Evidence map›Paper›PMID 35320370›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

Volume-outcome relationships in laryngeal trauma processes of care: a retrospective cohort study.

David Forner, Christopher W Noel, Matthew P Guttman, Barbara Haas, Danny Enepekides, Matthew H Rigby, S Mark Taylor, Avery B Nathens, Antoine Eskander

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

David FornerDivision of Otolaryngology, Head & Neck Surgery, Dalhousie University, Halifax, NS, Canada.ORCID http://orcid.org/0000-0002-1014-3545
Christopher W NoelInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Matthew P GuttmanInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Barbara HaasInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Danny EnepekidesInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Matthew H RigbyDivision of Otolaryngology, Head & Neck Surgery, Dalhousie University, Halifax, NS, Canada.
S Mark TaylorDivision of Otolaryngology, Head & Neck Surgery, Dalhousie University, Halifax, NS, Canada.
Avery B Nathens *Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Antoine Eskander *Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada. antoine.eskander@mail.utoronto.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe extent to which patients with laryngeal trauma undergo investigation and intervention is largely unknown. The objective of this study was to therefore determine the association between hospital volume and processes of care in patients sustaining laryngeal trauma.

methodsThis retrospective cohort study used the American College of Surgeons Trauma Quality Improvement Program database. Adult patients (≥ 18) who sustained traumatic laryngeal injuries between 2012 and 2016 were eligible. The exposure of interest was average annual laryngeal trauma volume categorized into quartiles. The primary and secondary outcomes of interest were the performances of diagnostic and therapeutic laryngeal procedures respectively. Multivariable logistic regression under a generalized estimating equations approach was utilized.

resultsIn total, 1164 patients were included. The average number of laryngeal trauma cases per hospital ranged from 0.2 to 7.2 per year. Diagnostic procedures were performed in 31% of patients and therapeutic in 19%. In patients with severe laryngeal injuries, diagnostic procedures were performed on a higher proportion of patients at high volume centers than low volume centers (46% vs 25%). In adjusted analysis, volume was not associated with the performance of diagnostic procedures. Patients treated at centers in the second (OR 1.94 [95% CI 1.29-2.90]) and third (OR 1.67 [95% CI 1.08-2.57]) volume quartiles had higher odds of undergoing a therapeutic procedure compared to the lowest volume quartile.

conclusionHospital volume may be associated with processes of care in laryngeal trauma. Additional research is required to investigate how these findings relate to patient and health system outcomes.

Indexed as

Quality ImprovementTrauma CentersAdultDatabases, FactualHospital MortalityHumansLogistic ModelsRetrospective StudiesHead & Neck SurgeryLaryngeal traumaNeck traumaOtolaryngology

Identifiers

PMID35320370

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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.