Validation of the Swedish Trauma Registry (SweTrau)

Holmberg, Lina; Bergström, Monica; Mani, Kevin; Wanhainen, Anders; Andréasson, Håkan; Linder, Fredrik

doi:10.1007/s00068-023-02244-6

Cited by 10 publications

(3 citation statements)

References 25 publications

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“…SweTrau is a national quality register established in 2011 using the Utstein Trauma Template for Uniform Reporting of Data following Major Trauma [ 11 ]. The registry is evaluated with good validity [ 12 ]. During the study period, 46 hospitals reported to SweTrau.…”

Section: Methodsmentioning

confidence: 99%

Epidemiology of patients assessed for trauma by Swedish ambulance services: a retrospective registry study

Larsson,

Axelsson,

Hagiwara

et al. 2024

BMC Emerg Med

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Background There is a lack of knowledge regarding the epidemiology of severe trauma assessed by Swedish emergency medical services (EMS). Aim To investigate the prevalence of trauma in Sweden assessed by EMS from a national perspective and describe patient demography, aetiology, trauma type, prehospital triage and clinical outcomes. Methods Data from two national quality registries, the Swedish Ambulance Registry and the Swedish Trauma Registry (SweTrau) were collected from January 1 to December 31, 2019. Inclusion criteria were an Emergency Symptoms and Signs code equivalent to trauma in the Swedish Ambulance Registry and criteria fulfilled for SweTrau inclusion. Exclusion criteria were patients < 18 years old, those not transported to a hospital and those without a personal identification number. Results In total, 53,120 patients with trauma were included (14% of primary EMS missions involving a personal identification number). Of those, 2,278 (4.3%) patients (median age: 45 years; 32% women) were reported in SweTrau to have severe or potentially severe trauma (penetrating: 7%, blunt: 93%). In terms of including all causes of trauma, the code for ‘trauma alert activation’ was most frequent (55%). The most frequent injury mechanism was an injury caused by a car (34%). Most (89%) cases were assigned Priority 1 (life-threatening condition) at the dispatch centre. 62% were regarded as potentially life threatening upon EMS arrival, whereas 29% were assessed as non-life-threatening. Overall, 25% of the patients had new injury severity scores > 15. 12% required invasive treatment, 11% were discharged with severe disability and the 30-day mortality rate was 3.6%. Conclusion In this cross-sectional study, 14% of the primary EMS missions for one year were caused by trauma. However, only a small proportion of these cases are severe injuries, and the risk of severe disabilities and death appears to be limited. The most frequent aetiology of a severe trauma is injury caused by a car, and most severe traumas are blunt. Severe traumas are given the highest priority at the dispatch centre in the vast majority of cases, but nearly one-third of these cases are considered a low priority by the EMS nurse. The latter leaves room for improvement.

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Section: Methodsmentioning

confidence: 99%

Epidemiology of patients assessed for trauma by Swedish ambulance services: a retrospective registry study

Larsson,

Axelsson,

Hagiwara

et al. 2024

BMC Emerg Med

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“…All traumatic injuries found during the hospital stay are registered. The register has recently been validated and high accuracy, correctness, data completeness, and correlation were reported ( 16 ).…”

Section: Methodsmentioning

confidence: 99%

Musculoskeletal injuries in trauma patients: a Swedish nationwide register study including 37,266 patients

Holtenius¹,

Berg²,

Enocson

2023

ActaO

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Background and purpose: Trauma causes over 4 million annual deaths globally and accounts for over 10% of the global burden of disease. Trauma patients often sustain multiple injuries in multiple organ systems. We aimed to investigate the proportion and distribution of musculoskeletal injuries in adult trauma patients.Patients and methods: This is a register-based study using data from the national Swedish trauma register (SweTrau) collected in 2015–2019. By categorizing Abbreviated Injury Scale (AIS) codes into different injury types, we provide a detailed description of the types of musculoskeletal injuries that occurred in trauma patients.Results: 51,335 cases were identified in the register. After exclusion of 7,696 cases that did not have any trauma diagnosis (AIS codes) registered from the trauma and 6,373 patients aged < 18, a total of 37,266 patients were included in the study. 15,246 (41%) had sustained musculoskeletal injury. Of the patients with musculoskeletal injuries, 7,733 (51%) had more than 1 such injury. Spine injuries were the most common injury location (n = 7,083 patients, 19%) followed by lower extremity injuries (n = 5,943 patients, 16%) and upper extremity injuries (n = 6,273 patients, 17%). Fractures were the dominating injury type with 30,755 (87%) of injuries being a fracture.Conclusion: 41% of the trauma patients had at least 1 musculoskeletal injury. A spine injury was the most common injury location. Fractures was the dominating injury type constituting 87% of all injuries. We also found that half the patients (51%) with spine or extremity injuries had ≥ 2 such injuries.

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“…The majority of trauma patients in Sweden are transported to an ED, and severely injured patients are well described in the national trauma registry [ 6 ]. However, a considerable proportion of patients are triaged to a PCC or remain at the scene and receive advice on self-care [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

The non-conveyance of trauma patients in Swedish emergency medical services: a retrospective observational study of the trauma population not transported to an emergency department

Larsson,

Eldh,

Hagman

et al. 2024

BMC Emerg Med

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Introduction Due to a systemic modification in Swedish emergency medical services (EMS) staffing in recent years, the nature of the Swedish EMS has changed. Transport to an emergency department (ED) is no longer the only option. Referrals and non-conveyance form a growing part of EMS assignments. Trauma is one of the most common causes of death and accounts for 17% of Swedish EMS assignments. The aim of this study was to describe the characteristics and clinical outcomes of non-conveyed trauma patients who were assessed, treated and triaged by the EMS to gain a better understanding of, and to optimise, transport and treatment decisions. Methods The study had a descriptive, retrospective and epidemiologic design and was conducted by reviewing EMS and hospital records for 837 non-conveyed trauma patients in the southwest of Sweden in 2019. Results Three in four non-conveyed trauma patients did not seek further medical care within 72 h following EMS assessment. The patients who were admitted to hospital later were often older, had suffered a fall and had a medical history. Half of all the incidents occurred in a domestic environment, and head trauma was the major complaint. Less than 1% of the studied patients died. Conclusion Most of the non-conveyed trauma patients did not seek further medical care after being discharged at the scene. Falling was the most common trauma event, and for the older population, this meant a higher risk of hospital admission. The reasons for falls should therefore be investigated thoroughly prior to non-conveyance decisions. Future studies should focus on the reasons for non-conveyance and measure the morbidity and invalidity outcomes rather than mortality.

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Validation of the Swedish Trauma Registry (SweTrau)

Cited by 10 publications

References 25 publications

Epidemiology of patients assessed for trauma by Swedish ambulance services: a retrospective registry study

Epidemiology of patients assessed for trauma by Swedish ambulance services: a retrospective registry study

Musculoskeletal injuries in trauma patients: a Swedish nationwide register study including 37,266 patients

The non-conveyance of trauma patients in Swedish emergency medical services: a retrospective observational study of the trauma population not transported to an emergency department

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