Open Access Research

Collecting core data in severely injured patients using a consensus trauma template: an international multicentre study

Kjetil Gorseth Ringdal123*, Hans Morten Lossius14, J Mary Jones15, Jens M Lauritsen67, Timothy J Coats89, Cameron S Palmer10, Rolf Lefering1112, Stefano Di Bartolomeo1314, David J Dries1516, Kjetil Søreide174 and The Utstein Trauma Data Collaborators

Author Affiliations

1 Department of Research, Norwegian Air Ambulance Foundation, Holterveien 24, N-1440 Drøbak, Norway

2 Division of Emergencies and Critical Care, Oslo University Hospital-Ullevål, Kirkeveien 166, N-0450 Oslo, Norway

3 Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Kirkeveien 166, N-0450, Norway

4 Department of Surgical Sciences, Faculty of Medicine and Dentistry, University of Bergen, N-5021 Bergen, Norway

5 Mathematics Department, School of Computing and Mathematics, Faculty of Natural Sciences, Colin Reeves Building, Keele University, Keele, Staffordshire ST5 5BG, UK

6 Orthopaedic Department, Accident Analysis Group, Odense University Hospital, Sdr. Boulevard 29, DK-5000 Odense C, Denmark

7 Institute of Public Health, Department of Biostatistics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, DK-5230 Odense M, Denmark

8 Emergency Medicine Academic Group, Department of Cardiovascular Sciences, University of Leicester, Infirmary Square, Leicester LE1 5WW, UK

9 The Trauma Audit & Research Network, Clinical Sciences Building, Hope Hospital, Eccles Old Road, Salford M6 8HD, UK

10 Trauma Service, The Royal Children's Hospital Melbourne, Flemington Road, Parkville, VIC 3052, Australia

11 Institute for Research in Operative Medicine, Faculty of Health, University of Witten/Herdecke, Ostmerheimer Str. 200, Haus 38, 51109 Cologne, Germany

12 Trauma Registry of the German Society of Trauma Surgery, Ostmerheimer Str. 200, 51109 Cologne, Germany

13 Department of Anaesthesia and ICU, Azienda Ospedaliero-Universitaria di Udine, Piazzale Santa Maria della Misericordia, 33100 Udine, Italy

14 Italian National Trauma Registry and Emilia-Romagna Trauma Registry, Department of Clinical Governance, Regional Health Agency, Viale Aldo Moro 21, 40127 Bologna, Italy

15 Department of Surgery, Regions Hospital, 640 Jackson Street, St. Paul, MN 55101, USA

16 Department of Surgery, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN 55455, USA

17 Department of Surgery, Stavanger University Hospital, Armauer Hansens vei 20, N-4011 Stavanger, Norway

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Critical Care 2011, 15:R237  doi:10.1186/cc10485

Published: 12 October 2011

Abstract

Introduction

No worldwide, standardised definitions exist for documenting, reporting and comparing data from severely injured trauma patients. This study evaluated the feasibility of collecting the data variables of the international consensus-derived Utstein Trauma Template.

Methods

Trauma centres from three different continents were invited to submit Utstein Trauma Template core data during a defined period, for up to 50 consecutive trauma patients. Directly admitted patients with a New Injury Severity Score (NISS) equal to or above 16 were included. Main outcome variables were data completeness, data differences and data collection difficulty.

Results

Centres from Europe (n = 20), North America (n = 3) and Australia (n = 1) submitted data on 965 patients, of whom 783 were included. Median age was 41 years (interquartile range (IQR) 24 to 60), and 73.1% were male. Median NISS was 27 (IQR 20 to 38), and blunt trauma predominated (91.1%). Of the 36 Utstein variables, 13 (36%) were collected by all participating centres. Eleven (46%) centres applied definitions of the survival outcome variable that were different from those of the template. Seventeen (71%) centres used the recommended version of the Abbreviated Injury Scale (AIS). Three variables (age, gender and AIS) were documented in all patients. Completeness > 80% was achieved for 28 variables, and 20 variables were > 90% complete.

Conclusions

The Utstein Template was feasible across international trauma centres for the majority of its data variables, with the exception of certain physiological and time variables. Major differences were found in the definition of survival and in AIS coding. The current results give a clear indication of the attainability of information and may serve as a stepping-stone towards creation of a European trauma registry.