Trauma Registry: Trauma Quality indicators analysis in hospitalized patients

Rev Col Bras Cir. 2024 Apr 8:51:e20243604. doi: 10.1590/0100-6991e-20243604-en. eCollection 2024.
[Article in English, Portuguese]

Abstract

Purpose: to consolidate a Trauma Register (TR) trough REDCap data acquisition platform and to validate, in this context, local Quality Indicators (QI) as improvement opportunities in trauma management.

Methods: continuous data acquisition of all patients admitted in Irmandade da Santa Casa de Misericórdia de São Paulo adult Trauma bay and it's validation in REDCap platform; 6 months retrospective cohort of QI impact in length of hospitalar stay, complications and mortality. Fisher, Chi-squared, Wilcoxon and Kruskal-Wallis tests were used to correlate QIs fails with the endpoints, considering p<0.05 and CI <95% as statically significant.

Results: 465 were admitted in Trauma bay, with 137 patients hospitalized (29.5%); the number of QIs compromised were related with more complications (p=0.075) and increased length of stay (p=0.028), especially the delay in open fracture's surgical management, which increased the severe complications' incidence (p=0.005).

Conclusion: the REDCap data acquisition platform is useful as a tool for multi center TR implementation, from ethical and logistical point of view; nevertheless, the proposed QIs are validated as attention points in trauma management, allowing improvements in traumatized patients treatment.

MeSH terms

  • Adult
  • Brazil / epidemiology
  • Humans
  • Multiple Trauma*
  • Quality Indicators, Health Care*
  • Registries
  • Retrospective Studies