based priority setting, this Review demonstrates the need to establish an internationally comparable trauma registry that would permit monitoring of the trauma system and would by extension facilitate the optimal care of the injured patient through the development of informed quality assurance programs and the implementation of evidence-based health policy.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Injury in China: a systematic review of injury surveillance studies conducted in Chinese hospital emergency departments

Fitzharris

Hammond

et al. 2011

BMC Emerg Med

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“…A review article, published in 2009, revealed 47 different definitions [7]. They focused on the number of injuries, body regions or organ systems involved [8, 9], pattern or mechanism of injury [10, 11], injuries representing a threat to life [12, 13], ISS [14, 15], and threat to life plus ISS [16]. Since then, even further definitions have been published, wholly or partially based on the AIS [17, 18].…”

Section: Introductionmentioning

confidence: 99%

Does the applied polytrauma definition notably influence outcome and patient population? – a retrospective analysis

Frenzel

Krenn

Heinz

et al. 2017

Scand J Trauma Resusc Emerg Med

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BackgroundAlthough the term “polytrauma” has been in use for decades, no generally accepted definition exists. The aim of this study was to demonstrate that different polytrauma definitions applied to a specific patient population result in diverse subgroups of individuals, who in turn present a varying outcome.MethodsAll patients (≥18 years) treated at our level I trauma center within a time period of three years were classified according to 11 selected polytrauma definitions and included in our study, if they were rated “polytraumatized” by at least one of these definitions. All patients, who met the criteria of a certain definition, were combined to the relevant definition-positive group, thus resulting in 11 patient subgroups. Their demographic data (number of patients, mean patient age, mean Injury Severity Score value, median number of ventilator days, median length of stay at the intensive care unit and at the hospital, mortality rate and odds ratio) were statistically compared.ResultsThree hundred seventy-five patients (73% male) with a mean age of 47 years met the inclusion criteria and were allocated to the relevant subgroups; their patient number varied from 55 to 346 and their mean Injury Severity Score value ranged from 4 to 75. Not surprisingly, all examined parameters were subject to variations. Whereas most definition-positive groups showed a mortality rate of about 21% to 30%, 18% of the individuals, who met the criteria according to Blacker, and 40% of the polytrauma victims according to Schalamon died. The Pape 1-, Schalamon-, and Berlin-positive groups presented a significant odds ratio with regard to mortality that considerably exceeded 1.DiscussionA polytrauma definition can only be a reliable tool in classifying trauma victims if it provides a significant odds ratio with regard to mortality that considerably exceeds 1 and if it succeeds in capturing patients with multiple severe injuries and a higher mortality rate without reducing the number of polytraumatized patients to a not representatively small number.ConclusionsSolely the Berlin definition resulted in a patient number reflecting clinical reality, thus enabling a transparent evaluation of treatment results provided by different institutions and allowing objective comparison of published studies.

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“…Since then, the Utstein Abbey has hosted many consensus development meetings that have resulted in similar “Utstein Style” guidelines, such as paediatric advanced life support [18], laboratory cardiopulmonary research [19], in-hospital resuscitation [20], major trauma [21,22], disaster management [3,23], emergency medical dispatch [23], pre-hospital airway management [24], physician manned emergency medical services [25], and drowning [26]. These meetings have achieved consensus based on variants, modifications, or mixtures of the Delphi method [14], the nominal group technique (NGT) method [14], and/or the consensus development conference method [15].…”

Section: Introductionmentioning

confidence: 99%

Developing templates for uniform data documentation and reporting in critical care using a modified nominal group technique

Lossius

Krüger

Ringdal

et al. 2013

Scand J Trauma Resusc Emerg Med

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BackgroundClinical practice in trauma and critical care is predominantly derived from quantitative observational cohort studies based on data retrospectively collected from medical records. Such data create uncontrolled bias and influence external and internal validity, thereby hindering systematic reviews. Templates or standards for uniform documenting and scientific reporting may result in high quality and internationally standardised data being collected on a regular basis, enhance large international multi-centre studies, and increase the quality of evidence. Templates or standards may be developed using multidisciplinary expert panel consensus methods.We present three consensus processes aimed at developing templates for documenting and scientific reporting. We discuss the advantages, limitations, and possible future improvements of our method.MethodsThe template preparation was based on expert panel consensus derived through a modified nominal group technique (NGT) method that combined the traditional Delphi method with the traditional NGT method in a four-step process.ResultsStandard templates for documenting and scientific reporting were developed for major trauma, pre-hospital advanced airway handling, and physician-staffed pre-hospital EMS. All templates were published in scientific journals.ConclusionOur modified NGT consensus method can successfully be used to establish templates for reporting trauma and critical care data. When used in a structured manner, the method uses recognised experts to achieve consensus, but based on our experiences, we recommend the consensus process to be followed by feasibility, reliability, and validity testing.

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Recommendations for uniform reporting of data following major trauma — the Utstein style

Cited by 104 publications

References 56 publications

Injury in China: a systematic review of injury surveillance studies conducted in Chinese hospital emergency departments

Injury in China: a systematic review of injury surveillance studies conducted in Chinese hospital emergency departments

Does the applied polytrauma definition notably influence outcome and patient population? – a retrospective analysis

Developing templates for uniform data documentation and reporting in critical care using a modified nominal group technique

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