ArticleCanadian journal of surgery. Journal canadien de chirurgie2017
Canadian benchmarks for acute injury care.
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In one paragraph
Article in Canadian journal of surgery. Journal canadien de chirurgie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3citing papers in PubMed
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What it found
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Who cites it
3 citing papers in PubMed.
- Derivation and validation of actionable quality indicators targeting reductions in complications for injury admissions.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Incorporating the six aims for quality in the analysis of trauma care.Health systems (Basingstoke, England) · 2022Article
- Trauma systems in North America.OTA international : the open access journal of orthopaedic trauma · 2019Article
Corrections and comments
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Authors and funding
11 authors.
Lynne MooreFrom the Department of Social and Preventative Medicine, Université Laval, Québec, Que. (Moore); the Axe Santé des Populations et Pratiques Optimales en Santé, Traumatologie-Urgence-Soins intensifs, Centre de Recherche du CHU de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que. (Moore, Lauzier, Turgeon); the Department of Surgery, University of Calgary, Calgary, Alta. (Yanchar); the Department of Surgery, University of British Columbia, Vancouver, BC (Evans, Thakore, Hameed); the Department of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta. (Stelfox); the Department of Surgery, Division of General Surgery and Division of Critical Care, University of Calgary, Calgary, Alta. (Kortbeek); the Institut national d'excellence en santé et en services sociaux, Québec, Que. (Clément); the Department of Surgery, Université Laval, Québec, Que. (Clément); and the Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Québec, Que. (Lauzier, Turgeon).
David EvansFrom the Department of Social and Preventative Medicine, Université Laval, Québec, Que. (Moore); the Axe Santé des Populations et Pratiques Optimales en Santé, Traumatologie-Urgence-Soins intensifs, Centre de Recherche du CHU de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que. (Moore, Lauzier, Turgeon); the Department of Surgery, University of Calgary, Calgary, Alta. (Yanchar); the Department of Surgery, University of British Columbia, Vancouver, BC (Evans, Thakore, Hameed); the Department of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta. (Stelfox); the Department of Surgery, Division of General Surgery and Division of Critical Care, University of Calgary, Calgary, Alta. (Kortbeek); the Institut national d'excellence en santé et en services sociaux, Québec, Que. (Clément); the Department of Surgery, Université Laval, Québec, Que. (Clément); and the Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Québec, Que. (Lauzier, Turgeon).
Natalie L YancharFrom the Department of Social and Preventative Medicine, Université Laval, Québec, Que. (Moore); the Axe Santé des Populations et Pratiques Optimales en Santé, Traumatologie-Urgence-Soins intensifs, Centre de Recherche du CHU de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que. (Moore, Lauzier, Turgeon); the Department of Surgery, University of Calgary, Calgary, Alta. (Yanchar); the Department of Surgery, University of British Columbia, Vancouver, BC (Evans, Thakore, Hameed); the Department of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta. (Stelfox); the Department of Surgery, Division of General Surgery and Division of Critical Care, University of Calgary, Calgary, Alta. (Kortbeek); the Institut national d'excellence en santé et en services sociaux, Québec, Que. (Clément); the Department of Surgery, Université Laval, Québec, Que. (Clément); and the Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Québec, Que. (Lauzier, Turgeon).
Jaimini ThakoreFrom the Department of Social and Preventative Medicine, Université Laval, Québec, Que. (Moore); the Axe Santé des Populations et Pratiques Optimales en Santé, Traumatologie-Urgence-Soins intensifs, Centre de Recherche du CHU de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que. (Moore, Lauzier, Turgeon); the Department of Surgery, University of Calgary, Calgary, Alta. (Yanchar); the Department of Surgery, University of British Columbia, Vancouver, BC (Evans, Thakore, Hameed); the Department of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta. (Stelfox); the Department of Surgery, Division of General Surgery and Division of Critical Care, University of Calgary, Calgary, Alta. (Kortbeek); the Institut national d'excellence en santé et en services sociaux, Québec, Que. (Clément); the Department of Surgery, Université Laval, Québec, Que. (Clément); and the Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Québec, Que. (Lauzier, Turgeon).
Henry Thomas StelfoxFrom the Department of Social and Preventative Medicine, Université Laval, Québec, Que. (Moore); the Axe Santé des Populations et Pratiques Optimales en Santé, Traumatologie-Urgence-Soins intensifs, Centre de Recherche du CHU de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que. (Moore, Lauzier, Turgeon); the Department of Surgery, University of Calgary, Calgary, Alta. (Yanchar); the Department of Surgery, University of British Columbia, Vancouver, BC (Evans, Thakore, Hameed); the Department of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta. (Stelfox); the Department of Surgery, Division of General Surgery and Division of Critical Care, University of Calgary, Calgary, Alta. (Kortbeek); the Institut national d'excellence en santé et en services sociaux, Québec, Que. (Clément); the Department of Surgery, Université Laval, Québec, Que. (Clément); and the Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Québec, Que. (Lauzier, Turgeon).
Morad HameedFrom the Department of Social and Preventative Medicine, Université Laval, Québec, Que. (Moore); the Axe Santé des Populations et Pratiques Optimales en Santé, Traumatologie-Urgence-Soins intensifs, Centre de Recherche du CHU de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que. (Moore, Lauzier, Turgeon); the Department of Surgery, University of Calgary, Calgary, Alta. (Yanchar); the Department of Surgery, University of British Columbia, Vancouver, BC (Evans, Thakore, Hameed); the Department of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta. (Stelfox); the Department of Surgery, Division of General Surgery and Division of Critical Care, University of Calgary, Calgary, Alta. (Kortbeek); the Institut national d'excellence en santé et en services sociaux, Québec, Que. (Clément); the Department of Surgery, Université Laval, Québec, Que. (Clément); and the Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Québec, Que. (Lauzier, Turgeon).
Richard SimonsFrom the Department of Social and Preventative Medicine, Université Laval, Québec, Que. (Moore); the Axe Santé des Populations et Pratiques Optimales en Santé, Traumatologie-Urgence-Soins intensifs, Centre de Recherche du CHU de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que. (Moore, Lauzier, Turgeon); the Department of Surgery, University of Calgary, Calgary, Alta. (Yanchar); the Department of Surgery, University of British Columbia, Vancouver, BC (Evans, Thakore, Hameed); the Department of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta. (Stelfox); the Department of Surgery, Division of General Surgery and Division of Critical Care, University of Calgary, Calgary, Alta. (Kortbeek); the Institut national d'excellence en santé et en services sociaux, Québec, Que. (Clément); the Department of Surgery, Université Laval, Québec, Que. (Clément); and the Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Québec, Que. (Lauzier, Turgeon).
John KortbeekFrom the Department of Social and Preventative Medicine, Université Laval, Québec, Que. (Moore); the Axe Santé des Populations et Pratiques Optimales en Santé, Traumatologie-Urgence-Soins intensifs, Centre de Recherche du CHU de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que. (Moore, Lauzier, Turgeon); the Department of Surgery, University of Calgary, Calgary, Alta. (Yanchar); the Department of Surgery, University of British Columbia, Vancouver, BC (Evans, Thakore, Hameed); the Department of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta. (Stelfox); the Department of Surgery, Division of General Surgery and Division of Critical Care, University of Calgary, Calgary, Alta. (Kortbeek); the Institut national d'excellence en santé et en services sociaux, Québec, Que. (Clément); the Department of Surgery, Université Laval, Québec, Que. (Clément); and the Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Québec, Que. (Lauzier, Turgeon).
Julien ClémentFrom the Department of Social and Preventative Medicine, Université Laval, Québec, Que. (Moore); the Axe Santé des Populations et Pratiques Optimales en Santé, Traumatologie-Urgence-Soins intensifs, Centre de Recherche du CHU de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que. (Moore, Lauzier, Turgeon); the Department of Surgery, University of Calgary, Calgary, Alta. (Yanchar); the Department of Surgery, University of British Columbia, Vancouver, BC (Evans, Thakore, Hameed); the Department of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta. (Stelfox); the Department of Surgery, Division of General Surgery and Division of Critical Care, University of Calgary, Calgary, Alta. (Kortbeek); the Institut national d'excellence en santé et en services sociaux, Québec, Que. (Clément); the Department of Surgery, Université Laval, Québec, Que. (Clément); and the Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Québec, Que. (Lauzier, Turgeon).
François LauzierFrom the Department of Social and Preventative Medicine, Université Laval, Québec, Que. (Moore); the Axe Santé des Populations et Pratiques Optimales en Santé, Traumatologie-Urgence-Soins intensifs, Centre de Recherche du CHU de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que. (Moore, Lauzier, Turgeon); the Department of Surgery, University of Calgary, Calgary, Alta. (Yanchar); the Department of Surgery, University of British Columbia, Vancouver, BC (Evans, Thakore, Hameed); the Department of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta. (Stelfox); the Department of Surgery, Division of General Surgery and Division of Critical Care, University of Calgary, Calgary, Alta. (Kortbeek); the Institut national d'excellence en santé et en services sociaux, Québec, Que. (Clément); the Department of Surgery, Université Laval, Québec, Que. (Clément); and the Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Québec, Que. (Lauzier, Turgeon).
Alexis F TurgeonFrom the Department of Social and Preventative Medicine, Université Laval, Québec, Que. (Moore); the Axe Santé des Populations et Pratiques Optimales en Santé, Traumatologie-Urgence-Soins intensifs, Centre de Recherche du CHU de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que. (Moore, Lauzier, Turgeon); the Department of Surgery, University of Calgary, Calgary, Alta. (Yanchar); the Department of Surgery, University of British Columbia, Vancouver, BC (Evans, Thakore, Hameed); the Department of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta. (Stelfox); the Department of Surgery, Division of General Surgery and Division of Critical Care, University of Calgary, Calgary, Alta. (Kortbeek); the Institut national d'excellence en santé et en services sociaux, Québec, Que. (Clément); the Department of Surgery, Université Laval, Québec, Que. (Clément); and the Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Québec, Que. (Lauzier, Turgeon).
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute care injury outcomes vary substantially across Canadian provinces and trauma centres. Our aim was to develop Canadian benchmarks to monitor mortality and hospital length of stay (LOS) for injury admissions.
methodsBenchmarks were derived using data from the Canadian National Trauma Registry on patients with major trauma admitted to any level I or II trauma centre in Canada and from the following patient subgroups: isolated traumatic brain injury (TBI), isolated thoracoabdominal injury, multisystem blunt injury, age 65 years or older. We assessed predictive validity using measures of discrimination and calibration, and performed sensitivity analyses to assess the impact of replacing analytically complex methods (multiple imputation, shrinkage estimates and flexible modelling) with simple models that can be implemented locally.
resultsThe mortality risk adjustment model had excellent discrimination and calibration (area under the receiver operating characteristic curve 0.886, Hosmer-Lemeshow 36). The LOS risk-adjustment model predicted 29% of the variation in LOS. Overall, observed:expected ratios of mortality and mean LOS generated by an analytically simple model correlated strongly with those generated by analytically complex models (
conclusionWe propose Canadian benchmarks that can be used to monitor quality of care in Canadian trauma centres using Excel (see the appendices, available at canjsurg.ca). The program can be implemented using local trauma registries, providing that at least 100 patients are available for analysis.
Indexed as
BenchmarkingHospital MortalityAgedAged, 80 and overCanadaCritical CareFemaleHumansLength of StayMaleMiddle AgedRegistriesTrauma CentersWounds and Injuries
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