Evidence map›Paper›PMID 27178408›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2016

Paediatric trauma systems and their impact on the health outcomes of severely injured children: protocol for a mixed methods cohort study.

Kate Curtis, Amy McCarthy, Rebecca Mitchell, Deborah Black, Kim Foster, Stephen Jan, Brian Burns, Gary Tall, Oran Rigby, Russell Gruen and 2 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Development of the major trauma case review tool.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Kate CurtisSydney Nursing School, The University of Sydney, Sydney, NSW, Australia.
Amy McCarthySydney Nursing School, The University of Sydney, Sydney, NSW, Australia. amy.mccarthy@sydney.edu.au.
Rebecca MitchellAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Deborah BlackFaculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia.
Kim FosterSydney Nursing School, The University of Sydney, Sydney, NSW, Australia.
Stephen JanGeorge Institute for Global Health, Sydney, Australia.
Brian BurnsNSW Aeromedical and Medical Retrieval Services, NSW Ambulance, Sydney, Australia.
Gary TallNSW Aeromedical and Medical Retrieval Services, NSW Ambulance, Sydney, Australia.
Oran RigbyNSW Institute of Trauma and Injury Management, NSW Ministry of Health, Sydney, Australia.
Russell GruenLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Belinda KennedySydney Nursing School, The University of Sydney, Sydney, NSW, Australia.
Andrew J A HollandSydney Medical School, The University of Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInjury is a leading cause of death and disability for children. Regionalised trauma systems have improved outcomes for severely injured adults, however the impact of adult orientated trauma systems on the outcomes of severely injured children remains unclear. The objective of this study is to review the processes of care and describe the impacts of a regionalised trauma system on the outcomes of severely injured children.

methodsThis article describes the design of a mixed methods cohort study evaluating the paediatric trauma system in New South Wales (NSW), the most populous state in Australia. Recommendations and an implementation strategy will be developed for aspects of the paediatric trauma care system that require change. All injured children (aged <16 years) requiring intensive care, or with an Injury Severity Score (ISS) ≥ 9 treated in NSW, or who died following injury in NSW in the 2015-16 financial year, will be eligible for participation. Injury treatment and processes will be examined via retrospective medical record review. Quality of care will be measured via peer review and staff interviews, utilising a human factors framework. Health service and cost outcomes will be calculated using activity based funding data provided by the Ministry of Health. Health-related quality of life (HRQoL) proxy measures will occur at baseline, 6 and 12 months to measure child HRQoL and functional outcomes. DISCUSSION: This will be the first comprehensive analysis undertaken in Australia of the processes and systems of care for severe paediatric injury. The collaborative research method will encourage clinician, consumer and clinical networks to lead the clinical reform process and will ultimately enable policy makers and service providers to ensure that children seriously injured in Australia have the best opportunity for survival, improved functional outcome and long-term quality of life.

Indexed as

Quality of LifeAdolescentAdultChildChild, PreschoolCritical CareFemaleHumansIncidenceInjury Severity ScoreMaleNew South WalesRetrospective StudiesSurvival RateTrauma CentersTriageAmbulancesChildrenEmergency medical servicesInjuryOutcomesTrauma centersTrauma systemTriage

Identifiers

PMID27178408
PMCPMC4866432

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.