Trauma case management: Improving patient outcomes

Curtis, Kate; Zou, Yi; Morris, Richard; Black, Deborah

doi:10.1016/j.injury.2006.02.006

Cited by 41 publications

(18 citation statements)

References 18 publications

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“…5,22 One explanation for the difference in these results may be that the patients' age ranges and means in previous studies were much wider (0-104 years old; mean, 44-46 years old) than the age range and mean for this study (18-44 years old; mean, 29 years old). In studies 23,24 for which the age statistics were comparable, the results of the present study were supported.…”

Section: Age Sex and Smokingsupporting

confidence: 82%

Systemic Inflammatory Response Syndrome Score and Race As Predictors of Length of Stay in the Intensive Care Unit

NeSmith¹,

Weinrich²,

Andrews³

et al. 2009

American Journal of Critical Care

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Section: Age Sex and Smokingsupporting

confidence: 82%

Systemic Inflammatory Response Syndrome Score and Race As Predictors of Length of Stay in the Intensive Care Unit

NeSmith¹,

Weinrich²,

Andrews³

et al. 2009

American Journal of Critical Care

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“…Combined with the fact that a full physiotherapy service only occurred on weekdays and not weekends at the majority of sites (n=18/23, 78%), it is likely that physiotherapy input for patients would often be inconsistent, even within each individual MTS. One initiative that has been shown to increase physiotherapy referral rates and reduce time to physiotherapy assessment in an Australian MTS is the addition of a trauma case manager to the trauma team (Curtis et al 2006). However, it could be argued that even this referral process is not as effective as a blanket physiotherapy referral given only 55% of all trauma patients in that study received any physiotherapy and not until a median time point of 1.5 days into their hospital stay (Curtis et al 2006).…”

Section: Discussionmentioning

confidence: 97%

“…One initiative that has been shown to increase physiotherapy referral rates and reduce time to physiotherapy assessment in an Australian MTS is the addition of a trauma case manager to the trauma team (Curtis et al 2006). However, it could be argued that even this referral process is not as effective as a blanket physiotherapy referral given only 55% of all trauma patients in that study received any physiotherapy and not until a median time point of 1.5 days into their hospital stay (Curtis et al 2006). Given early and more intensive physiotherapy has been shown to improve functional independence (Calthorpe et al 2014, Khan et al 2012 and reduce length of stay (Kimmel et al 2012, Pendleton et al 2007, a more consistent approach to referrals and staffing may improve patient and organisational outcomes.…”

Section: Discussionmentioning

confidence: 99%

A benchmarking project of physiotherapy in Australian and New Zealand adult major trauma services

Calthorpe¹,

Kimmel²,

Webb³

et al. 2016

NZJP

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Traumatic injury places a great burden on individuals and society. As mortality plateaus in mature trauma systems, there is an increasing shift towards understanding patients' morbidity and functional outcomes. Physiotherapy plays a key role in recovery after traumatic injury, but little is currently known about its role in the acute hospital setting for trauma patients. This study aimed to document physiotherapy service structure and practice in adult major trauma services (MTS) across Australia and New Zealand. A survey was distributed electronically to physiotherapists working within designated MTS (n=25), achieving a 92% response rate (n=23). Physiotherapy service delivery, expertise and availability varied greatly. Only seven sites (30%) had a dedicated trauma physiotherapist with this showing a trend towards an association with major trauma admissions (provided by the Australian Trauma Registry; p=0.07). Only eight (35%) had blanket referral systems for physiotherapy review, which was significantly associated with having a dedicated specialised physiotherapist (p =0.015). Most ran a five day/week service for all patients with priority cover over the weekends (78% n=18). Future research should explore the benefits of specialised trauma physiotherapy roles in optimising patient outcomes in order to standardise this across all trauma centres in Australia and New Zealand.

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“…As a result, some trauma services have taken the lead in efforts of cost containment and re-engineered support systems. Strategies such as trauma case management, 13 clinical pathways, 35 multidisciplinary rounds 36 and clinical coding auditing 9 have been shown to minimise resource use and improve the efficacy of trauma patient care.…”

Section: Discussionmentioning

confidence: 99%

The cost and compensability of trauma patients

Curtis

Dickson²,

Black³

et al. 2009

Aust. Health Review

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Injury in Australia was responsible for 400 000 hospitalisations in 2002. This study aimed to examine the direct costs of trauma patients in a Level 1 trauma centre and determine the compensability of those patients. Data on all admitted patients (206) filling trauma criteria were collected prospectively over a 3-month period (November 2006 to January 2007). A 10-question survey was completed on each patient to record mechanism of injury, third party private health insurance or workers compensation, and direct costs were also obtained. 30% of trauma admissions had an injury severity score (ISS)> 15 (n = 62; median ISS =9; range, 1-56). Median length of stay was 3 days (range, 1-126). Almost half (47%) of the patients were involved in road trauma, and 29% in falls. More than half (53.4%) were eligible for compensation (21.8% of patients had full hospital health insurance cover, 21.4% third party insurance and 9.2% workers compensation). The mechanism of injury with the highest median cost per patient was assault, followed by pedal cyclists, pedestrians

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Trauma case management: Improving patient outcomes

Cited by 41 publications

References 18 publications

Systemic Inflammatory Response Syndrome Score and Race As Predictors of Length of Stay in the Intensive Care Unit

Systemic Inflammatory Response Syndrome Score and Race As Predictors of Length of Stay in the Intensive Care Unit

A benchmarking project of physiotherapy in Australian and New Zealand adult major trauma services

The cost and compensability of trauma patients

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